Above 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 Bronx Park Rehabilitation & Nursing Center during CMS and state inspections, most recent first.
A resident with diabetes and severe cognitive impairment was mistakenly administered 60 units of Humulin NPH insulin instead of the prescribed 6 units by an agency LPN, who realized the error after administration. The error was discovered during documentation, and the resident was assessed and transferred to the hospital for observation due to the risk of hypoglycemia.
The facility failed to provide timely and appropriate notification to residents or their representatives at the termination of skilled services, as required by Medicare regulations. Two residents did not receive the Notice of Medicare Non-Coverage (NOMNC) at least two days before the end of services, and there was no evidence of mailing the notice on the same day as telephone notification. Additionally, the Skilled Nursing Facility Advance Beneficiary Notice of Non-Coverage (SNF ABN) was not provided to residents remaining in the facility after discharge from skilled services. Interviews revealed a lack of awareness and understanding of notification requirements among staff.
The facility failed to provide residents and their representatives with a written summary of the baseline care plan within 48 hours of admission, as required by policy. This deficiency was identified during a survey, affecting three residents with various medical conditions. Interviews with staff revealed a lack of clarity and accountability regarding the distribution of care plans, with the Director of Nursing acknowledging the policy requirement but admitting it was not being followed.
A resident with intact cognition reported that meals were routinely served cold, contrary to the facility's policy requiring hot foods to be at least 135°F. A test tray confirmed food temperatures below this standard. The Director of Dining Services stated that weekly temperature checks showed no issues, but the resident's complaint and test tray results indicated a failure to maintain required temperatures.
The facility failed to maintain infection control during wound care for two residents. A Physician Assistant used a single swab for multiple wounds, and a newly hired RN placed gauze on bed sheets without a clean field. Both residents had chronic ulcers, and the RN had not been trained in wound care, leading to these deficiencies.
Significant Insulin Medication Error Due to Incorrect Dose Administration
Penalty
Summary
A significant medication error occurred when a resident with severe cognitive impairment and a diagnosis of diabetes mellitus was administered 60 units of Humulin NPH insulin instead of the physician-ordered 6 units. The error was made by an LPN who was employed through a nursing agency and was responsible for drawing up the insulin from a vial, as the resident did not have an insulin pen. The LPN believed they had drawn up the correct dose but realized after administration, while entering the dose into the medication administration record, that 60 units had been given instead of 6 units. The resident's blood glucose readings before and after the administration were documented as 163 mg/dl and 189 mg/dl, respectively. Upon discovery of the error, the LPN immediately reported the incident to the nursing supervisor. The supervisor assessed the resident, who was found to be alert with stable vital signs and no signs or symptoms of hypoglycemia at that time. The incident was also reported to the physician assistant, DON, and the resident's family. The resident was subsequently transferred to the hospital for observation due to the increased risk of hypoglycemia following the administration of the excessive insulin dose. Documentation and interviews confirmed that the LPN had not previously undergone medication pass observation by the supervisor prior to the incident. The facility's records and staff interviews corroborated the sequence of events leading to the medication error.
Deficiency in Beneficiary Notification Process
Penalty
Summary
The facility failed to provide appropriate notification to residents or their designated representatives at the termination of skilled services, as required by Medicare regulations. Specifically, the facility did not deliver the Notice of Medicare Non-Coverage (NOMNC) at least two calendar days before the end of Medicare-covered services. This deficiency was observed in two residents, where one resident's guardian was notified only one day before the termination of coverage, and there was no evidence that the notice was mailed on the same day as the telephone notification. Additionally, the facility did not provide the Skilled Nursing Facility Advance Beneficiary Notice of Non-Coverage (SNF ABN) to residents who remained in the facility after discharge from skilled services. For Resident #89, the facility documented that the last day for Medicare Part A service was 04/26/2024, but the guardian was notified only one day prior, on 04/25/2024. There was no evidence that the notice was mailed on the same day as the telephone notification. Furthermore, there was no documentation that the SNF ABN was provided to the resident or their guardian. Similarly, for Resident #14, the facility documented the last day for Medicare Part A service as 08/15/2024, but only a voicemail was left for the representative on 08/12/2024, with no evidence of certified mail being sent when direct contact was not made. The SNF ABN was also not provided to this resident. Interviews with the Director of Social Services and the Director of Rehabilitation revealed a lack of awareness and understanding of the requirements for beneficiary notifications. The Director of Social Services was unsure why the notice was given only one day before termination and was not aware of the SNF ABN form. The Director of Rehabilitation was unaware of the requirement to send a certified mail notice when a voicemail was left and also had no knowledge of the SNF ABN form. The Administrator stated that they were not involved in the beneficiary notification process, which was handled by the Directors of Rehabilitation and Social Services.
Failure to Provide Baseline Care Plans to Residents
Penalty
Summary
The facility failed to ensure that residents and their representatives were provided with a summary of the baseline care plan within 48 hours of admission, as required by their policy. This deficiency was identified during a recertification survey conducted from September 16, 2024, to September 23, 2024. The survey revealed that three residents, each with different medical conditions, did not receive a written copy of their baseline care plan. Resident #76, with moderately impaired cognition, was admitted with a urinary tract infection and acute kidney failure. Despite participating in the assessment and goal setting, there was no documented evidence that the resident or their family received a written copy of the baseline care plan. Similarly, Resident #92, with intact cognition and diagnosed with malignant neoplasm of the tongue and hypertension, also did not receive a copy of their baseline care plan. Lastly, Resident #220, with severely impaired cognition and diagnosed with anxiety disorder and diabetes mellitus, had no documented evidence that their family representative received the baseline care plan. Interviews with facility staff, including the Unit Manager, Director of Social Service, and Director of Nursing, revealed a lack of clarity and accountability regarding the distribution of the baseline care plans. The Unit Manager was unaware if copies were provided to residents and their families, while the Director of Social Service stated that nursing staff were responsible for this task. The Director of Nursing acknowledged that the facility's policy required providing a copy of the baseline care plan to residents and their families but admitted that this was not being done. The facility's failure to adhere to its policy resulted in the deficiency, as residents and their representatives were not informed of their immediate care plans in writing, as mandated by 10 NYCRR 415.11 (c).
Failure to Maintain Appetizing Food Temperatures
Penalty
Summary
The facility failed to ensure that food was served at an appetizing temperature during meal service, as evidenced by the experience of a resident with intact cognition who reported that meals delivered to their room were routinely served cold. The facility's policy required hot foods to be at least 135 degrees Fahrenheit at the time of service. However, during a test tray conducted on the unit, the temperatures of the food items were recorded below this standard, with soup at 125.2 degrees, jerk chicken at 124.3 degrees, rice at 106 degrees, and zucchini and squash at 110.8 degrees Fahrenheit. The Director of Dining Services acknowledged that food temperatures should be above 135 degrees Fahrenheit and stated that test tray temperatures are monitored weekly without issues being found. Despite this, the resident's complaint and the test tray results indicated a failure to maintain the required food temperatures. A Certified Nursing Assistant also noted that the resident sometimes reported their grilled cheese sandwich was not warm enough, although no other residents on the unit had complained of cold food.
Inadequate Infection Control During Wound Care
Penalty
Summary
The facility failed to maintain infection control prevention practices during wound care for two residents, leading to a deficiency. Resident #112, who has Peripheral Vascular Disease and Diabetes Mellitus, required wound care for a venous or arterial ulcer. During an observation, the Physician Assistant used a single cotton swab to apply cream to multiple wounds, which is against infection control protocols. Additionally, Registered Nurse #5 placed gauze packages directly on the resident's bed without establishing a clean field, further compromising infection control. Similarly, Resident #181, diagnosed with a Non-Pressure Chronic Ulcer and Non-Alzheimer's Dementia, also received inadequate wound care. The Registered Nurse again failed to set up a clean field, placing gauze on the bed sheet before application. Interviews revealed that the Physician Assistant had not performed dressing changes recently and acknowledged the error of not using separate swabs. The Infection Control Nurse noted that Registered Nurse #5 was new and had not been in-serviced on wound care, contributing to the oversight.
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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 | 0.7 mi | ★★★★★ | 0 | 0 |
| Bainbridge Nursing & Rehabilitation Center | 0.7 mi | ★★★★★ | 0 | 0 |
| Mosholu Parkway Nursing & Rehabilitation Center | 0.8 mi | ★★★★★ | 0 | 0 |
| Laconia Nursing Home | 0.9 mi | ★★★★★ | 0 | 0 |
| Beth Abraham Center For Rehabilitation And Nursing | 0.9 mi | ★★★★★ | 0 | 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.