1 health deficiencies
Top issue: Resident Assessment and Care Planning (1 deficiency)
3 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (2 deficiencies)
Bronx, NY
4-star overall rating with 4-star inspections with 1 recent health deficiencies with 3 fire-safety deficiencies in the latest cycle
2000 E Gunhill Road, Bronx, NY
(718) 320-0400
Overall
4 / 5
CMS overall stars
Health inspections
4 / 5
Survey and complaint cycles
Staffing
3 / 5
RN + nurse staffing
Quality measures
4 / 5
Resident outcomes and process measures
Quick facts
Beds
720
Certified beds
Average residents
621
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
No chain reported
Operator or chain grouping
Approved since
1981-03-01
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
0.46
Registered nurse staffing · state 0.70 · national 0.68
LPN hours / resident day
0.66
Licensed practical nurse staffing · state 0.78 · national 0.87
Aide hours / resident day
2.20
Nurse aide staffing · state 2.20 · national 2.35
Total nurse hours
3.32
All reported nurse hours · state 3.65 · national 3.89
Licensed hours
1.12
RN + LPN hours · state 1.47 · national 1.54
Weekend hours
2.97
Weekend nurse staffing · state 3.16 · national 3.43
Weekend RN hours
0.23
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
0.45
CMS adjusted RN staffing hours
Adjusted total hours
3.28
CMS adjusted total nurse staffing hours
Case-mix index
1.38
Higher values indicate more complex resident acuity
RN turnover
32%
Annual RN turnover · state 41% · national 45%
Total nurse turnover
30%
Annual nurse turnover · state 41% · national 46%
SNF VBP
Program rank
6,997
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
31.08
Composite VBP score used to determine payment impact.
Payment multiplier
0.9863
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
Readmission
5.80
Baseline 20.04% · Performance 18.74% · Measure score 5.80 · Achievement 5.80 · Improvement 3.80
Healthcare-associated infections
0
Baseline 7.85% · Performance 8.84% · Measure score 0 · Achievement 0 · Improvement 0
Total nurse turnover
6.63
Baseline 26.77% · Performance 36.56% · Measure score 6.63 · Achievement 6.63 · Improvement 0
Adjusted total nurse staffing
0
Baseline 3.13 hours · Performance 3.01 hours · Measure score 0 · Achievement 0 · Improvement 0
SNF QRP
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 7.49% |
10.72%
3.2 pts better
|
Better than the National Rate · Eligible stays 461 · Observed rate 6.07% · Lower 95% interval 5.69% |
| Discharge to community | 45.29% |
50.57%
5.3 pts worse
|
No Different than the National Rate · Eligible stays 350 · Observed rate 37.14% · Lower 95% interval 39.91% |
| Medicare spending per beneficiary | 1.61 |
1.02
0.6 pts worse
|
|
| Drug regimen review with follow-up | 96.5% |
95.27%
1.2 pts better
|
Numerator 524 · Denominator 543 |
| Falls with major injury | 0.55% |
0.77%
0.2 pts better
|
Numerator 3 · Denominator 543 |
| Discharge self-care score | 34.17% |
53.69%
19.5 pts worse
|
Numerator 122 · Denominator 357 |
| Discharge mobility score | 47.34% |
50.94%
3.6 pts worse
|
Numerator 169 · Denominator 357 |
| Pressure ulcers or injuries, new or worsened | 2.95% |
2.29%
0.7 pts worse
|
Numerator 16 · Denominator 543 · Adjusted rate 2.19% |
| Healthcare-associated infections requiring hospitalization | 8.84% |
7.12%
1.7 pts worse
|
No Different than the National Rate · Eligible stays 301 · Observed rate 10.3% · Lower 95% interval 6.8% |
| Staff COVID-19 vaccination coverage | 4.21% |
8.2%
4 pts worse
|
Numerator 38 · Denominator 902 |
| Staff flu vaccination coverage | 33.8% |
42%
8.2 pts worse
|
Numerator 311 · Denominator 920 |
| Discharge function score | 43.98% |
56.45%
12.5 pts worse
|
Numerator 157 · Denominator 357 |
| Transfer of health information to provider | 100% |
95.95%
4 pts better
|
Numerator 181 · Denominator 181 |
| Transfer of health information to patient | 96.61% |
96.28%
0.3 pts better
|
Numerator 114 · Denominator 118 |
| Resident COVID-19 vaccinations up to date | 25.38% |
25.2%
0.2 pts better
|
Numerator 66 · Denominator 260 |
Quality measures
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 1.7 |
1.7
About the same
|
1.9
0.2 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.7 · Observed 1.4 · Expected 1.6 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 1.0 |
1.3
0.3 pts better
|
1.8
0.8 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.0 · Observed 0.8 · Expected 1.3 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 98.4% |
91.2%
7.2 pts better
|
93.4%
5 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 98.3% · Q2 98.2% · Q3 97.7% · Q4 99.3% · 4Q avg 98.4% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 95.0% |
95.3%
0.3 pts worse
|
95.5%
0.5 pts worse
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 95.0% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 0.9% |
3.0%
2.1 pts better
|
3.3%
2.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.7% · Q2 0.7% · Q3 1.1% · Q4 1.2% · 4Q avg 0.9% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 19.3% |
18.5%
0.8 pts worse
|
11.4%
7.9 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 25.4% · Q2 23.2% · Q3 17.8% · Q4 10.0% · 4Q avg 19.3% |
| Percentage of long-stay residents who lose too much weight | 4.6% |
6.1%
1.5 pts better
|
5.4%
0.8 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 4.9% · Q2 4.2% · Q3 5.2% · Q4 4.0% · 4Q avg 4.6% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 4.1% |
13.5%
9.4 pts better
|
19.6%
15.5 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 5.3% · Q2 5.1% · Q3 2.2% · Q4 3.9% · 4Q avg 4.1% |
| 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 | 11.9% |
15.1%
3.2 pts better
|
16.3%
4.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 13.1% · Q2 15.5% · Q3 10.5% · Q4 8.7% · 4Q avg 11.9% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 14.4% |
15.5%
1.1 pts better
|
14.9%
0.5 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 17.0% · Q2 16.2% · Q3 12.3% · Q4 12.2% · 4Q avg 14.4% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 1.0% |
0.6%
0.4 pts worse
|
1.0%
About the same
|
Long Stay · 2024Q4-2025Q3 · Q1 1.3% · Q2 1.3% · Q3 0.6% · Q4 0.9% · 4Q avg 1.0% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 2.3% |
1.4%
0.9 pts worse
|
1.7%
0.6 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 2.1% · Q2 2.6% · Q3 2.0% · Q4 2.3% · 4Q avg 2.3% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 26.4% |
20.8%
5.6 pts worse
|
19.8%
6.6 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 27.8% · Q2 28.5% · Q3 24.0% · Q4 25.4% · 4Q avg 26.4% |
| Percentage of long-stay residents with pressure ulcers | 4.5% |
6.9%
2.4 pts better
|
5.1%
0.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 4.5% · Q2 5.4% · Q3 4.5% · Q4 3.5% · 4Q avg 4.5% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 84.7% |
76.7%
8 pts better
|
81.7%
3 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 84.5% · Q2 82.0% · Q3 85.2% · Q4 87.8% · 4Q avg 84.7% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 5.4% |
9.7%
4.3 pts better
|
12.0%
6.6 pts better
|
Short Stay · 20240701-20250630 · Adjusted 5.4% · Observed 5.6% · Expected 11.4% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 1.2% |
1.2%
About the same
|
1.6%
0.4 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 1.7% · Q2 1.4% · Q3 0.5% · Q4 1.0% · 4Q avg 1.2% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 77.5% |
78.8%
1.3 pts worse
|
79.7%
2.2 pts worse
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 77.5% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 23.9% |
20.6%
3.3 pts worse
|
23.9%
About the same
|
Short Stay · 20240701-20250630 · Adjusted 23.9% · Observed 26.7% · Expected 26.7% · Used in QM five-star |
Survey summary
Top issue: Resident Assessment and Care Planning (1 deficiency)
3 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (2 deficiencies)
Top issue: Freedom from Abuse and Neglect and Exploitation (3 deficiencies)
10 fire-safety deficiencies
Top issue: Egress (4 deficiencies)
Top issue: Resident Rights (5 deficiencies)
5 fire-safety deficiencies
Top issue: Egress (2 deficiencies)
Fire safety
Fire Safety
Install an approved automatic sprinkler system.
Corrected 2025-02-05
Fire Safety
Have power receptacles that are properly grounded.
Corrected 2025-02-05
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2025-02-05
Fire Safety
Install an approved automatic sprinkler system.
Corrected 2023-06-02
Fire Safety
Have proper power supply for life support equipment.
Corrected 2023-08-10
Fire Safety
Use approved construction type or materials.
Corrected 2023-06-02
Fire Safety
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
Corrected 2023-06-02
Fire Safety
Provide sliding doors free of hazards, operable without special knowledge or effort, and meet weight requirements to set door in motion.
Corrected 2023-08-10
Fire Safety
Have exits that are accessible at all times.
Corrected 2023-06-02
Fire Safety
Have properly located and lighted "Exit" signs.
Corrected 2023-08-10
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 2023-06-02
Fire Safety
Install a fire alarm system that can be heard throughout the facility.
Corrected 2023-06-02
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2023-06-02
Fire Safety
Have stairways and smokeproof enclosures used as exits that meet safety requirements.
Corrected 2020-10-29
Fire Safety
Meet other general requirements that are deficient.
Corrected 2020-10-29
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 2020-10-29
Fire Safety
Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke.
Corrected 2020-10-29
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2020-10-29
Inspection history
Health
Provide safe, appropriate pain management for a resident who requires such services.
Corrected 2025-02-14
Health
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2025-02-07
Health
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
Corrected 2025-02-07
Health
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2024-11-18
Health
Ensure that residents are free from significant medication errors.
Corrected 2024-11-18
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2023-06-05
Health
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2023-05-10
Health
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected 2023-05-05
Health
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2023-05-24
Health
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2023-05-08
Health
Respond appropriately to all alleged violations.
Corrected 2023-06-01
Health
Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.
Corrected 2023-06-01
Health
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2023-05-10
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2023-05-05
Health
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2020-10-19
Health
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
Corrected 2020-11-02
Health
Provide and implement an infection prevention and control program.
Corrected 2020-10-19
Health
Post nurse staffing information every day.
Corrected 2020-10-05
Penalties and ownership
5% Or Greater Indirect Ownership Interest · Individual
5% Or Greater Direct Ownership Interest · Organization
5% Or Greater Direct Ownership Interest · Individual
5% Or Greater Direct Ownership Interest · Individual
5% Or Greater Direct Ownership Interest · Individual
5% Or Greater Direct Ownership Interest · Individual
Operational/Managerial Control · Individual
Operational/Managerial Control · Individual
Corporate Director · Individual
Corporate Officer · Individual
Corporate Officer · Individual
Operational/Managerial Control · Individual
Corporate Officer · Individual
Nearby options
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Bronx, NY
5-star overall rating with 5-star inspections with 1 recent health deficiencies
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