Above average — CMS composite of the measures below.
The next survey window likely opens around December 2026
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 Methodist Home For Nursing And Rehabilitation during CMS and state inspections, most recent first.
Failure to develop a comprehensive care plan for anticoagulant use. A resident with ESRD, DM, and obesity was ordered Eliquis 5 mg BID, and a NP note documented continued use and monitoring of VS, weight, and BMP. However, no care plan was found to address the anticoagulant, and the UM and DON confirmed the omission during interview.
A resident with severe cognitive impairment and dysphagia received enteral tube feedings, but the feeding formula and water bag were observed without the resident's name, date, or start time. Staff interviews confirmed the tube feeding had been started without the required labeling, and the DON stated the nurse who hangs the feeding must document the resident's name, start date, and time.
Expired medications were found in a 3rd floor medication cart and medication storage room, including a bottle of acetaminophen liquid and a bottle of Gerilanta (Mylanta) past expiration. Staff, including an LPN, an RN, the pharmacy consultant, the DON, and the Administrator, stated that expired medications should have been identified during routine checks, but the items remained on the unit despite those expected reviews.
Failure to document pneumococcal vaccine offer and revaccination: A resident with MS, dementia, and COPD had prior Pneumovax 23 documented, but the chart lacked evidence that the resident was offered, educated about, received, or declined further pneumococcal immunization. The IP/ADON said the vaccine was offered to the resident's representative and refused, but no declination form was available; the attending MD was unaware whether the vaccine had been offered or refused, and the DON could not explain why revaccination was not offered.
Failure to Offer and Document COVID-19 Immunization for Two Residents: The facility did not ensure that two residents were offered the COVID-19 vaccine or that screening, declination, administration, and education were documented. One resident with MS, dementia, and COPD had a prior Spikevax dose and later representative consent for a booster, but no evidence of additional vaccination was available. Another resident with DM2, dementia, and HTN had one documented Spikevax dose, but there was no evidence of reoffer or reeducation.
MDS assessments failed to accurately code alarm use for two residents. One resident with dementia and osteoporosis had a self-releasing seatbelt with alarm and a bed alarm documented in the care plan and physician orders, but the MDS did not record any restraints or alarms. Another resident with impaired cognition had care plan, order, and nursing documentation showing bed and chair alarms in use, but the MDS also failed to code those alarms.
A resident with cognitive impairment was left unsupervised with medication, contrary to facility policy requiring nurse observation during administration. The LPN assumed the resident had taken the pills, which included Eliquis, Vitamin C, Amlodipine, and Tylenol, without confirming consumption.
Failure to Care Plan for Anticoagulant Use
Penalty
Summary
The facility failed to develop and implement a comprehensive person-centered care plan with measurable objectives and timeframes for a resident receiving Eliquis. Resident #92 had diagnoses including End-Stage Renal Disease, Diabetes Mellitus, and Obesity, and the physician’s order documented Eliquis 5 mg by mouth twice daily for End Stage Renal Disease. A nurse practitioner progress note also documented continued Eliquis use and monitoring of vital signs, weight, and a Basic Metabolic Panel. Despite the resident’s anticoagulant use and related medical conditions, there was no documented evidence that a comprehensive care plan was created to address anticoagulant use. During interview, the Unit Manager stated they reviewed the electronic medical record and did not find a care plan for Eliquis, and stated they were responsible for initiating care plans but could not explain how it was missed. The DON stated the Unit Manager was responsible for ensuring care plans reflected every identified problem and medication, and that three different nurses developed care plans for the resident, but the Eliquis care plan was missed.
Unlabeled Tube Feeding Formula and Water Bag
Penalty
Summary
Resident #38, who had diagnoses including Coronary Artery Disease, non-Alzheimer's dementia, asthma, and chronic obstructive pulmonary disease, was dependent on staff for eating and received a substantial portion of nutrition and fluids through enteral tube feeding. The resident's care plan documented tube feeding for swallowing problems and dysphagia, with interventions to check tube placement and patency before each feeding, fluid, and medication administration and to assess for tube-feeding complications. During observation, the resident's Jevity 1.5 tube feeding formula and water bag were seen running without the resident's name, date, or start time documented on the bottle, water bag, or irrigation cup. The physician's order specified the feeding was to start at 4:00 PM and run for 22 hours at 50 mL per hour, but staff interviews confirmed that the feeding bottle and water bag were not labeled as required. An RN stated the evening nurse should have labeled the items, an LPN stated they had started the feeding but missed documenting the start date and time, and another RN stated they forgot to check whether the bottle and water bag were labeled and dated. The DON stated the nurse who hangs the feeding must put the resident's name, start date, and time on the feeding.
Expired Medications Found in Medication Cart and Storage Room
Penalty
Summary
Drugs and biologicals were not stored in accordance with accepted professional principles because expired medications were found on the 3rd floor. During a medication storage task on the 3rd floor, surveyors observed a 237 mL bottle of Gerilanta (Mylanta) with an expiration date of 09/2025 in the medication storage room and a 473 mL bottle of acetaminophen liquid 160 mg/5 mL with an expiration date of 11/2024 in the medication cart. The facility policy titled, Storage of Medications, stated that medications are stored according to procedures established and in compliance with state and federal regulations and manufacturer recommendations, and that expiration dates of all stock medications are checked weekly. Staff interviews indicated that nurses and the pharmacist were expected to check for expired medications in medication carts and medication rooms, with daily checks described by nursing staff and monthly unit evaluations described by the pharmacy consultant. The LPN stated the expired Tylenol bottle was missed, the RN stated the expired medications were an oversight, and the pharmacy consultant said the last unit check was on 12/22/2025 and was surprised to find expired medications in the cart and storage room. The DON stated the night supervisor was responsible for ensuring there were no expired medications on the units, and the Administrator stated it was unimaginable that staff were not removing expired medications from the unit.
Failure to Document Pneumococcal Vaccine Offer and Revaccination
Penalty
Summary
The facility failed to ensure that each resident was offered the pneumococcal and influenza immunizations, as identified during the recertification survey. In one sampled case, Resident #38 had diagnoses including Multiple Sclerosis, non-Alzheimer's dementia, and Chronic Obstructive Pulmonary Disease, and the Quarterly MDS documented severely impaired cognition with pneumococcal immunization status listed as up to date. The facility also provided documentation that Resident #38 received Pneumovax 23 on 03/01/2018. However, there was no documented evidence that Resident #38 was offered, educated about, received, or declined the pneumococcal immunization. The Infection Preventionist/Assistant Director of Nursing stated that the pneumococcal, influenza, and COVID-19 vaccines were offered to the resident's representative and refused, but no pneumococcal declination form could be provided. The attending physician stated it was recommended that a resident who previously received Pneumovax 23 be revaccinated, but was unaware whether Resident #38 had been offered or refused a pneumococcal vaccine. The DON stated residents are offered and revaccinated depending on which pneumococcal vaccine was previously received, but could not explain why Resident #38 was not offered revaccination.
Failure to Offer and Document COVID-19 Immunization for Two Residents
Penalty
Summary
The facility failed to ensure that each resident was offered the COVID-19 immunization, with no documented evidence of screening, administration, declination, or education for two residents sampled for immunization. The facility policy stated that all consenting, unvaccinated existing residents were to be offered the first of any required next dose of the COVID-19 vaccine, and that the Infection Control Preventionist would re-offer the vaccine regularly to residents who had declined and document accordingly. One resident had diagnoses including multiple sclerosis, non-Alzheimer's dementia, and COPD, and the quarterly MDS documented severely impaired cognition and that the resident's COVID-19 immunization status was not up to date. The facility could document one prior Spikevax 2023-2024 dose and a nursing note showing the resident's representative consented to a booster, but it could not provide evidence of any further COVID-19 vaccines. Another resident had diagnoses including type 2 DM, non-Alzheimer's dementia, and HTN, and the quarterly MDS documented moderately impaired cognition and that the resident's COVID-19 immunization status was not up to date. The facility could document one Spikevax 2024-2025 dose, but could not provide evidence that the resident was reoffered or reeducated on the COVID-19 immunization.
MDS assessments did not accurately reflect alarm use
Penalty
Summary
The facility failed to ensure that Minimum Data Set (MDS) assessments accurately reflected residents’ status for two sampled residents. Resident #127 had diagnoses of non-Alzheimer’s dementia and osteoporosis, was observed sitting in a wheelchair with a self-releasing seatbelt with alarm in use, and had care plan and physician order documentation showing use of a bed alarm and a self-releasing Velcro seatbelt with alarm due to frequent falls and cognitive impairment. However, the annual MDS documented severe cognitive impairment but did not code any physical restraints or alarms. A registered nurse stated that the resident had been using the seatbelt with alarm and a bed alarm, and that the bed alarm had been in use since 2023. Resident #8 had diagnoses including urinary tract infection, diabetes mellitus, and polyosteoarthritis, and the quarterly MDS documented moderately impaired cognition but did not code use of a chair alarm or bed alarm. The resident’s care plan and physician orders documented sensor pad bed and wheelchair alarms, and nursing documentation and observations showed the bed alarm in place. A CNA stated the resident had both bed and chair alarms in use due to a history of falls. The MDS assessor was unavailable, and the Director of MDS stated the assessment had not been coded accurately to reflect the alarms in use.
Medication Administration Deficiency
Penalty
Summary
The facility failed to ensure that medication administration met professional standards of quality for a cognitively impaired resident. During a recertification survey, it was observed that a resident was left alone in their room holding a medication cup with four tablets, without a licensed nurse present. The resident, who was moderately impaired in cognition and had diagnoses including dysphagia, cerebral infarction, and type 2 diabetes, was unable to identify one of the pills. The facility's policy requires that all medications be administered by a licensed nurse who must observe the resident to ensure medication consumption. The incident involved a Licensed Practical Nurse (LPN) who mistakenly believed the resident had already taken the pills and left the room. The LPN later confirmed that the medications included Eliquis, Vitamin C, Amlodipine, and Tylenol. The Nurse Manager and the Director of Nursing both stated that the facility's policy mandates that licensed nurses must observe residents swallowing their medications before leaving. This oversight in medication administration was a clear deviation from the facility's established procedures.
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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) |
|---|---|---|---|---|
| Prestige Nursing Care & Rehab Center | 0.7 mi | ★★★★★ | 11 | 0 |
| Hudson Pointe At Riverdale Center For Nursing And | 0.8 mi | ★★★★★ | 1 | 0 |
| Manhattanville Health Care Center | 0.8 mi | ★★★★★ | 0 | 0 |
| St Patrick's Home | 0.8 mi | ★★★★★ | 3 | 0 |
| New Riverdale Rehab 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 October 2026) and official state health department websites.