Bronx, NY

University Center For Rehabilitation And Nursing

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

2505 Grand Ave, Bronx, NY

(718) 295-1400

Compare this facility

Overall

4 / 5

CMS overall stars

Health inspections

3 / 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

46

Certified beds

Average residents

43

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

Centers Health Care

Operator or chain grouping

Approved since

1969-04-23

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Chain footprint

35 facilities

Chain averages 2 overall / 2 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

0.60

Registered nurse staffing · state 0.70 · national 0.68

LPN hours / resident day

0.81

Licensed practical nurse staffing · state 0.78 · national 0.87

Aide hours / resident day

2.33

Nurse aide staffing · state 2.20 · national 2.35

Total nurse hours

3.73

All reported nurse hours · state 3.65 · national 3.89

Licensed hours

1.40

RN + LPN hours · state 1.47 · national 1.54

Weekend hours

3.53

Weekend nurse staffing · state 3.16 · national 3.43

Weekend RN hours

0.59

Weekend registered nurse coverage · state 0.47 · national 0.47

Physical therapist

0.23

Reported PT staffing · state 0.11 · national 0.07

Adjusted RN hours

0.52

CMS adjusted RN staffing hours

Adjusted total hours

3.25

CMS adjusted total nurse staffing hours

Case-mix index

1.57

Higher values indicate more complex resident acuity

RN turnover

40%

Annual RN turnover · state 41% · national 45%

Total nurse turnover

31%

Annual nurse turnover · state 41% · national 46%

SNF VBP

Value-based purchasing

Program rank

2,483

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

Performance score

49.50

Composite VBP score used to determine payment impact.

Payment multiplier

1.0035

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

7.02

Baseline 33.33% · Performance 35.00% · Measure score 7.02 · Achievement 7.02 · Improvement 0

Adjusted total nurse staffing

2.88

Baseline 3.26 hours · Performance 3.90 hours · Measure score 2.88 · Achievement 2.88 · Improvement 2.04

SNF QRP

Medicare quality reporting measures

Measure	Facility	National	Note
Potentially preventable 30-day readmission	9.94%	10.72% 0.8 pts better	No Different than the National Rate · Eligible stays 25 · Observed rate 4% · Lower 95% interval 6.12%
Discharge to community	Not Available	50.57%	Not Available · Eligible stays 17 · Observed rate Not Available · Lower 95% interval Not Available · Too few residents or stays to report publicly.
Medicare spending per beneficiary	1.24	1.02 0.2 pts worse
Drug regimen review with follow-up	100%	95.27% 4.7 pts better	Numerator 65 · Denominator 65
Falls with major injury	1.54%	0.77% 0.8 pts worse	Numerator 1 · Denominator 65
Discharge self-care score	97.78%	53.69% 44.1 pts better	Numerator 44 · Denominator 45
Discharge mobility score	80%	50.94% 29.1 pts better	Numerator 36 · Denominator 45
Pressure ulcers or injuries, new or worsened	0%	2.29% 2.3 pts better	Numerator 0 · Denominator 65 · 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	0%	8.2% 8.2 pts worse	Numerator 0 · Denominator 51
Staff flu vaccination coverage	57.14%	42% 15.1 pts better	Numerator 32 · Denominator 56
Discharge function score	80%	56.45% 23.5 pts better	Numerator 36 · Denominator 45
Transfer of health information to provider	Not Available	95.95%	Numerator Not Available · Denominator 14 · Too few residents or stays to report publicly.
Transfer of health information to patient	95.83%	96.28% 0.5 pts worse	Numerator 23 · Denominator 24
Resident COVID-19 vaccinations up to date	12%	25.2% 13.2 pts worse	Numerator 3 · Denominator 25

Quality measures

Resident outcomes and process scores

Measure	Facility	State	National	Note
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine	95.5%	91.2% 4.3 pts better	93.4% 2.1 pts better	Long Stay · 2024Q4-2025Q3 · Q1 97.1% · Q2 100.0% · Q3 96.9% · Q4 87.1% · 4Q avg 95.5%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine	97.6%	95.3% 2.3 pts better	95.5% 2.1 pts better	Long Stay · 2024Q3-2025Q2 · 4Q avg 97.6%
Percentage of long-stay residents experiencing one or more falls with major injury	0.0%	3.0% 3 pts better	3.3% 3.3 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 who have depressive symptoms	92.7%	18.5% 74.2 pts worse	11.4% 81.3 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 84.8% · Q2 90.3% · Q3 96.8% · Q4 100.0% · 4Q avg 92.7%
Percentage of long-stay residents who lose too much weight	5.4%	6.1% 0.7 pts better	5.4% About the same	Long Stay · 2024Q4-2025Q3 · Q1 2.9% · Q2 0.0% · Q3 9.7% · Q4 9.7% · 4Q avg 5.4%
Percentage of long-stay residents who received an antianxiety or hypnotic medication	1.5%	13.5% 12 pts better	19.6% 18.1 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 6.5% · 4Q avg 1.5%
Percentage of long-stay residents who received an antipsychotic medication	20.0%	14.8% 5.2 pts worse	16.7% 3.3 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 16.7% · Q2 21.7% · Q3 26.1% · Q4 16.0% · 4Q avg 20.0% · 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	6.7%	15.1% 8.4 pts better	16.3% 9.6 pts better	Long Stay · 2024Q4-2025Q3 · Q3 10.4% · Q4 8.9% · 4Q avg 6.7% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased	5.6%	15.5% 9.9 pts better	14.9% 9.3 pts better	Long Stay · 2024Q4-2025Q3 · Q1 6.2% · Q2 3.0% · Q3 9.7% · Q4 3.3% · 4Q avg 5.6% · 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	0.8%	1.4% 0.6 pts better	1.7% 0.9 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 3.2% · 4Q avg 0.8% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence	1.3%	20.8% 19.5 pts better	19.8% 18.5 pts better	Long Stay · 2024Q4-2025Q3 · Q1 2.6% · Q2 0.0% · Q3 2.6% · Q4 0.0% · 4Q avg 1.3%
Percentage of long-stay residents with pressure ulcers	3.3%	6.9% 3.6 pts better	5.1% 1.8 pts better	Long Stay · 2024Q4-2025Q3 · Q1 3.5% · Q2 6.4% · Q3 3.2% · Q4 0.0% · 4Q avg 3.3% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine	65.5%	76.7% 11.2 pts worse	81.7% 16.2 pts worse	Short Stay · 2024Q4-2025Q3 · Q1 77.3% · Q2 82.9% · Q3 66.7% · Q4 36.7% · 4Q avg 65.5%
Percentage of short-stay residents who had an outpatient emergency department visit	27.3%	9.7% 17.6 pts worse	12.0% 15.3 pts worse	Short Stay · 20240701-20250630 · Adjusted 27.3% · Observed 25.0% · Expected 10.2% · 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	72.2%	78.8% 6.6 pts worse	79.7% 7.5 pts worse	Short Stay · 2024Q3-2025Q2 · 4Q avg 72.2%
Percentage of short-stay residents who were rehospitalized after a nursing home admission	24.6%	20.6% 4 pts worse	23.9% 0.7 pts worse	Short Stay · 20240701-20250630 · Adjusted 24.6% · Observed 20.0% · Expected 19.4% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2024-05-07 · Fire 2024-05-07

4 health deficiencies

Top issue: Nutrition and Dietary (3 deficiencies)

5 fire-safety deficiencies

Top issue: Gas and Vacuum and Electrical Systems (2 deficiencies)

Cycle 2 Health 2022-11-22 · Fire 2022-11-22

5 health deficiencies

Top issue: Resident Assessment and Care Planning (3 deficiencies)

8 fire-safety deficiencies

Top issue: Egress (2 deficiencies)

Cycle 3 Health 2020-01-22 · Fire 2020-01-22

1 health deficiencies

Top issue: Pharmacy Service (1 deficiency)

2 fire-safety deficiencies

Top issue: Egress (1 deficiency)

Fire safety

Fire-safety citations

E · Potential for more than minimal harm 2024-05-07

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have generator or other power source capable of supplying service within 10 seconds.

Corrected 2024-05-23

E · Potential for more than minimal harm 2024-05-07

K920 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure proper usage of power strips and extension cords.

Corrected 2024-05-23

D · Potential for more than minimal harm 2024-05-07

K291 · Egress Deficiencies

Fire Safety

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

Corrected 2024-05-23

D · Potential for more than minimal harm 2024-05-07

K712 · Miscellaneous Deficiencies

Fire Safety

Have simulated fire drills held at unexpected times.

Corrected 2024-05-23

D · Potential for more than minimal harm 2024-05-07

K741 · Miscellaneous Deficiencies

Fire Safety

Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.

Corrected 2024-05-23

F · Potential for more than minimal harm 2022-11-22

K915 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have proper power supply for life support equipment.

Corrected 2023-01-12

E · Potential for more than minimal harm 2022-11-22

K161 · Construction Deficiencies

Fire Safety

Use approved construction type or materials.

Corrected 2022-12-20

E · Potential for more than minimal harm 2022-11-22

K281 · Egress Deficiencies

Fire Safety

Install proper backup exit lighting.

Corrected 2023-01-12

E · Potential for more than minimal harm 2022-11-22

K341 · Smoke Deficiencies

Fire Safety

Install a fire alarm system that can be heard throughout the facility.

Corrected 2022-12-28

E · Potential for more than minimal harm 2022-11-22

K362 · Smoke Deficiencies

Fire Safety

Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke.

Corrected 2022-12-31

D · Potential for more than minimal harm 2022-11-22

K223 · Egress Deficiencies

Fire Safety

Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.

Corrected 2022-12-29

D · Potential for more than minimal harm 2022-11-22

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have generator or other power source capable of supplying service within 10 seconds.

Corrected 2022-12-29

C · Minimal harm 2022-11-22

E15 · Emergency Preparedness Deficiencies

Fire Safety

Address subsistence needs for staff and patients.

Corrected 2022-12-29

D · Potential for more than minimal harm 2020-01-22

K225 · Egress Deficiencies

Fire Safety

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

Corrected 2020-02-17

D · Potential for more than minimal harm 2020-01-22

K911 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Meet requirements for the installation and maintenance of electrical systems.

Corrected 2020-02-17

Inspection history

Recent health citations

E · Potential for more than minimal harm 2024-05-07

F803 · Nutrition and Dietary Deficiencies

Health

Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.

Corrected 2024-06-24

E · Potential for more than minimal harm 2024-05-07

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 2024-06-24

D · Potential for more than minimal harm 2024-05-07

F577 · Resident Rights Deficiencies

Health

Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.

Corrected 2024-06-24

D · Potential for more than minimal harm 2024-05-07

F814 · Nutrition and Dietary Deficiencies

Health

Dispose of garbage and refuse properly.

Corrected 2024-06-24

D · Potential for more than minimal harm 2022-11-22

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 2023-01-17

D · Potential for more than minimal harm 2022-11-22

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 2023-01-17

D · Potential for more than minimal harm 2022-11-22

F660 · Resident Assessment and Care Planning Deficiencies

Health

Plan the resident's discharge to meet the resident's goals and needs.

Corrected 2023-01-17

D · Potential for more than minimal harm 2022-11-22

F661 · Resident Assessment and Care Planning Deficiencies

Health

Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.

Corrected 2023-01-17

D · Potential for more than minimal harm 2022-11-22

F756 · Pharmacy Service Deficiencies

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 2023-01-17

D · Potential for more than minimal harm 2020-01-22

F761 · Pharmacy Service Deficiencies

Health

Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

Corrected 2020-02-08

Penalties and ownership