Inspection Reports for Fort Tryon Center for Rehabilitation and Nursing
801 W 190th St, New York, NY 10040, United States, NY, 10040
Back to Facility ProfileDeficiencies (last 4 years)
Deficiencies (over 4 years)
7.3 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
43% worse than New York average
New York average: 5.1 deficiencies/yearDeficiencies per year
12
9
6
3
0
Inspection Report
Deficiencies: 2
Date: Dec 18, 2025
Visit Reason
The inspection was conducted to assess the facility's compliance with maintaining a safe, clean, comfortable, and homelike environment for residents, focusing on housekeeping and maintenance services.
Findings
The facility failed to ensure necessary housekeeping and maintenance services were provided, as evidenced by accumulation of dust, dirt, stains on equipment and furniture, and torn and soiled wheelchairs in one of five resident units observed on the 3rd Floor.
Deficiencies (2)
Accumulation of dust, dirt, and stains on bedside tables, intravenous poles, feeding pumps, oxygen concentrators, and suction machines.
Torn arm rests and soiled wheelchairs observed in resident rooms on the 3rd Floor.
Report Facts
Resident units observed: 5
Resident units with deficiencies: 1
Porters responsible for cleaning wheelchairs: 2
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Director of Housekeeping Services | Interviewed regarding housekeeping responsibilities and cleaning procedures | |
| Director of Maintenance | Interviewed regarding maintenance logbook and repair procedures |
Inspection Report
Annual Inspection
Deficiencies: 2
Date: Jun 21, 2024
Visit Reason
The inspection was conducted as a Recertification Survey and Complaint Survey to assess compliance with regulatory requirements including resident assessments and environmental conditions.
Complaint Details
The inspection included a complaint survey (NY00334169) related to pest control issues, with findings substantiating vermin presence and inadequate pest management.
Findings
The facility failed to ensure accurate Minimum Data Set assessments for residents, specifically misdocumenting vision impairment for one resident. Additionally, the facility did not maintain an effective pest control program, with evidence of vermin excrement and resident reports of mice and roaches in multiple areas.
Deficiencies (2)
Minimum Data Set assessment inaccurately documented a resident's vision status, failing to reflect legal blindness.
Facility did not maintain an effective pest control program, with vermin excrement observed and resident reports of mice and roaches.
Report Facts
Residents sampled: 38
Residents affected: 1
Floors observed: 5
Pest control visits per week: 2
Pest control visits per week: 3
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Certified Nursing Assistant #3 | Interviewed regarding resident vision impairment | |
| MDS Coordinator | Interviewed and acknowledged assessment error | |
| Certified Nursing Assistant #2 | Interviewed regarding pest sightings and droppings | |
| Licensed Practical Nurse #1 | Interviewed regarding health risks from mouse droppings | |
| Registered Nurse Supervisor #1 | Interviewed regarding pest presence and control | |
| Administrator | Interviewed regarding pest reports and internal communications | |
| Pest Control representative | Interviewed regarding pest control services and observations | |
| Director of Housekeeping | Interviewed regarding pest control rounds and documentation | |
| Chief Operating Officer | Interviewed regarding pest control challenges and service changes |
Inspection Report
Complaint Investigation
Capacity: 60
Deficiencies: 8
Date: Jun 21, 2024
Visit Reason
Inspection revealed 3 health and 5 life safety code deficiencies, all Level 2 with no actual harm, mostly isolated or pattern scope, corrected within weeks to months.
Findings
Inspection revealed 3 health and 5 life safety code deficiencies, all Level 2 with no actual harm, mostly isolated or pattern scope, corrected within weeks to months.
Deficiencies (8)
Accuracy of assessments — quality of care
Maintains effective pest control program — quality of care
Responsibilities of providers; required notif — quality of care
Electrical equipment - power cords and extens — life safety code
Electrical systems - other — life safety code
Electrical systems - receptacles — life safety code
Illumination of means of egress — life safety code
Sprinkler system - maintenance and testing — life safety code
Inspection Report
Capacity: 60
Deficiencies: 1
Date: Mar 11, 2024
Visit Reason
Covid-19 Survey with one Level 2 health citation related to reporting to national health safety network; deficiency not corrected at time of report.
Findings
Covid-19 Survey with one Level 2 health citation related to reporting to national health safety network; deficiency not corrected at time of report.
Deficiencies (1)
Reporting - national health safety network — quality of care
Inspection Report
Annual Inspection
Deficiencies: 2
Date: Mar 17, 2022
Visit Reason
The inspection was conducted as a Recertification Survey from 03/10/2022 to 03/17/2022 to assess compliance with regulatory requirements for the Fort Tryon Center for Rehabilitation and Nursing.
Findings
The facility failed to provide activities that meet all residents' needs, specifically not providing a non-English speaking resident with television channels in their native language. Additionally, the facility failed to ensure that a resident's weights were measured and recorded according to the Physician's order.
Deficiencies (2)
Facility did not provide a non-English speaking resident with television channels in their native language as per their preferences.
Resident's weights were not measured and recorded according to the Physician's order.
Report Facts
Residents reviewed for Activities: 38
Residents reviewed for Nutrition: 7
Residents affected: 1
Residents affected: 1
Weight recorded: 257
Weight recorded: 264.2
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Certified Nursing Assistant #1 | CNA | Interviewed regarding Resident #104's activity and language preferences |
| Activities Assistant | AA | Conducted activity assessment for Resident #104 and interviewed about language line usage |
| Acting Director of Recreation | ADR | Interviewed about activity assessments and availability of TV channels for non-English speakers |
| Certified Nursing Assistant #2 | CNA | Interviewed regarding weight measurement procedures |
| Licensed Practical Nurse #1 | LPN | Interviewed about weight measurement and documentation for Resident #37 |
| Registered Nurse Supervisor #1 | RNS | Interviewed about weight measurement policies and documentation |
| Registered Dietitian #1 | RD | Interviewed about weight review and follow-up procedures |
| Director of Nursing | DON | Interviewed about weight measurement policies and staff responsibilities |
Inspection Report
Complaint Investigation
Capacity: 60
Deficiencies: 9
Date: Mar 17, 2022
Visit Reason
Complaint Survey with 2 health and 7 life safety code Level 2 deficiencies, all corrected within months; deficiencies included activities, nutrition, building construction, egress, smoke detection, sprinkler system, stairways, and vertical openings.
Findings
Complaint Survey with 2 health and 7 life safety code Level 2 deficiencies, all corrected within months; deficiencies included activities, nutrition, building construction, egress, smoke detection, sprinkler system, stairways, and vertical openings.
Deficiencies (9)
Activities meet interest/needs each resident — quality of care
Nutrition/hydration status maintenance — quality of care
Building construction type and height — life safety code
Illumination of means of egress — life safety code
Means of egress - general — life safety code
Smoke detection — life safety code
Sprinkler system - installation — life safety code
Stairways and smokeproof enclosures — life safety code
Vertical openings - enclosure — life safety code
Inspection Report
Annual Inspection
Deficiencies: 5
Date: Jun 18, 2019
Visit Reason
The inspection was a recertification survey to assess compliance with state and federal regulations for Fort Tryon Center for Rehabilitation and Nursing.
Findings
The facility was found deficient in multiple areas including failure to post survey results for residents, delayed submission and inaccuracies in Minimum Data Set (MDS) assessments, incomplete and inaccurate resident care plans, and inadequate infection control practices such as improper handling of Foley catheter drainage bags and wound vac tubing.
Deficiencies (5)
Failure to post the most recent survey results in a place readily accessible to residents and family members.
Delayed electronic transmission of Minimum Data Set (MDS) assessments to CMS, with 10 of 17 residents having late submissions.
Inaccurate MDS assessments for 2 residents, including incorrect documentation of falls and assistance needs.
Failure to review and revise a resident's Comprehensive Care Plan (CCP) to reflect Advance Directives.
Failure to maintain infection control practices, including Foley catheter drainage bag resting on the floor and wound vac tubing lying on the floor.
Report Facts
Residents reviewed for MDS assessments: 17
Residents reviewed for care plans: 38
Residents reviewed for MDS accuracy: 73
Resident Council members: 9
Employees mentioned
| Name | Title | Context |
|---|---|---|
| MDS Coordinator #1 | MDS Coordinator | Interviewed about delays in MDS assessment submissions and backlog |
| MDS Coordinator #2 | MDS Coordinator | Acknowledged mistake in MDS assessment related to resident falls and initiated correction |
| Director of Nursing | Director of Nursing (DNS) | Interviewed regarding resident fall status and MDS assessment process |
| Director of Social Work | Director of Social Work (DSW) | Interviewed about errors in documenting Advance Directives and updating care plans |
| Certified Nursing Assistant #1 | Certified Nursing Assistant (CNA) | Interviewed about Foley catheter drainage bag care and observations |
| Registered Nurse #1 | Registered Nurse (RN) | Interviewed about proper Foley catheter drainage bag handling |
| Registered Nurse #3 | Registered Nurse (RN) | Observed wound vac tubing on floor and explained handling practices |
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