Cycle 1
Health 2025-09-09 · Fire 2025-09-09
5 health deficiencies
Top issue: Quality of Life and Care (2 deficiencies)
4 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (2 deficiencies)
New York, NY
Mary Manning Walsh Nursing Home Co Inc
5-star overall rating with 4-star inspections with 5 recent health deficiencies with 4 fire-safety deficiencies in the latest cycle
1339 York Avenue, New York, NY
(646) 475-4800
Overall
5 / 5
CMS overall stars
Health inspections
4 / 5
Survey and complaint cycles
Staffing
3 / 5
RN + nurse staffing
Quality measures
5 / 5
Resident outcomes and process measures
Quick facts
Facility snapshot
Beds
362
Certified beds
Average residents
343
Average occupied residents
Ownership
Non-Profit
Publicly displayed owner type
Chain
Archcare
Operator or chain grouping
Approved since
1969-10-06
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Chain footprint
7 facilities
Chain averages 4 overall / 3 health / 3 staffing / 5 quality stars
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
1.17
Registered nurse staffing · state 0.70 · national 0.68
LPN hours / resident day
0.17
Licensed practical nurse staffing · state 0.78 · national 0.87
Aide hours / resident day
2.22
Nurse aide staffing · state 2.20 · national 2.35
Total nurse hours
3.56
All reported nurse hours · state 3.65 · national 3.89
Licensed hours
1.34
RN + LPN hours · state 1.47 · national 1.54
Weekend hours
3.07
Weekend nurse staffing · state 3.16 · national 3.43
Weekend RN hours
0.86
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
1.05
CMS adjusted RN staffing hours
Adjusted total hours
3.19
CMS adjusted total nurse staffing hours
Case-mix index
1.53
Higher values indicate more complex resident acuity
RN turnover
46%
Annual RN turnover · state 41% · national 45%
Total nurse turnover
32%
Annual nurse turnover · state 41% · national 46%
SNF VBP
Value-based purchasing
Program rank
545
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
67.93
Composite VBP score used to determine payment impact.
Payment multiplier
1.0213
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
10
Baseline 15.81% · Performance 14.87% · Measure score 10 · Achievement 10 · Improvement 9
Healthcare-associated infections
10
Baseline 5.02% · Performance 4.88% · Measure score 10 · Achievement 10 · Improvement 9
Total nurse turnover
5.65
Baseline 41.85% · Performance 40.58% · Measure score 5.65 · Achievement 5.65 · Improvement 0.25
Adjusted total nurse staffing
1.52
Baseline 3.17 hours · Performance 3.51 hours · Measure score 1.52 · Achievement 1.52 · Improvement 0.79
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 8.67% |
10.72%
2.1 pts better
|
Better than the National Rate · Eligible stays 2043 · Observed rate 6.71% · Lower 95% interval 7.41% |
| Discharge to community | 62.9% |
50.57%
12.3 pts better
|
Better than the National Rate · Eligible stays 2136 · Observed rate 60.35% · Lower 95% interval 60.68% |
| Medicare spending per beneficiary | 1.01 |
1.02
About the same
|
|
| Drug regimen review with follow-up | 100% |
95.27%
4.7 pts better
|
Numerator 1286 · Denominator 1286 |
| Falls with major injury | 0.54% |
0.77%
0.2 pts better
|
Numerator 7 · Denominator 1286 |
| Discharge self-care score | 79.86% |
53.69%
26.2 pts better
|
Numerator 773 · Denominator 968 |
| Discharge mobility score | 76.65% |
50.94%
25.7 pts better
|
Numerator 742 · Denominator 968 |
| Pressure ulcers or injuries, new or worsened | 0.08% |
2.29%
2.2 pts better
|
Numerator 1 · Denominator 1286 · Adjusted rate 0.09% |
| Healthcare-associated infections requiring hospitalization | 4.88% |
7.12%
2.2 pts better
|
Better than the National Rate · Eligible stays 1226 · Observed rate 4.16% · Lower 95% interval 3.89% |
| Staff COVID-19 vaccination coverage | 4.3% |
8.2%
3.9 pts worse
|
Numerator 18 · Denominator 419 |
| Staff flu vaccination coverage | 90.03% |
42%
48 pts better
|
Numerator 334 · Denominator 371 |
| Discharge function score | 77.69% |
56.45%
21.2 pts better
|
Numerator 752 · Denominator 968 |
| Transfer of health information to provider | 100% |
95.95%
4 pts better
|
Numerator 215 · Denominator 215 |
| Transfer of health information to patient | 100% |
96.28%
3.7 pts better
|
Numerator 892 · Denominator 892 |
| Resident COVID-19 vaccinations up to date | 48.12% |
25.2%
22.9 pts better
|
Numerator 320 · Denominator 665 |
Quality measures
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 1.3 |
1.7
0.4 pts better
|
1.9
0.6 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.3 · Observed 1.0 · Expected 1.5 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 0.5 |
1.3
0.8 pts better
|
1.8
1.3 pts better
|
Long Stay · 20240701-20250630 · Adjusted 0.5 · Observed 0.4 · Expected 1.3 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 99.9% |
91.2%
8.7 pts better
|
93.4%
6.5 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 99.6% · Q2 100.0% · Q3 100.0% · Q4 100.0% · 4Q avg 99.9% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 100.0% |
95.3%
4.7 pts better
|
95.5%
4.5 pts better
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 100.0% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 2.6% |
3.0%
0.4 pts better
|
3.3%
0.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 2.5% · Q2 2.2% · Q3 2.8% · Q4 3.1% · 4Q avg 2.6% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 2.2% |
18.5%
16.3 pts better
|
11.4%
9.2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 4.7% · Q2 1.4% · Q3 1.0% · Q4 1.4% · 4Q avg 2.2% |
| Percentage of long-stay residents who lose too much weight | 4.2% |
6.1%
1.9 pts better
|
5.4%
1.2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 6.7% · Q2 5.4% · Q3 2.2% · Q4 2.0% · 4Q avg 4.2% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 9.6% |
13.5%
3.9 pts better
|
19.6%
10 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 9.9% · Q2 9.9% · Q3 9.4% · Q4 9.3% · 4Q avg 9.6% |
| Percentage of long-stay residents who received an antipsychotic medication | 7.9% |
14.8%
6.9 pts better
|
16.7%
8.8 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 5.9% · Q2 10.3% · Q3 6.5% · Q4 8.9% · 4Q avg 7.9% · 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 | 10.2% |
15.1%
4.9 pts better
|
16.3%
6.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 11.9% · Q2 11.0% · Q3 6.0% · Q4 11.6% · 4Q avg 10.2% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 8.1% |
15.5%
7.4 pts better
|
14.9%
6.8 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 7.5% · Q2 9.8% · Q3 5.7% · Q4 9.1% · 4Q avg 8.1% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.1% |
0.6%
0.5 pts better
|
1.0%
0.9 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.3% · 4Q avg 0.1% · 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 0.0% · Q2 0.5% · Q3 0.5% · Q4 0.9% · 4Q avg 0.5% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 6.9% |
20.8%
13.9 pts better
|
19.8%
12.9 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 7.9% · Q2 7.0% · Q3 5.0% · Q4 7.7% · 4Q avg 6.9% |
| Percentage of long-stay residents with pressure ulcers | 3.6% |
6.9%
3.3 pts better
|
5.1%
1.5 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 4.4% · Q2 2.8% · Q3 3.7% · Q4 3.5% · 4Q avg 3.6% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 96.4% |
76.7%
19.7 pts better
|
81.7%
14.7 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 95.3% · Q2 96.4% · Q3 96.4% · Q4 97.6% · 4Q avg 96.4% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 5.2% |
9.7%
4.5 pts better
|
12.0%
6.8 pts better
|
Short Stay · 20240701-20250630 · Adjusted 5.2% · Observed 4.7% · Expected 10.2% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 0.6% |
1.2%
0.6 pts better
|
1.6%
1 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 1.0% · Q2 0.7% · Q3 0.3% · Q4 0.3% · 4Q avg 0.6% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 94.3% |
78.8%
15.5 pts better
|
79.7%
14.6 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 94.3% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 16.2% |
20.6%
4.4 pts better
|
23.9%
7.7 pts better
|
Short Stay · 20240701-20250630 · Adjusted 16.2% · Observed 14.6% · Expected 21.5% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2023-11-16 · Fire 2023-11-16
0 health deficiencies
No concentrated health issue counts in this cycle.
2 fire-safety deficiencies
Top issue: Egress (1 deficiency)
Cycle 3
Health 2022-01-13 · Fire 2022-01-13
8 health deficiencies
Top issue: Quality of Life and Care (3 deficiencies)
4 fire-safety deficiencies
Top issue: Smoke (3 deficiencies)
Fire safety
Fire-safety citations
E · Potential for more than minimal harm
2025-09-09
K353 · Smoke Deficiencies
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2025-10-22
E · Potential for more than minimal harm
2025-09-09
K911 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Meet requirements for the installation and maintenance of electrical systems.
Corrected 2025-11-18
E · Potential for more than minimal harm
2025-09-09
K920 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2025-10-30
D · Potential for more than minimal harm
2025-09-09
K363 · Smoke Deficiencies
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2025-10-15
E · Potential for more than minimal harm
2023-11-16
K353 · Smoke Deficiencies
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2023-12-04
D · Potential for more than minimal harm
2023-11-16
K293 · Egress Deficiencies
Fire Safety
Have properly located and lighted "Exit" signs.
Corrected 2023-12-04
D · Potential for more than minimal harm
2022-01-13
K311 · Smoke Deficiencies
Fire Safety
Have an enclosure around a vertical opening shaft.
Corrected 2022-03-09
D · Potential for more than minimal harm
2022-01-13
K321 · Smoke Deficiencies
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 2022-03-09
D · Potential for more than minimal harm
2022-01-13
K353 · Smoke Deficiencies
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2022-03-09
D · Potential for more than minimal harm
2022-01-13
K921 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Ensure that testing and maintenance of electrical equipment is performed.
Corrected 2022-03-09
Inspection history
Recent health citations
D · Potential for more than minimal harm
2025-12-01
F580 · Resident Rights Deficiencies
Health
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected 2026-01-11
D · Potential for more than minimal harm
2025-12-01
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 2026-01-11
D · Potential for more than minimal harm
2025-12-01
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 2026-01-11
D · Potential for more than minimal harm
2025-09-09
F677 · Quality of Life and Care Deficiencies
Health
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2025-11-17
D · Potential for more than minimal harm
2025-09-09
F806 · Nutrition and Dietary Deficiencies
Health
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
Corrected 2025-10-25
D · Potential for more than minimal harm
2023-11-16
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 2024-01-12
D · Potential for more than minimal harm
2023-11-16
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 2024-01-12
D · Potential for more than minimal harm
2023-04-17
F684 · Quality of Life and Care Deficiencies
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2023-06-21
F · Potential for more than minimal harm
2022-01-13
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 2022-03-05
D · Potential for more than minimal harm
2022-01-13
F580 · Resident Rights Deficiencies
Health
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected 2022-03-05
D · Potential for more than minimal harm
2022-01-13
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 2022-03-05
D · Potential for more than minimal harm
2022-01-13
F684 · Quality of Life and Care Deficiencies
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2022-03-05
D · Potential for more than minimal harm
2022-01-13
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 2022-03-05
Penalties and ownership
What sits behind the stars
Ownership
Alberto, Thomas
Corporate Director · Individual
Augustine, Gemma
Operational/Managerial Control · Individual
Bujno, Stephen
Corporate Director · Individual
Cahill, John
Corporate Director · Individual
Catholic Healthcare Systems
Operational/Managerial Control · Organization
Cortes, Tara
Corporate Director · Individual
Covone, Annmarie
Operational/Managerial Control · Individual
Covone, Annmarie
Corporate Officer · Individual
Fahey, Thomas
Corporate Director · Individual
Feldmann, Eric
Corporate Director · Individual
Gleason, John
Corporate Director · Individual
Gray, Karen
Corporate Director · Individual
Johnson, Clarion
Corporate Director · Individual
Kasergrande, Leslie
Corporate Director · Individual
Kelleher, Rory
Corporate Director · Individual
Lamorte, Joseph
Corporate Director · Individual
Larue, Scott
Operational/Managerial Control · Individual
Larue, Scott
Corporate Officer · Individual
Mirza, Taimur
Operational/Managerial Control · Individual
Monahan, Michael
Operational/Managerial Control · Individual
O'brien, Thomas
Corporate Director · Individual
Park, Richard
Corporate Director · Individual
Roberti, Cynthia
Corporate Director · Individual
Rooney, Kathryn
Corporate Director · Individual
Saporito, Joseph
Corporate Director · Individual
Serbaroli, Frank
Corporate Director · Individual
Sweeney, Gerald
Corporate Director · Individual
Tooker, Patricia
Corporate Director · Individual
Whiston, William
Corporate Director · Individual
Nearby options
Other facilities in reach
#1
Coler Rehabilitation And Nursing Care Center
Roosevelt Island, NY
5-star overall rating with 4-star inspections with 1 recent health deficiencies with 2 fire-safety deficiencies in the latest cycle
#2
Upper East Side Rehabilitation And Nursing Center
New York City, NY
5-star overall rating with 4-star inspections with 4 recent health deficiencies with 5 fire-safety deficiencies in the latest cycle
#3
New York Center For Rehabilitation & Nursing
Astoria, NY
5-star overall rating with 4-star inspections with 3 recent health deficiencies with 11 fire-safety deficiencies in the latest cycle
Jump out