New Rochelle, NY

United Hebrew Geriatric Center

5-star overall rating with 4-star inspections with 4 recent health deficiencies with 3 fire-safety deficiencies in the latest cycle

391 Pelham Road, New Rochelle, NY

(914) 632-2804

Compare this facility

Overall

5 / 5

CMS overall stars

Health inspections

4 / 5

Survey and complaint cycles

Staffing

4 / 5

RN + nurse staffing

Quality measures

5 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

294

Certified beds

Average residents

168

Average occupied residents

Ownership

Non-Profit

Publicly displayed owner type

Chain

No chain reported

Operator or chain grouping

Approved since

1977-05-01

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

Hours and turnover

RN hours / resident day

0.97

Registered nurse staffing · state 0.70 · national 0.68

LPN hours / resident day

0.63

Licensed practical nurse staffing · state 0.78 · national 0.87

Aide hours / resident day

2.45

Nurse aide staffing · state 2.20 · national 2.35

Total nurse hours

4.05

All reported nurse hours · state 3.65 · national 3.89

Licensed hours

1.60

RN + LPN hours · state 1.47 · national 1.54

Weekend hours

3.82

Weekend nurse staffing · state 3.16 · national 3.43

Weekend RN hours

0.82

Weekend registered nurse coverage · state 0.47 · national 0.47

Physical therapist

0.13

Reported PT staffing · state 0.11 · national 0.07

Adjusted RN hours

0.90

CMS adjusted RN staffing hours

Adjusted total hours

3.76

CMS adjusted total nurse staffing hours

Case-mix index

1.48

Higher values indicate more complex resident acuity

RN turnover

23%

Annual RN turnover · state 41% · national 45%

Total nurse turnover

19%

Annual nurse turnover · state 41% · national 46%

SNF VBP

Value-based purchasing

Program rank

5,291

Lower is better among SNFs in the FY 2026 VBP program.

Performance score

36.70

Composite VBP score used to determine payment impact.

Payment multiplier

0.9901

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

2.80

Baseline 21.23% · Performance 20.13% · Measure score 2.80 · Achievement 2.80 · Improvement 2.11

Healthcare-associated infections

1.91

Baseline 7.15% · Performance 7.26% · Measure score 1.91 · Achievement 1.91 · Improvement 0

Total nurse turnover

9.19

Baseline 21.65% · Performance 26.11% · Measure score 9.19 · Achievement 9.19 · Improvement 0

Adjusted total nurse staffing

0.78

Baseline 3.93 hours · Performance 3.30 hours · Measure score 0.78 · Achievement 0.78 · Improvement 0

SNF QRP

Medicare quality reporting measures

Measure	Facility	National	Note
Potentially preventable 30-day readmission	9.79%	10.72% 0.9 pts better	No Different than the National Rate · Eligible stays 563 · Observed rate 7.64% · Lower 95% interval 7.69%
Discharge to community	72.35%	50.57% 21.8 pts better	Better than the National Rate · Eligible stays 618 · Observed rate 68.12% · Lower 95% interval 68.47%
Medicare spending per beneficiary	1.13	1.02 0.1 pts worse
Drug regimen review with follow-up	98.21%	95.27% 2.9 pts better	Numerator 385 · Denominator 392
Falls with major injury	0.77%	0.77% About the same	Numerator 3 · Denominator 392
Discharge self-care score	83.01%	53.69% 29.3 pts better	Numerator 171 · Denominator 206
Discharge mobility score	83.5%	50.94% 32.6 pts better	Numerator 172 · Denominator 206
Pressure ulcers or injuries, new or worsened	0.51%	2.29% 1.8 pts better	Numerator 2 · Denominator 392 · Adjusted rate 0.38%
Healthcare-associated infections requiring hospitalization	7.26%	7.12% 0.1 pts worse	No Different than the National Rate · Eligible stays 362 · Observed rate 6.63% · Lower 95% interval 5.06%
Staff COVID-19 vaccination coverage	1.05%	8.2% 7.1 pts worse	Numerator 3 · Denominator 286
Staff flu vaccination coverage	Not Available	42%	Numerator Not Available · Denominator Not Available · No data were submitted for this measure.
Discharge function score	84.47%	56.45% 28 pts better	Numerator 174 · Denominator 206
Transfer of health information to provider	98.88%	95.95% 2.9 pts better	Numerator 88 · Denominator 89
Transfer of health information to patient	98.09%	96.28% 1.8 pts better	Numerator 257 · Denominator 262
Resident COVID-19 vaccinations up to date	33%	25.2% 7.8 pts better	Numerator 66 · Denominator 200

Quality measures

Resident outcomes and process scores

Measure	Facility	State	National	Note
Number of hospitalizations per 1000 long-stay resident days	1.1	1.7 0.6 pts better	1.9 0.8 pts better	Long Stay · 20240701-20250630 · Adjusted 1.1 · Observed 1.0 · Expected 1.8 · Used in QM five-star
Number of outpatient emergency department visits per 1000 long-stay resident days	0.9	1.3 0.4 pts better	1.8 0.9 pts better	Long Stay · 20240701-20250630 · Adjusted 0.9 · Observed 0.8 · Expected 1.5 · Used in QM five-star
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine	99.4%	91.2% 8.2 pts better	93.4% 6 pts better	Long Stay · 2024Q4-2025Q3 · Q1 99.2% · Q2 99.1% · Q3 99.2% · Q4 100.0% · 4Q avg 99.4%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine	99.2%	95.3% 3.9 pts better	95.5% 3.7 pts better	Long Stay · 2024Q3-2025Q2 · 4Q avg 99.2%
Percentage of long-stay residents experiencing one or more falls with major injury	3.2%	3.0% 0.2 pts worse	3.3% 0.1 pts better	Long Stay · 2024Q4-2025Q3 · Q1 4.1% · Q2 2.6% · Q3 3.4% · Q4 2.5% · 4Q avg 3.2% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms	26.4%	18.5% 7.9 pts worse	11.4% 15 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 26.7% · Q2 20.5% · Q3 33.0% · Q4 24.7% · 4Q avg 26.4%
Percentage of long-stay residents who lose too much weight	4.1%	6.1% 2 pts better	5.4% 1.3 pts better	Long Stay · 2024Q4-2025Q3 · Q1 3.4% · Q2 5.6% · Q3 4.7% · Q4 2.8% · 4Q avg 4.1%
Percentage of long-stay residents who received an antianxiety or hypnotic medication	9.5%	13.5% 4 pts better	19.6% 10.1 pts better	Long Stay · 2024Q4-2025Q3 · Q1 9.3% · Q2 11.1% · Q3 8.3% · Q4 9.2% · 4Q avg 9.5%
Percentage of long-stay residents who received an antipsychotic medication	16.5%	14.8% 1.7 pts worse	16.7% 0.2 pts better	Long Stay · 2024Q4-2025Q3 · Q1 17.6% · Q2 17.0% · Q3 17.5% · Q4 13.9% · 4Q avg 16.5% · 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	15.3%	15.1% 0.2 pts worse	16.3% 1 pts better	Long Stay · 2024Q4-2025Q3 · Q1 7.6% · Q2 28.6% · Q3 14.1% · Q4 10.5% · 4Q avg 15.3% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased	9.9%	15.5% 5.6 pts better	14.9% 5 pts better	Long Stay · 2024Q4-2025Q3 · Q1 12.5% · Q2 12.8% · Q3 6.7% · Q4 7.7% · 4Q avg 9.9% · Used in QM five-star
Percentage of long-stay residents with a catheter inserted and left in their bladder	0.6%	0.6% About the same	1.0% 0.4 pts better	Long Stay · 2024Q4-2025Q3 · Q1 1.8% · Q2 0.5% · Q3 0.0% · Q4 0.0% · 4Q avg 0.6% · Used in QM five-star
Percentage of long-stay residents with a urinary tract infection	1.3%	1.4% 0.1 pts better	1.7% 0.4 pts better	Long Stay · 2024Q4-2025Q3 · Q1 1.7% · Q2 0.9% · Q3 0.9% · Q4 1.7% · 4Q avg 1.3% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence	17.8%	20.8% 3 pts better	19.8% 2 pts better	Long Stay · 2024Q4-2025Q3 · Q1 20.5% · Q2 19.3% · Q3 18.6% · Q4 12.9% · 4Q avg 17.8%
Percentage of long-stay residents with pressure ulcers	5.4%	6.9% 1.5 pts better	5.1% 0.3 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 7.8% · Q2 6.3% · Q3 5.3% · Q4 2.1% · 4Q avg 5.4% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine	91.5%	76.7% 14.8 pts better	81.7% 9.8 pts better	Short Stay · 2024Q4-2025Q3 · Q1 89.2% · Q2 87.6% · Q3 91.5% · Q4 97.3% · 4Q avg 91.5%
Percentage of short-stay residents who had an outpatient emergency department visit	12.9%	9.7% 3.2 pts worse	12.0% 0.9 pts worse	Short Stay · 20240701-20250630 · Adjusted 12.9% · Observed 11.4% · Expected 9.9% · Used in QM five-star
Percentage of short-stay residents who newly received an antipsychotic medication	1.2%	1.2% About the same	1.6% 0.4 pts better	Short Stay · 2024Q4-2025Q3 · Q1 0.5% · Q2 1.9% · Q3 1.6% · Q4 0.5% · 4Q avg 1.2% · Used in QM five-star
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine	91.4%	78.8% 12.6 pts better	79.7% 11.7 pts better	Short Stay · 2024Q3-2025Q2 · 4Q avg 91.4%
Percentage of short-stay residents who were rehospitalized after a nursing home admission	17.9%	20.6% 2.7 pts better	23.9% 6 pts better	Short Stay · 20240701-20250630 · Adjusted 17.9% · Observed 16.0% · Expected 21.3% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2023-10-06 · Fire 2023-10-06

4 health deficiencies

Top issue: Infection Control (1 deficiency)

3 fire-safety deficiencies

Top issue: Egress (1 deficiency)

Cycle 2 Health 2019-06-13 · Fire 2019-06-13

2 health deficiencies

Top issue: Quality of Life and Care (1 deficiency)

5 fire-safety deficiencies

Top issue: Egress (2 deficiencies)

Cycle 3 Health 2017-10-24 · Fire 2017-10-24

1 health deficiencies

Top issue: Nutrition and Dietary (1 deficiency)

5 fire-safety deficiencies

Top issue: Smoke (2 deficiencies)

Fire safety

Fire-safety citations

E · Potential for more than minimal harm 2023-10-06

K351 · Smoke Deficiencies

Fire Safety

Install an approved automatic sprinkler system.

Corrected 2023-11-30

E · Potential for more than minimal harm 2023-10-06

K761 · Miscellaneous Deficiencies

Fire Safety

To conduct inspection, testing and maintenance of fire doors by qualified individuals.

Corrected 2023-11-30

D · Potential for more than minimal harm 2023-10-06

K281 · Egress Deficiencies

Fire Safety

Install proper backup exit lighting.

Corrected 2023-10-31

E · Potential for more than minimal harm 2019-06-13

K225 · Egress Deficiencies

Fire Safety

Have stairways and smokeproof enclosures used as exits that meet safety requirements.

Corrected 2019-08-11

E · Potential for more than minimal harm 2019-06-13

K914 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.

Corrected 2019-08-11

D · Potential for more than minimal harm 2019-06-13

K291 · Egress Deficiencies

Fire Safety

Install emergency lighting that can last at least 1 1/2 hours.

Corrected 2019-08-11

D · Potential for more than minimal harm 2019-06-13

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2019-08-11

D · Potential for more than minimal harm 2019-06-13

K712 · Miscellaneous Deficiencies

Fire Safety

Have simulated fire drills held at unexpected times.

Corrected 2019-08-11

E · Potential for more than minimal harm 2017-10-24

K281 · Egress Deficiencies

Fire Safety

Install proper backup exit lighting.

Corrected 2017-12-01

E · Potential for more than minimal harm 2017-10-24

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2017-12-01

D · Potential for more than minimal harm 2017-10-24

K351 · Smoke Deficiencies

Fire Safety

Install an approved automatic sprinkler system.

Corrected 2017-12-01

D · Potential for more than minimal harm 2017-10-24

K511 · Services Deficiencies

Fire Safety

Have properly installed electrical wiring and gas equipment.

Corrected 2017-12-01

D · Potential for more than minimal harm 2017-10-24

K929 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure precautions for handling oxygen cylinders and equipment are correctly followed.

Corrected 2017-12-01

Inspection history

Recent health citations

D · Potential for more than minimal harm 2023-10-06

F550 · Resident Rights Deficiencies

Health

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Corrected 2023-12-01

D · Potential for more than minimal harm 2023-10-06

F679 · Quality of Life and Care Deficiencies

Health

Provide activities to meet all resident's needs.

Corrected 2023-12-01

D · Potential for more than minimal harm 2023-10-06

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 2023-12-01

D · Potential for more than minimal harm 2023-10-06

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2023-12-01

D · Potential for more than minimal harm 2019-06-13

F625 · Resident Rights Deficiencies

Health

Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.

Corrected 2019-07-31

D · Potential for more than minimal harm 2019-06-13

F685 · Quality of Life and Care Deficiencies

Health

Assist a resident in gaining access to vision and hearing services.

Corrected 2019-07-31

E · Potential for more than minimal harm 2017-10-24

F371 · Nutrition and Dietary Deficiencies

Health

Store, cook, and serve food in a safe and clean way.

Corrected 2017-12-20

Penalties and ownership