Cycle 1
Health 2025-05-06 · Fire 2025-05-06
7 health deficiencies
Top issue: Freedom from Abuse and Neglect and Exploitation (2 deficiencies)
5 fire-safety deficiencies
Top issue: Smoke (4 deficiencies)
Bronx, NY
The Plaza Rehab And Nursing Center
5-star overall rating with 4-star inspections with 7 recent health deficiencies with 5 fire-safety deficiencies in the latest cycle
100 West Kingsbridge Road, Bronx, NY
(718) 410-1500
Overall
5 / 5
CMS overall stars
Health inspections
4 / 5
Survey and complaint cycles
Staffing
2 / 5
RN + nurse staffing
Quality measures
5 / 5
Resident outcomes and process measures
Quick facts
Facility snapshot
Beds
816
Certified beds
Average residents
731
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
Citadel Care Centers
Operator or chain grouping
Approved since
1976-01-01
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
Hours and turnover
RN hours / resident day
0.61
Registered nurse staffing · state 0.70 · national 0.68
LPN hours / resident day
0.38
Licensed practical nurse staffing · state 0.78 · national 0.87
Aide hours / resident day
1.85
Nurse aide staffing · state 2.20 · national 2.35
Total nurse hours
2.85
All reported nurse hours · state 3.65 · national 3.89
Licensed hours
1.00
RN + LPN hours · state 1.47 · national 1.54
Weekend hours
2.57
Weekend nurse staffing · state 3.16 · national 3.43
Weekend RN hours
0.43
Weekend registered nurse coverage · state 0.47 · national 0.47
Physical therapist
0.04
Reported PT staffing · state 0.11 · national 0.07
Adjusted RN hours
0.64
CMS adjusted RN staffing hours
Adjusted total hours
2.97
CMS adjusted total nurse staffing hours
Case-mix index
1.31
Higher values indicate more complex resident acuity
RN turnover
43%
Annual RN turnover · state 41% · national 45%
Total nurse turnover
34%
Annual nurse turnover · state 41% · national 46%
SNF VBP
Value-based purchasing
Program rank
4,408
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
40.11
Composite VBP score used to determine payment impact.
Payment multiplier
0.9930
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
8.24
Baseline 19.93% · Performance 17.61% · Measure score 8.24 · Achievement 8.24 · Improvement 7.49
Healthcare-associated infections
0
Baseline 6.61% · Performance 9.48% · Measure score 0 · Achievement 0 · Improvement 0
Total nurse turnover
7.81
Baseline 33.74% · Performance 31.77% · Measure score 7.81 · Achievement 7.81 · Improvement 1.72
Adjusted total nurse staffing
0
Baseline 2.85 hours · Performance 2.77 hours · Measure score 0 · Achievement 0 · Improvement 0
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 8.35% |
10.72%
2.4 pts better
|
No Different than the National Rate · Eligible stays 276 · Observed rate 7.25% · Lower 95% interval 6.16% |
| Discharge to community | 28.31% |
50.57%
22.3 pts worse
|
Worse than the National Rate · Eligible stays 243 · Observed rate 20.16% · Lower 95% interval 23.16% |
| Medicare spending per beneficiary | 1.36 |
1.02
0.3 pts worse
|
|
| Drug regimen review with follow-up | 99.78% |
95.27%
4.5 pts better
|
Numerator 447 · Denominator 448 |
| Falls with major injury | 0.67% |
0.77%
0.1 pts better
|
Numerator 3 · Denominator 448 |
| Discharge self-care score | 69.47% |
53.69%
15.8 pts better
|
Numerator 198 · Denominator 285 |
| Discharge mobility score | 61.75% |
50.94%
10.8 pts better
|
Numerator 176 · Denominator 285 |
| Pressure ulcers or injuries, new or worsened | 0.22% |
2.29%
2.1 pts better
|
Numerator 1 · Denominator 448 · Adjusted rate 0.18% |
| Healthcare-associated infections requiring hospitalization | 9.48% |
7.12%
2.4 pts worse
|
No Different than the National Rate · Eligible stays 198 · Observed rate 12.12% · Lower 95% interval 6.94% |
| Staff COVID-19 vaccination coverage | 6.76% |
8.2%
1.4 pts worse
|
Numerator 56 · Denominator 829 |
| Staff flu vaccination coverage | 15.08% |
42%
26.9 pts worse
|
Numerator 125 · Denominator 829 |
| Discharge function score | 66.32% |
56.45%
9.9 pts better
|
Numerator 189 · Denominator 285 |
| Transfer of health information to provider | 99.21% |
95.95%
3.3 pts better
|
Numerator 126 · Denominator 127 |
| Transfer of health information to patient | 100% |
96.28%
3.7 pts better
|
Numerator 76 · Denominator 76 |
| Resident COVID-19 vaccinations up to date | 7.05% |
25.2%
18.1 pts worse
|
Numerator 16 · Denominator 227 |
Quality measures
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 1.2 |
1.7
0.5 pts better
|
1.9
0.7 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.2 · Observed 1.4 · Expected 2.2 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 0.7 |
1.3
0.6 pts better
|
1.8
1.1 pts better
|
Long Stay · 20240701-20250630 · Adjusted 0.7 · Observed 0.7 · Expected 1.7 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 73.2% |
91.2%
18 pts worse
|
93.4%
20.2 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 69.7% · Q2 70.6% · Q3 76.3% · Q4 76.2% · 4Q avg 73.2% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 67.5% |
95.3%
27.8 pts worse
|
95.5%
28 pts worse
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 67.5% |
| 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 1.3% · Q2 0.9% · Q3 1.1% · Q4 1.0% · 4Q avg 1.1% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 8.3% |
18.5%
10.2 pts better
|
11.4%
3.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 8.0% · Q2 11.4% · Q3 8.2% · Q4 5.4% · 4Q avg 8.3% |
| Percentage of long-stay residents who lose too much weight | 7.9% |
6.1%
1.8 pts worse
|
5.4%
2.5 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 8.0% · Q2 9.0% · Q3 7.7% · Q4 6.8% · 4Q avg 7.9% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 4.6% |
13.5%
8.9 pts better
|
19.6%
15 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 4.7% · Q2 4.2% · Q3 4.9% · Q4 4.8% · 4Q avg 4.6% |
| Percentage of long-stay residents who received an antipsychotic medication | 4.0% |
14.8%
10.8 pts better
|
16.7%
12.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 4.5% · Q2 3.4% · Q3 4.0% · Q4 4.2% · 4Q avg 4.0% · 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 | 9.9% |
15.1%
5.2 pts better
|
16.3%
6.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 14.8% · Q2 8.8% · Q3 10.7% · Q4 5.7% · 4Q avg 9.9% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 7.9% |
15.5%
7.6 pts better
|
14.9%
7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 12.3% · Q2 5.6% · Q3 7.6% · Q4 5.9% · 4Q avg 7.9% · 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 0.1% · Q2 0.3% · Q3 0.0% · Q4 0.1% · 4Q avg 0.1% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 0.1% |
1.4%
1.3 pts better
|
1.7%
1.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.2% · Q2 0.0% · Q3 0.0% · Q4 0.2% · 4Q avg 0.1% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 23.5% |
20.8%
2.7 pts worse
|
19.8%
3.7 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 23.5% · Q2 25.9% · Q3 25.4% · Q4 19.1% · 4Q avg 23.5% |
| Percentage of long-stay residents with pressure ulcers | 7.0% |
6.9%
0.1 pts worse
|
5.1%
1.9 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 8.2% · Q2 9.7% · Q3 4.8% · Q4 5.2% · 4Q avg 7.0% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 56.8% |
76.7%
19.9 pts worse
|
81.7%
24.9 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 61.8% · Q2 54.5% · Q3 56.9% · Q4 53.8% · 4Q avg 56.8% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 9.8% |
9.7%
0.1 pts worse
|
12.0%
2.2 pts better
|
Short Stay · 20240701-20250630 · Adjusted 9.8% · Observed 10.3% · Expected 11.7% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 1.1% |
1.2%
0.1 pts better
|
1.6%
0.5 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 0.7% · Q2 1.3% · Q3 1.6% · Q4 0.7% · 4Q avg 1.1% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 44.6% |
78.8%
34.2 pts worse
|
79.7%
35.1 pts worse
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 44.6% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 21.2% |
20.6%
0.6 pts worse
|
23.9%
2.7 pts better
|
Short Stay · 20240701-20250630 · Adjusted 21.2% · Observed 24.6% · Expected 27.7% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2023-05-16 · Fire 2023-05-16
3 health deficiencies
Top issue: Resident Assessment and Care Planning (2 deficiencies)
25 fire-safety deficiencies
Top issue: Egress (10 deficiencies)
Cycle 3
Health 2020-10-09 · Fire 2020-10-09
7 health deficiencies
Top issue: Environmental (1 deficiency)
1 fire-safety deficiencies
Top issue: Miscellaneous (1 deficiency)
Fire safety
Fire-safety citations
E · Potential for more than minimal harm
2025-05-06
K225 · Egress Deficiencies
Fire Safety
Have stairways and smokeproof enclosures used as exits that meet safety requirements.
Corrected 2025-06-30
E · Potential for more than minimal harm
2025-05-06
K361 · Smoke Deficiencies
Fire Safety
Ensure that waiting areas, nurse’s stations, gift shops, and cooking facilities, open to the corridor are properly protected.
Corrected 2025-06-30
D · Potential for more than minimal harm
2025-05-06
K321 · Smoke Deficiencies
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 2025-06-30
D · Potential for more than minimal harm
2025-05-06
K355 · Smoke Deficiencies
Fire Safety
Properly select, install, inspect, or maintain portable fire extinguishes.
Corrected 2025-06-30
D · Potential for more than minimal harm
2025-05-06
K363 · Smoke Deficiencies
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2025-06-30
E · Potential for more than minimal harm
2023-05-16
K224 · Egress Deficiencies
Fire Safety
Provide sliding doors free of hazards, operable without special knowledge or effort, and meet weight requirements to set door in motion.
Corrected 2023-07-26
E · Potential for more than minimal harm
2023-05-16
K291 · Egress Deficiencies
Fire Safety
Install emergency lighting that can last at least 1 1/2 hours.
Corrected 2023-07-26
E · Potential for more than minimal harm
2023-05-16
K311 · Smoke Deficiencies
Fire Safety
Have an enclosure around a vertical opening shaft.
Corrected 2023-07-26
E · Potential for more than minimal harm
2023-05-16
K321 · Smoke Deficiencies
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 2023-07-26
E · Potential for more than minimal harm
2023-05-16
K345 · Smoke Deficiencies
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2023-07-26
E · Potential for more than minimal harm
2023-05-16
K353 · Smoke Deficiencies
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2023-07-26
E · Potential for more than minimal harm
2023-05-16
K901 · Electrical Deficiencies
Fire Safety
Ensure that building systems meet requirements determined by risk assessment procedures performed by qualified personnel.
Corrected 2023-07-26
E · Potential for more than minimal harm
2023-05-16
K921 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Ensure that testing and maintenance of electrical equipment is performed.
Corrected 2023-07-26
D · Potential for more than minimal harm
2023-05-16
K131 · Construction Deficiencies
Fire Safety
Meet requirements for sections of health care facilities separated by fire resistive construction.
Corrected 2023-07-26
D · Potential for more than minimal harm
2023-05-16
K200 · Egress Deficiencies
Fire Safety
Meet other general requirements.
Corrected 2023-07-26
D · Potential for more than minimal harm
2023-05-16
K211 · Egress Deficiencies
Fire Safety
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Corrected 2023-07-26
D · Potential for more than minimal harm
2023-05-16
K222 · Egress Deficiencies
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 2023-07-26
D · Potential for more than minimal harm
2023-05-16
K241 · Egress Deficiencies
Fire Safety
Have correct number of accessible exits for each story.
Corrected 2023-07-26
D · Potential for more than minimal harm
2023-05-16
K271 · Egress Deficiencies
Fire Safety
Have exits that are accessible at all times.
Corrected 2023-07-26
D · Potential for more than minimal harm
2023-05-16
K281 · Egress Deficiencies
Fire Safety
Install proper backup exit lighting.
Corrected 2023-07-26
D · Potential for more than minimal harm
2023-05-16
K293 · Egress Deficiencies
Fire Safety
Have properly located and lighted "Exit" signs.
Corrected 2023-08-14
D · Potential for more than minimal harm
2023-05-16
K324 · Smoke Deficiencies
Fire Safety
Provide properly protected cooking facilities.
Corrected 2023-07-26
D · Potential for more than minimal harm
2023-05-16
K351 · Smoke Deficiencies
Fire Safety
Install an approved automatic sprinkler system.
Corrected 2023-07-26
D · Potential for more than minimal harm
2023-05-16
K362 · Smoke Deficiencies
Fire Safety
Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke.
Corrected 2023-07-26
D · Potential for more than minimal harm
2023-05-16
K374 · Smoke Deficiencies
Fire Safety
Install smoke barrier doors that can resist smoke for at least 20 minutes.
Corrected 2023-07-26
D · Potential for more than minimal harm
2023-05-16
K521 · Services Deficiencies
Fire Safety
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Corrected 2023-07-26
D · Potential for more than minimal harm
2023-05-16
K761 · Miscellaneous Deficiencies
Fire Safety
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Corrected 2023-07-26
D · Potential for more than minimal harm
2023-05-16
K919 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Meet requirements for the use of electrical equipment.
Corrected 2023-07-26
D · Potential for more than minimal harm
2023-05-16
K920 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2023-07-26
C · Minimal harm
2023-05-16
K300 · Egress Deficiencies
Fire Safety
Meet other general requirements that are deficient.
Corrected 2023-07-26
D · Potential for more than minimal harm
2020-10-09
K700 · Miscellaneous Deficiencies
Fire Safety
Meet requirements for operating features, such as evacuation plans, fire drills, smoking regulations, draperies, decorations and the inspection, testing and maintenance of fire doors.
Corrected 2020-11-26
Inspection history
Recent health citations
D · Potential for more than minimal harm
2025-12-09
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 2026-01-30
D · Potential for more than minimal harm
2025-05-06
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 2025-07-01
D · Potential for more than minimal harm
2025-05-06
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 2025-07-01
D · Potential for more than minimal harm
2025-05-06
F693 · Quality of Life and Care Deficiencies
Health
Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
Corrected 2025-07-01
D · Potential for more than minimal harm
2025-05-06
F842 · Resident Assessment and Care Planning Deficiencies
Health
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2025-07-01
D · Potential for more than minimal harm
2025-05-06
F925 · Environmental Deficiencies
Health
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Corrected 2025-07-01
D · Potential for more than minimal harm
2025-04-16
F689 · Quality of Life and Care Deficiencies
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2025-06-25
D · Potential for more than minimal harm
2023-10-10
F600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Health
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2023-11-07
D · Potential for more than minimal harm
2023-05-16
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 2023-06-08
D · Potential for more than minimal harm
2023-05-16
F657 · Resident Assessment and Care Planning Deficiencies
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 2023-06-08
D · Potential for more than minimal harm
2023-05-16
F684 · Quality of Life and Care Deficiencies
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2023-06-08
F · Potential for more than minimal harm
2020-10-09
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 2020-10-09
E · Potential for more than minimal harm
2020-10-09
F925 · Environmental Deficiencies
Health
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Corrected 2020-11-11
D · Potential for more than minimal harm
2020-10-09
F658 · Resident Assessment and Care Planning Deficiencies
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2020-11-27
D · Potential for more than minimal harm
2020-10-09
F685 · Quality of Life and Care Deficiencies
Health
Assist a resident in gaining access to vision and hearing services.
Corrected 2020-11-03
D · Potential for more than minimal harm
2020-10-09
F711 · Nursing and Physician Services Deficiencies
Health
Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit.
Corrected 2020-11-03
D · Potential for more than minimal harm
2020-10-09
F758 · Pharmacy Service Deficiencies
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 2020-11-03
Penalties and ownership
What sits behind the stars
Ownership
Friedman, Leopold
5% Or Greater Direct Ownership Interest · Individual
Philipson, Avi
5% Or Greater Direct Ownership Interest · Individual
Philipson, Raquel
5% Or Greater Direct Ownership Interest · Individual
Asufrin, Mary Grace
Operational/Managerial Control · Individual
Bogen, Tyler
Operational/Managerial Control · Individual
Friedman, Leopold
Corporate Officer · Individual
Palmaira, Randolf
Operational/Managerial Control · Individual
Philipson, Avi
Corporate Officer · Individual
Philipson, Raquel
Corporate Officer · Individual
Roberts, Takeena
Operational/Managerial Control · Individual
Rodriguez, Julissa
Operational/Managerial Control · Individual
Terrano, Monica
Corporate Officer · Individual
Yazdanbakhsh, Khashayar
Operational/Managerial Control · Individual
Nearby options
Other facilities in reach
#1
Fordham Nursing And Rehabilitation Center
Bronx, NY
3-star overall rating with 3-star inspections with 6 recent health deficiencies with 1 fire-safety deficiencies in the latest cycle
#2
University Center For Rehabilitation And Nursing
Bronx, NY
4-star overall rating with 3-star inspections with 4 recent health deficiencies with 5 fire-safety deficiencies in the latest cycle
#3
Manhattanville Health Care Center
Bronx, NY
5-star overall rating with 4-star inspections with 6 recent health deficiencies with 4 fire-safety deficiencies in the latest cycle
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