Inspection Reports for
United Hebrew of New Rochelle

391 Pelham Rd, New Rochelle, NY 10805, NY, 10805

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4 Reports

1 state, 3 CMS 2017–2026

Inspection Report — Apr 23, 2026

Complaint Investigation State
Date: Apr 23, 2026

Visit Reason
State-compiled facility profile showing 8 inspections from June 2022 to May 2026 with citation and complaint history.

Complaint Details
The state logged 21 complaints about this facility; 6 led to on-site inspections. This facility received 11.6 complaints per 100 beds versus a statewide rate of 57.4, resulting in 7 citations from those complaints.
Findings
Across 8 inspections, 6 resulted in citations totaling 38, including 16 standard health and 22 life safety code citations. Most citations were Level 2 indicating minor potential harm, with no formal enforcement actions recorded.

Citations (27)
Standard Health Citation — quality of care: Develop/implement Comprehensive Care Plan was cited with isolated minor potential harm.
Standard Health Citation — quality of care: Free From Abuse And Neglect was cited with isolated minor potential harm.
Standard Health Citation — quality of care: Reporting Of Alleged Violations was cited with isolated minor potential harm.
Life Safety Code Citation — NFPA requirements: Building Construction Type And Height was cited with isolated minor potential harm.
Life Safety Code Citation — NFPA requirements: Electrical Equipment - Power Cords And Extens was cited with isolated minor potential harm.
Life Safety Code Citation — NFPA requirements: Electrical Systems - Essential Electric Syste was cited with widespread minor potential harm.
Life Safety Code Citation — NFPA requirements: Emergency Lighting was cited with isolated minor potential harm.
Life Safety Code Citation — NFPA requirements: Exit Signage was cited with isolated minor potential harm.
Life Safety Code Citation — NFPA requirements: Hazardous Areas - Enclosure was cited with widespread minor potential harm.
Life Safety Code Citation — NFPA requirements: Sprinkler System - Installation was cited with pattern minor potential harm.
Life Safety Code Citation — NFPA requirements: Sprinkler System - Maintenance And Testing was cited with pattern minor potential harm.
Life Safety Code Citation — NFPA requirements: Standards Of Construction For New Existing Nh was cited with no harm potential.
Standard Health Citation — quality of care: Label/store Drugs And Biologicals was cited with isolated minor potential harm.
Standard Health Citation — quality of care: Medicaid/medicare Coverage/liability Notice was cited with isolated minor potential harm.
Standard Health Citation — quality of care: Reporting - National Health Safety Network was cited with widespread minor potential harm.
Standard Health Citation — quality of care: Activities Meet Interest/needs Each Resident was cited with isolated minor potential harm.
Standard Health Citation — quality of care: Food Procurement,store/prepare/serve-sanitary was cited with isolated minor potential harm.
Standard Health Citation — quality of care: Infection Prevention & Control was cited with isolated minor potential harm.
Standard Health Citation — quality of care: Resident Rights/exercise Of Rights was cited with isolated minor potential harm.
Life Safety Code Citation — NFPA requirements: Illumination Of Means Of Egress was cited with isolated minor potential harm.
Life Safety Code Citation — NFPA requirements: Maintenance, Inspection & Testing - Doors was cited with pattern minor potential harm.
Life Safety Code Citation — NFPA requirements: Physical Environment was cited with isolated minor potential harm.
Life Safety Code Citation — NFPA requirements: Sprinkler System - Installation was cited with pattern minor potential harm.
Standard Health Citation — quality of care: Baseline Care Plan was cited with isolated minor potential harm.
Standard Health Citation — quality of care: Free From Abuse And Neglect was cited with isolated minor potential harm.
Standard Health Citation — quality of care: Investigate/prevent/correct Alleged Violation was cited with isolated minor potential harm.
Standard Health Citation — quality of care: Reporting Of Alleged Violations was cited with isolated minor potential harm.
Report Facts
Inspections on page: 8 Total violations/deficiencies cited: 38 Inspections with violations: 6 Inspections without violations: 2 Total complaints: 21 On-site complaint inspections: 6 Citations issued from complaints: 7 Standard Health Citations: 16 Life Safety Code Citations: 22 Enforcement actions: 0

Inspection Report — Oct 6, 2023

Annual Inspection CMS
Date: Oct 6, 2023

Visit Reason
The inspection was a recertification survey conducted from 10/2/23 to 10/6/23 to assess compliance with regulatory requirements in various areas including resident dignity, activities programming, food service sanitation, and infection control.

Findings
The facility was found deficient in maintaining resident dignity related to uncovered urine drainage bags, inadequate activities programming due to staffing shortages, improper food service hygiene practices by staff, and failure to implement proper infection prevention and control measures including PPE use and hand hygiene for residents on contact precautions.

Citations (4)
Resident #7's urinary catheter drainage bag was not concealed to prevent direct observation of urine by others.
The facility did not ensure an ongoing program of activities to meet the needs and interests of residents, negatively affecting Resident #18's quality of life.
Registered nurse (RN) #1 did not perform hand hygiene between serving residents during a breakfast meal and wore gloves improperly, risking cross contamination.
Two Certified Nurse Aides (CNAs) failed to use Personal Protective Equipment (PPE) and proper hand hygiene when assisting a resident on contact precautions for C. difficile infection.
Report Facts
Residents affected: 1 Residents affected: 1 Residents affected: 2 Residents affected: 1 Activities staff before pandemic: 9 Current activities staff: 2 Activities staff sometimes: 3

Employees mentioned
NameTitleContext
CNA #1Certified Nurse AidePrimary aide caring for Resident #7, involved in catheter care deficiency
LPN #1Licensed Practical NurseInterviewed regarding urine collection bag coverage practices
LPN #2Licensed Practical NurseInterviewed regarding urine collection bag coverage practices
Registered Nurse Unit Manager #1Registered Nurse Unit ManagerInterviewed regarding urine collection bag coverage and activities programming
Chief Nursing OfficerChief Nursing OfficerInterviewed regarding urine collection bag policy
Resident #18's Activities DirectorActivities DirectorInterviewed regarding activities staffing and programming
RN #1Registered NurseObserved and interviewed regarding improper glove use during food service
Director of NursingDirector of NursingInterviewed regarding food service glove policy and infection control
CNA #2Certified Nurse AideObserved and interviewed regarding failure to use PPE and hand hygiene for resident on contact precautions
CNA #3Certified Nurse AideObserved and interviewed regarding failure to use PPE and hand hygiene for resident on contact precautions

Inspection Report — Jun 13, 2019

Annual Inspection CMS
Date: Jun 13, 2019

Visit Reason
The inspection was conducted as a recertification survey to assess compliance with regulatory requirements related to resident notification of bed hold policies and access to vision and hearing services.

Findings
The facility failed to ensure timely written notification of the bed hold policy was given to a resident or her representative prior to hospital transfer, and did not ensure proper treatment and assistive devices were provided to maintain hearing ability for a resident with a broken hearing aid.

Citations (2)
Failure to notify the resident or representative in writing about the nursing home's bed hold policy prior to hospital transfer.
Failure to assist a resident in gaining access to vision and hearing services, specifically not providing a broken hearing aid for over a year.
Report Facts
Residents reviewed: 38 Residents affected: 1 Residents reviewed: 2 Residents affected: 1

Employees mentioned
NameTitleContext
Director of Social WorkInterviewed regarding bed hold notification deficiency

Inspection Report — Oct 24, 2017

Annual Inspection CMS
Date: Oct 24, 2017

Visit Reason
The inspection was conducted as a recertification survey to evaluate the facility's compliance with food storage, cooking, and serving sanitary standards.

Findings
The facility failed to ensure safe and sanitary food handling practices, including thawing frozen ground meat beyond recommended time, a nourishment unit refrigerator lacking a thermometer, and a Certified Nurse Aide handling resident food without a barrier during two lunch meals.

Citations (3)
Frozen ground meat placed in the refrigerator for thawing was not cooked in a timely manner.
One of seven nourishment unit refrigerators did not contain a thermometer.
A Certified Nurse Aide did not use a barrier to handle sandwiches served to Resident #255 during two lunch meals.
Report Facts
Weight of ground beef: 8 Number of nourishment unit refrigerators: 7

Employees mentioned
NameTitleContext
Unit Registered Nurse ManagerRegistered Nurse ManagerInterviewed regarding CNA's improper food handling
Certified Nurse AideCNAObserved handling resident food without barrier
Head CookInterviewed about thawing policy for ground beef
Unit ClerkInterviewed about missing thermometer in refrigerator

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