SeniorHomeViolations
B+
82/100

Bainbridge Nursing & Rehabilitation Center Inspection Report, Violations & Safety Grade (Bronx, New York)

3518 Bainbridge Avenue, Bronx, New York 10467

Phone: 7186551991

CMS Overall:4/5

Overview & Bed Count

Certified Beds
200
Avg Residents/Day
192.9
Ownership
For profit - Limited Liability company
Provider Type
Medicare and Medicaid
County
Bronx
Sprinkler Systems
Yes
Special Focus
None
Abuse Icon
No

CMS Star Ratings

Overall4/5
Health4/5
Staffing2/5
Quality4/5

Nurse Staffing Check

MetricThis FacilityNew York AvgDifference
RN Hours per Resident per Day0.520.73-0.21
Total Nurse Hours per Resident per Day3.073.69-0.62
CMS Staffing Rating2/52.9/5-
Nursing Staff Turnover38.5%40.3%-

Health Citation History

6 health citations on record

DateCategoryDescriptionSeverity
2025-07-23Pharmacy Service DeficienciesEnsure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.E – Moderate Harm Potential
2025-07-23Resident Assessment and Care Planning DeficienciesDevelop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.D – Moderate Harm Potential
2025-07-23Nutrition and Dietary DeficienciesProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.D – Moderate Harm Potential
2025-07-23Administration DeficienciesInform resident or representatives choice to enter into binding arbitration agreement and right to refuse.B – Minimal Harm Potential
2023-04-11Resident Assessment and Care Planning DeficienciesDevelop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.D – Moderate Harm Potential
2020-09-14Freedom from Abuse, Neglect, and Exploitation DeficienciesEnsure that each resident is free from the use of physical restraints, unless needed for medical treatment.D – Moderate Harm Potential

Fire Safety Citation History

15 fire safety citations on record

DateCategoryDescriptionSeverity
2023-04-11Egress DeficienciesKeep aisles, corridors, and exits free of obstruction in case of emergency.E – Moderate Harm Potential
2023-04-11Egress DeficienciesProvide at least two remote exits on each floor or fire section of the building.E – Moderate Harm Potential
2023-04-11Smoke DeficienciesInstall an approved automatic sprinkler system.E – Moderate Harm Potential
2023-04-11Smoke DeficienciesInstall corridor and hallway doors that block smoke.E – Moderate Harm Potential
2023-04-11Construction DeficienciesMeet requirements for sections of health care facilities separated by fire resistive construction.D – Moderate Harm Potential
2023-04-11Smoke DeficienciesEnsure smoke barriers are constructed to a 1 hour fire resistance rating.D – Moderate Harm Potential
2023-04-11Smoke DeficienciesInstall smoke barrier doors that can resist smoke for at least 20 minutes.D – Moderate Harm Potential
2023-04-11Smoke DeficienciesProvide properly protected cooking facilities.C – Minimal Harm Potential
2023-04-11Smoke DeficienciesHave approved installation, maintenance and testing program for fire alarm systems.C – Minimal Harm Potential
2023-04-11Smoke DeficienciesInspect, test, and maintain automatic sprinkler systems.C – Minimal Harm Potential
2023-04-11Smoke DeficienciesFollow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.C – Minimal Harm Potential
2023-04-11Services DeficienciesEnsure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.C – Minimal Harm Potential
2023-04-11Gas, Vacuum, and Electrical Systems DeficienciesHave generator or other power source capable of supplying service within 10 seconds.C – Minimal Harm Potential
2020-09-14Gas, Vacuum, and Electrical Systems DeficienciesHave generator or other power source capable of supplying service within 10 seconds.D – Moderate Harm Potential
2018-11-01Miscellaneous DeficienciesHave simulated fire drills held at unexpected times.D – Moderate Harm Potential

Total Penalties & Fines

$0
Total Fine Amount (CMS)
0
Number of Fines
0
Total Penalties

No penalty records found.

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