Bronx, NY

Pinnacle Multicare Nursing And Rehab Center

3-star overall rating with 3-star inspections with 5 recent health deficiencies with 8 fire-safety deficiencies in the latest cycle

801 Co Op City Blvd, Bronx, NY

(718) 239-6500

Compare this facility

Overall

3 / 5

CMS overall stars

Health inspections

3 / 5

Survey and complaint cycles

Staffing

3 / 5

RN + nurse staffing

Quality measures

4 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

480

Certified beds

Average residents

469

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

Benjamin Landa

Operator or chain grouping

Approved since

1977-01-01

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Chain footprint

54 facilities

Chain averages 3 overall / 3 health / 3 staffing / 3 quality stars

Changed ownership

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

0.54

Registered nurse staffing · state 0.70 · national 0.68

LPN hours / resident day

0.44

Licensed practical nurse staffing · state 0.78 · national 0.87

Aide hours / resident day

1.81

Nurse aide staffing · state 2.20 · national 2.35

Total nurse hours

2.79

All reported nurse hours · state 3.65 · national 3.89

Licensed hours

0.99

RN + LPN hours · state 1.47 · national 1.54

Weekend hours

2.26

Weekend nurse staffing · state 3.16 · national 3.43

Weekend RN hours

0.32

Weekend registered nurse coverage · state 0.47 · national 0.47

Physical therapist

0.05

Reported PT staffing · state 0.11 · national 0.07

Adjusted RN hours

0.63

CMS adjusted RN staffing hours

Adjusted total hours

3.25

CMS adjusted total nurse staffing hours

Case-mix index

1.18

Higher values indicate more complex resident acuity

RN turnover

18%

Annual RN turnover · state 41% · national 45%

Total nurse turnover

24%

Annual nurse turnover · state 41% · national 46%

SNF VBP

Value-based purchasing

Program rank

8,712

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

Performance score

25.89

Composite VBP score used to determine payment impact.

Payment multiplier

0.9840

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

1.19

Baseline 20.77% · Performance 20.88% · Measure score 1.19 · Achievement 1.19 · Improvement 0

Healthcare-associated infections

Baseline 6.21% · Performance 8.38% · Measure score 0 · Achievement 0 · Improvement 0

Total nurse turnover

8.56

Baseline 29.25% · Performance 28.70% · Measure score 8.56 · Achievement 8.56 · Improvement 0.76

Adjusted total nurse staffing

0.61

Baseline 2.73 hours · Performance 3.07 hours · Measure score 0.61 · Achievement 0 · Improvement 0.61

SNF QRP

Medicare quality reporting measures

Measure	Facility	National	Note
Potentially preventable 30-day readmission	8.13%	10.72% 2.6 pts better	No Different than the National Rate · Eligible stays 211 · Observed rate 5.21% · Lower 95% interval 6.02%
Discharge to community	35.91%	50.57% 14.7 pts worse	Worse than the National Rate · Eligible stays 161 · Observed rate 24.84% · Lower 95% interval 28.94%
Medicare spending per beneficiary	1.72	1.02 0.7 pts worse
Drug regimen review with follow-up	100%	95.27% 4.7 pts better	Numerator 317 · Denominator 317
Falls with major injury	0.63%	0.77% 0.1 pts better	Numerator 2 · Denominator 317
Discharge self-care score	74.87%	53.69% 21.2 pts better	Numerator 143 · Denominator 191
Discharge mobility score	71.73%	50.94% 20.8 pts better	Numerator 137 · Denominator 191
Pressure ulcers or injuries, new or worsened	6.31%	2.29% 4 pts worse	Numerator 20 · Denominator 317 · Adjusted rate 3.64%
Healthcare-associated infections requiring hospitalization	8.38%	7.12% 1.3 pts worse	No Different than the National Rate · Eligible stays 172 · Observed rate 11.63% · Lower 95% interval 5.52%
Staff COVID-19 vaccination coverage	100%	8.2% 91.8 pts better	Numerator 621 · Denominator 621
Staff flu vaccination coverage	52.95%	42% 11 pts better	Numerator 242 · Denominator 457
Discharge function score	76.96%	56.45% 20.5 pts better	Numerator 147 · Denominator 191
Transfer of health information to provider	94.92%	95.95% 1 pts worse	Numerator 112 · Denominator 118
Transfer of health information to patient	95.24%	96.28% 1 pts worse	Numerator 40 · Denominator 42
Resident COVID-19 vaccinations up to date	5.92%	25.2% 19.3 pts worse	Numerator 10 · Denominator 169

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 2.3 · Expected 2.0 · 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 1.5 · Used in QM five-star
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine	90.2%	91.2% 1 pts worse	93.4% 3.2 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 92.1% · Q2 90.9% · Q3 88.7% · Q4 89.1% · 4Q avg 90.2%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine	98.5%	95.3% 3.2 pts better	95.5% 3 pts better	Long Stay · 2024Q3-2025Q2 · 4Q avg 98.5%
Percentage of long-stay residents experiencing one or more falls with major injury	2.0%	3.0% 1 pts better	3.3% 1.3 pts better	Long Stay · 2024Q4-2025Q3 · Q1 1.8% · Q2 2.3% · Q3 1.8% · Q4 2.1% · 4Q avg 2.0% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms	9.4%	18.5% 9.1 pts better	11.4% 2 pts better	Long Stay · 2024Q4-2025Q3 · Q1 6.7% · Q2 9.8% · Q3 12.5% · Q4 8.5% · 4Q avg 9.4%
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 3.6% · Q2 5.0% · Q3 4.7% · Q4 5.4% · 4Q avg 4.6%
Percentage of long-stay residents who received an antianxiety or hypnotic medication	7.1%	13.5% 6.4 pts better	19.6% 12.5 pts better	Long Stay · 2024Q4-2025Q3 · Q1 6.9% · Q2 6.9% · Q3 9.1% · Q4 5.5% · 4Q avg 7.1%
Percentage of long-stay residents who received an antipsychotic medication	16.3%	14.8% 1.5 pts worse	16.7% 0.4 pts better	Long Stay · 2024Q4-2025Q3 · Q1 15.7% · Q2 15.8% · Q3 17.9% · Q4 15.7% · 4Q avg 16.3% · 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	9.5%	15.1% 5.6 pts better	16.3% 6.8 pts better	Long Stay · 2024Q4-2025Q3 · Q1 14.8% · Q2 13.1% · Q3 4.8% · Q4 5.8% · 4Q avg 9.5% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased	13.3%	15.5% 2.2 pts better	14.9% 1.6 pts better	Long Stay · 2024Q4-2025Q3 · Q1 14.2% · Q2 16.5% · Q3 12.9% · Q4 9.8% · 4Q avg 13.3% · Used in QM five-star
Percentage of long-stay residents with a catheter inserted and left in their bladder	0.4%	0.6% 0.2 pts better	1.0% 0.6 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.4% · Q2 0.4% · Q3 0.8% · Q4 0.2% · 4Q avg 0.4% · Used in QM five-star
Percentage of long-stay residents with a urinary tract infection	0.7%	1.4% 0.7 pts better	1.7% 1 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.2% · Q2 0.5% · Q3 1.0% · Q4 0.9% · 4Q avg 0.7% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence	18.1%	20.8% 2.7 pts better	19.8% 1.7 pts better	Long Stay · 2024Q4-2025Q3 · Q1 20.0% · Q2 23.1% · Q3 18.8% · Q4 10.4% · 4Q avg 18.1%
Percentage of long-stay residents with pressure ulcers	5.9%	6.9% 1 pts better	5.1% 0.8 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 6.3% · Q2 5.8% · Q3 7.0% · Q4 4.4% · 4Q avg 5.9% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine	72.0%	76.7% 4.7 pts worse	81.7% 9.7 pts worse	Short Stay · 2024Q4-2025Q3 · Q1 78.8% · Q2 71.2% · Q3 71.4% · Q4 66.9% · 4Q avg 72.0%
Percentage of short-stay residents who had an outpatient emergency department visit	6.8%	9.7% 2.9 pts better	12.0% 5.2 pts better	Short Stay · 20240701-20250630 · Adjusted 6.8% · Observed 7.6% · Expected 12.4% · Used in QM five-star
Percentage of short-stay residents who newly received an antipsychotic medication	1.8%	1.2% 0.6 pts worse	1.6% 0.2 pts worse	Short Stay · 2024Q4-2025Q3 · Q1 1.3% · Q2 2.8% · Q3 1.5% · Q4 1.4% · 4Q avg 1.8% · Used in QM five-star
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine	78.5%	78.8% 0.3 pts worse	79.7% 1.2 pts worse	Short Stay · 2024Q3-2025Q2 · 4Q avg 78.5%
Percentage of short-stay residents who were rehospitalized after a nursing home admission	20.5%	20.6% 0.1 pts better	23.9% 3.4 pts better	Short Stay · 20240701-20250630 · Adjusted 20.5% · Observed 25.3% · Expected 29.4% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-08-04 · Fire 2025-08-04

5 health deficiencies

Top issue: Quality of Life and Care (3 deficiencies)

8 fire-safety deficiencies

Top issue: Smoke (4 deficiencies)

Cycle 2 Health 2023-06-08 · Fire 2023-06-08

4 health deficiencies

Top issue: Freedom from Abuse and Neglect and Exploitation (2 deficiencies)

3 fire-safety deficiencies

Top issue: Construction (1 deficiency)

Cycle 3 Health 2021-07-23 · Fire 2021-07-23

12 health deficiencies

Top issue: Resident Rights (3 deficiencies)

2 fire-safety deficiencies

Top issue: Construction (1 deficiency)

Fire safety

Fire-safety citations

E · Potential for more than minimal harm 2025-08-04

K281 · Egress Deficiencies

Fire Safety

Install proper backup exit lighting.

Corrected 2025-09-30

E · Potential for more than minimal harm 2025-08-04

K293 · Egress Deficiencies

Fire Safety

Have properly located and lighted "Exit" signs.

Corrected 2025-09-30

E · Potential for more than minimal harm 2025-08-04

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 2025-09-30

E · Potential for more than minimal harm 2025-08-04

K351 · Smoke Deficiencies

Fire Safety

Install an approved automatic sprinkler system.

Corrected 2025-09-30

E · Potential for more than minimal harm 2025-08-04

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2025-09-30

E · Potential for more than minimal harm 2025-08-04

K521 · Services Deficiencies

Fire Safety

Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

Corrected 2025-12-12

D · Potential for more than minimal harm 2025-08-04

K363 · Smoke Deficiencies

Fire Safety

Install corridor and hallway doors that block smoke.

Corrected 2025-09-30

D · Potential for more than minimal harm 2025-08-04

K920 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure proper usage of power strips and extension cords.

Corrected 2025-10-01

F · Potential for more than minimal harm 2023-06-08

E15 · Emergency Preparedness Deficiencies

Fire Safety

Address subsistence needs for staff and patients.

Corrected 2023-07-25

F · Potential for more than minimal harm 2023-06-08

K161 · Construction Deficiencies

Fire Safety

Use approved construction type or materials.

Corrected 2023-08-11

E · Potential for more than minimal harm 2023-06-08

K363 · Smoke Deficiencies

Fire Safety

Install corridor and hallway doors that block smoke.

Corrected 2023-07-28

F · Potential for more than minimal harm 2021-07-23

E15 · Emergency Preparedness Deficiencies

Fire Safety

Address subsistence needs for staff and patients.

Corrected 2021-09-14

E · Potential for more than minimal harm 2021-07-23

K161 · Construction Deficiencies

Fire Safety

Use approved construction type or materials.

Corrected 2022-01-06

Inspection history

Recent health citations

G · Actual harm 2025-08-04

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 2025-09-26

E · Potential for more than minimal harm 2025-08-04

F695 · Quality of Life and Care Deficiencies

Health

Provide safe and appropriate respiratory care for a resident when needed.

Corrected 2025-10-01

D · Potential for more than minimal harm 2025-08-04

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 2025-09-26

D · Potential for more than minimal harm 2025-08-04

F694 · Quality of Life and Care Deficiencies

Health

Provide for the safe, appropriate administration of IV fluids for a resident when needed.

Corrected 2025-10-01

D · Potential for more than minimal harm 2025-08-04

F804 · Nutrition and Dietary Deficiencies

Health

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

Corrected 2025-09-26

E · Potential for more than minimal harm 2025-01-06

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 2025-02-26

D · Potential for more than minimal harm 2025-01-06

F610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Respond appropriately to all alleged violations.

Corrected 2025-02-26

F · Potential for more than minimal harm 2023-06-08

F814 · Nutrition and Dietary Deficiencies

Health

Dispose of garbage and refuse properly.

Corrected 2023-07-25

E · Potential for more than minimal harm 2023-06-08

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 2023-07-25

D · Potential for more than minimal harm 2023-04-27

F600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Corrected 2023-05-16

F · Potential for more than minimal harm 2021-07-23

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 2021-09-14