Bronx, NY

Manhattanville Health Care Center

5-star overall rating with 4-star inspections with 6 recent health deficiencies with 4 fire-safety deficiencies in the latest cycle

311 W 231st Street, Bronx, NY

(718) 601-8400

Compare this facility

Overall

5 / 5

CMS overall stars

Health inspections

4 / 5

Survey and complaint cycles

Staffing

2 / 5

RN + nurse staffing

Quality measures

5 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

200

Certified beds

Average residents

188

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

No chain reported

Operator or chain grouping

Approved since

1988-11-10

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

Hours and turnover

RN hours / resident day

0.44

Registered nurse staffing · state 0.70 · national 0.68

LPN hours / resident day

0.42

Licensed practical nurse staffing · state 0.78 · national 0.87

Aide hours / resident day

1.96

Nurse aide staffing · state 2.20 · national 2.35

Total nurse hours

2.82

All reported nurse hours · state 3.65 · national 3.89

Licensed hours

0.87

RN + LPN hours · state 1.47 · national 1.54

Weekend hours

2.48

Weekend nurse staffing · state 3.16 · national 3.43

Weekend RN hours

0.33

Weekend registered nurse coverage · state 0.47 · national 0.47

Physical therapist

0.10

Reported PT staffing · state 0.11 · national 0.07

Adjusted RN hours

0.41

CMS adjusted RN staffing hours

Adjusted total hours

2.64

CMS adjusted total nurse staffing hours

Case-mix index

1.46

Higher values indicate more complex resident acuity

RN turnover

7%

Annual RN turnover · state 41% · national 45%

Total nurse turnover

16%

Annual nurse turnover · state 41% · national 46%

SNF VBP

Value-based purchasing

Program rank

1,592

Lower is better among SNFs in the FY 2026 VBP program.

Performance score

55.45

Composite VBP score used to determine payment impact.

Payment multiplier

1.0105

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

4.08

Baseline 21.66% · Performance 19.54% · Measure score 4.08 · Achievement 4.08 · Improvement 4.08

Healthcare-associated infections

8.10

Baseline 9.57% · Performance 5.64% · Measure score 8.10 · Achievement 7.35 · Improvement 8.10

Total nurse turnover

10

Baseline 17.76% · Performance 21.43% · Measure score 10 · Achievement 10 · Improvement 0

Adjusted total nurse staffing

0

Baseline 2.64 hours · Performance 2.44 hours · Measure score 0 · Achievement 0 · Improvement 0

SNF QRP

Medicare quality reporting measures

Measure	Facility	National	Note
Potentially preventable 30-day readmission	9.39%	10.72% 1.3 pts better	No Different than the National Rate · Eligible stays 99 · Observed rate 6.06% · Lower 95% interval 6.55%
Discharge to community	44.58%	50.57% 6 pts worse	No Different than the National Rate · Eligible stays 61 · Observed rate 36.07% · Lower 95% interval 33.84%
Medicare spending per beneficiary	1.7	1.02 0.7 pts worse
Drug regimen review with follow-up	100%	95.27% 4.7 pts better	Numerator 210 · Denominator 210
Falls with major injury	0.95%	0.77% 0.2 pts worse	Numerator 2 · Denominator 210
Discharge self-care score	66.9%	53.69% 13.2 pts better	Numerator 95 · Denominator 142
Discharge mobility score	72.54%	50.94% 21.6 pts better	Numerator 103 · Denominator 142
Pressure ulcers or injuries, new or worsened	0.48%	2.29% 1.8 pts better	Numerator 1 · Denominator 210 · Adjusted rate 0.3%
Healthcare-associated infections requiring hospitalization	5.64%	7.12% 1.5 pts better	No Different than the National Rate · Eligible stays 79 · Observed rate 2.53% · Lower 95% interval 2.8%
Staff COVID-19 vaccination coverage	7.64%	8.2% 0.6 pts worse	Numerator 12 · Denominator 157
Staff flu vaccination coverage	51.01%	42% 9 pts better	Numerator 101 · Denominator 198
Discharge function score	78.17%	56.45% 21.7 pts better	Numerator 111 · Denominator 142
Transfer of health information to provider	100%	95.95% 4 pts better	Numerator 98 · Denominator 98
Transfer of health information to patient	Not Available	96.28%	Numerator Not Available · Denominator 14 · Too few residents or stays to report publicly.
Resident COVID-19 vaccinations up to date	27.45%	25.2% 2.2 pts better	Numerator 28 · Denominator 102

Quality measures

Resident outcomes and process scores

Measure	Facility	State	National	Note
Number of hospitalizations per 1000 long-stay resident days	2.2	1.7 0.5 pts worse	1.9 0.3 pts worse	Long Stay · 20240701-20250630 · Adjusted 2.2 · Observed 1.8 · Expected 1.5 · Used in QM five-star
Number of outpatient emergency department visits per 1000 long-stay resident days	0.9	1.3 0.4 pts better	1.8 0.9 pts better	Long Stay · 20240701-20250630 · Adjusted 0.9 · Observed 0.7 · Expected 1.3 · Used in QM five-star
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine	55.0%	91.2% 36.2 pts worse	93.4% 38.4 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 48.8% · Q2 53.2% · Q3 59.3% · Q4 58.4% · 4Q avg 55.0%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine	99.5%	95.3% 4.2 pts better	95.5% 4 pts better	Long Stay · 2024Q3-2025Q2 · 4Q avg 99.5%
Percentage of long-stay residents experiencing one or more falls with major injury	2.1%	3.0% 0.9 pts better	3.3% 1.2 pts better	Long Stay · 2024Q4-2025Q3 · Q1 1.8% · Q2 2.3% · Q3 1.7% · Q4 2.4% · 4Q avg 2.1% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms	7.3%	18.5% 11.2 pts better	11.4% 4.1 pts better	Long Stay · 2024Q4-2025Q3 · Q1 12.4% · Q2 2.6% · Q3 4.7% · Q4 8.7% · 4Q avg 7.3%
Percentage of long-stay residents who lose too much weight	5.7%	6.1% 0.4 pts better	5.4% 0.3 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 7.1% · Q2 6.8% · Q3 5.0% · Q4 3.9% · 4Q avg 5.7%
Percentage of long-stay residents who received an antianxiety or hypnotic medication	4.4%	13.5% 9.1 pts better	19.6% 15.2 pts better	Long Stay · 2024Q4-2025Q3 · Q1 4.3% · Q2 3.6% · Q3 6.0% · Q4 3.7% · 4Q avg 4.4%
Percentage of long-stay residents who received an antipsychotic medication	10.5%	14.8% 4.3 pts better	16.7% 6.2 pts better	Long Stay · 2024Q4-2025Q3 · Q1 13.0% · Q2 11.3% · Q3 8.9% · Q4 9.0% · 4Q avg 10.5% · 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	25.5%	15.1% 10.4 pts worse	16.3% 9.2 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 32.6% · Q2 23.5% · Q3 11.7% · Q4 34.4% · 4Q avg 25.5% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased	20.7%	15.5% 5.2 pts worse	14.9% 5.8 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 24.8% · Q2 19.9% · Q3 22.3% · Q4 15.6% · 4Q avg 20.7% · Used in QM five-star
Percentage of long-stay residents with a catheter inserted and left in their bladder	0.0%	0.6% 0.6 pts better	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% · Used in QM five-star
Percentage of long-stay residents with a urinary tract infection	0.9%	1.4% 0.5 pts better	1.7% 0.8 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.6% · Q2 1.8% · Q3 0.6% · Q4 0.6% · 4Q avg 0.9% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence	19.6%	20.8% 1.2 pts better	19.8% 0.2 pts better	Long Stay · 2024Q4-2025Q3 · Q1 19.6% · Q2 24.0% · Q3 16.3% · Q4 18.3% · 4Q avg 19.6%
Percentage of long-stay residents with pressure ulcers	4.8%	6.9% 2.1 pts better	5.1% 0.3 pts better	Long Stay · 2024Q4-2025Q3 · Q1 3.9% · Q2 6.5% · Q3 4.4% · Q4 4.3% · 4Q avg 4.8% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine	58.0%	76.7% 18.7 pts worse	81.7% 23.7 pts worse	Short Stay · 2024Q4-2025Q3 · Q1 48.5% · Q2 69.1% · Q3 63.2% · Q4 52.5% · 4Q avg 58.0%
Percentage of short-stay residents who had an outpatient emergency department visit	2.7%	9.7% 7 pts better	12.0% 9.3 pts better	Short Stay · 20240701-20250630 · Adjusted 2.7% · Observed 2.7% · Expected 11.2% · Used in QM five-star
Percentage of short-stay residents who newly received an antipsychotic medication	0.8%	1.2% 0.4 pts better	1.6% 0.8 pts better	Short Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 2.9% · 4Q avg 0.8% · Used in QM five-star
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine	86.6%	78.8% 7.8 pts better	79.7% 6.9 pts better	Short Stay · 2024Q3-2025Q2 · 4Q avg 86.6%
Percentage of short-stay residents who were rehospitalized after a nursing home admission	16.9%	20.6% 3.7 pts better	23.9% 7 pts better	Short Stay · 20240701-20250630 · Adjusted 16.9% · Observed 17.7% · Expected 25.0% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-06-11 · Fire 2025-06-11

6 health deficiencies

Top issue: Pharmacy Service (2 deficiencies)

4 fire-safety deficiencies

Top issue: Gas and Vacuum and Electrical Systems (3 deficiencies)

Cycle 2 Health 2023-03-16 · Fire 2023-03-16

6 health deficiencies

Top issue: Resident Assessment and Care Planning (2 deficiencies)

0 fire-safety deficiencies

No concentrated fire-safety issue counts in this cycle.

Cycle 3 Health 2020-02-27 · Fire 2020-02-27

7 health deficiencies

Top issue: Resident Assessment and Care Planning (3 deficiencies)

1 fire-safety deficiencies

Top issue: Egress (1 deficiency)

Fire safety

Fire-safety citations

E · Potential for more than minimal harm 2025-06-11

K912 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have power receptacles that are properly grounded.

Corrected 2025-07-03

E · Potential for more than minimal harm 2025-06-11

K915 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have proper power supply for life support equipment.

Corrected 2025-07-03

D · Potential for more than minimal harm 2025-06-11

K345 · Smoke Deficiencies

Fire Safety

Have approved installation, maintenance and testing program for fire alarm systems.

Corrected 2025-07-03

D · Potential for more than minimal harm 2025-06-11

K920 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure proper usage of power strips and extension cords.

Corrected 2025-07-03

E · Potential for more than minimal harm 2020-02-27

K225 · Egress Deficiencies

Fire Safety

Have stairways and smokeproof enclosures used as exits that meet safety requirements.

Corrected 2020-04-27

Inspection history

Recent health citations

D · Potential for more than minimal harm 2025-06-11

F693 · Quality of Life and Care Deficiencies

Health

Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.

Corrected 2025-08-08

D · Potential for more than minimal harm 2025-06-11

F760 · Pharmacy Service Deficiencies

Health

Ensure that residents are free from significant medication errors.

Corrected 2025-08-08

D · Potential for more than minimal harm 2025-06-11

F761 · Pharmacy Service Deficiencies

Health

Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

Corrected 2025-08-08

D · Potential for more than minimal harm 2025-06-11

F812 · Nutrition and Dietary Deficiencies

Health

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Corrected 2025-08-08

D · Potential for more than minimal harm 2025-06-11

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2025-08-08

C · Minimal harm 2025-06-11

F848 · Administration Deficiencies

Health

Provide a neutral and fair arbitration process and agree to arbitrator and venue.

Corrected 2025-08-08

D · Potential for more than minimal harm 2023-03-21

F609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Corrected 2023-04-06

D · Potential for more than minimal harm 2023-03-21

F610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Respond appropriately to all alleged violations.

Corrected 2023-04-06

E · Potential for more than minimal harm 2023-03-16

F657 · Resident Assessment and Care Planning Deficiencies

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 2023-05-12

D · Potential for more than minimal harm 2023-03-16

F656 · Resident Assessment and Care Planning Deficiencies

Health

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Corrected 2023-05-12

D · Potential for more than minimal harm 2023-03-16

F689 · Quality of Life and Care Deficiencies

Health

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Corrected 2023-05-12

D · Potential for more than minimal harm 2023-03-16

F692 · Quality of Life and Care Deficiencies

Health

Provide enough food/fluids to maintain a resident's health.

Corrected 2023-05-12

D · Potential for more than minimal harm 2023-03-16

F710 · Nursing and Physician Services Deficiencies

Health

Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care.

Corrected 2023-05-12

D · Potential for more than minimal harm 2023-03-16

F756 · Pharmacy Service Deficiencies

Health

Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

Corrected 2023-05-12

D · Potential for more than minimal harm 2023-03-16

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2023-05-12

D · Potential for more than minimal harm 2020-02-27

F641 · Resident Assessment and Care Planning Deficiencies

Health

Ensure each resident receives an accurate assessment.

Corrected 2020-02-27

D · Potential for more than minimal harm 2020-02-27

F656 · Resident Assessment and Care Planning Deficiencies

Health

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Corrected 2020-03-20

D · Potential for more than minimal harm 2020-02-27

F688 · Quality of Life and Care Deficiencies

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 2020-03-23

D · Potential for more than minimal harm 2020-02-27

F842 · Resident Assessment and Care Planning Deficiencies

Health

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Corrected 2020-03-25

Penalties and ownership