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

3356 Perry Avenue, Bronx, New York 10467

Phone: 7186553568

CMS Overall:2/5

Overview & Bed Count

Certified Beds
122
Avg Residents/Day
118.7
Ownership
For profit - Corporation
Provider Type
Medicare and Medicaid
County
Bronx
Sprinkler Systems
Yes
Special Focus
None
Abuse Icon
No

CMS Star Ratings

Overall2/5
Health2/5
Staffing2/5
Quality4/5

Nurse Staffing Check

MetricThis FacilityNew York AvgDifference
RN Hours per Resident per Day0.440.73-0.29
Total Nurse Hours per Resident per Day3.303.69-0.39
CMS Staffing Rating2/52.9/5-
Nursing Staff Turnover45.2%40.3%-

Health Citation History

25 health citations on record

DateCategoryDescriptionSeverity
2025-07-17Freedom from Abuse, Neglect, and Exploitation DeficienciesTimely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.D – Moderate Harm Potential
2025-07-17Quality of Life and Care DeficienciesProvide appropriate treatment and care according to orders, resident’s preferences and goals.D – Moderate Harm Potential
2024-11-15Freedom 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
2024-08-16Nutrition and Dietary DeficienciesProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.F – Moderate Harm Potential
2024-08-16Nutrition and Dietary DeficienciesDispose of garbage and refuse properly.F – Moderate Harm Potential
2024-08-16Environmental DeficienciesMake sure there is a pest control program to prevent/deal with mice, insects, or other pests.F – Moderate Harm Potential
2024-08-16Infection Control DeficienciesProvide and implement an infection prevention and control program.E – Moderate Harm Potential
2024-08-16Resident Rights DeficienciesHonor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.D – Moderate Harm Potential
2024-08-16Freedom from Abuse, Neglect, and Exploitation DeficienciesTimely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.D – Moderate Harm Potential
2024-08-16Quality of Life and Care DeficienciesProvide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.D – Moderate Harm Potential
2024-08-16Resident Assessment and Care Planning DeficienciesSafeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.D – Moderate Harm Potential
2024-08-16Environmental DeficienciesPut firmly secured handrails on each side of hallways.D – Moderate Harm Potential
2024-08-16Resident Assessment and Care Planning DeficienciesDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.E – Moderate Harm Potential
2024-08-16Freedom from Abuse, Neglect, and Exploitation DeficienciesRespond appropriately to all alleged violations.D – Moderate Harm Potential
2024-08-16Resident 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
2024-08-16Quality of Life and Care DeficienciesEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.D – Moderate Harm Potential
2022-09-01Resident Rights DeficienciesGive residents notice of Medicaid/Medicare coverage and potential liability for services not covered.D – Moderate Harm Potential
2022-09-01Freedom from Abuse, Neglect, and Exploitation DeficienciesTimely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.D – Moderate Harm Potential
2022-09-01Freedom from Abuse, Neglect, and Exploitation DeficienciesRespond appropriately to all alleged violations.D – Moderate Harm Potential
2022-09-01Resident 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
2022-09-01Pharmacy Service DeficienciesEnsure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.D – Moderate Harm Potential
2022-09-01Pharmacy Service DeficienciesEnsure each resident’s drug regimen must be free from unnecessary drugs.D – Moderate Harm Potential
2022-09-01Resident Assessment and Care Planning DeficienciesSafeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.D – Moderate Harm Potential
2019-11-06Freedom from Abuse, Neglect, and Exploitation DeficienciesRespond appropriately to all alleged violations.D – Moderate Harm Potential
2019-11-06Resident Assessment and Care Planning DeficienciesEncode each resident’s assessment data and transmit these data to the State within 7 days of assessment.D – Moderate Harm Potential

Fire Safety Citation History

36 fire safety citations on record

DateCategoryDescriptionSeverity
2024-08-16Egress DeficienciesInstall emergency lighting that can last at least 1 1/2 hours.E – Moderate Harm Potential
2024-08-16Smoke DeficienciesHave approved installation, maintenance and testing program for fire alarm systems.E – Moderate Harm Potential
2024-08-16Smoke DeficienciesInstall an approved automatic sprinkler system.E – Moderate Harm Potential
2024-08-16Smoke DeficienciesInspect, test, and maintain automatic sprinkler systems.E – Moderate Harm Potential
2024-08-16Smoke DeficienciesEnsure smoke barriers are constructed to a 1 hour fire resistance rating.E – Moderate Harm Potential
2024-08-16Services DeficienciesHave elevators that firefighters can control in the event of a fire.E – Moderate Harm Potential
2024-08-16Miscellaneous DeficienciesTo conduct inspection, testing and maintenance of fire doors by qualified individuals.E – Moderate Harm Potential
2024-08-16Gas, Vacuum, and Electrical Systems DeficienciesMeet requirements for the installation and maintenance of electrical systems.E – Moderate Harm Potential
2024-08-16Gas, Vacuum, and Electrical Systems DeficienciesEnsure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.E – Moderate Harm Potential
2024-08-16Gas, Vacuum, and Electrical Systems DeficienciesHave generator or other power source capable of supplying service within 10 seconds.E – Moderate Harm Potential
2024-08-16Gas, Vacuum, and Electrical Systems DeficienciesEnsure that testing and maintenance of electrical equipment is performed.E – Moderate Harm Potential
2024-08-16Emergency Preparedness DeficienciesConduct testing and exercise requirements.D – Moderate Harm Potential
2024-08-16Egress DeficienciesInstall proper backup exit lighting.D – Moderate Harm Potential
2024-08-16Smoke DeficienciesProvide properly protected cooking facilities.D – Moderate Harm Potential
2024-08-16Smoke DeficienciesEnsure that corridors are separated from use areas by walls constructed to limit the passage of smoke.D – Moderate Harm Potential
2024-08-16Electrical DeficienciesEnsure that building systems meet requirements determined by risk assessment procedures performed by qualified personnel.D – Moderate Harm Potential
2024-08-16Emergency Preparedness DeficienciesEstablish procedures for tracking staff and patients during an emergency.C – Minimal Harm Potential
2024-08-16Emergency Preparedness DeficienciesEstablish policies and procedures for sheltering.C – Minimal Harm Potential
2024-08-16Emergency Preparedness DeficienciesList the names and contact information of those in the facility.C – Minimal Harm Potential
2024-08-16Emergency Preparedness DeficienciesProvide emergency officials' contact information.C – Minimal Harm Potential
2024-08-16Miscellaneous DeficienciesHave simulated fire drills held at unexpected times.C – Minimal Harm Potential
2022-09-01Egress DeficienciesKeep aisles, corridors, and exits free of obstruction in case of emergency.E – Moderate Harm Potential
2022-09-01Egress DeficienciesHave stairways and smokeproof enclosures used as exits that meet safety requirements.E – Moderate Harm Potential
2022-09-01Egress DeficienciesInstall proper backup exit lighting.E – Moderate Harm Potential
2022-09-01Smoke DeficienciesInstall smoke barrier doors that can resist smoke for at least 20 minutes.E – Moderate Harm Potential
2022-09-01Smoke DeficienciesInstall a fire alarm system that can be heard throughout the facility.D – Moderate Harm Potential
2022-09-01Smoke DeficienciesInstall an approved automatic sprinkler system.D – Moderate Harm Potential
2022-09-01Smoke DeficienciesInstall corridor and hallway doors that block smoke.D – Moderate Harm Potential
2022-09-01Gas, Vacuum, and Electrical Systems DeficienciesHave generator or other power source capable of supplying service within 10 seconds.D – Moderate Harm Potential
2022-09-01Gas, Vacuum, and Electrical Systems DeficienciesHave proper medical gas storage and administration areas.D – Moderate Harm Potential
2019-11-06Egress DeficienciesKeep aisles, corridors, and exits free of obstruction in case of emergency.E – Moderate Harm Potential
2019-11-06Smoke DeficienciesInstall an approved automatic sprinkler system.E – Moderate Harm Potential
2019-11-06Gas, Vacuum, and Electrical Systems DeficienciesEnsure that testing and maintenance of electrical equipment is performed.E – Moderate Harm Potential
2019-11-06Egress DeficienciesHave stairways and smokeproof enclosures used as exits that meet safety requirements.D – Moderate Harm Potential
2019-11-06Smoke DeficienciesProperly provide smoke detection systems in areas open to corridors.D – Moderate Harm Potential
2019-11-06Gas, Vacuum, and Electrical Systems DeficienciesHave proper medical gas storage and administration areas.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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