Cycle 1
Health 2024-05-16 · Fire 2024-05-16
1 health deficiencies
Top issue: Resident Assessment and Care Planning (1 deficiency)
3 fire-safety deficiencies
Top issue: Egress (1 deficiency)
Bronx, NY
Methodist Home For Nursing And Rehabilitation
5-star overall rating with 5-star inspections with 1 recent health deficiencies with 3 fire-safety deficiencies in the latest cycle
4499 Manhattan College Parkway, Bronx, NY
(718) 548-5100
Overall
5 / 5
CMS overall stars
Health inspections
5 / 5
Survey and complaint cycles
Staffing
4 / 5
RN + nurse staffing
Quality measures
4 / 5
Resident outcomes and process measures
Quick facts
Facility snapshot
Beds
120
Certified beds
Average residents
108
Average occupied residents
Ownership
Non-Profit
Publicly displayed owner type
Chain
No chain reported
Operator or chain grouping
Approved since
1976-07-01
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
Hours and turnover
RN hours / resident day
1.08
Registered nurse staffing · state 0.70 · national 0.68
LPN hours / resident day
0.38
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
3.67
All reported nurse hours · state 3.65 · national 3.89
Licensed hours
1.46
RN + LPN hours · state 1.47 · national 1.54
Weekend hours
3.27
Weekend nurse staffing · state 3.16 · national 3.43
Weekend RN hours
0.79
Weekend registered nurse coverage · state 0.47 · national 0.47
Physical therapist
0.29
Reported PT staffing · state 0.11 · national 0.07
Adjusted RN hours
0.97
CMS adjusted RN staffing hours
Adjusted total hours
3.31
CMS adjusted total nurse staffing hours
Case-mix index
1.52
Higher values indicate more complex resident acuity
RN turnover
24%
Annual RN turnover · state 41% · national 45%
Total nurse turnover
19%
Annual nurse turnover · state 41% · national 46%
SNF VBP
Value-based purchasing
Program rank
3,942
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
42.03
Composite VBP score used to determine payment impact.
Payment multiplier
0.9949
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
0.75
Baseline 19.98% · Performance 21.08% · Measure score 0.75 · Achievement 0.75 · Improvement 0
Healthcare-associated infections
5.34
Baseline 7.54% · Performance 6.24% · Measure score 5.34 · Achievement 5.34 · Improvement 4.61
Total nurse turnover
10
Baseline 30.69% · Performance 21.57% · Measure score 10 · Achievement 10 · Improvement 9
Adjusted total nurse staffing
0.72
Baseline 3.27 hours · Performance 3.28 hours · Measure score 0.72 · Achievement 0.72 · Improvement 0
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 8.99% |
10.72%
1.7 pts better
|
No Different than the National Rate · Eligible stays 424 · Observed rate 7.31% · Lower 95% interval 7.08% |
| Discharge to community | 64% |
50.57%
13.4 pts better
|
Better than the National Rate · Eligible stays 506 · Observed rate 57.31% · Lower 95% interval 58.58% |
| Medicare spending per beneficiary | 1.3 |
1.02
0.3 pts worse
|
|
| Drug regimen review with follow-up | 99.04% |
95.27%
3.8 pts better
|
Numerator 310 · Denominator 313 |
| Falls with major injury | 0.64% |
0.77%
0.1 pts better
|
Numerator 2 · Denominator 313 |
| Discharge self-care score | 75.35% |
53.69%
21.7 pts better
|
Numerator 107 · Denominator 142 |
| Discharge mobility score | 76.76% |
50.94%
25.8 pts better
|
Numerator 109 · Denominator 142 |
| Pressure ulcers or injuries, new or worsened | 2.24% |
2.29%
About the same
|
Numerator 7 · Denominator 313 · Adjusted rate 2.41% |
| Healthcare-associated infections requiring hospitalization | 6.24% |
7.12%
0.9 pts better
|
No Different than the National Rate · Eligible stays 310 · Observed rate 5.48% · Lower 95% interval 4.07% |
| Staff COVID-19 vaccination coverage | 100% |
8.2%
91.8 pts better
|
Numerator 146 · Denominator 146 |
| Staff flu vaccination coverage | 74.33% |
42%
32.3 pts better
|
Numerator 139 · Denominator 187 |
| Discharge function score | 73.24% |
56.45%
16.8 pts better
|
Numerator 104 · Denominator 142 |
| Transfer of health information to provider | 97.95% |
95.95%
2 pts better
|
Numerator 239 · Denominator 244 |
| Transfer of health information to patient | 97.14% |
96.28%
0.9 pts better
|
Numerator 34 · Denominator 35 |
| Resident COVID-19 vaccinations up to date | 25.32% |
25.2%
0.1 pts better
|
Numerator 39 · Denominator 154 |
Quality measures
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 1.8 |
1.7
0.1 pts worse
|
1.9
0.1 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.8 · Observed 2.0 · Expected 2.1 · 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 1.0 · Expected 1.7 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 99.5% |
91.2%
8.3 pts better
|
93.4%
6.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 100.0% · Q3 98.1% · Q4 100.0% · 4Q avg 99.5% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 93.4% |
95.3%
1.9 pts worse
|
95.5%
2.1 pts worse
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 93.4% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 5.5% |
3.0%
2.5 pts worse
|
3.3%
2.2 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 3.5% · Q2 3.9% · Q3 5.6% · Q4 8.8% · 4Q avg 5.5% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 7.7% |
18.5%
10.8 pts better
|
11.4%
3.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 9.4% · Q2 6.5% · Q3 8.5% · Q4 6.0% · 4Q avg 7.7% |
| Percentage of long-stay residents who lose too much weight | 3.4% |
6.1%
2.7 pts better
|
5.4%
2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 5.7% · Q2 2.0% · Q3 4.0% · Q4 1.9% · 4Q avg 3.4% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 11.1% |
13.5%
2.4 pts better
|
19.6%
8.5 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 10.9% · Q2 11.8% · Q3 11.1% · Q4 10.7% · 4Q avg 11.1% |
| Percentage of long-stay residents who received an antipsychotic medication | 4.0% |
14.8%
10.8 pts better
|
16.7%
12.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 2.3% · Q3 6.4% · Q4 6.8% · 4Q avg 4.0% · 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 | 31.1% |
15.1%
16 pts worse
|
16.3%
14.8 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 31.4% · Q2 24.4% · Q3 27.4% · Q4 41.3% · 4Q avg 31.1% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 27.5% |
15.5%
12 pts worse
|
14.9%
12.6 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 35.3% · Q2 28.3% · Q3 20.8% · Q4 25.0% · 4Q avg 27.5% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.3% |
0.6%
0.3 pts better
|
1.0%
0.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 1.3% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.3% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 1.4% |
1.4%
About the same
|
1.7%
0.3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 3.6% · Q2 0.0% · Q3 0.0% · Q4 1.9% · 4Q avg 1.4% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 6.2% |
20.8%
14.6 pts better
|
19.8%
13.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 5.8% · Q2 12.9% · Q3 2.1% · Q4 3.8% · 4Q avg 6.2% |
| Percentage of long-stay residents with pressure ulcers | 9.8% |
6.9%
2.9 pts worse
|
5.1%
4.7 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 7.6% · Q2 10.4% · Q3 15.1% · Q4 6.6% · 4Q avg 9.8% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 95.8% |
76.7%
19.1 pts better
|
81.7%
14.1 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 95.4% · Q2 95.3% · Q3 95.8% · Q4 96.5% · 4Q avg 95.8% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 9.2% |
9.7%
0.5 pts better
|
12.0%
2.8 pts better
|
Short Stay · 20240701-20250630 · Adjusted 9.2% · Observed 8.6% · Expected 10.4% · 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 0.5% · Q2 2.0% · Q3 2.3% · Q4 0.5% · 4Q avg 1.4% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 84.8% |
78.8%
6 pts better
|
79.7%
5.1 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 84.8% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 23.8% |
20.6%
3.2 pts worse
|
23.9%
0.1 pts better
|
Short Stay · 20240701-20250630 · Adjusted 23.8% · Observed 22.4% · Expected 22.4% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2022-08-22 · Fire 2022-08-22
3 health deficiencies
Top issue: Resident Assessment and Care Planning (2 deficiencies)
6 fire-safety deficiencies
Top issue: Smoke (3 deficiencies)
Cycle 3
Health 2019-10-01 · Fire 2019-10-01
1 health deficiencies
Top issue: Infection Control (1 deficiency)
4 fire-safety deficiencies
Top issue: Egress (2 deficiencies)
Fire safety
Fire-safety citations
D · Potential for more than minimal harm
2024-05-16
K281 · Egress Deficiencies
Fire Safety
Install proper backup exit lighting.
Corrected 2024-06-20
D · Potential for more than minimal harm
2024-05-16
K363 · Smoke Deficiencies
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2024-06-20
D · Potential for more than minimal harm
2024-05-16
K918 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2024-06-20
E · Potential for more than minimal harm
2022-08-22
K351 · Smoke Deficiencies
Fire Safety
Install an approved automatic sprinkler system.
Corrected 2022-09-22
D · Potential for more than minimal harm
2022-08-22
K252 · Egress Deficiencies
Fire Safety
Provide at least two remote exits on each floor or fire section of the building.
Corrected 2023-01-27
D · Potential for more than minimal harm
2022-08-22
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 2022-09-22
D · Potential for more than minimal harm
2022-08-22
K531 · Services Deficiencies
Fire Safety
Have elevators that firefighters can control in the event of a fire.
Corrected 2022-09-22
C · Minimal harm
2022-08-22
K293 · Egress Deficiencies
Fire Safety
Have properly located and lighted "Exit" signs.
Corrected 2022-09-19
C · Minimal harm
2022-08-22
K353 · Smoke Deficiencies
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2022-09-22
D · Potential for more than minimal harm
2019-10-01
K351 · Smoke Deficiencies
Fire Safety
Install an approved automatic sprinkler system.
Corrected 2019-10-22
B · Minimal harm
2019-10-01
K232 · Egress Deficiencies
Fire Safety
Have corridors or aisles that are unobstructed and are at least 8 feet in width.
Not marked corrected
B · Minimal harm
2019-10-01
K252 · Egress Deficiencies
Fire Safety
Provide at least two remote exits on each floor or fire section of the building.
Corrected 2019-10-22
B · Minimal harm
2019-10-01
K311 · Smoke Deficiencies
Fire Safety
Have an enclosure around a vertical opening shaft.
Corrected 2019-10-22
Inspection history
Recent health citations
D · Potential for more than minimal harm
2024-05-16
F658 · Resident Assessment and Care Planning Deficiencies
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2024-07-05
D · Potential for more than minimal harm
2022-08-22
F640 · Resident Assessment and Care Planning Deficiencies
Health
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
Corrected 2022-09-22
D · Potential for more than minimal harm
2022-08-22
F641 · Resident Assessment and Care Planning Deficiencies
Health
Ensure each resident receives an accurate assessment.
Corrected 2022-09-22
D · Potential for more than minimal harm
2022-08-22
F686 · Quality of Life and Care Deficiencies
Health
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2022-09-22
E · Potential for more than minimal harm
2019-10-01
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2019-10-16
Penalties and ownership
What sits behind the stars
Ownership
Becker, Eva
Corporate Director · Individual
Bernal, Denise
Operational/Managerial Control · Individual
Bruno, Jason
Operational/Managerial Control · Individual
Bynum, Susan
Corporate Director · Individual
Carroll, Ann
Corporate Director · Individual
Castillo, Genevieve
Operational/Managerial Control · Individual
Cavaluzzi, Paul
Operational/Managerial Control · Individual
Chue, Sherwin
Corporate Director · Individual
Frias, Minerva
Operational/Managerial Control · Individual
Grefaldeo, Vivian
Operational/Managerial Control · Individual
Haller, Pamela
Corporate Director · Individual
Harris, Elizabeth
Operational/Managerial Control · Individual
Huertas, Jaime
Corporate Director · Individual
Jordan, Benjamin
Corporate Director · Individual
Ketchum, Mary
Corporate Director · Individual
Klein, Christopher
Corporate Director · Individual
Klein, Julie
Corporate Director · Individual
Perez, Maria
Operational/Managerial Control · Individual
Perez, Maria
Corporate Officer · Individual
Relf, Graham
Corporate Director · Individual
Rivera, Sandra
Corporate Officer · Individual
Roy, Rani
Corporate Director · Individual
Rubinoff-Hirschberg, Candace
Operational/Managerial Control · Individual
Tirado, Arnel
Operational/Managerial Control · Individual
Wiesman, William
Corporate Director · Individual
Yi, Jon
Corporate Director · Individual
Nearby options
Other facilities in reach
#1
Prestige Nursing Care & Rehab Center
Bronx, NY
3-star overall rating with 4-star inspections with $8,788 in total fines with 2 recent health deficiencies with 2 fire-safety deficiencies in the latest cycle
#2
Hudson Pointe At Riverdale Ctr For Nursing & Rehab
Bronx, NY
2-star overall rating with 2-star inspections with 4 recent health deficiencies with 5 fire-safety deficiencies in the latest cycle
#3
Manhattanville Health Care Center
Bronx, NY
5-star overall rating with 4-star inspections with 6 recent health deficiencies with 4 fire-safety deficiencies in the latest cycle
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