Above average — CMS composite of the measures below.
A standard survey is most likely before around October 2026
Estimate from public CMS data, current as of July 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Bainbridge Nursing & Rehabilitation Center during CMS and state inspections, most recent first.
A box containing various prescription medications labeled for return was found unsecured under a table at the nurse's station, an open area accessible to unlicensed staff and a wandering resident. Facility policy required all medications to be secured and inaccessible to residents, but staff interviews confirmed the medications should have been stored in the medication room and not left out in the open.
A resident with multiple chronic conditions had a care plan for oral/dental issues that was not reviewed or updated by the interdisciplinary team after quarterly assessments, despite documented dental problems such as cracked and missing teeth. Staff interviews revealed a lack of knowledge and follow-through regarding care plan review and revision, and documentation showed no updates to the care plan after significant dental events.
Surveyors observed that a dairy refrigerator was above the required temperature, with items such as milk, sandwiches, and cheese not immediately discarded as per facility policy. Despite temperature readings above 40 F, these items were served to residents, and staff did not follow professional food safety standards for the storage and disposal of potentially hazardous foods.
Three residents or their representatives signed binding arbitration agreements that did not include the required 30-day rescission period, as mandated by facility policy. Although staff stated the right to rescind was explained and later added to policy, the agreements signed before the policy update did not contain this provision.
Unsecured Medications Found at Nurse's Station
Penalty
Summary
Surveyors observed that medications and biologicals were not stored in accordance with accepted professional principles on the 5th floor of the facility. Specifically, a cardboard box containing multiple medications labeled with residents' names and marked for return was found under a table at the nurse's station, which was an open area with walk-in entry. The box was accessible to unlicensed staff and residents, including a resident who was observed wandering near the area. The medications included various prescription drugs such as sulfamethoxazole and trimethoprim, memantine, metformin, quetiapine, ketorolac tromethamine, mirtazapine, atorvastatin calcium, and loratadine. The facility's policy required that all medications be secured, temperature controlled, and accessible only to authorized personnel, with storage in a locked cabinet inaccessible to residents and visitors. Interviews with nursing staff and the Director of Nursing confirmed that the medications in the box were intended for return to the pharmacy and should have been stored in the medication room, not left unsecured at the nurse's station. Staff acknowledged that the medications were not properly secured and that the area was accessible to residents, some of whom were confused and could potentially ingest the medications. The Director of Nursing stated that the medications had been scanned by the night shift nurse and should have been put back in the medication room, reiterating that all medications must be secured for resident safety.
Failure to Review and Revise Comprehensive Care Plan for Dental Conditions
Penalty
Summary
The facility failed to ensure that comprehensive care plans were reviewed and revised by the interdisciplinary team after each assessment and as needed, as required by facility policy. Specifically, for one resident with diagnoses including diabetes mellitus, anemia, and heart failure, the care plan for oral/dental conditions was not reviewed or updated after quarterly assessments, despite the presence of dental issues such as cracked and missing teeth. The care plan, which included interventions like monitoring for oral infections and food intake, was last reviewed several months prior to the survey, and there was no documentation of review or revision following subsequent quarterly assessments. Observations revealed that the resident had cracked teeth but reported no mouth pain at the time. Nursing notes indicated an incident where a tooth fell out, and although attempts were made to secure a dental appointment, there was no evidence that the care plan was updated in response to this event. Interviews with staff revealed a lack of knowledge and follow-through regarding the review and revision of care plans, with the unit manager stating they did not check or revise care plans and the DON confirming that care plans should be updated at specific intervals and after significant changes, which did not occur in this case.
Failure to Discard Potentially Hazardous Foods Stored Above Safe Temperatures
Penalty
Summary
Surveyors found that the facility failed to ensure potentially hazardous foods were stored, prepared, and served in accordance with professional food safety standards. On Unit 1, the dairy refrigerator was observed to be above the required temperature, with readings of 45 F and later 56 F, while containing multiple items such as milk cartons, sandwiches, and cheese. Despite the facility's policy requiring immediate disposal of potentially hazardous foods found outside safe temperature ranges, these items were not discarded. The Food Service Director acknowledged the temperature issue and stated that a technician was contacted, but the items remained in the refrigerator and were served to residents. A milk carton tested at 47.6 F was also served for lunch. The Food Service Director believed the items had not been exposed to unsafe temperatures for over two hours and therefore did not dispose of them. The Administrator was aware of the temperature issue but was uncertain whether the problem was with the refrigerator or the temperature gauge and was unaware that the milk had been tested above 40 F. The Administrator also did not know if the items had been immediately disposed of after the temperature deviation. The facility's actions did not align with their policy or professional standards for food safety, as potentially hazardous foods were not promptly discarded after being stored at unsafe temperatures.
Failure to Include 30-Day Rescission Right in Arbitration Agreements
Penalty
Summary
The facility failed to ensure that its Binding Arbitration Agreement granted residents and/or their designated representatives the right to rescind the agreement within 30 calendar days of signing, as required by facility policy. This deficiency was identified during a recertification survey, where it was found that three residents or their representatives had signed arbitration agreements that did not include the 30-day rescission period. Specifically, the agreements signed by these individuals lacked explicit language granting the right to rescind within the required timeframe, despite the facility's policy stating this right should be included. Interviews with facility staff revealed that while the policy was updated in October 2024 to include the 30-day rescission period, the actual agreements signed prior to this update did not reflect this change. The Assistant Director for Admissions and the Director of Operations both acknowledged that the right to rescind was explained verbally and included in policy, but not documented in the agreements themselves for those signed before the policy revision. The deficiency was evident for three residents, including those with both intact and moderately impaired cognition, whose agreements did not provide the required rescission period.
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Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.
Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
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Nursing homes near Bronx
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Wayne Center For Nursing & Rehabilitation | 0.1 mi | ★★★★★ | 0 | 0 |
| Mosholu Parkway Nursing & Rehabilitation Center | 0.3 mi | ★★★★★ | 0 | 0 |
| St Patrick's Home | 0.6 mi | ★★★★★ | 0 | 0 |
| Beth Abraham Center For Rehabilitation And Nursing | 0.7 mi | ★★★★★ | 0 | 0 |
| Bronx Park Rehabilitation & Nursing Center | 0.7 mi | ★★★★★ | 1 | 0 |
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Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release July 2026) and official state health department websites.