Cycle 1
Health 2025-04-10 · Fire 2025-04-10
2 health deficiencies
Top issue: Pharmacy Service (2 deficiencies)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Bronx, NY
Workmens Circle Multicare Center
5-star overall rating with 5-star inspections with 2 recent health deficiencies
3155 Grace Avenue, Bronx, NY
(718) 379-8100
Overall
5 / 5
CMS overall stars
Health inspections
5 / 5
Survey and complaint cycles
Staffing
3 / 5
RN + nurse staffing
Quality measures
4 / 5
Resident outcomes and process measures
Quick facts
Facility snapshot
Beds
524
Certified beds
Average residents
514
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
Cassena Care
Operator or chain grouping
Approved since
1967-05-01
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Chain footprint
15 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
1.06
Registered nurse staffing · state 0.70 · national 0.68
LPN hours / resident day
0.13
Licensed practical nurse staffing · state 0.78 · national 0.87
Aide hours / resident day
2.12
Nurse aide staffing · state 2.20 · national 2.35
Total nurse hours
3.31
All reported nurse hours · state 3.65 · national 3.89
Licensed hours
1.19
RN + LPN hours · state 1.47 · national 1.54
Weekend hours
3.02
Weekend nurse staffing · state 3.16 · national 3.43
Weekend RN hours
0.88
Weekend registered nurse coverage · state 0.47 · national 0.47
Physical therapist
0.06
Reported PT staffing · state 0.11 · national 0.07
Adjusted RN hours
0.93
CMS adjusted RN staffing hours
Adjusted total hours
2.90
CMS adjusted total nurse staffing hours
Case-mix index
1.56
Higher values indicate more complex resident acuity
RN turnover
49%
Annual RN turnover · state 41% · national 45%
Total nurse turnover
38%
Annual nurse turnover · state 41% · national 46%
SNF VBP
Value-based purchasing
Program rank
9,867
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
22.23
Composite VBP score used to determine payment impact.
Payment multiplier
0.9828
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
1.43
Baseline 20.61% · Performance 20.77% · Measure score 1.43 · Achievement 1.43 · Improvement 0
Healthcare-associated infections
0
Baseline 8.95% · Performance 9.64% · Measure score 0 · Achievement 0 · Improvement 0
Total nurse turnover
7.14
Baseline 32.47% · Performance 34.48% · Measure score 7.14 · Achievement 7.14 · Improvement 0
Adjusted total nurse staffing
0.32
Baseline 2.87 hours · Performance 3.11 hours · Measure score 0.32 · Achievement 0 · Improvement 0.32
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 8.79% |
10.72%
1.9 pts better
|
Better than the National Rate · Eligible stays 563 · Observed rate 10.12% · Lower 95% interval 7.38% |
| Discharge to community | 39.01% |
50.57%
11.6 pts worse
|
Worse than the National Rate · Eligible stays 461 · Observed rate 26.68% · Lower 95% interval 34.31% |
| Medicare spending per beneficiary | 1.27 |
1.02
0.2 pts worse
|
|
| Drug regimen review with follow-up | 99.66% |
95.27%
4.4 pts better
|
Numerator 878 · Denominator 881 |
| Falls with major injury | 0.79% |
0.77%
About the same
|
Numerator 7 · Denominator 881 |
| Discharge self-care score | 73.64% |
53.69%
20 pts better
|
Numerator 366 · Denominator 497 |
| Discharge mobility score | 64.59% |
50.94%
13.7 pts better
|
Numerator 321 · Denominator 497 |
| Pressure ulcers or injuries, new or worsened | 3.41% |
2.29%
1.1 pts worse
|
Numerator 30 · Denominator 881 · Adjusted rate 2.55% |
| Healthcare-associated infections requiring hospitalization | 9.64% |
7.12%
2.5 pts worse
|
No Different than the National Rate · Eligible stays 318 · Observed rate 12.26% · Lower 95% interval 6.91% |
| Staff COVID-19 vaccination coverage | 38.03% |
8.2%
29.8 pts better
|
Numerator 208 · Denominator 547 |
| Staff flu vaccination coverage | 82.73% |
42%
40.7 pts better
|
Numerator 503 · Denominator 608 |
| Discharge function score | 72.64% |
56.45%
16.2 pts better
|
Numerator 361 · Denominator 497 |
| Transfer of health information to provider | 99.46% |
95.95%
3.5 pts better
|
Numerator 548 · Denominator 551 |
| Transfer of health information to patient | 91.3% |
96.28%
5 pts worse
|
Numerator 21 · Denominator 23 |
| Resident COVID-19 vaccinations up to date | 24.57% |
25.2%
0.6 pts worse
|
Numerator 115 · Denominator 468 |
Quality measures
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 2.1 |
1.7
0.4 pts worse
|
1.9
0.2 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 2.1 · Observed 2.1 · Expected 1.9 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 1.5 |
1.3
0.2 pts worse
|
1.8
0.3 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.5 · Observed 1.3 · Expected 1.5 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 100.0% |
91.2%
8.8 pts better
|
93.4%
6.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 100.0% · Q3 100.0% · Q4 100.0% · 4Q avg 100.0% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 99.8% |
95.3%
4.5 pts better
|
95.5%
4.3 pts better
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 99.8% |
| 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 1.4% · Q3 2.1% · Q4 2.1% · 4Q avg 1.6% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 54.3% |
18.5%
35.8 pts worse
|
11.4%
42.9 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 55.4% · Q2 53.9% · Q3 51.8% · Q4 55.9% · 4Q avg 54.3% |
| Percentage of long-stay residents who lose too much weight | 6.8% |
6.1%
0.7 pts worse
|
5.4%
1.4 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 8.0% · Q2 10.4% · Q3 5.2% · Q4 3.6% · 4Q avg 6.8% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 2.4% |
13.5%
11.1 pts better
|
19.6%
17.2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 2.6% · Q2 2.5% · Q3 2.6% · Q4 1.7% · 4Q avg 2.4% |
| Percentage of long-stay residents who received an antipsychotic medication | 10.7% |
14.8%
4.1 pts better
|
16.7%
6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 12.0% · Q2 10.7% · Q3 10.9% · Q4 9.2% · 4Q avg 10.7% · 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 · Q1 5.2% · Q2 8.3% · Q3 6.5% · Q4 6.7% · 4Q avg 6.7% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 10.8% |
15.5%
4.7 pts better
|
14.9%
4.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 9.5% · Q2 12.1% · Q3 10.1% · Q4 11.8% · 4Q avg 10.8% · 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 0.2% · 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 | 1.2% |
1.4%
0.2 pts better
|
1.7%
0.5 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.9% · Q2 1.5% · Q3 1.9% · Q4 0.5% · 4Q avg 1.2% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 28.1% |
20.8%
7.3 pts worse
|
19.8%
8.3 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 25.2% · Q2 28.1% · Q3 30.1% · Q4 29.2% · 4Q avg 28.1% |
| Percentage of long-stay residents with pressure ulcers | 9.3% |
6.9%
2.4 pts worse
|
5.1%
4.2 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 11.2% · Q2 10.4% · Q3 8.5% · Q4 7.1% · 4Q avg 9.3% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 96.4% |
76.7%
19.7 pts better
|
81.7%
14.7 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 95.1% · Q2 94.6% · Q3 97.9% · Q4 97.9% · 4Q avg 96.4% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 9.3% |
9.7%
0.4 pts better
|
12.0%
2.7 pts better
|
Short Stay · 20240701-20250630 · Adjusted 9.3% · Observed 9.9% · Expected 12.0% · 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 1.4% · Q2 0.0% · Q3 1.5% · Q4 1.5% · 4Q avg 1.1% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 97.9% |
78.8%
19.1 pts better
|
79.7%
18.2 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 97.9% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 26.8% |
20.6%
6.2 pts worse
|
23.9%
2.9 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 26.8% · Observed 34.0% · Expected 30.3% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2023-08-09 · Fire 2023-08-09
2 health deficiencies
Top issue: Infection Control (1 deficiency)
2 fire-safety deficiencies
Top issue: Egress (1 deficiency)
Cycle 3
Health 2021-05-11 · Fire 2021-05-11
4 health deficiencies
Top issue: Freedom from Abuse and Neglect and Exploitation (3 deficiencies)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Fire safety
Fire-safety citations
D · Potential for more than minimal harm
2023-08-09
K291 · Egress Deficiencies
Fire Safety
Install emergency lighting that can last at least 1 1/2 hours.
Corrected 2023-09-28
D · Potential for more than minimal harm
2023-08-09
K311 · Smoke Deficiencies
Fire Safety
Have an enclosure around a vertical opening shaft.
Corrected 2023-09-28
Inspection history
Recent health citations
D · Potential for more than minimal harm
2025-04-10
F755 · Pharmacy Service Deficiencies
Health
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected 2025-05-31
D · Potential for more than minimal harm
2025-04-10
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 2025-05-31
D · Potential for more than minimal harm
2023-10-25
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 2023-12-19
D · Potential for more than minimal harm
2023-08-21
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 2023-10-02
D · Potential for more than minimal harm
2023-08-21
F610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Health
Respond appropriately to all alleged violations.
Corrected 2023-10-02
D · Potential for more than minimal harm
2023-08-09
F695 · Quality of Life and Care Deficiencies
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2023-10-02
D · Potential for more than minimal harm
2023-08-09
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2023-10-02
G · Actual harm
2021-05-11
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 2021-07-08
Penalties and ownership
What sits behind the stars
Ownership
Carillo, Joseph
5% Or Greater Direct Ownership Interest · Individual
Debenedictis, Pasquale
5% Or Greater Direct Ownership Interest · Individual
Rutenberg, Solomon
5% Or Greater Direct Ownership Interest · Individual
Solovey, Alex
5% Or Greater Direct Ownership Interest · Individual
Carillo, Joseph
Corporate Officer · Individual
Debenedictis, Pasquale
Corporate Officer · Individual
Rutenberg, Solomon
Corporate Officer · Individual
Rutenberg, Solomon
W-2 Managing Employee · Individual
Solovey, Alex
Corporate Officer · Individual
Nearby options
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4-star overall rating with 4-star inspections with 5 recent health deficiencies with 7 fire-safety deficiencies in the latest cycle
#2
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#3
Pinnacle Multicare Nursing And Rehab Center
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3-star overall rating with 3-star inspections with 5 recent health deficiencies with 8 fire-safety deficiencies in the latest cycle
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