26 health deficiencies
Top issue: Quality of Life and Care (10 deficiencies)
7 fire-safety deficiencies
Top issue: Smoke (5 deficiencies)
Yonkers, NY
2-star overall rating with 1-star inspections with abuse icon flag with 26 recent health deficiencies with 7 fire-safety deficiencies in the latest cycle
115 Park Avenue, Yonkers, NY
(914) 423-9800
Overall
2 / 5
CMS overall stars
Health inspections
1 / 5
Survey and complaint cycles
Staffing
1 / 5
RN + nurse staffing
Quality measures
5 / 5
Resident outcomes and process measures
Quick facts
Beds
120
Certified beds
Average residents
112
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
Carerite Centers
Operator or chain grouping
Approved since
1973-11-01
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Chain footprint
34 facilities
Chain averages 3 overall / 3 health / 2 staffing / 5 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
0.45
Registered nurse staffing · state 0.70 · national 0.68
LPN hours / resident day
0.72
Licensed practical nurse staffing · state 0.78 · national 0.87
Aide hours / resident day
2.05
Nurse aide staffing · state 2.20 · national 2.35
Total nurse hours
3.22
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
2.84
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
0.15
Reported PT staffing · state 0.11 · national 0.07
Adjusted RN hours
0.36
CMS adjusted RN staffing hours
Adjusted total hours
2.57
CMS adjusted total nurse staffing hours
Case-mix index
1.71
Higher values indicate more complex resident acuity
RN turnover
50%
Annual RN turnover · state 41% · national 45%
Total nurse turnover
48%
Annual nurse turnover · state 41% · national 46%
SNF VBP
Program rank
6,809
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
31.64
Composite VBP score used to determine payment impact.
Payment multiplier
0.9866
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
Readmission
6.25
Baseline 18.95% · Performance 18.53% · Measure score 6.25 · Achievement 6.25 · Improvement 1.67
Healthcare-associated infections
5.3
Baseline 7.73% · Performance 6.25% · Measure score 5.3 · Achievement 5.3 · Improvement 4.91
Total nurse turnover
1.10
Baseline 52.17% · Performance 59.17% · Measure score 1.10 · Achievement 1.10 · Improvement 0
Adjusted total nurse staffing
0
Baseline 2.93 hours · Performance 2.55 hours · Measure score 0 · Achievement 0 · Improvement 0
SNF QRP
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 11.11% |
10.72%
0.4 pts worse
|
No Different than the National Rate · Eligible stays 175 · Observed rate 11.43% · Lower 95% interval 8.13% |
| Discharge to community | 46.43% |
50.57%
4.1 pts worse
|
No Different than the National Rate · Eligible stays 186 · Observed rate 38.71% · Lower 95% interval 39.65% |
| Medicare spending per beneficiary | 1.51 |
1.02
0.5 pts worse
|
|
| Drug regimen review with follow-up | 98.07% |
95.27%
2.8 pts better
|
Numerator 254 · Denominator 259 |
| Falls with major injury | 0.39% |
0.77%
0.4 pts better
|
Numerator 1 · Denominator 259 |
| Discharge self-care score | 50.34% |
53.69%
3.3 pts worse
|
Numerator 74 · Denominator 147 |
| Discharge mobility score | 54.42% |
50.94%
3.5 pts better
|
Numerator 80 · Denominator 147 |
| Pressure ulcers or injuries, new or worsened | 5.41% |
2.29%
3.1 pts worse
|
Numerator 14 · Denominator 259 · Adjusted rate 4.38% |
| Healthcare-associated infections requiring hospitalization | 6.25% |
7.12%
0.9 pts better
|
No Different than the National Rate · Eligible stays 118 · Observed rate 5.08% · Lower 95% interval 3.91% |
| Staff COVID-19 vaccination coverage | 1.75% |
8.2%
6.4 pts worse
|
Numerator 3 · Denominator 171 |
| Staff flu vaccination coverage | 72.13% |
42%
30.1 pts better
|
Numerator 132 · Denominator 183 |
| Discharge function score | 45.58% |
56.45%
10.9 pts worse
|
Numerator 67 · Denominator 147 |
| Transfer of health information to provider | 97.78% |
95.95%
1.8 pts better
|
Numerator 88 · Denominator 90 |
| Transfer of health information to patient | 100% |
96.28%
3.7 pts better
|
Numerator 96 · Denominator 96 |
| Resident COVID-19 vaccinations up to date | 0.88% |
25.2%
24.3 pts worse
|
Numerator 1 · Denominator 113 |
Quality measures
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 0.8 |
1.7
0.9 pts better
|
1.9
1.1 pts better
|
Long Stay · 20240701-20250630 · Adjusted 0.8 · Observed 1.3 · Expected 3.0 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 0.4 |
1.3
0.9 pts better
|
1.8
1.4 pts better
|
Long Stay · 20240701-20250630 · Adjusted 0.4 · Observed 0.5 · Expected 2.0 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 92.2% |
91.2%
1 pts better
|
93.4%
1.2 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 90.4% · Q2 93.4% · Q3 97.1% · Q4 88.4% · 4Q avg 92.2% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 93.3% |
95.3%
2 pts worse
|
95.5%
2.2 pts worse
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 93.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 4.4% |
3.0%
1.4 pts worse
|
3.3%
1.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 6.0% · Q2 6.6% · Q3 2.9% · Q4 1.4% · 4Q avg 4.4% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 20.7% |
18.5%
2.2 pts worse
|
11.4%
9.3 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 12.7% · Q2 2.9% · Q3 17.2% · Q4 52.3% · 4Q avg 20.7% |
| Percentage of long-stay residents who lose too much weight | 12.2% |
6.1%
6.1 pts worse
|
5.4%
6.8 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 11.0% · Q2 13.4% · Q3 11.7% · Q4 12.9% · 4Q avg 12.2% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 8.5% |
13.5%
5 pts better
|
19.6%
11.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 6.1% · Q2 11.8% · Q3 7.6% · Q4 8.7% · 4Q avg 8.5% |
| Percentage of long-stay residents who received an antipsychotic medication | 3.3% |
14.8%
11.5 pts better
|
16.7%
13.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 1.9% · Q2 3.6% · Q3 4.1% · Q4 3.8% · 4Q avg 3.3% · 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 | 11.3% |
15.1%
3.8 pts better
|
16.3%
5 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 13.3% · Q2 18.4% · Q4 0.0% · 4Q avg 11.3% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 15.7% |
15.5%
0.2 pts worse
|
14.9%
0.8 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 25.0% · Q2 20.0% · Q3 10.5% · Q4 4.9% · 4Q avg 15.7% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.0% |
0.6%
0.6 pts better
|
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% · 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 0.0% · Q2 2.7% · Q3 0.0% · Q4 1.5% · 4Q avg 1.0% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 23.8% |
20.8%
3 pts worse
|
19.8%
4 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 35.5% · Q2 27.3% · Q3 12.9% · Q4 17.3% · 4Q avg 23.8% |
| Percentage of long-stay residents with pressure ulcers | 11.5% |
6.9%
4.6 pts worse
|
5.1%
6.4 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 15.1% · Q2 12.7% · Q3 7.4% · Q4 10.1% · 4Q avg 11.5% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 75.1% |
76.7%
1.6 pts worse
|
81.7%
6.6 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 63.8% · Q2 83.3% · Q3 91.4% · Q4 62.5% · 4Q avg 75.1% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 5.6% |
9.7%
4.1 pts better
|
12.0%
6.4 pts better
|
Short Stay · 20240701-20250630 · Adjusted 5.6% · Observed 6.3% · Expected 12.5% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 0.7% |
1.2%
0.5 pts better
|
1.6%
0.9 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 1.0% · Q3 0.8% · Q4 0.8% · 4Q avg 0.7% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 85.9% |
78.8%
7.1 pts better
|
79.7%
6.2 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 85.9% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 17.5% |
20.6%
3.1 pts better
|
23.9%
6.4 pts better
|
Short Stay · 20240701-20250630 · Adjusted 17.5% · Observed 20.4% · Expected 27.8% · Used in QM five-star |
Survey summary
Top issue: Quality of Life and Care (10 deficiencies)
7 fire-safety deficiencies
Top issue: Smoke (5 deficiencies)
Top issue: Freedom from Abuse and Neglect and Exploitation (1 deficiency)
6 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (2 deficiencies)
Top issue: Quality of Life and Care (8 deficiencies)
10 fire-safety deficiencies
Top issue: Smoke (3 deficiencies)
Fire safety
Fire Safety
Use approved construction type or materials.
Corrected 2024-09-17
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 2024-10-01
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2024-10-01
Fire Safety
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Corrected 2024-10-01
Fire Safety
Install an approved automatic sprinkler system.
Corrected 2024-10-01
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2024-10-01
Fire Safety
Install smoke barrier doors that can resist smoke for at least 20 minutes.
Corrected 2024-10-01
Fire Safety
Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke.
Corrected 2021-12-24
Fire Safety
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Corrected 2021-12-24
Fire Safety
Ensure that building systems meet requirements determined by risk assessment procedures performed by qualified personnel.
Corrected 2021-12-24
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2021-12-24
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2021-12-24
Fire Safety
Include a process for Emergency Preparedness collaboration.
Corrected 2021-12-24
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 2018-10-05
Fire Safety
Have stairways and smokeproof enclosures used as exits that meet safety requirements.
Corrected 2018-10-05
Fire Safety
Install emergency lighting that can last at least 1 1/2 hours.
Corrected 2018-10-05
Fire Safety
Install an approved automatic sprinkler system.
Corrected 2018-10-05
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2018-10-05
Fire Safety
Have properly installed electrical wiring and gas equipment.
Corrected 2018-10-05
Fire Safety
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Corrected 2018-10-05
Fire Safety
Ensure that testing and maintenance of electrical equipment is performed.
Corrected 2018-10-05
Fire Safety
Provide family notifications of emergency plan.
Corrected 2018-10-05
Fire Safety
Implement emergency and standby power systems.
Corrected 2018-10-05
Inspection history
Health
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2025-11-03
Health
Respond appropriately to all alleged violations.
Corrected 2025-11-03
Health
Provide safe, appropriate pain management for a resident who requires such services.
Corrected 2025-11-03
Health
Provide care and assistance to perform activities of daily living for any resident who is unable.
Not marked corrected
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
Ensure that residents are free from significant medication errors.
Not marked corrected
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Not marked corrected
Health
Provide enough food/fluids to maintain a resident's health.
Not marked corrected
Health
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2025-05-16
Health
Respond appropriately to all alleged violations.
Corrected 2025-05-16
Health
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2025-05-16
Health
Ensure each resident receives an accurate assessment.
Corrected 2025-05-16
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2025-05-16
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2025-05-16
Health
Provide safe, appropriate pain management for a resident who requires such services.
Corrected 2024-09-27
Health
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Corrected 2024-09-27
Health
Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
Corrected 2024-09-27
Health
Plan the resident's discharge to meet the resident's goals and needs.
Corrected 2024-09-27
Health
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
Corrected 2024-09-27
Health
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2024-09-27
Health
Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit.
Corrected 2024-09-27
Health
Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
Corrected 2024-09-27
Health
Ensure medication error rates are not 5 percent or greater.
Corrected 2024-09-27
Health
Provide or get specialized rehabilitative services as required for a resident.
Corrected 2024-09-27
Health
Provide and implement an infection prevention and control program.
Corrected 2024-09-27
Health
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Corrected 2024-09-27
Health
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2024-09-19
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2024-09-19
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2022-01-21
Health
Keep residents' personal and medical records private and confidential.
Corrected 2022-01-21
Health
Provide and implement an infection prevention and control program.
Corrected 2022-01-21
Health
Post nurse staffing information every day.
Corrected 2022-01-21
Health
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
Corrected 2018-10-09
Health
Develop and implement policies and procedures to ensure (1) employees report any suspicion of a crime against any resident, according to timelines; (2) post the notice of employee rights; and (3) prohibit and prevent retaliation for reporting.
Corrected 2018-10-09
Health
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
Corrected 2018-10-09
Health
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
Corrected 2018-10-09
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2018-10-09
Health
Assist a resident in gaining access to vision and hearing services.
Corrected 2018-10-09
Health
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected 2018-10-09
Health
Provide enough food/fluids to maintain a resident's health.
Corrected 2018-10-09
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2018-10-09
Health
Provide safe, appropriate pain management for a resident who requires such services.
Corrected 2018-10-09
Health
Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care.
Corrected 2018-10-09
Health
Ensure medication error rates are not 5 percent or greater.
Corrected 2018-10-09
Health
Provide or obtain dental services for each resident.
Corrected 2018-10-09
Health
Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times.
Corrected 2018-10-09
Health
Provide and implement an infection prevention and control program.
Corrected 2018-10-09
Penalties and ownership
5% Or Greater Direct Ownership Interest · Organization
5% Or Greater Indirect Ownership Interest · Individual
5% Or Greater Indirect Ownership Interest · Individual
5% Or Greater Indirect Ownership Interest · Individual
5% Or Greater Indirect Ownership Interest · Individual
Operational/Managerial Control · Individual
Operational/Managerial Control · Individual
Operational/Managerial Control · Individual
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