Below 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 October 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Hope Center For Hiv And Nursing Care during CMS and state inspections, most recent first.
Failure to Complete Ordered Warfarin Labs: A resident on Warfarin had physician-ordered PT/INR and other labs that were not completed, and there was no documented notification to the MD or RN supervisor. The MAR showed Warfarin was given without PT/INR results, while the resident reported no blood work had been done since admission and an LPN said they did not verify whether the labs were completed.
Failure to complete ordered anticoagulation labs: A resident with AFib, DM, and HF was receiving Warfarin, but ordered PT/INR and other labs were not performed or documented as reviewed. The MAR showed Warfarin was given without known INR results, and staff interviews confirmed the lab orders were missed and not followed up by nursing or the MD.
A resident with AFib, DM, and HF was receiving Warfarin and had orders for PT/INR monitoring plus multiple additional labs. The record showed the ordered labs were not completed, there was no documented notification to the MD or RN supervisor, and there was no documented follow-up by the MD on the missing lab work.
A resident with severe cognitive impairment was forcibly given a haircut against their will in an LTC facility. Despite the resident's refusal and agitation, staff, including an LPN and a home health aide, restrained the resident to complete the haircut, violating the facility's policies on resident rights and abuse prevention.
A resident with severe cognitive impairment was restrained during a haircut in an LTC facility, despite expressing refusal and distress. The facility's policy requires a restraint-free environment unless medically necessary, but no alternatives were attempted, and no medical justification was documented. Staff, including a Social Worker Director and LPN, held the resident to complete the haircut, leading to a deficiency finding.
Failure to Complete and Review Ordered Warfarin Monitoring Labs
Penalty
Summary
The facility failed to ensure that a resident receiving anticoagulation therapy had ordered laboratory monitoring completed and reviewed in accordance with professional standards of practice. Resident #1 was admitted with diagnoses including atrial fibrillation, diabetes mellitus, and heart failure, and the MDS documented intact cognition and use of an anticoagulant medication. The hospital discharge summary noted the resident was discharged on Warfarin, with a recommendation to repeat the INR while at the nursing home to ensure therapeutic levels because the resident had previously been on a higher dose. Physician orders dated 03/10/2026 directed Warfarin therapy and required monitoring for signs and symptoms of bleeding, notification of the physician for bleeding, and review of prior and current lab results. The order also documented that the next PT/INR was due on 04/07/2026 and that Warfarin should not be administered until lab results were reviewed. A later physician order dated 03/18/2026 listed multiple laboratory tests, including PT/INR/PTT and several additional blood and urine studies, but the record contained no documented evidence that these ordered tests were performed. The record also contained no documented evidence that Medical Doctor #1 or Registered Nurse Supervisor #1 were notified that the ordered laboratory tests were not completed. The MAR showed Warfarin was administered from 03/11/2026 through 04/24/2026 without knowledge of PT/INR results. A nursing note dated 04/09/2026 repeated that Warfarin should not be administered until lab results were reviewed, and review of medical notes from 03/18/2026 through 04/24/2026 found no documented follow-up by the physician on the ordered Warfarin-related laboratory tests. During interview, the resident stated no blood work had been done since admission despite repeated requests, and an LPN stated they remembered the resident taking Warfarin and being monitored for bleeding and bruising but did not check whether the PT/INR tests were completed.
Failure to Complete and Follow Up on Ordered Anticoagulation Labs
Penalty
Summary
The facility failed to ensure that a resident receiving anticoagulation therapy had ordered laboratory monitoring completed and reviewed. Resident #1 was admitted with diagnoses including atrial fibrillation, diabetes mellitus, and heart failure, and the Minimum Data Set documented intact cognition and anticoagulant use. The resident had a hospital discharge summary recommending repeat INR monitoring while in the nursing home, and the physician ordered Warfarin along with instructions to monitor for bleeding and to notify the medical doctor of previous and current lab results. The record showed that laboratory tests ordered on 03/10/2026 and again on 03/18/2026 were not performed. The ordered tests included PT/INR and multiple additional labs, but there was no documented evidence that the tests were completed. There was also no documented evidence that Medical Doctor #1 or Registered Nurse Supervisor #1 were notified that the ordered laboratory tests had not been done. Despite the lack of documented PT/INR results, the Medication Administration Record showed that Warfarin was administered from 03/11/2026 through 04/24/2026. The care plan identified a risk for bleeding related to anticoagulant use and included monitoring for abnormal bleeding and laboratory values, but the chart did not show that the ordered lab monitoring occurred. A nursing note later referenced that Warfarin should not be administered until lab results were reviewed, yet the medical record still lacked evidence that the ordered labs were completed or that the physician followed up on them. During interviews, the resident stated no blood work had been done since admission despite repeated requests, an LPN stated they did not check whether the PT/INR tests were done, the DON stated the phlebotomist had left and the resident’s labs were not followed up, and the Medical Director stated nursing should have notified the physician that the labs were not done.
Physician Did Not Follow Up on Ordered Labs for Resident on Warfarin
Penalty
Summary
The facility did not ensure that the physician reviewed the resident’s total program of care, including medications and treatments, at the required visits. This was identified for one resident who had diagnoses including atrial fibrillation, diabetes mellitus, and heart failure, and whose MDS documented intact cognition and anticoagulant use. The resident was discharged from the hospital on Warfarin, and the physician ordered Warfarin therapy along with monitoring for signs and symptoms of bleeding and laboratory follow-up for Prothrombin Time/International Normalized Ratio testing. The physician also ordered multiple laboratory tests on 03/18/2026, including PT/INR, PTT, CD4 and CD8 counts, renal and liver function tests, Hemoglobin A1c, thyroid studies, lipid panel, CBC with differential, platelet count, urinalysis, hepatitis testing, and other labs. The record showed no documented evidence that these laboratory tests were performed, and there was no documented evidence that the physician or the RN supervisor were notified that the tests were not done. A nursing note later documented the PT/INR-related order, but the medical notes reviewed from 03/18/2026 through 04/24/2026 contained no documented evidence that the physician followed up on the ordered laboratory tests. Facility policies stated that residents receiving anticoagulation therapy should have labs drawn as ordered to determine effectiveness of therapy, that nurses should assess and document recent labs and therapeutic dose monitoring, and that abnormal lab results should be reported to the HCP and documented. During interview, the Medical Director stated that monitoring depends on the clinician, that nursing should have notified the physician that the labs were not done, and that the physician should have followed up. The Medical Director also stated they were not aware the resident’s labs were not performed.
Resident Rights Violation: Forced Haircut
Penalty
Summary
The facility failed to honor a resident's right to a dignified existence and self-determination, as evidenced by an incident involving a forced haircut. On the specified date, a recreational aide reported that a resident refused a haircut and became agitated and combative. Despite the resident's refusal, the Director of Social Work instructed staff, including an LPN and a home health aide, to restrain the resident and proceed with the haircut against the resident's will. This action was in direct violation of the facility's policy on resident rights, which mandates that residents be treated with kindness, respect, and dignity, and be supported in exercising their rights. The resident involved had a history of severe cognitive impairment, as indicated by a low score on the Brief Interview of Mental Status. During the incident, the resident was initially removed from a noisy environment to their room, where the haircut was attempted again. Despite the resident's continued agitation and verbal protests, staff members physically restrained the resident to complete the haircut. The facility's investigation confirmed that the haircut was performed against the resident's will, although no physical harm was reported. Interviews with staff members, including the home health aide, LPN, and the Director of Nursing, revealed that the decision to proceed with the haircut was influenced by the resident's unkempt appearance and an impending visit from the resident's guardian. The staff involved believed they were acting in the resident's best interest, but their actions contravened the facility's policies on abuse and neglect, which prohibit mistreatment and require the prevention and reporting of such incidents. The incident was not reported to the Registered Nursing Supervisor until the following day, indicating a lapse in communication and adherence to protocol.
Resident Restrained During Haircut Without Medical Necessity
Penalty
Summary
The facility failed to ensure that a resident was free from physical or chemical restraints imposed for purposes of discipline or convenience, which are not required to treat the resident's medical symptoms. This deficiency was identified during an abbreviated survey, where it was found that a resident was physically restrained against their will during a haircut. The facility's policy on the use of restraints, dated December 2022, mandates a restraint-free environment unless restraints are necessary for the safety and well-being of the resident and only after alternatives have been attempted unsuccessfully. However, in this case, there was no documented evidence that restraints were medically necessary or that alternatives were attempted prior to restraining the resident. The incident involved a resident with severe impaired cognition, as indicated by a Brief Interview of Mental Status score of six. The resident was admitted with diagnoses including Antiviral Disease, Major Depressive Disorder, and Dementia. During the haircut, the resident became agitated and combative, leading the Director of Social Work to instruct staff to hold the resident's arms and legs to complete the haircut. Despite the resident's initial consent, they later expressed refusal and distress, which was not adequately addressed by the staff. The facility's documentation lacked physician's orders or justification for the restraint use, and no care plan for restraint was developed for the resident. Interviews with staff members, including a Home Health Aide, Barber, and Recreational Staff, confirmed that the resident was restrained during the haircut. The Social Worker Director and other staff members were involved in holding the resident to prevent them from harming themselves, despite the resident's combative behavior and verbal refusal. The Director of Nursing acknowledged that the resident's hair was cut against their will, and the facility's investigation concluded that the resident was provided a haircut without harm but against their will.
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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) |
|---|---|---|---|---|
| Isabella Geriatric Center Inc | 0.8 mi | ★★★★★ | 11 | 0 |
| Highbridge Woodycrest Center | 0.8 mi | ★★★★★ | 5 | 0 |
| Concourse Rehabilitation And Nursing Center, Inc | 0.8 mi | ★★★★★ | 0 | 0 |
| Triboro Center For Rehabilitation And Nursing | 1 mi | ★★★★★ | 5 | 0 |
| Casa Promesa | 1.1 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 October 2026) and official state health department websites.