Average — CMS composite of the measures below.
Past the typical resurvey interval — a standard survey could occur at any time
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 Beth Abraham Center For Rehabilitation And Nursing during CMS and state inspections, most recent first.
The facility did not ensure a sufficient surety bond to cover all resident personal funds deposited with it. The surety bond of $1,000,000.00 was inadequate for the total resident personal funds account balance of $1,356,104.59, affecting 371 residents. The Controller had not reviewed the account balances for six months and was unaware of the shortfall.
The facility did not ensure residents could send and receive mail on Saturdays, affecting several residents. Mail delivered on Friday afternoon and Saturday was held until Monday due to the Business Office being closed on weekends, resulting in a delay in mail distribution.
A facility failed to provide an ongoing activities program for residents, as observed during a survey. Several residents, including those with cognitive impairments and specific interests, were not engaged in meaningful activities. Despite care plans indicating preferences for music, games, and group activities, residents were often left in dining rooms with the television on as the primary form of engagement. Staff interviews confirmed limited activity offerings and reliance on television for stimulation.
The facility did not ensure proper disposal of garbage, as the outside compactor lacked a door or cover, leaving waste exposed to pests. Observations confirmed the compactor was always open, contrary to the facility's policy requiring waste to be inaccessible to vermin. Interviews with the Director of Food Service and the Director of Housekeeping verified the absence of a cover, and the Administrator acknowledged contacting the vendor to address the issue.
A resident with severe cognitive impairment and diagnoses of osteoporosis and dementia was found on the floor with a head laceration and left arm fracture. The facility did not report the incident to the New York State Department of Health within the required timeframe, as they concluded the injuries were from a fall and not abuse.
A facility failed to provide a resident or their representative with quarterly personal funds account statements, as required by their policy. The resident, who is moderately cognitively impaired, did not receive the statements, and the facility lacked a system to track their distribution. The Director of Finance and the Administrator confirmed the absence of documentation for these statements.
The facility did not convey personal funds of three deceased residents to the probate jurisdiction within 30 days as required by policy. The Director of Finance and Administrator acknowledged the oversight, noting that the accounts were overdue and should have been closed.
The facility failed to accurately document the status of two residents in their MDS 3.0 assessments. One resident receiving hemodialysis treatment was not documented as such, and another resident was incorrectly coded as receiving hospice care despite being discharged from hospice services. These inaccuracies were identified during a recertification survey.
Two residents did not receive the food items listed on their meal tickets, highlighting a failure in the facility's meal service policy. One resident, who required tray setup, was served incorrect items, while another with dietary restrictions did not receive their preferred meal. The Food Service Director was unaware of these issues, citing potential problems with the computerized meal ticket system.
A CNA on Unit 5ZP failed to perform hand hygiene between resident contacts during lunch, contrary to facility policy. The CNA assisted multiple residents with hand hygiene but did not change gloves or sanitize hands between each resident. The CNA acknowledged the error, and interviews with an LPN and the Assistant DON confirmed that CNAs were instructed to change gloves and perform hand hygiene between resident contacts.
Insufficient Surety Bond for Resident Personal Funds
Penalty
Summary
The facility failed to ensure that a surety bond was purchased to secure all resident personal funds deposited with the facility. This deficiency was identified during a recertification survey, which revealed that the facility's surety bond of $1,000,000.00 was insufficient to cover the total resident personal funds account balance of $1,356,104.59. This affected 371 residents with personal funds accounts out of a census of 443 residents. The facility's policy on Resident Funds Account, dated August 2023, stated that the facility should hold, safeguard, manage, and account for the personal funds of the residents. However, the surety bond dated March 15, 2023, did not cover the total amount of resident funds being held. The Controller admitted to not reviewing the resident personal funds account balances for the past six months and was unaware that the balance had exceeded the facility's surety bond.
Deficiency in Resident Mail Delivery on Saturdays
Penalty
Summary
The facility failed to ensure that residents had the right to send and receive mail on Saturdays, as observed during a recertification survey. This deficiency affected 11 residents who participated in the Resident Council meeting. The facility's policy stated that resident mail would be delivered on days when mail was received at the facility. However, mail delivered on Friday afternoon and Saturday was not distributed until Monday because the Business Office, responsible for sorting mail, was closed on weekends. The Assistant Administrator confirmed that the mail was held over the weekend due to the volume of mail and the unavailability of staff to sort it on Saturdays.
Deficiency in Resident Activity Engagement
Penalty
Summary
The facility failed to provide an ongoing activities program that met the interests and supported the physical, mental, and psychosocial well-being of residents. This deficiency was observed during a recertification survey, where five residents were found not to be engaged in meaningful activity programs. The facility's policy required activities to be based on comprehensive assessments and care plans, but this was not adhered to for the residents reviewed. Resident #54, diagnosed with Major Depressive Disorder and Cerebrovascular Accident, was observed multiple times in the dining room with no engagement in activities, despite their care plan indicating interests in trivia, painting, and music. The resident participated in only three activities throughout January, and the unit's activity calendar showed no scheduled activities during the survey period. Interviews with staff revealed that the television was used as a default activity when no programs were scheduled. Similarly, Resident #295, with dementia and Alzheimer's disease, was observed without engagement in activities or access to leisure supplies. Their care plan noted interests in music and group activities, yet they participated in only two activities in January. Resident #124, with cerebral palsy and anxiety disorder, was also found without engagement in activities, despite a care plan indicating interests in music and games. The resident participated in only one activity in January, and staff interviews confirmed limited activity offerings and reliance on television for stimulation.
Improper Garbage Disposal Due to Lack of Compactor Cover
Penalty
Summary
The facility failed to ensure proper disposal of garbage and refuse, as observed during a recertification survey. The garbage compactor located outside the facility was found to be without a door or cover, leaving the garbage exposed and accessible to pests. This was noted during observations on two separate occasions. The facility's policy on garbage and rubbish disposal, dated January 2023, requires that food-related waste be stored in a manner that is inaccessible to vermin, with outside dumpsters kept closed and free of surrounding litter. Interviews with the Director of Food Service and the Director of Housekeeping confirmed that the compactor was not equipped with a door, lid, or cover, resulting in it being left open with garbage exposed. The Administrator acknowledged the issue and indicated that the vendor of the compactor had been contacted to address the problem.
Failure to Report Unwitnessed Incident Resulting in Major Injury
Penalty
Summary
The facility did not ensure that all alleged violations involving abuse were reported immediately, but not later than two hours after occurrence, to the New York State Department of Health. This was evident for one resident who had an unwitnessed incident resulting in a head laceration and left arm fracture. The resident, who had diagnoses of osteoporosis and dementia and was documented to have severe cognitive impairment, was found on the floor of their room in pain with a forehead laceration and left arm twisted behind them. The incident report concluded that the resident fell while trying to get out of bed, and the resident was later readmitted from the hospital with multiple fractures of the left upper extremity. However, there was no documented evidence that this incident was reported to the New York State Department of Health as required by regulations. Interviews with the Director of Nursing and the Corporate Nursing Compliance Officer revealed that the facility did not report the incident because they determined the injuries were sustained from a fall and no abuse occurred. Despite the incident being unwitnessed, the facility identified the resident as a frequent faller and concluded that the injuries were due to a fall. This decision was contrary to the regulatory requirement to report any occurrence causing major injury to a resident within two hours, regardless of the facility's internal conclusions about the cause of the injuries.
Failure to Provide Quarterly Personal Funds Statements
Penalty
Summary
The facility failed to ensure that a resident or their representative received quarterly personal funds account statements, as required by their policy. This deficiency was identified during a recertification survey, where it was found that there was no documented evidence that Resident #55 or their representative received such statements. The facility's policy, dated August 2023, mandates that the Business Office provide these statements at least quarterly, detailing the account balance, deposits, withdrawals, and interest accrued. Resident #55, who has diagnoses of hypertension and paraplegia and is moderately cognitively impaired, was specifically affected by this oversight. The resident's representative, who holds power of attorney, confirmed that they did not receive the quarterly statements. Interviews with the Director of Finance revealed that the facility relied on Recreation staff to distribute the statements, but there was no system in place to track which residents received them. The Administrator also acknowledged the lack of documented evidence for the distribution of these statements.
Failure to Convey Resident Funds Timely
Penalty
Summary
The facility failed to ensure that residents' personal funds deposited with the facility were conveyed to the individuals or probate jurisdiction administering the residents' estate within 30 days of death or discharge. This deficiency was identified during a recertification survey, affecting three residents out of a sample of 38. The facility's policy mandates that upon a resident's death, the unutilized funds and a final accounting should be conveyed to the appointed executor or administrator of the resident's estate within 30 days. However, the personal funds accounts for three residents who had expired were not closed, and the funds were not transferred as required. The Director of Finance acknowledged that the personal funds for residents without representatives were sent to unclaimed funds, but the accounts for the three residents in question were overdue and should have been closed. The Administrator was aware of the issue and stated that the Business Office had not closed the accounts of residents who expired more than 30 days ago. The facility's failure to adhere to its policy resulted in the delay of transferring the personal funds to the appropriate parties.
Inaccurate MDS 3.0 Assessments for Two Residents
Penalty
Summary
The facility failed to ensure that the Minimum Data Set (MDS) 3.0 assessments accurately reflected the status of two residents, leading to deficiencies in their care documentation. Resident #34, who had diagnoses of hypertension and end-stage renal disease, was receiving hemodialysis treatment three times a week as per a physician's order. However, the MDS 3.0 assessment did not document this treatment. The Minimum Data Set Coordinator admitted to an oversight in not including the hemodialysis treatment in the resident's December 2023 assessment, despite reviewing the resident's medical records for the past 14 days. Similarly, Resident #84, who had diagnoses of dementia and cerebral vascular accident, was inaccurately documented as receiving hospice care in their MDS 3.0 assessment. The resident had been discharged from hospice services as per a physician's order dated October 11, 2023. A registered nurse confirmed that the resident was no longer receiving hospice care, and the Minimum Data Set Coordinator acknowledged the error in coding the resident's hospice status. These inaccuracies in the MDS assessments were identified during the recertification survey conducted from January 29, 2024, to February 5, 2024.
Failure to Follow Resident Menus and Dietary Preferences
Penalty
Summary
The facility failed to ensure that resident menus and dietary preferences were followed, as evidenced by the experiences of two residents during the recertification survey. Resident #126, who was cognitively intact and required tray setup when eating, reported frequently missing food items on their meal tray. On one occasion, their lunch meal ticket listed a hamburger on a bun, tossed salad, and wax beans, but they received a grilled cheese sandwich and pasta salad instead. Similarly, Resident #340, who was also cognitively intact and had dietary restrictions due to being vegetarian, did not receive the food items listed on their meal ticket. Their lunch meal ticket documented two slices of whole wheat bread, a fresh fruit cup, and cherry pie, but they were served a black bean patty, plain angel hair pasta, and apple pie. The Food Service Director was unaware of these discrepancies and acknowledged potential issues with the kitchen's computerized meal ticket system, which failed to list special requested food items like the hamburger for Resident #126. The director also noted ongoing challenges in accommodating Resident #340's dietary preferences and restrictions, despite regular consultations with the resident. The kitchen did not run out of cherry pie, yet Resident #340 was served apple pie, indicating a lapse in following the meal ticket. These findings highlight a failure in the facility's meal service policy, which requires staff to verify meal tickets and ensure accuracy for therapeutic diets and preferences.
Infection Control Deficiency on Unit 5ZP
Penalty
Summary
During a recertification survey, it was observed that the facility did not maintain proper infection control practices on Unit 5ZP. Specifically, a Certified Nursing Assistant (CNA) failed to perform hand hygiene after having contact with multiple residents during lunch. The CNA assisted several residents with hand hygiene by holding their hands and wiping them with hand wipes but did not change gloves or perform hand hygiene between each resident contact. The facility's policy, dated 5/18/2023, requires hand hygiene to be performed before and after contact with residents. The CNA acknowledged the mistake during an interview, stating they were supposed to remove gloves and wash hands or use hand sanitizer between resident contacts. Interviews with a Licensed Practical Nurse and the Assistant Director of Nursing confirmed that CNAs were instructed to change gloves and perform hand hygiene between wiping residents' hands during meal service.
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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) |
|---|---|---|---|---|
| Mosholu Parkway Nursing & Rehabilitation Center | 0.4 mi | ★★★★★ | 0 | 0 |
| Wayne Center For Nursing & Rehabilitation | 0.6 mi | ★★★★★ | 0 | 0 |
| Bainbridge Nursing & Rehabilitation Center | 0.7 mi | ★★★★★ | 0 | 0 |
| Bronx Park Rehabilitation & Nursing Center | 0.9 mi | ★★★★★ | 1 | 0 |
| Pelham Parkway Nursing Care & Rehab Facility L L C | 1.2 mi | ★★★★★ | 9 | 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.