11 health deficiencies
Top issue: Resident Assessment and Care Planning (3 deficiencies)
7 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (3 deficiencies)
Bronx, NY
2-star overall rating with 2-star inspections with abuse icon flag with $60,997 in total fines with 11 recent health deficiencies with 7 fire-safety deficiencies in the latest cycle
641 West 230th St, Bronx, NY
(718) 796-4800
Overall
2 / 5
CMS overall stars
Health inspections
2 / 5
Survey and complaint cycles
Staffing
2 / 5
RN + nurse staffing
Quality measures
4 / 5
Resident outcomes and process measures
Quick facts
Beds
146
Certified beds
Average residents
139
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
Citadel Care Centers
Operator or chain grouping
Approved since
1968-07-12
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Chain footprint
5 facilities
Chain averages 3 overall / 3 health / 2 staffing / 4 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
RN hours / resident day
0.39
Registered nurse staffing · state 0.70 · national 0.68
LPN hours / resident day
0.59
Licensed practical nurse staffing · state 0.78 · national 0.87
Aide hours / resident day
1.55
Nurse aide staffing · state 2.20 · national 2.35
Total nurse hours
2.53
All reported nurse hours · state 3.65 · national 3.89
Licensed hours
0.98
RN + LPN hours · state 1.47 · national 1.54
Weekend hours
2.28
Weekend nurse staffing · state 3.16 · national 3.43
Weekend RN hours
0.20
Weekend registered nurse coverage · state 0.47 · national 0.47
Physical therapist
0.06
Reported PT staffing · state 0.11 · national 0.07
Adjusted RN hours
0.48
CMS adjusted RN staffing hours
Adjusted total hours
3.08
CMS adjusted total nurse staffing hours
Case-mix index
1.12
Higher values indicate more complex resident acuity
RN turnover
67%
Annual RN turnover · state 41% · national 45%
Total nurse turnover
30%
Annual nurse turnover · state 41% · national 46%
SNF VBP
Program rank
11,637
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
15.95
Composite VBP score used to determine payment impact.
Payment multiplier
0.9815
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
Readmission
0
Baseline 21.53% · Performance 22.87% · Measure score 0 · Achievement 0 · Improvement 0
Healthcare-associated infections
0
Baseline 5.75% · Performance 8.90% · Measure score 0 · Achievement 0 · Improvement 0
Total nurse turnover
5.09
Performance 42.86% · Measure score 5.09 · Achievement 5.09 · This facility did not have sufficient data to calculate a baseline period measure result.
Adjusted total nurse staffing
1.29
Baseline 3.37 hours · Performance 3.44 hours · Measure score 1.29 · Achievement 1.29 · Improvement 0
SNF QRP
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 11.82% |
10.72%
1.1 pts worse
|
No Different than the National Rate · Eligible stays 72 · Observed rate 16.67% · Lower 95% interval 8.45% |
| Discharge to community | 31.96% |
50.57%
18.6 pts worse
|
Worse than the National Rate · Eligible stays 57 · Observed rate 17.54% · Lower 95% interval 18.37% |
| Medicare spending per beneficiary | 1.27 |
1.02
0.2 pts worse
|
|
| Drug regimen review with follow-up | 96.88% |
95.27%
1.6 pts better
|
Numerator 93 · Denominator 96 |
| Falls with major injury | 0% |
0.77%
0.8 pts better
|
Numerator 0 · Denominator 96 |
| Discharge self-care score | 66% |
53.69%
12.3 pts better
|
Numerator 33 · Denominator 50 |
| Discharge mobility score | 56% |
50.94%
5.1 pts better
|
Numerator 28 · Denominator 50 |
| Pressure ulcers or injuries, new or worsened | 0% |
2.29%
2.3 pts better
|
Numerator 0 · Denominator 96 · Adjusted rate 0% |
| Healthcare-associated infections requiring hospitalization | 8.9% |
7.12%
1.8 pts worse
|
No Different than the National Rate · Eligible stays 47 · Observed rate 17.02% · Lower 95% interval 5.32% |
| Staff COVID-19 vaccination coverage | 0% |
8.2%
8.2 pts worse
|
Numerator 0 · Denominator 187 |
| Staff flu vaccination coverage | 51.17% |
42%
9.2 pts better
|
Numerator 109 · Denominator 213 |
| Discharge function score | 66% |
56.45%
9.5 pts better
|
Numerator 33 · Denominator 50 |
| Transfer of health information to provider | 100% |
95.95%
4 pts better
|
Numerator 42 · Denominator 42 |
| Transfer of health information to patient | Not Available |
96.28%
|
Numerator Not Available · Denominator 16 · Too few residents or stays to report publicly. |
| Resident COVID-19 vaccinations up to date | 0% |
25.2%
25.2 pts worse
|
Numerator 0 · Denominator 40 |
Quality measures
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 1.1 |
1.7
0.6 pts better
|
1.9
0.8 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.1 · Observed 1.2 · Expected 1.9 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 1.3 |
1.3
About the same
|
1.8
0.5 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.3 · Observed 1.2 · Expected 1.6 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 75.1% |
91.2%
16.1 pts worse
|
93.4%
18.3 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 93.2% · Q2 78.1% · Q3 69.0% · Q4 59.4% · 4Q avg 75.1% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 79.9% |
95.3%
15.4 pts worse
|
95.5%
15.6 pts worse
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 79.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 1.4% |
3.0%
1.6 pts better
|
3.3%
1.9 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 1.5% · Q2 1.6% · Q3 1.6% · Q4 0.8% · 4Q avg 1.4% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 6.5% |
18.5%
12 pts better
|
11.4%
4.9 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 1.6% · Q2 0.9% · Q3 12.3% · Q4 11.0% · 4Q avg 6.5% |
| Percentage of long-stay residents who lose too much weight | 5.8% |
6.1%
0.3 pts better
|
5.4%
0.4 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 7.7% · Q2 8.1% · Q3 4.1% · Q4 3.4% · 4Q avg 5.8% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 6.2% |
13.5%
7.3 pts better
|
19.6%
13.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 4.6% · Q2 6.3% · Q3 6.2% · Q4 7.8% · 4Q avg 6.2% |
| Percentage of long-stay residents who received an antipsychotic medication | 14.4% |
14.8%
0.4 pts better
|
16.7%
2.3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 17.9% · Q2 14.8% · Q3 11.4% · Q4 13.6% · 4Q avg 14.4% · 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 | 4.3% |
15.1%
10.8 pts better
|
16.3%
12 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 1.5% · Q2 6.0% · Q3 2.4% · Q4 7.1% · 4Q avg 4.3% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 7.9% |
15.5%
7.6 pts better
|
14.9%
7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 6.2% · Q2 6.4% · Q3 10.9% · Q4 7.9% · 4Q avg 7.9% · 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 0.6% · Q3 0.0% · Q4 0.0% · 4Q avg 0.1% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 0.0% |
1.4%
1.4 pts better
|
1.7%
1.7 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 new or worsened bowel or bladder incontinence | 16.4% |
20.8%
4.4 pts better
|
19.8%
3.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 16.8% · Q2 19.3% · Q3 14.0% · Q4 15.5% · 4Q avg 16.4% |
| Percentage of long-stay residents with pressure ulcers | 6.7% |
6.9%
0.2 pts better
|
5.1%
1.6 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 8.7% · Q2 10.2% · Q3 5.2% · Q4 2.6% · 4Q avg 6.7% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 48.3% |
76.7%
28.4 pts worse
|
81.7%
33.4 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 74.4% · Q2 61.2% · Q3 42.5% · Q4 15.8% · 4Q avg 48.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 13.3% |
9.7%
3.6 pts worse
|
12.0%
1.3 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 13.3% · Observed 14.0% · Expected 11.8% · 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 0.0% · Q2 0.0% · Q3 2.7% · Q4 2.8% · 4Q avg 1.4% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 87.5% |
78.8%
8.7 pts better
|
79.7%
7.8 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 87.5% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 26.2% |
20.6%
5.6 pts worse
|
23.9%
2.3 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 26.2% · Observed 28.1% · Expected 25.5% · Used in QM five-star |
Survey summary
Top issue: Resident Assessment and Care Planning (3 deficiencies)
7 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (3 deficiencies)
Top issue: Resident Rights (2 deficiencies)
7 fire-safety deficiencies
Top issue: Egress (2 deficiencies)
Top issue: Resident Rights (2 deficiencies)
1 fire-safety deficiencies
Top issue: Smoke (1 deficiency)
Fire safety
Fire Safety
Install an approved automatic sprinkler system.
Corrected 2025-04-25
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2025-04-28
Fire Safety
Meet requirements for the installation and maintenance of electrical systems.
Corrected 2025-04-25
Fire Safety
Have proper medical gas storage and administration areas.
Corrected 2025-05-02
Fire Safety
Install emergency lighting that can last at least 1 1/2 hours.
Corrected 2025-04-25
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2025-04-16
Fire Safety
Ensure that testing and maintenance of electrical equipment is performed.
Corrected 2025-04-22
Fire Safety
Properly select, install, inspect, or maintain portable fire extinguishes.
Corrected 2023-08-01
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2023-07-07
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2023-07-05
Fire Safety
Have stairways and smokeproof enclosures used as exits that meet safety requirements.
Corrected 2023-08-17
Fire Safety
Install proper backup exit lighting.
Corrected 2023-08-22
Fire Safety
Provide properly protected cooking facilities.
Corrected 2023-08-01
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2023-07-31
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 2021-05-10
Inspection history
Health
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2025-05-09
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 2025-04-29
Health
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2025-05-07
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 2025-05-09
Health
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Corrected 2025-04-29
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2025-04-29
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2025-05-09
Health
Provide enough food/fluids to maintain a resident's health.
Corrected 2025-05-07
Health
Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit.
Corrected 2025-05-09
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 2025-05-09
Health
Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.
Corrected 2025-04-29
Health
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2023-07-19
Health
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
Corrected 2023-07-19
Health
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2023-07-19
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 2023-07-19
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2022-10-17
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 2021-07-02
Health
Dispose of garbage and refuse properly.
Corrected 2021-07-02
Health
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Corrected 2021-07-02
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2021-07-02
Health
Assist a resident in gaining access to vision and hearing services.
Corrected 2021-07-02
Health
Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit.
Corrected 2021-07-02
Penalties and ownership
Fine · fine $46,215
Fine
Fine · fine $4,196
Fine
Fine · fine $10,586
Fine
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
Operational/Managerial Control · Individual
Corporate Officer · Individual
Operational/Managerial Control · Individual
Operational/Managerial Control · Individual
Corporate Officer · Individual
Corporate Officer · Individual
Operational/Managerial Control · Individual
Corporate Officer · Individual
Nearby options
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3-star overall rating with 2-star inspections with $36,529 in total fines with 7 recent health deficiencies with 4 fire-safety deficiencies in the latest cycle
Bronx, NY
2-star overall rating with 2-star inspections with 4 recent health deficiencies with 5 fire-safety deficiencies in the latest cycle
Riverdale, NY
2-star overall rating with 2-star inspections with $66,859 in total fines with 8 recent health deficiencies with 6 fire-safety deficiencies in the latest cycle
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