Cycle 1
Health 2025-01-08 · Fire 2025-01-08
9 health deficiencies
Top issue: Resident Rights (3 deficiencies)
1 fire-safety deficiencies
Top issue: Egress (1 deficiency)
Bronx, NY
St Vincent Depaul Residence
2-star overall rating with 2-star inspections with 9 recent health deficiencies with 1 fire-safety deficiencies in the latest cycle
900 Intervale Avenue, Bronx, NY
(718) 589-6965
Overall
2 / 5
CMS overall stars
Health inspections
2 / 5
Survey and complaint cycles
Staffing
1 / 5
RN + nurse staffing
Quality measures
5 / 5
Resident outcomes and process measures
Quick facts
Facility snapshot
Beds
200
Certified beds
Average residents
77
Average occupied residents
Ownership
Non-Profit
Publicly displayed owner type
Chain
Archcare
Operator or chain grouping
Approved since
1992-10-29
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Chain footprint
7 facilities
Chain averages 4 overall / 3 health / 3 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
Hours and turnover
RN hours / resident day
0.00
Registered nurse staffing
LPN hours / resident day
0.00
Licensed practical nurse staffing
Aide hours / resident day
0.00
Nurse aide staffing
Total nurse hours
0.00
All reported nurse hours
Licensed hours
0.00
RN + LPN hours
Weekend hours
0.00
Weekend nurse staffing
Weekend RN hours
0.00
Weekend registered nurse coverage
Physical therapist
0.00
Reported PT staffing
Adjusted RN hours
0.00
CMS adjusted RN staffing hours
Adjusted total hours
0.00
CMS adjusted total nurse staffing hours
Case-mix index
0.00
Higher values indicate more complex resident acuity
RN turnover
55%
Annual RN turnover · state 41% · national 45%
Total nurse turnover
47%
Annual nurse turnover · state 41% · national 46%
SNF VBP
Value-based purchasing
Program rank
9,645
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
23.02
Composite VBP score used to determine payment impact.
Payment multiplier
0.9830
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
Not reported
This facility did not meet this measure's case minimum policy requirement and therefore no measure data is publicly reported.
Healthcare-associated infections
Not reported
This facility did not meet this measure's case minimum policy requirement and therefore no measure data is publicly reported.
Total nurse turnover
4.60
Baseline 41.51% · Performance 44.86% · Measure score 4.60 · Achievement 4.60 · Improvement 0
Adjusted total nurse staffing
0
Baseline 3.19 hours · Performance 2.96 hours · Measure score 0 · Achievement 0 · Improvement 0
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 10.4% |
10.72%
0.3 pts better
|
No Different than the National Rate · Eligible stays 32 · Observed rate 9.38% · Lower 95% interval 6.83% |
| Discharge to community | 37.59% |
50.57%
13 pts worse
|
No Different than the National Rate · Eligible stays 33 · Observed rate 21.21% · Lower 95% interval 25.21% |
| Medicare spending per beneficiary | 1.36 |
1.02
0.3 pts worse
|
|
| Drug regimen review with follow-up | 100% |
95.27%
4.7 pts better
|
Numerator 27 · Denominator 27 |
| Falls with major injury | 0% |
0.77%
0.8 pts better
|
Numerator 0 · Denominator 27 |
| Discharge self-care score | 80.95% |
53.69%
27.3 pts better
|
Numerator 17 · Denominator 21 |
| Discharge mobility score | 76.19% |
50.94%
25.2 pts better
|
Numerator 16 · Denominator 21 |
| Pressure ulcers or injuries, new or worsened | 0% |
2.29%
2.3 pts better
|
Numerator 0 · Denominator 27 · Adjusted rate 0% |
| Healthcare-associated infections requiring hospitalization | Not Available |
7.12%
|
Not Available · Eligible stays 16 · Observed rate Not Available · Lower 95% interval Not Available · Too few residents or stays to report publicly. |
| Staff COVID-19 vaccination coverage | Not Available |
8.2%
|
Numerator Not Available · Denominator Not Available · No data were submitted for this measure. |
| Staff flu vaccination coverage | 87.78% |
42%
45.8 pts better
|
Numerator 158 · Denominator 180 |
| Discharge function score | 80.95% |
56.45%
24.5 pts better
|
Numerator 17 · Denominator 21 |
| Transfer of health information to provider | Not Available |
95.95%
|
Numerator Not Available · Denominator 5 · Too few residents or stays to report publicly. |
| Transfer of health information to patient | Not Available |
96.28%
|
Numerator Not Available · Denominator 9 · Too few residents or stays to report publicly. |
| Resident COVID-19 vaccinations up to date | Not Available |
25.2%
|
Numerator Not Available · Denominator 15 · Too few residents or stays to report publicly. |
Quality measures
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 79.3% |
91.2%
11.9 pts worse
|
93.4%
14.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 53.7% · Q2 85.0% · Q3 91.1% · Q4 92.8% · 4Q avg 79.3% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 91.0% |
95.3%
4.3 pts worse
|
95.5%
4.5 pts worse
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 91.0% |
| 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 0.9% · Q2 2.0% · Q3 2.2% · Q4 1.2% · 4Q avg 1.6% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 4.1% |
18.5%
14.4 pts better
|
11.4%
7.3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 1.9% · Q2 2.1% · Q3 2.3% · Q4 11.2% · 4Q avg 4.1% |
| Percentage of long-stay residents who lose too much weight | 6.7% |
6.1%
0.6 pts worse
|
5.4%
1.3 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 7.5% · Q2 7.6% · Q3 6.7% · Q4 4.4% · 4Q avg 6.7% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 1.4% |
13.5%
12.1 pts better
|
19.6%
18.2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.9% · Q2 2.1% · Q3 1.2% · Q4 1.4% · 4Q avg 1.4% |
| Percentage of long-stay residents who received an antipsychotic medication | 3.6% |
14.8%
11.2 pts better
|
16.7%
13.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 2.5% · Q2 5.6% · Q3 2.9% · Q4 3.4% · 4Q avg 3.6% · 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 | 8.4% |
15.1%
6.7 pts better
|
16.3%
7.9 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 3.7% · Q2 11.6% · Q3 9.0% · 4Q avg 8.4% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 8.7% |
15.5%
6.8 pts better
|
14.9%
6.2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 11.2% · Q2 7.4% · Q3 11.9% · Q4 3.2% · 4Q avg 8.7% · 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 | 0.0% |
1.4%
1.4 pts better
|
1.7%
1.7 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 new or worsened bowel or bladder incontinence | 23.6% |
20.8%
2.8 pts worse
|
19.8%
3.8 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 20.5% · Q2 20.8% · Q3 24.4% · Q4 30.2% · 4Q avg 23.6% |
| 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 4.2% · Q2 2.4% · Q3 2.6% · Q4 3.5% · 4Q avg 3.2% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 45.7% |
76.7%
31 pts worse
|
81.7%
36 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 31.2% · Q2 46.4% · 4Q avg 45.7% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 10.7% |
9.7%
1 pts worse
|
12.0%
1.3 pts better
|
Short Stay · 20240701-20250630 · Adjusted 10.7% · Observed 10.7% · Expected 11.2% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 5.9% |
1.2%
4.7 pts worse
|
1.6%
4.3 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 5.7% · Q2 10.0% · 4Q avg 5.9% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 51.7% |
78.8%
27.1 pts worse
|
79.7%
28 pts worse
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 51.7% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 21.4% |
20.6%
0.8 pts worse
|
23.9%
2.5 pts better
|
Short Stay · 20240701-20250630 · Adjusted 21.4% · Observed 21.4% · Expected 23.8% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2023-08-07 · Fire 2023-08-07
8 health deficiencies
Top issue: Resident Assessment and Care Planning (3 deficiencies)
3 fire-safety deficiencies
Top issue: Egress (2 deficiencies)
Cycle 3
Health 2021-08-05 · Fire 2021-08-05
5 health deficiencies
Top issue: Resident Rights (2 deficiencies)
1 fire-safety deficiencies
Top issue: Smoke (1 deficiency)
Fire safety
Fire-safety citations
D · Potential for more than minimal harm
2025-01-08
K291 · Egress Deficiencies
Fire Safety
Install emergency lighting that can last at least 1 1/2 hours.
Corrected 2025-03-07
D · Potential for more than minimal harm
2023-08-07
K291 · Egress Deficiencies
Fire Safety
Install emergency lighting that can last at least 1 1/2 hours.
Corrected 2023-10-27
D · Potential for more than minimal harm
2023-08-07
K293 · Egress Deficiencies
Fire Safety
Have properly located and lighted "Exit" signs.
Corrected 2023-10-27
C · Minimal harm
2023-08-07
K353 · Smoke Deficiencies
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2023-10-27
E · Potential for more than minimal harm
2021-08-05
K374 · Smoke Deficiencies
Fire Safety
Install smoke barrier doors that can resist smoke for at least 20 minutes.
Corrected 2021-09-30
Inspection history
Recent health citations
F · Potential for more than minimal harm
2025-01-08
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 2025-02-07
E · Potential for more than minimal harm
2025-01-08
F584 · Resident Rights Deficiencies
Health
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Corrected 2025-02-07
E · Potential for more than minimal harm
2025-01-08
F847 · Administration Deficiencies
Health
Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse.
Corrected 2025-02-07
E · Potential for more than minimal harm
2025-01-08
F883 · Infection Control Deficiencies
Health
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Corrected 2025-02-07
D · Potential for more than minimal harm
2025-01-08
F582 · Resident Rights Deficiencies
Health
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Corrected 2025-02-07
D · Potential for more than minimal harm
2025-01-08
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 2025-02-07
D · Potential for more than minimal harm
2025-01-08
F641 · Resident Assessment and Care Planning Deficiencies
Health
Ensure each resident receives an accurate assessment.
Corrected 2025-02-07
D · Potential for more than minimal harm
2025-01-08
F868 · Administration Deficiencies
Health
Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
Corrected 2025-02-07
D · Potential for more than minimal harm
2025-01-08
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2025-02-07
C · Minimal harm
2025-01-08
F577 · Resident Rights Deficiencies
Health
Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.
Corrected 2025-02-07
D · Potential for more than minimal harm
2024-12-12
F580 · Resident Rights Deficiencies
Health
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected 2025-02-09
D · Potential for more than minimal harm
2024-12-12
F684 · Quality of Life and Care Deficiencies
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2025-02-09
F · Potential for more than minimal harm
2023-08-07
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 2023-09-29
E · Potential for more than minimal harm
2023-08-07
F656 · Resident Assessment and Care Planning Deficiencies
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2023-09-29
E · Potential for more than minimal harm
2023-08-07
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2023-09-29
D · Potential for more than minimal harm
2023-08-07
F641 · Resident Assessment and Care Planning Deficiencies
Health
Ensure each resident receives an accurate assessment.
Corrected 2023-09-29
D · Potential for more than minimal harm
2023-08-07
F655 · Resident Assessment and Care Planning Deficiencies
Health
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Corrected 2023-09-29
D · Potential for more than minimal harm
2023-04-04
F580 · Resident Rights Deficiencies
Health
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected 2023-04-21
E · Potential for more than minimal harm
2021-08-05
F656 · Resident Assessment and Care Planning Deficiencies
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2021-09-28
D · Potential for more than minimal harm
2021-08-05
F584 · Resident Rights Deficiencies
Health
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Corrected 2021-09-28
D · Potential for more than minimal harm
2021-08-05
F604 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Health
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
Corrected 2021-09-28
D · Potential for more than minimal harm
2021-08-05
F684 · Quality of Life and Care Deficiencies
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2021-09-28
Penalties and ownership
What sits behind the stars
Ownership
Alberto, Thomas
Corporate Director · Individual
Augustine, Gemma
Operational/Managerial Control · Individual
Bujno, Stephen
Corporate Director · Individual
Cahill, John
Corporate Director · Individual
Catholic Health Care Systems
Operational/Managerial Control · Organization
Cortes, Tara
Corporate Director · Individual
Covone, Annmarie
Operational/Managerial Control · Individual
Covone, Annmarie
Corporate Officer · Individual
Fahey, Thomas
Corporate Director · Individual
Feldmann, Eric
Corporate Director · Individual
Gleason, John
Corporate Director · Individual
Gray, Karen
Corporate Director · Individual
Johnson, Clarion
Corporate Director · Individual
Kasergrande, Leslie
Corporate Director · Individual
Kelleher, Rory
Corporate Director · Individual
Lamorte, Joseph
Corporate Director · Individual
Larue, Scott
Operational/Managerial Control · Individual
Larue, Scott
Corporate Officer · Individual
O'brien, Thomas
Corporate Director · Individual
Park, Richard
Corporate Director · Individual
Richards, Eunice
Operational/Managerial Control · Individual
Rizvi, Hammad
Operational/Managerial Control · Individual
Roberti, Cynthia
Corporate Director · Individual
Rooney, Kathryn
Corporate Director · Individual
Saporito, Joseph
Corporate Director · Individual
Serbaroli, Frank
Corporate Director · Individual
Sweeney, Gerald
Corporate Director · Individual
Tooker, Patricia
Corporate Director · Individual
Walsh, Gerald
Corporate Director · Individual
Whiston, William
Corporate Director · Individual
Nearby options
Other facilities in reach
#1
Bronxcare Special Care Center
Bronx, NY
4-star overall rating with 4-star inspections with 5 recent health deficiencies with 17 fire-safety deficiencies in the latest cycle
#2
Triboro Center For Rehabilitation And Nursing
Bronx, NY
3-star overall rating with 3-star inspections with 4 recent health deficiencies with 11 fire-safety deficiencies in the latest cycle
#3
Concourse Rehabilitation And Nursing Center Inc
Bronx, NY
1-star overall rating with 2-star inspections with $10,592 in total fines with 8 recent health deficiencies with 1 fire-safety deficiencies in the latest cycle
Jump out