Inspection Reports for
Bronx Park Rehabilitation & Nursing Center
3845 Carpenter Ave, Bronx, NY, 10467
Back to Facility ProfileDeficiencies (last 4 years)
Deficiencies (over 4 years)
5.5 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
8% worse than New York average
New York average: 5.1 deficiencies/yearDeficiencies per year
16
12
8
4
0
Inspection Report
Abbreviated Survey
Deficiencies: 1
Date: Dec 9, 2025
Visit Reason
The abbreviated survey was conducted to ensure that residents are free from significant medication errors, specifically reviewing medication administration practices.
Findings
The facility failed to ensure residents were free from significant medication errors. One resident was administered sixty units of insulin instead of the ordered six units, resulting in hospital transfer for observation.
Deficiencies (1)
F 0760: The facility failed to ensure residents were free from significant medication errors. Licensed Practical Nurse #1 administered sixty units of insulin instead of six units to Resident #1, who was transferred to the hospital for observation.
Report Facts
Insulin dose administered: 60
Insulin dose ordered: 6
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Licensed Practical Nurse #1 | Administered incorrect insulin dose and reported medication error | |
| Registered Nurse #1 | Nursing Supervisor | Received report of medication error and coordinated resident assessment and hospital transfer |
| Director of Nursing | Directed response to medication error and coordinated with facility administrator and medical director |
Inspection Report
Complaint Investigation
Capacity: 60
Deficiencies: 9
Date: Sep 23, 2024
Visit Reason
Complaint Survey with 6 health and 3 life safety citations, mostly level 2 severity, all corrected by November 2024.
Findings
Complaint Survey with 6 health and 3 life safety citations, mostly level 2 severity, all corrected by November 2024.
Deficiencies (9)
Baseline care plan — quality of care
Infection control — quality of care
Infection prevention & control — quality of care
Medicaid/medicare coverage/liability notice — quality of care
Nutritive value/appear, palatable/prefer temp — quality of care
Responsibilities of providers; required notif — quality of care
Building construction type and height — life safety code
Sprinkler system - installation — life safety code
Stairways and smokeproof enclosures — life safety code
Inspection Report
Annual Inspection
Deficiencies: 4
Date: Sep 23, 2024
Visit Reason
The inspection was conducted as a Recertification survey to assess compliance with Medicare and Medicaid regulations and facility policies.
Findings
The facility was found deficient in providing timely and proper Medicare Non-Coverage notices, failing to provide residents or their representatives with baseline care plans, serving food at unsafe temperatures, and not adhering to infection control protocols during wound care.
Deficiencies (4)
F 0582: The facility failed to provide the Notice of Medicare Non-Coverage at least two calendar days before Medicare services ended and did not provide the Skilled Nursing Facility Advance Beneficiary Notice of Non-Coverage at termination of skilled services.
F 0655: The facility did not provide residents or their representatives with a written copy of the baseline care plan within 48 hours of admission as required.
F 0804: Food served during lunch meal service was not maintained at palatable and appetizing temperatures, with measured temperatures below the required 135 degrees Fahrenheit.
F 0880: Infection control protocols were not followed during wound care; the Physician Assistant used one swab for multiple wounds and the Registered Nurse failed to set up a clean field before applying dressings.
Report Facts
Residents reviewed: 38
Residents affected: 2
Residents affected: 1
Residents affected: 1
Residents affected: 2
Food temperatures measured: 125.2
Food temperatures measured: 124.3
Food temperatures measured: 106
Food temperatures measured: 110.8
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Registered Nurse #5 | Nurse | Failed to set up clean field during wound care and assisted Physician Assistant |
| Physician Assistant | Used one swab for multiple wounds and did wound care without proper infection control | |
| Director of Social Services | Director of Social Services | Interviewed regarding Medicare Non-Coverage notice process |
| Director of Rehabilitation | Director of Rehabilitation | Interviewed regarding Medicare Non-Coverage notice process |
| Director of Nursing | Director of Nursing | Interviewed regarding baseline care plan and wound care deficiencies |
| Certified Nursing Assistant #3 | Certified Nursing Assistant | Reported resident complaints about cold food |
| Director of Dining Services | Director of Dining Services | Interviewed regarding food temperature monitoring |
| Unit Manager #1 | Unit Manager | Interviewed regarding baseline care plan process |
| Infection Control Nurse | Infection Control Nurse | Interviewed regarding wound care training and infection control |
Inspection Report
Capacity: 60
Deficiencies: 1
Date: Mar 11, 2024
Visit Reason
Covid-19 Survey with one level 2 severity citation for reporting to national health safety network, not corrected at time of report.
Findings
Covid-19 Survey with one level 2 severity citation for reporting to national health safety network, not corrected at time of report.
Deficiencies (1)
Reporting - national health safety network — quality of care
Inspection Report
Complaint Investigation
Capacity: 60
Deficiencies: 1
Date: Aug 8, 2022
Visit Reason
Complaint Survey with one level 2 severity citation for reporting of alleged violations, corrected by October 2022.
Findings
Complaint Survey with one level 2 severity citation for reporting of alleged violations, corrected by October 2022.
Deficiencies (1)
Reporting of alleged violations — quality of care
Inspection Report
Complaint Investigation
Capacity: 60
Deficiencies: 5
Date: Jun 21, 2022
Visit Reason
Complaint Survey with multiple level 2 severity citations in health and life safety code categories, all corrected by August 2022.
Findings
Complaint Survey with multiple level 2 severity citations in health and life safety code categories, all corrected by August 2022.
Deficiencies (5)
Treatment/svcs to prevent/heal pressure ulcer — quality of care
Emergency lighting — life safety code
Sprinkler system - installation — life safety code
Stairways and smokeproof enclosures — life safety code
Subdivision of building spaces - smoke barrie — life safety code
Inspection Report
Annual Inspection
Deficiencies: 1
Date: Jun 21, 2022
Visit Reason
The inspection was conducted as a recertification survey to assess compliance with care standards, specifically focusing on pressure ulcer prevention and device use.
Findings
The facility failed to ensure a resident received necessary care to prevent pressure ulcers by not applying a prescribed Multipodus boot as ordered. Staff interviews revealed lack of awareness and inconsistent application of the device according to the physician's order.
Deficiencies (1)
F 0686: The facility did not ensure Resident #52 wore the ordered Multipodus boot on the left foot from 9AM to 9PM as prescribed, increasing risk for pressure ulcers.
Report Facts
Residents reviewed for Position, Mobility/Limited Range of Motion: 2
Total residents in sample: 39
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Certified Nursing Assistant (CNA) #1 | Interviewed regarding application of the Multipodus boot | |
| Unit Manager/Registered Nurse (RN) #1 | Interviewed regarding awareness of device application | |
| Rehabilitation Director (RD) | Interviewed regarding device orders and staff accountability | |
| RN #2 | Interviewed regarding supervision of device application | |
| Assistant Director of Nursing (ADNS) | Interviewed regarding supervisory responsibilities for device application |
Inspection Report
Deficiencies: 0
Date: Aug 29, 2019
Visit Reason
The document is a Statement of Deficiencies and Plan of Correction for Bronx Park Rehabilitation & Nursing Center, summarizing the results of a regulatory survey completed on 08/29/2019.
Findings
No health deficiencies were found during the inspection.
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