Inspection Reports for
Eastchester Rehabilitation and Health Care Center

2700 Eastchester Road, Bronx, NY, 10469

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4 Reports

1 state, 3 CMS 2019–2026

Inspection Report — Mar 3, 2026

State
Date: Mar 3, 2026

Visit Reason
State-compiled facility profile showing 7 inspections from 2022 to 2026 with citation and complaint history.

Complaint Details
The state logged 43 complaints about this facility; 6 led to on-site inspections. No citations resulted from those complaints.
Findings
Across 7 inspections, 4 resulted in citations totaling 11, including standard health and life safety code violations. No formal enforcement actions were recorded, and complaints led to 6 on-site inspections with no citations issued from complaints.

Citations (7)
Standard Health Citation — quality of care: Food Procurement, store/prepare/serve-sanitary conditions were deficient.
Life Safety Code Citation — NFPA requirements: Electrical Equipment - Power Cords And Extens had isolated deficiencies.
Life Safety Code Citation — NFPA requirements: Electrical Equipment - Testing And Maintenanc had isolated deficiencies.
Life Safety Code Citation — NFPA requirements: Maintenance, Inspection & Testing - Doors showed a pattern of deficiencies.
Standard Health Citation — quality of care: Reporting - National Health Safety Network was deficient with widespread issues not yet corrected (Feb 2024).
Standard Health Citation — quality of care: Infection Preventionist Qualifications/role showed a pattern of deficiencies.
Standard Health Citation — quality of care: Reporting - National Health Safety Network was deficient with widespread issues not yet corrected (Aug 2023).
Report Facts
Inspections on page: 7 Total violations/deficiencies cited: 11 Inspections with violations: 4 Inspections without violations: 3 Total complaints: 43 On-site complaint inspections: 6 Citations issued from complaints: 0 Total enforcement actions: 0

Inspection Report — Jan 10, 2024

Annual Inspection CMS
Date: Jan 10, 2024

Visit Reason
The inspection was conducted as a Recertification survey from 01/03/2024 to 01/10/2024 to evaluate compliance with infection prevention and control requirements.

Findings
The facility failed to ensure the Infection Preventionist completed specialized training in infection prevention prior to being hired. The Infection Preventionist had only completed a standard infection control course awarding 4 hours of continuing education credit. The facility's policy incorrectly documented that the Infection Preventionist had completed specialized training.

Citations (1)
The Infection Preventionist did not complete specialized training in infection prevention prior to being hired as the facility's Infection Preventionist.
Report Facts
Continuing education credit hours: 4

Inspection Report — Oct 8, 2021

Annual Inspection CMS
Date: Oct 8, 2021

Visit Reason
The inspection was conducted as a Recertification survey to assess compliance with regulatory requirements including resident funds management, baseline care planning, and pressure ulcer care.

Findings
The facility was found deficient in properly managing residents' personal funds, including failure to provide quarterly financial statements and insufficient surety bond coverage. Baseline care plans were not consistently developed within 48 hours of admission, and pressure ulcer care was inadequate as a resident was observed without ordered bilateral heel cushions.

Citations (4)
Failure to provide quarterly financial statements to residents for personal funds held by the facility.
Surety bond coverage did not equal the total amount of resident personal funds held by the facility.
Baseline care plans were not developed within 48 hours of admission and written summaries were not provided to residents or representatives.
Resident with an order for bilateral heel off-loading cushion boots was observed without a boot on the right heel on multiple occasions.
Report Facts
Residents reviewed for personal funds: 33 Residents affected by missing quarterly statements: 1 Residents maintaining personal funds accounts: 151 Residents affected by insufficient surety bond coverage: 72 Total resident funds amount: 262729.22 Surety bond amount: 100000 Residents reviewed for baseline care plans: 33 Residents affected by baseline care plan deficiencies: 3 Residents reviewed for pressure ulcer care: 33 Residents affected by pressure ulcer care deficiency: 1

Employees mentioned
NameTitleContext
Certified Nursing Assistant #1CNAReported resident had only one boot for left heel and no boot for right heel
Licensed Practical Nurse #1LPNAcknowledged order for bilateral heel boots and responsibility to provide right heel boot
Registered Nurse Unit Manager #1RNUMConfirmed resident should have bilateral heel boots applied as ordered
Director of NursingDONDiscussed expectations for device application and plans for in-service education
Finance CoordinatorOversight of resident funds and distribution of quarterly statements
Facility AdministratorAdministratorProvided information on surety bond and quarterly statement distribution
Social WorkerSWInterviewed regarding baseline care plan and financial statement processes
Registered Nurse #3RNInterviewed about baseline care plan completion process

Inspection Report — Mar 20, 2019

Annual Inspection CMS
Date: Mar 20, 2019

Visit Reason
The inspection was conducted as a recertification survey to evaluate the facility's compliance with care planning requirements for residents, specifically focusing on the development and implementation of comprehensive care plans.

Findings
The facility failed to develop and implement a comprehensive, person-centered care plan for a resident with a neurological condition involving a ventricular-peritoneal (VP) shunt and status post cranioplasty. The care plan did not address the VP shunt despite documented neurological consult recommendations and the resident's complex medical needs.

Citations (1)
Failure to develop and implement a complete care plan that meets all the resident's needs, specifically for a resident with a VP shunt and status post cranioplasty.
Report Facts
Residents reviewed: 39 Residents affected: 1

Employees mentioned
NameTitleContext
RNM #1Registered Nurse ManagerInterviewed regarding care plan development for the resident's seizures and VP shunt
RN #3Facility EducatorInterviewed regarding care plan for increased intracranial pressure

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