12 health deficiencies
Top issue: Nutrition and Dietary (2 deficiencies)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
New Rochelle, NY
1-star overall rating with 1-star inspections with $10,358 in total fines with 12 recent health deficiencies
16 Guion Place, New Rochelle, NY
(914) 637-1200
Overall
1 / 5
CMS overall stars
Health inspections
1 / 5
Survey and complaint cycles
Staffing
2 / 5
RN + nurse staffing
Quality measures
2 / 5
Resident outcomes and process measures
Quick facts
Beds
150
Certified beds
Average residents
132
Average occupied residents
Ownership
Non-Profit
Publicly displayed owner type
Chain
No chain reported
Operator or chain grouping
Approved since
1971-11-01
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
Hospital-based
Yes
CMS reports the provider resides in a hospital
Staffing
RN hours / resident day
0.73
Registered nurse staffing · state 0.70 · national 0.68
LPN hours / resident day
0.57
Licensed practical nurse staffing · state 0.78 · national 0.87
Aide hours / resident day
1.95
Nurse aide staffing · state 2.20 · national 2.35
Total nurse hours
3.25
All reported nurse hours · state 3.65 · national 3.89
Licensed hours
1.30
RN + LPN hours · state 1.47 · national 1.54
Weekend hours
2.85
Weekend nurse staffing · state 3.16 · national 3.43
Weekend RN hours
0.56
Weekend registered nurse coverage · state 0.47 · national 0.47
Physical therapist
0.14
Reported PT staffing · state 0.11 · national 0.07
Adjusted RN hours
0.81
CMS adjusted RN staffing hours
Adjusted total hours
3.62
CMS adjusted total nurse staffing hours
Case-mix index
1.23
Higher values indicate more complex resident acuity
RN turnover
100%
Annual RN turnover · state 41% · national 45%
Total nurse turnover
98%
Annual nurse turnover · state 41% · national 46%
SNF VBP
Program rank
2,728
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
48.09
Composite VBP score used to determine payment impact.
Payment multiplier
1.0018
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
Readmission
6.17
Baseline 19.75% · Performance 18.57% · Measure score 6.17 · Achievement 6.17 · Improvement 3.83
Healthcare-associated infections
1.12
Baseline 7.36% · Performance 7.50% · Measure score 1.12 · Achievement 1.12 · Improvement 0
Total nurse turnover
10
Baseline 21.24% · Performance 22.58% · Measure score 10 · Achievement 10 · Improvement 0
Adjusted total nurse staffing
1.94
Baseline 3.67 hours · Performance 3.63 hours · Measure score 1.94 · Achievement 1.94 · Improvement 0
SNF QRP
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 10.14% |
10.72%
0.6 pts better
|
No Different than the National Rate · Eligible stays 142 · Observed rate 9.86% · Lower 95% interval 6.96% |
| Discharge to community | 37.48% |
50.57%
13.1 pts worse
|
Worse than the National Rate · Eligible stays 119 · Observed rate 29.41% · Lower 95% interval 28.79% |
| Medicare spending per beneficiary | 0.89 |
1.02
0.1 pts better
|
|
| Drug regimen review with follow-up | 24.3% |
95.27%
71 pts worse
|
Numerator 26 · Denominator 107 |
| Falls with major injury | 0.93% |
0.77%
0.2 pts worse
|
Numerator 1 · Denominator 107 |
| Discharge self-care score | 44.16% |
53.69%
9.5 pts worse
|
Numerator 34 · Denominator 77 |
| Discharge mobility score | 44.16% |
50.94%
6.8 pts worse
|
Numerator 34 · Denominator 77 |
| Pressure ulcers or injuries, new or worsened | 8.41% |
2.29%
6.1 pts worse
|
Numerator 9 · Denominator 107 · Adjusted rate 6.78% |
| Healthcare-associated infections requiring hospitalization | 7.5% |
7.12%
0.4 pts worse
|
No Different than the National Rate · Eligible stays 85 · Observed rate 9.41% · Lower 95% interval 5% |
| Staff COVID-19 vaccination coverage | 0.61% |
8.2%
7.6 pts worse
|
Numerator 1 · Denominator 164 |
| Staff flu vaccination coverage | 79.89% |
42%
37.9 pts better
|
Numerator 139 · Denominator 174 |
| Discharge function score | 44.16% |
56.45%
12.3 pts worse
|
Numerator 34 · Denominator 77 |
| Transfer of health information to provider | 85.29% |
95.95%
10.7 pts worse
|
Numerator 29 · Denominator 34 |
| Transfer of health information to patient | 100% |
96.28%
3.7 pts better
|
Numerator 21 · Denominator 21 |
| Resident COVID-19 vaccinations up to date | 26.15% |
25.2%
0.9 pts better
|
Numerator 17 · Denominator 65 |
Quality measures
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 2.3 |
1.7
0.6 pts worse
|
1.9
0.4 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 2.3 · Observed 2.0 · Expected 1.7 · 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 1.1 · Expected 1.4 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 80.3% |
91.2%
10.9 pts worse
|
93.4%
13.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 77.3% · Q2 78.0% · Q3 84.7% · Q4 81.1% · 4Q avg 80.3% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 97.0% |
95.3%
1.7 pts better
|
95.5%
1.5 pts better
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 97.0% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 1.6% |
3.0%
1.4 pts better
|
3.3%
1.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 1.6% · Q2 1.6% · Q3 1.6% · Q4 1.6% · 4Q avg 1.6% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 0.0% |
18.5%
18.5 pts better
|
11.4%
11.4 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 who lose too much weight | 9.9% |
6.1%
3.8 pts worse
|
5.4%
4.5 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 10.5% · Q2 10.2% · Q3 8.4% · Q4 10.5% · 4Q avg 9.9% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 6.8% |
13.5%
6.7 pts better
|
19.6%
12.8 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 8.6% · Q2 6.6% · Q3 5.7% · Q4 6.3% · 4Q avg 6.8% |
| Percentage of long-stay residents who received an antipsychotic medication | 12.0% |
14.8%
2.8 pts better
|
16.7%
4.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 11.5% · Q2 9.1% · Q3 13.6% · Q4 13.6% · 4Q avg 12.0% · 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 | 27.4% |
15.1%
12.3 pts worse
|
16.3%
11.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 20.7% · Q2 27.1% · Q3 30.6% · Q4 32.0% · 4Q avg 27.4% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 29.8% |
15.5%
14.3 pts worse
|
14.9%
14.9 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 31.3% · Q2 23.5% · Q3 30.1% · Q4 33.9% · 4Q avg 29.8% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 1.9% |
0.6%
1.3 pts worse
|
1.0%
0.9 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 1.3% · Q2 1.6% · Q3 1.1% · Q4 3.5% · 4Q avg 1.9% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 2.7% |
1.4%
1.3 pts worse
|
1.7%
1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 2.4% · Q2 2.5% · Q3 1.7% · Q4 4.0% · 4Q avg 2.7% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 25.8% |
20.8%
5 pts worse
|
19.8%
6 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 26.9% · Q2 31.5% · Q3 20.8% · Q4 24.4% · 4Q avg 25.8% |
| Percentage of long-stay residents with pressure ulcers | 10.3% |
6.9%
3.4 pts worse
|
5.1%
5.2 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 9.9% · Q2 10.6% · Q3 12.5% · Q4 8.3% · 4Q avg 10.3% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 50.9% |
76.7%
25.8 pts worse
|
81.7%
30.8 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 50.7% · Q2 49.5% · Q3 57.6% · Q4 43.3% · 4Q avg 50.9% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 6.6% |
9.7%
3.1 pts better
|
12.0%
5.4 pts better
|
Short Stay · 20240701-20250630 · Adjusted 6.6% · Observed 6.6% · Expected 11.2% · 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 | 67.0% |
78.8%
11.8 pts worse
|
79.7%
12.7 pts worse
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 67.0% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 20.8% |
20.6%
0.2 pts worse
|
23.9%
3.1 pts better
|
Short Stay · 20240701-20250630 · Adjusted 20.8% · Observed 21.7% · Expected 24.8% · Used in QM five-star |
Survey summary
Top issue: Nutrition and Dietary (2 deficiencies)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Top issue: Resident Assessment and Care Planning (3 deficiencies)
11 fire-safety deficiencies
Top issue: Smoke (5 deficiencies)
Top issue: Quality of Life and Care (4 deficiencies)
2 fire-safety deficiencies
Top issue: Egress (2 deficiencies)
Fire safety
Fire Safety
Provide at least two remote exits on each floor or fire section of the building.
Corrected 2024-02-18
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 2024-03-29
Fire Safety
Properly provide smoke detection systems in areas open to corridors.
Corrected 2024-02-18
Fire Safety
Install an approved automatic sprinkler system.
Corrected 2024-02-18
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2024-02-18
Fire Safety
Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke.
Corrected 2024-03-29
Fire Safety
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Corrected 2024-03-12
Fire Safety
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Corrected 2024-02-18
Fire Safety
Install proper backup exit lighting.
Corrected 2024-02-18
Fire Safety
Install emergency lighting that can last at least 1 1/2 hours.
Corrected 2024-02-18
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2024-02-18
Fire Safety
Have stairways and smokeproof enclosures used as exits that meet safety requirements.
Corrected 2019-12-23
Fire Safety
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Corrected 2019-12-23
Inspection history
Health
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2025-07-02
Health
Observe each nurse aide's job performance and give regular training.
Corrected 2025-08-01
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2025-08-01
Health
Provide and implement an infection prevention and control program.
Corrected 2025-07-02
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2025-07-02
Health
Make sure that a working call system is available in each resident's bathroom and bathing area.
Corrected 2025-08-01
Health
Reasonably accommodate the needs and preferences of each resident.
Corrected 2025-07-02
Health
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2025-07-02
Health
Assess the resident when there is a significant change in condition
Corrected 2025-07-02
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2025-07-02
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 2025-07-02
Health
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
Corrected 2025-07-02
Health
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2024-02-12
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 2024-02-12
Health
Plan the resident's discharge to meet the resident's goals and needs.
Corrected 2024-02-12
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 2024-02-12
Health
Provide and implement an infection prevention and control program.
Corrected 2024-02-12
Health
Assure that each resident’s assessment is updated at least once every 3 months.
Corrected 2024-02-12
Health
Ensure each resident receives an accurate assessment.
Corrected 2023-08-15
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2019-12-23
Health
Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.
Corrected 2019-12-23
Health
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2019-12-23
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2019-12-23
Health
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Corrected 2019-12-23
Health
Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.
Corrected 2019-12-23
Penalties and ownership
Fine · fine $10,358
Fine
Corporate Director · Individual
Corporate Director · Individual
Corporate Officer · Individual
W-2 Managing Employee · Individual
Corporate Director · Individual
Corporate Director · Individual
Corporate Director · Individual
Corporate Officer · Individual
Corporate Director · Individual
Corporate Director · Individual
Corporate Director · Individual
Corporate Director · Individual
Corporate Director · Individual
Corporate Director · Individual
Corporate Director · Individual
Corporate Director · Individual
Corporate Director · Individual
Corporate Director · Individual
Corporate Director · Individual
Corporate Director · Individual
Corporate Director · Individual
Corporate Director · Individual
Corporate Director · Individual
Corporate Director · Individual
Corporate Director · Individual
Corporate Officer · Individual
W-2 Managing Employee · Individual
Corporate Director · Individual
Corporate Director · Individual
Corporate Director · Individual
Corporate Director · Individual
Corporate Director · Individual
Corporate Officer · Individual
W-2 Managing Employee · Individual
Corporate Director · Individual
Corporate Officer · Individual
W-2 Managing Employee · Individual
Corporate Director · Individual
Corporate Director · Individual
Corporate Director · Individual
Corporate Director · Individual
Corporate Director · Individual
Corporate Director · Individual
Corporate Director · Individual
Nearby options
New Rochelle, NY
3-star overall rating with 3-star inspections with 6 recent health deficiencies with 5 fire-safety deficiencies in the latest cycle
New Rochelle, NY
5-star overall rating with 4-star inspections with 4 recent health deficiencies with 3 fire-safety deficiencies in the latest cycle
New Rochelle, NY
2-star overall rating with 2-star inspections with $36,299 in total fines with 8 recent health deficiencies with 12 fire-safety deficiencies in the latest cycle
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