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
3400 -26 Cannon Place, Bronx, NY
(718) 796-8100
Overall
3 / 5
CMS overall stars
Health inspections
4 / 5
Survey and complaint cycles
Staffing
3 / 5
RN + nurse staffing
Quality measures
1 / 5
Resident outcomes and process measures
Quick facts
Beds
400
Certified beds
Average residents
361
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
Citadel Care Centers
Operator or chain grouping
Approved since
1967-01-01
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
0.97
Registered nurse staffing · state 0.70 · national 0.68
LPN hours / resident day
0.26
Licensed practical nurse staffing · state 0.78 · national 0.87
Aide hours / resident day
2.18
Nurse aide staffing · state 2.20 · national 2.35
Total nurse hours
3.40
All reported nurse hours · state 3.65 · national 3.89
Licensed hours
1.22
RN + LPN hours · state 1.47 · national 1.54
Weekend hours
3.12
Weekend nurse staffing · state 3.16 · national 3.43
Weekend RN hours
0.73
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
0.80
CMS adjusted RN staffing hours
Adjusted total hours
2.81
CMS adjusted total nurse staffing hours
Case-mix index
1.65
Higher values indicate more complex resident acuity
RN turnover
23%
Annual RN turnover · state 41% · national 45%
Total nurse turnover
33%
Annual nurse turnover · state 41% · national 46%
SNF VBP
Program rank
5,299
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
36.66
Composite VBP score used to determine payment impact.
Payment multiplier
0.9900
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
Readmission
6.26
Baseline 19.91% · Performance 18.53% · Measure score 6.26 · Achievement 6.26 · Improvement 4.29
Healthcare-associated infections
0.73
Baseline 7.36% · Performance 7.62% · Measure score 0.73 · Achievement 0.73 · Improvement 0
Total nurse turnover
7.67
Baseline 27.75% · Performance 32.31% · Measure score 7.67 · Achievement 7.67 · Improvement 0
Adjusted total nurse staffing
0
Baseline 3.17 hours · Performance 2.95 hours · Measure score 0 · Achievement 0 · Improvement 0
SNF QRP
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 9.41% |
10.72%
1.3 pts better
|
No Different than the National Rate · Eligible stays 96 · Observed rate 6.25% · Lower 95% interval 6.11% |
| Discharge to community | 39.09% |
50.57%
11.5 pts worse
|
Worse than the National Rate · Eligible stays 74 · Observed rate 24.32% · Lower 95% interval 27.46% |
| Medicare spending per beneficiary | 1.8 |
1.02
0.8 pts worse
|
|
| Drug regimen review with follow-up | 98.81% |
95.27%
3.5 pts better
|
Numerator 250 · Denominator 253 |
| Falls with major injury | 1.19% |
0.77%
0.4 pts worse
|
Numerator 3 · Denominator 253 |
| Discharge self-care score | 49.71% |
53.69%
4 pts worse
|
Numerator 87 · Denominator 175 |
| Discharge mobility score | 39.43% |
50.94%
11.5 pts worse
|
Numerator 69 · Denominator 175 |
| Pressure ulcers or injuries, new or worsened | 1.98% |
2.29%
0.3 pts better
|
Numerator 5 · Denominator 253 · Adjusted rate 1.82% |
| Healthcare-associated infections requiring hospitalization | 7.62% |
7.12%
0.5 pts worse
|
No Different than the National Rate · Eligible stays 68 · Observed rate 8.82% · Lower 95% interval 4.51% |
| Staff COVID-19 vaccination coverage | 1.3% |
8.2%
6.9 pts worse
|
Numerator 4 · Denominator 307 |
| Staff flu vaccination coverage | 84.79% |
42%
42.8 pts better
|
Numerator 262 · Denominator 309 |
| Discharge function score | 52% |
56.45%
4.5 pts worse
|
Numerator 91 · Denominator 175 |
| Transfer of health information to provider | 86.08% |
95.95%
9.9 pts worse
|
Numerator 68 · Denominator 79 |
| Transfer of health information to patient | 96.97% |
96.28%
0.7 pts better
|
Numerator 32 · Denominator 33 |
| Resident COVID-19 vaccinations up to date | 28.8% |
25.2%
3.6 pts better
|
Numerator 36 · Denominator 125 |
Quality measures
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 1.4 |
1.7
0.3 pts better
|
1.9
0.5 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.4 · Observed 1.6 · Expected 2.2 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 1.8 |
1.3
0.5 pts worse
|
1.8
About the same
|
Long Stay · 20240701-20250630 · Adjusted 1.8 · Observed 2.0 · Expected 1.8 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 100.0% |
91.2%
8.8 pts better
|
93.4%
6.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 100.0% · Q3 100.0% · Q4 100.0% · 4Q avg 100.0% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 99.7% |
95.3%
4.4 pts better
|
95.5%
4.2 pts better
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 99.7% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 1.9% |
3.0%
1.1 pts better
|
3.3%
1.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 2.0% · Q2 2.0% · Q3 1.7% · Q4 2.0% · 4Q avg 1.9% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 10.2% |
18.5%
8.3 pts better
|
11.4%
1.2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 23.6% · Q2 6.3% · Q3 5.4% · Q4 5.8% · 4Q avg 10.2% |
| Percentage of long-stay residents who lose too much weight | 4.0% |
6.1%
2.1 pts better
|
5.4%
1.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 4.9% · Q2 4.8% · Q3 2.6% · Q4 3.5% · 4Q avg 4.0% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 4.2% |
13.5%
9.3 pts better
|
19.6%
15.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 3.5% · Q2 4.7% · Q3 4.6% · Q4 4.0% · 4Q avg 4.2% |
| Percentage of long-stay residents who were physically restrained | 0.1% |
0.2%
0.1 pts better
|
0.1%
About the same
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.3% · Q3 0.0% · Q4 0.3% · 4Q avg 0.1% |
| Percentage of long-stay residents whose ability to walk independently worsened | 5.7% |
15.1%
9.4 pts better
|
16.3%
10.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 5.0% · Q2 5.4% · Q3 8.1% · Q4 4.3% · 4Q avg 5.7% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 7.4% |
15.5%
8.1 pts better
|
14.9%
7.5 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 6.3% · Q2 7.9% · Q3 7.8% · Q4 7.8% · 4Q avg 7.4% · 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 0.3% · Q2 0.0% · Q3 0.0% · Q4 0.2% · 4Q avg 0.1% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 0.4% |
1.4%
1 pts better
|
1.7%
1.3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.6% · Q2 0.0% · Q3 0.3% · Q4 0.6% · 4Q avg 0.4% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 15.7% |
20.8%
5.1 pts better
|
19.8%
4.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 19.1% · Q2 16.0% · Q3 12.9% · Q4 14.7% · 4Q avg 15.7% |
| Percentage of long-stay residents with pressure ulcers | 3.2% |
6.9%
3.7 pts better
|
5.1%
1.9 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 2.4% · Q2 3.2% · Q3 3.7% · Q4 3.5% · 4Q avg 3.2% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 99.0% |
76.7%
22.3 pts better
|
81.7%
17.3 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 97.4% · Q2 98.9% · Q3 100.0% · Q4 100.0% · 4Q avg 99.0% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 8.2% |
9.7%
1.5 pts better
|
12.0%
3.8 pts better
|
Short Stay · 20240701-20250630 · Adjusted 8.2% · Observed 9.7% · Expected 13.2% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 0.0% |
1.2%
1.2 pts better
|
1.6%
1.6 pts better
|
Short 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 short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 98.9% |
78.8%
20.1 pts better
|
79.7%
19.2 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 98.9% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 20.7% |
20.6%
0.1 pts worse
|
23.9%
3.2 pts better
|
Short Stay · 20240701-20250630 · Adjusted 20.7% · Observed 21.8% · Expected 25.0% · Used in QM five-star |
Survey summary
Top issue: Freedom from Abuse and Neglect and Exploitation (1 deficiency)
2 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (1 deficiency)
Top issue: Freedom from Abuse and Neglect and Exploitation (1 deficiency)
2 fire-safety deficiencies
Top issue: Egress (1 deficiency)
Top issue: Infection Control (1 deficiency)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Fire safety
Fire Safety
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Corrected 2024-04-30
Fire Safety
Meet requirements for the installation and maintenance of electrical systems.
Corrected 2024-04-30
Fire Safety
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
Corrected 2022-04-05
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2022-04-05
Inspection history
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2025-03-21
Health
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2024-04-26
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2024-04-26
Health
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2022-04-04
Health
Ensure each resident receives an accurate assessment.
Corrected 2022-04-04
Health
Keep residents' personal and medical records private and confidential.
Corrected 2019-10-29
Health
Provide and implement an infection prevention and control program.
Corrected 2019-10-29
Penalties and ownership
Fine · fine $8,788
Fine
5% Or Greater Direct Ownership Interest · Individual
5% Or Greater Direct Ownership Interest · Individual
5% Or Greater Direct Ownership Interest · Individual
5% Or Greater Direct Ownership Interest · Individual
Corporate Officer · Individual
Operational/Managerial Control · Individual
Corporate Officer · Individual
W-2 Managing Employee · Individual
Corporate Officer · Individual
Corporate Officer · Individual
Nearby options
Bronx, NY
5-star overall rating with 4-star inspections with 6 recent health deficiencies with 4 fire-safety deficiencies in the latest cycle
Bronx, NY
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Bronx, NY
2-star overall rating with 2-star inspections with 4 recent health deficiencies with 5 fire-safety deficiencies in the latest cycle
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