12 health deficiencies
Top issue: Quality of Life and Care (4 deficiencies)
4 fire-safety deficiencies
Top issue: Smoke (2 deficiencies)
New York, NY
2-star overall rating with 2-star inspections with $12,735 in total fines with 12 recent health deficiencies with 4 fire-safety deficiencies in the latest cycle
515 Audubon Avenue, New York, NY
(212) 342-9200
Overall
2 / 5
CMS overall stars
Health inspections
2 / 5
Survey and complaint cycles
Staffing
3 / 5
RN + nurse staffing
Quality measures
3 / 5
Resident outcomes and process measures
Quick facts
Beds
705
Certified beds
Average residents
690
Average occupied residents
Ownership
Non-Profit
Publicly displayed owner type
Chain
No chain reported
Operator or chain grouping
Approved since
1972-04-04
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Changed ownership
No
Within the last 12 months
Family council
Yes
Resident and family council reported
Sprinklers
Yes
Automatic sprinklers in all required areas
Staffing
RN hours / resident day
0.69
Registered nurse staffing · state 0.70 · national 0.68
LPN hours / resident day
0.32
Licensed practical nurse staffing · state 0.78 · national 0.87
Aide hours / resident day
2.24
Nurse aide staffing · state 2.20 · national 2.35
Total nurse hours
3.25
All reported nurse hours · state 3.65 · national 3.89
Licensed hours
1.01
RN + LPN hours · state 1.47 · national 1.54
Weekend hours
2.85
Weekend nurse staffing · state 3.16 · national 3.43
Weekend RN hours
0.52
Weekend registered nurse coverage · state 0.47 · national 0.47
Physical therapist
0.03
Reported PT staffing · state 0.11 · national 0.07
Adjusted RN hours
0.67
CMS adjusted RN staffing hours
Adjusted total hours
3.14
CMS adjusted total nurse staffing hours
Case-mix index
1.41
Higher values indicate more complex resident acuity
RN turnover
39%
Annual RN turnover · state 41% · national 45%
Total nurse turnover
43%
Annual nurse turnover · state 41% · national 46%
SNF VBP
Program rank
5,161
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
37.19
Composite VBP score used to determine payment impact.
Payment multiplier
0.9905
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
Readmission
3.05
Baseline 20.43% · Performance 20.02% · Measure score 3.05 · Achievement 3.05 · Improvement 0.73
Healthcare-associated infections
5
Baseline 8.78% · Performance 6.70% · Measure score 5 · Achievement 3.81 · Improvement 5
Total nurse turnover
5.96
Baseline 34.46% · Performance 39.30% · Measure score 5.96 · Achievement 5.96 · Improvement 0
Adjusted total nurse staffing
0.86
Baseline 3.06 hours · Performance 3.32 hours · Measure score 0.86 · Achievement 0.86 · Improvement 0.45
SNF QRP
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 12.21% |
10.72%
1.5 pts worse
|
No Different than the National Rate · Eligible stays 366 · Observed rate 13.66% · Lower 95% interval 10.13% |
| Discharge to community | 41.33% |
50.57%
9.2 pts worse
|
Worse than the National Rate · Eligible stays 226 · Observed rate 30.53% · Lower 95% interval 32.17% |
| Medicare spending per beneficiary | 1.01 |
1.02
About the same
|
|
| Drug regimen review with follow-up | 99.79% |
95.27%
4.5 pts better
|
Numerator 465 · Denominator 466 |
| Falls with major injury | 0.21% |
0.77%
0.6 pts better
|
Numerator 1 · Denominator 466 |
| Discharge self-care score | 45.96% |
53.69%
7.7 pts worse
|
Numerator 131 · Denominator 285 |
| Discharge mobility score | 54.74% |
50.94%
3.8 pts better
|
Numerator 156 · Denominator 285 |
| Pressure ulcers or injuries, new or worsened | 3.22% |
2.29%
0.9 pts worse
|
Numerator 15 · Denominator 466 · Adjusted rate 2.66% |
| Healthcare-associated infections requiring hospitalization | 6.7% |
7.12%
0.4 pts better
|
No Different than the National Rate · Eligible stays 192 · Observed rate 7.29% · Lower 95% interval 4.52% |
| Staff COVID-19 vaccination coverage | 0% |
8.2%
8.2 pts worse
|
Numerator 0 · Denominator 831 |
| Staff flu vaccination coverage | 57.89% |
42%
15.9 pts better
|
Numerator 411 · Denominator 710 |
| Discharge function score | 55.09% |
56.45%
1.4 pts worse
|
Numerator 157 · Denominator 285 |
| Transfer of health information to provider | 99.1% |
95.95%
3.1 pts better
|
Numerator 110 · Denominator 111 |
| Transfer of health information to patient | 98.02% |
96.28%
1.7 pts better
|
Numerator 99 · Denominator 101 |
| Resident COVID-19 vaccinations up to date | 36.91% |
25.2%
11.7 pts better
|
Numerator 86 · Denominator 233 |
Quality measures
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 1.9 |
1.7
0.2 pts worse
|
1.9
About the same
|
Long Stay · 20240701-20250630 · Adjusted 1.9 · Observed 1.9 · Expected 1.9 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 1.7 |
1.3
0.4 pts worse
|
1.8
0.1 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.7 · Observed 1.5 · Expected 1.5 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 99.1% |
91.2%
7.9 pts better
|
93.4%
5.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 97.8% · Q2 99.8% · Q3 99.4% · Q4 99.5% · 4Q avg 99.1% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 99.6% |
95.3%
4.3 pts better
|
95.5%
4.1 pts better
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 99.6% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 1.3% |
3.0%
1.7 pts better
|
3.3%
2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 1.9% · Q2 1.1% · Q3 1.4% · Q4 0.9% · 4Q avg 1.3% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 7.8% |
18.5%
10.7 pts better
|
11.4%
3.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 4.1% · Q2 5.5% · Q3 5.9% · Q4 15.1% · 4Q avg 7.8% |
| Percentage of long-stay residents who lose too much weight | 5.0% |
6.1%
1.1 pts better
|
5.4%
0.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 6.1% · Q2 5.9% · Q3 3.5% · Q4 4.3% · 4Q avg 5.0% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 8.2% |
13.5%
5.3 pts better
|
19.6%
11.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 9.8% · Q2 9.6% · Q3 6.9% · Q4 6.7% · 4Q avg 8.2% |
| Percentage of long-stay residents who received an antipsychotic medication | 12.6% |
14.8%
2.2 pts better
|
16.7%
4.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 14.8% · Q2 14.1% · Q3 10.9% · Q4 10.6% · 4Q avg 12.6% · Used in QM five-star |
| Percentage of long-stay residents who were physically restrained | 0.0% |
0.2%
0.2 pts better
|
0.1%
0.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | 15.4% |
15.1%
0.3 pts worse
|
16.3%
0.9 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 15.7% · Q2 12.2% · Q3 21.0% · Q4 12.5% · 4Q avg 15.4% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 15.4% |
15.5%
0.1 pts better
|
14.9%
0.5 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 11.7% · Q2 12.4% · Q3 23.0% · Q4 14.6% · 4Q avg 15.4% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.2% |
0.6%
0.4 pts better
|
1.0%
0.8 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.2% · Q2 0.2% · Q3 0.1% · Q4 0.1% · 4Q avg 0.2% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 0.5% |
1.4%
0.9 pts better
|
1.7%
1.2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.5% · Q2 0.3% · Q3 1.1% · Q4 0.2% · 4Q avg 0.5% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 17.5% |
20.8%
3.3 pts better
|
19.8%
2.3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 15.6% · Q2 16.9% · Q3 19.3% · Q4 18.2% · 4Q avg 17.5% |
| Percentage of long-stay residents with pressure ulcers | 5.3% |
6.9%
1.6 pts better
|
5.1%
0.2 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 6.1% · Q2 6.2% · Q3 5.0% · Q4 3.8% · 4Q avg 5.3% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 87.3% |
76.7%
10.6 pts better
|
81.7%
5.6 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 83.3% · Q2 86.5% · Q3 89.4% · Q4 90.1% · 4Q avg 87.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 10.0% |
9.7%
0.3 pts worse
|
12.0%
2 pts better
|
Short Stay · 20240701-20250630 · Adjusted 10.0% · Observed 10.5% · Expected 11.6% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 1.4% |
1.2%
0.2 pts worse
|
1.6%
0.2 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 1.7% · Q2 0.6% · Q3 1.6% · Q4 1.6% · 4Q avg 1.4% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 92.1% |
78.8%
13.3 pts better
|
79.7%
12.4 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 92.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 24.3% |
20.6%
3.7 pts worse
|
23.9%
0.4 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 24.3% · Observed 25.1% · Expected 24.6% · Used in QM five-star |
Survey summary
Top issue: Quality of Life and Care (4 deficiencies)
4 fire-safety deficiencies
Top issue: Smoke (2 deficiencies)
Top issue: Resident Assessment and Care Planning (4 deficiencies)
7 fire-safety deficiencies
Top issue: Smoke (3 deficiencies)
Top issue: Freedom from Abuse and Neglect and Exploitation (1 deficiency)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Fire safety
Fire Safety
Install proper backup exit lighting.
Corrected 2024-06-01
Fire Safety
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Corrected 2024-06-01
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2024-06-01
Fire Safety
Have proper medical gas storage and administration areas.
Corrected 2024-06-01
Fire Safety
Have properly located and lighted "Exit" signs.
Corrected 2023-01-14
Fire Safety
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Corrected 2023-02-08
Fire Safety
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected 2023-01-15
Fire Safety
Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.
Corrected 2023-02-10
Fire Safety
Address subsistence needs for staff and patients.
Corrected 2023-02-08
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2022-12-28
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2023-01-13
Inspection history
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2026-02-19
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2026-02-19
Health
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2025-12-25
Health
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Corrected 2024-06-01
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2024-06-01
Health
Provide and implement an infection prevention and control program.
Corrected 2024-06-01
Health
Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.
Corrected 2024-06-01
Health
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Corrected 2024-06-01
Health
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2024-06-01
Health
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
Corrected 2024-06-01
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2024-06-01
Health
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
Corrected 2024-06-01
Health
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2024-02-10
Health
Assure the security of all personal funds of residents deposited with the facility.
Corrected 2023-01-20
Health
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Corrected 2023-01-27
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2023-01-27
Health
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
Corrected 2023-01-27
Health
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Corrected 2023-01-27
Health
Ensure each resident receives an accurate assessment.
Corrected 2023-01-27
Health
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected 2023-01-27
Health
Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.
Corrected 2023-01-27
Health
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
Corrected 2023-01-26
Health
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2020-12-30
Health
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Corrected 2020-12-29
Health
Provide and implement an infection prevention and control program.
Corrected 2020-12-30
Penalties and ownership
Fine · fine $12,735
Fine
W-2 Managing Employee · Individual
W-2 Managing Employee · Individual
Corporate Director · Individual
W-2 Managing Employee · Individual
Corporate Director · Individual
Corporate Officer · Individual
W-2 Managing Employee · Individual
Corporate Director · Individual
Corporate Director · Individual
Corporate Director · Individual
Corporate Officer · Individual
W-2 Managing Employee · Individual
Corporate Director · Individual
W-2 Managing Employee · Individual
W-2 Managing Employee · Individual
Corporate Director · Individual
Corporate Director · Individual
Corporate Director · Individual
Corporate Officer · Individual
W-2 Managing Employee · Individual
Corporate Director · Individual
Nearby options
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Bronx, NY
2-star overall rating with 1-star inspections with 13 recent health deficiencies with 9 fire-safety deficiencies in the latest cycle
Bronx, NY
2-star overall rating with 1-star inspections with $8,281 in total fines with 9 recent health deficiencies with 3 fire-safety deficiencies in the latest cycle
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