BronxCare Special Care Center

In the surveyor’s words

From the most serious findings on record at BronxCare Special Care Center, in the surveyor’s own words.

• No harm, potential for more than minimal, patternF570Jun 8, 2023

  Based on record review and staff interviews during the Recertification and Complaint survey, the facility did not ensure that a surety bond or similar protection with the amount equal to at least the current total amount of resident's funds. Specifically, the surety bond held by the facility did not cover the total amount of resident personal funds deposited with the facility. This was evident for 111 residents with personal funds out of 238 residents in the facility. The findings are: On 6/7/23 at 10:16am, the Finance Manager presented a surety bond in the amount of $150,000 with an effective date of 5/4/2009. The finance ledger dated 6/7/2023 with residents funds amount documented the current total amount of resident's funds was $257,687.53. […]

• No harm, potential for more than minimal, patternF758Jun 8, 2023

  Based on observation, record reviews, and staff interviews conducted during the Recertification survey from 6/1/23 through 6/8/23, the facility did not ensure that Gradual Dose Reduction (GDR) was attempted for a prescribed psychotropic medication. This was evident in 2 (Resident #113 and #82) of 5 residents reviewed for Unnecessary Medication out of a sample of 38 residents. Specifically, 1) Resident #113 had a diagnosis of dementia and was prescribed and administered Risperidone for agitation with no GDR attempted, and 2) Resident # 82 had a diagnosis of dementia and was prescribed Divalproex and Citalopram without a GDR attempt. […]

• No harm, potential for more than minimal, isolatedF580Aug 14, 2025

  Based on observation, record review, and interviews, the facility failed to ensure that the resident's representative was notified of a change in resident's condition. This was evident in 1 (one) (Resident #143) of 1 resident reviewed out of 35 total sampled residents. Specifically, the facility did not inform Resident #143's family representative that the resident's fourth fingernail on the right hand was detached. The findings include: The facility policy and procedure titled Change in Condition which was last reviewed on 01/2025 documented that the charge nurse/supervisor will notify the resident's family member or designee of any or all change in condition that differs from the resident's baseline. […]

• No harm, potential for more than minimal, isolatedF609Aug 14, 2025

  Based on observation, record review, and interviews, the facility failed to report all alleged violations involving neglect, abuse, and/or including injuries of unknown source to the State Survey Agency. This was evident for one (1) (Resident #143) of six (6) residents reviewed for abuse out of 35 total sampled residents. Specifically, on 05/23/2025, Resident #143's fourth finger on the right hand was bleeding and was subsequently noted with a detached fingernail on 05/24/2025. The resident was cognitively impaired and could not explain how the injury had occurred This incident was not reported to the New York State Department of Health. […]

• No harm, potential for more than minimal, isolatedF684Aug 14, 2025

  Based on observation, record review, and interviews, the facility failed to ensure that a resident received treatment and care in accordance with professional standards of practice. This was evident in one (1) (Resident #238) of one (1) resident reviewed out of 35 total sampled residents. Specifically, on 05/16/2025, Resident #238 was observed with thick, brownish, foul smelling penile discharge. The attending physician was not appropriately notified of Resident #238's change in condition resulting to a delay in medical intervention. […]