Bronx, NY
3-star overall rating with 2-star inspections with 11 recent health deficiencies with 2 fire-safety deficiencies in the latest cycle
1072 Havemeyer Avenue, Bronx, NY
(718) 863-6200
Overall
3 / 5
CMS overall stars
Health inspections
2 / 5
Survey and complaint cycles
Staffing
2 / 5
RN + nurse staffing
Quality measures
5 / 5
Resident outcomes and process measures
Quick facts
Beds
213
Certified beds
Average residents
204
Average occupied residents
Ownership
Non-Profit
Publicly displayed owner type
Chain
No chain reported
Operator or chain grouping
Approved since
1976-11-01
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
RN hours / resident day
0.36
Registered nurse staffing · state 0.70 · national 0.68
LPN hours / resident day
0.80
Licensed practical nurse staffing · state 0.78 · national 0.87
Aide hours / resident day
1.87
Nurse aide staffing · state 2.20 · national 2.35
Total nurse hours
3.03
All reported nurse hours · state 3.65 · national 3.89
Licensed hours
1.16
RN + LPN hours · state 1.47 · national 1.54
Weekend hours
2.62
Weekend nurse staffing · state 3.16 · national 3.43
Weekend RN hours
0.16
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
0.34
CMS adjusted RN staffing hours
Adjusted total hours
2.90
CMS adjusted total nurse staffing hours
Case-mix index
1.43
Higher values indicate more complex resident acuity
RN turnover
40%
Annual RN turnover · state 41% · national 45%
Total nurse turnover
38%
Annual nurse turnover · state 41% · national 46%
SNF VBP
Program rank
11,455
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
16.73
Composite VBP score used to determine payment impact.
Payment multiplier
0.9817
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
Readmission
1.97
Baseline 18.76% · Performance 20.52% · Measure score 1.97 · Achievement 1.97 · Improvement 0
Healthcare-associated infections
0
Baseline 7.89% · Performance 8.97% · Measure score 0 · Achievement 0 · Improvement 0
Total nurse turnover
4.72
Baseline 28.30% · Performance 44.39% · Measure score 4.72 · Achievement 4.72 · Improvement 0
Adjusted total nurse staffing
0
Baseline 2.98 hours · Performance 3.06 hours · Measure score 0 · Achievement 0 · Improvement 0
SNF QRP
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 9.28% |
10.72%
1.4 pts better
|
No Different than the National Rate · Eligible stays 121 · Observed rate 7.44% · Lower 95% interval 6.67% |
| Discharge to community | 31.74% |
50.57%
18.8 pts worse
|
Worse than the National Rate · Eligible stays 102 · Observed rate 22.55% · Lower 95% interval 22.21% |
| Medicare spending per beneficiary | 1.43 |
1.02
0.4 pts worse
|
|
| Drug regimen review with follow-up | 90.13% |
95.27%
5.1 pts worse
|
Numerator 137 · Denominator 152 |
| Falls with major injury | 0.66% |
0.77%
0.1 pts better
|
Numerator 1 · Denominator 152 |
| Discharge self-care score | 65.71% |
53.69%
12 pts better
|
Numerator 69 · Denominator 105 |
| Discharge mobility score | 58.1% |
50.94%
7.2 pts better
|
Numerator 61 · Denominator 105 |
| Pressure ulcers or injuries, new or worsened | 2.63% |
2.29%
0.3 pts worse
|
Numerator 4 · Denominator 152 · Adjusted rate 2.64% |
| Healthcare-associated infections requiring hospitalization | 8.97% |
7.12%
1.9 pts worse
|
No Different than the National Rate · Eligible stays 89 · Observed rate 12.36% · Lower 95% interval 5.82% |
| Staff COVID-19 vaccination coverage | 82.95% |
8.2%
74.8 pts better
|
Numerator 219 · Denominator 264 |
| Staff flu vaccination coverage | Not Available |
42%
|
Numerator Not Available · Denominator Not Available · No data were submitted for this measure. |
| Discharge function score | 61.9% |
56.45%
5.4 pts better
|
Numerator 65 · Denominator 105 |
| Transfer of health information to provider | 95.12% |
95.95%
0.8 pts worse
|
Numerator 39 · Denominator 41 |
| Transfer of health information to patient | 92.11% |
96.28%
4.2 pts worse
|
Numerator 35 · Denominator 38 |
| Resident COVID-19 vaccinations up to date | 27.5% |
25.2%
2.3 pts better
|
Numerator 22 · Denominator 80 |
Quality measures
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 1.7 |
1.7
About the same
|
1.9
0.2 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.7 · Observed 1.8 · Expected 2.1 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 0.8 |
1.3
0.5 pts better
|
1.8
1 pts better
|
Long Stay · 20240701-20250630 · Adjusted 0.8 · Observed 0.8 · Expected 1.6 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 99.2% |
91.2%
8 pts better
|
93.4%
5.8 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 98.9% · Q2 98.9% · Q3 99.5% · Q4 99.5% · 4Q avg 99.2% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 86.1% |
95.3%
9.2 pts worse
|
95.5%
9.4 pts worse
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 86.1% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 1.1% |
3.0%
1.9 pts better
|
3.3%
2.2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 1.1% · Q2 1.1% · Q3 0.5% · Q4 1.6% · 4Q avg 1.1% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 37.8% |
18.5%
19.3 pts worse
|
11.4%
26.4 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 27.8% · Q2 37.2% · Q3 40.7% · Q4 44.8% · 4Q avg 37.8% |
| Percentage of long-stay residents who lose too much weight | 8.5% |
6.1%
2.4 pts worse
|
5.4%
3.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 9.5% · Q2 6.5% · Q3 10.5% · Q4 7.6% · 4Q avg 8.5% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 4.1% |
13.5%
9.4 pts better
|
19.6%
15.5 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 5.8% · Q2 5.1% · Q3 2.8% · Q4 2.8% · 4Q avg 4.1% |
| Percentage of long-stay residents who received an antipsychotic medication | 8.8% |
14.8%
6 pts better
|
16.7%
7.9 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 9.2% · Q2 10.9% · Q3 7.5% · Q4 7.6% · 4Q avg 8.8% · 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 | 14.1% |
15.1%
1 pts better
|
16.3%
2.2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 16.3% · Q2 12.4% · Q3 15.9% · Q4 11.2% · 4Q avg 14.1% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 16.4% |
15.5%
0.9 pts worse
|
14.9%
1.5 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 12.7% · Q2 14.8% · Q3 16.0% · Q4 21.7% · 4Q avg 16.4% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.2% |
0.6%
0.4 pts better
|
1.0%
0.8 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.5% · Q2 0.5% · Q3 0.0% · Q4 0.0% · 4Q avg 0.2% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 1.0% |
1.4%
0.4 pts better
|
1.7%
0.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.6% · Q2 0.6% · Q3 2.3% · Q4 0.6% · 4Q avg 1.0% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 14.9% |
20.8%
5.9 pts better
|
19.8%
4.9 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 18.0% · Q2 15.5% · Q3 10.8% · Q4 15.5% · 4Q avg 14.9% |
| Percentage of long-stay residents with pressure ulcers | 7.1% |
6.9%
0.2 pts worse
|
5.1%
2 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 7.1% · Q2 8.8% · Q3 7.0% · Q4 5.6% · 4Q avg 7.1% · 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 97.7% · Q2 99.2% · Q3 100.0% · Q4 99.2% · 4Q avg 99.0% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 9.4% |
9.7%
0.3 pts better
|
12.0%
2.6 pts better
|
Short Stay · 20240701-20250630 · Adjusted 9.4% · Observed 8.8% · Expected 10.5% · 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 1.2% · Q2 1.3% · Q3 0.0% · Q4 0.0% · 4Q avg 0.6% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 90.1% |
78.8%
11.3 pts better
|
79.7%
10.4 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 90.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 13.0% |
20.6%
7.6 pts better
|
23.9%
10.9 pts better
|
Short Stay · 20240701-20250630 · Adjusted 13.0% · Observed 13.2% · Expected 24.2% · Used in QM five-star |
Survey summary
Top issue: Freedom from Abuse and Neglect and Exploitation (3 deficiencies)
2 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (1 deficiency)
Top issue: Resident Assessment and Care Planning (2 deficiencies)
6 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (2 deficiencies)
Top issue: Resident Assessment and Care Planning (2 deficiencies)
2 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (1 deficiency)
Fire safety
Fire Safety
Have proper power supply for life support equipment.
Corrected 2024-02-23
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2024-02-23
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2021-11-19
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2021-11-19
Fire Safety
Ensure that testing and maintenance of electrical equipment is performed.
Corrected 2021-11-19
Fire Safety
Install emergency lighting that can last at least 1 1/2 hours.
Corrected 2021-11-19
Fire Safety
Have restrictions on the use of portable space heaters.
Corrected 2021-11-19
Fire Safety
Establish procedures for tracking staff and patients during an emergency.
Corrected 2021-11-19
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2019-04-25
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2019-04-25
Inspection history
Health
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Not marked corrected
Health
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2025-11-02
Health
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2024-02-08
Health
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected 2024-02-08
Health
Respond appropriately to all alleged violations.
Corrected 2024-02-08
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2024-02-08
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 2024-02-08
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2024-02-08
Health
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
Corrected 2024-02-08
Health
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected 2024-02-08
Health
Ensure that residents are free from significant medication errors.
Corrected 2024-02-08
Health
Provide timely, quality laboratory services/tests to meet the needs of residents.
Corrected 2024-02-08
Health
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2023-10-27
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 2021-11-08
Health
Ensure each resident receives an accurate assessment.
Corrected 2021-11-08
Health
Provide enough food/fluids to maintain a resident's health.
Corrected 2021-11-08
Health
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected 2021-11-08
Health
Provide and implement an infection prevention and control program.
Corrected 2021-11-08
Health
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
Corrected 2019-05-07
Health
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Corrected 2019-05-07
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 2019-05-07
Health
Assist a resident in gaining access to vision and hearing services.
Corrected 2019-05-07
Penalties and ownership
Corporate Officer · Individual
Corporate Officer · Individual
Operational/Managerial Control · Individual
Corporate Director · Individual
Corporate Officer · Individual
Operational/Managerial Control · Individual
Corporate Officer · Individual
Operational/Managerial Control · Individual
Corporate Officer · Individual
Operational/Managerial Control · Individual
Corporate Officer · Individual
Nearby options
Bronx, NY
5-star overall rating with 4-star inspections with 4 recent health deficiencies with 5 fire-safety deficiencies in the latest cycle
Bronx, NY
0-star overall rating with 0-star inspections with Special Focus status with $439,923 in total fines with 15 recent health deficiencies with 5 fire-safety deficiencies in the latest cycle
Bronx, NY
3-star overall rating with 3-star inspections with 4 recent health deficiencies with 4 fire-safety deficiencies in the latest cycle
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