Inspection Reports for
Bronx Gardens Rehabilitation and Nursing Center

The visit was complaint-related based on an incident where Resident #1 fell while receiving care. The facility's investigation concluded no evidence of abuse, neglect, exploitation, or mistreatment. The fall was due to Certified Nursing Assistant #1 failing to follow the plan of care requiring two-person assistance for bed mobility.

The facility failed to ensure adequate assistance consistent with the resident's needs to prevent accidents, resulting in a resident falling from bed and sustaining actual harm including head trauma. The investigation found that a Certified Nursing Assistant did not follow the resident's plan of care requiring two-person assistance for bed mobility.

The state logged 110 complaints about this facility; 10 led to on-site inspections.

Across 8 inspections, 4 had no citations and 4 resulted in 25 total citations including standard health and life safety code violations. The facility had 110 complaints with 10 on-site inspections and 3 enforcement actions totaling $34,000 in fines.

The facility failed to ensure food was stored according to professional standards, as staff food was found stored in a resident food refrigerator. The Food Service Director confirmed the violation and stated that dietary staff were reeducated on proper food storage practices.

The visit was complaint-related, triggered by concerns about maintenance, treatment and care, respiratory care, staffing shortages, and food safety violations. Substantiation status is not explicitly stated.

The facility was found deficient in multiple areas including failure to maintain a homelike environment due to maintenance issues, failure to ensure physician-ordered pulmonology consultation and correct wound care treatments, lack of appropriate respiratory emergency equipment at bedside, insufficient nursing staff on weekends, and improper food storage with staff food found in resident refrigerators.

The visit was complaint-related, investigating an allegation that Resident #3 grabbed Resident #2's hands and held them by the throat on 01/02/2025. The allegation was unsubstantiated after investigation, but the facility did not report the allegation to the state as required.

The facility failed to ensure that an alleged abuse incident involving two residents was reported to the New York State Department of Health within the required timeframe. The investigation concluded that the alleged incident did not occur based on camera review, staff and resident interviews, and physical assessment, but the facility did not report the allegation as required by policy.

The facility was found deficient in timely reporting of alleged abuse to the state, development of person-centered care plans for new fractures, medication error rates exceeding 5%, improper medication storage, and improper garbage disposal practices.

The facility failed to timely report alleged abuse involving two residents' unwitnessed falls resulting in fractures to the New York State Department of Health within the required 2-hour timeframe. Additionally, the facility did not develop a person-centered care plan with measurable goals and interventions for one resident's left tibia fracture.

The facility failed to ensure that the Minimum Data Set (MDS) assessment accurately reflected a resident's dental status, as broken and carious teeth were not documented. This deficiency was identified through observation, record review, and interviews with staff and the resident.