Deficiency Index

Methodist Home for Nursing and Rehabilitation

Bronx, New York · CCN 335524

12 surveys since 2012, and no finding has been recorded at harm level.

Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.

Citations on record
29
Surveys
12
Harm or worse
0
Immediate jeopardy
0
The record, 2012–2026
’12’15’20’25’26
No harm recordedHarm or worseNot surveyed
Harm or worseNone

No finding on record has been cited at harm level or above.

Beyond CMS’s monthly file8/12

Older surveys no longer in CMS’s monthly file or on Care Compare. They are shown here.

The facility

Certified beds
120
Ownership
Non profit - Corporation
Chain
Independent
County
Bronx
Medicare-certified since
1976

CMS ratings

Overall
4
Health inspection
4
Staffing
4
Quality measures
3

CMS’s own Five-Star ratings.

Compared with similar facilities

Not shown for this facility: too few citations in window (n=12, floor 20).

Last survey on record

Jan 12, 2026

301 days ago.

Counts surveys with at least one finding. A clean survey leaves no record here, so the real gap may be shorter.

Staffing

MeasureThis facilityPeer median
Nurse hours per resident day3.823.84
Registered-nurse hours per resident day1.20—
Annual nurse turnover17.2%41.3%

As reported by the facility to CMS, beside the peer-group median.

Enforcement

No fines, payment denials or special-focus designation on the current CMS record.

Severity of recent findings

Citations by CMS scope and severity. Rows are harm level, columns are how widespread the finding was.
SeverityIsolatedPatternWidespread
Immediate jeopardyJ—K—L—
Actual harmG—H—I—
No harm, potential for more than minimalD981.8%E19.1%F—
No harm, potential for minimalA—B19.1%C—
CMS’s current file: 11 of the 29 citations on record.

Most frequently cited here

In CMS’s current monthly file.

  • F6412×

    Ensure each resident receives an accurate assessment.

  • F6401×

    Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.

  • F6561×

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

  • F6581×

    Ensure services provided by the nursing facility meet professional standards of quality.

  • F6861×

    Provide appropriate pressure ulcer care and prevent new ulcers from developing.

In the surveyor’s words

From the most serious findings on record at Methodist Home for Nursing and Rehabilitation, in the surveyor’s own words.

  • No harm, potential for more than minimal, isolatedF656Jan 12, 2026

    Based on record review and interview, the facility failed to develop and implement a comprehensive person-centered care plan for each resident that includes measurable objectives and timeframes to meet a resident's medical, nursing, and mental and psychosocial needs. This was evident for one (1) (Resident #92) of one (1) resident reviewed for anticoagulant use out of 22 total sampled residents. Specifically, Resident #92 who was on Eliquis (a medicine used in adults to reduce the risk of stroke and blood clots) had no comprehensive care plan developed to address anticoagulant use. […]

  • No harm, potential for more than minimal, isolatedF693Jan 12, 2026

    Based on observation, record review, and interviews, the facility failed to ensure that a resident who is administered enteral tube feedings received the appropriate treatment and services to prevent complications. This was evident in one (1) (Resident #38) of one (1) resident reviewed for tube feeding out of 22 total sampled residents. Specifically, Resident #38's enteral tube feeding formula and water bag being administered were not labeled with the resident's name, date, and start time of administration. The findings are:The facility's policy and procedure titled Enteral Feedings dated May 2003 with a last revised date of July 2024 documented, Change feeding bag/tubing every time an enteral formula is started. […]

  • No harm, potential for more than minimal, isolatedF761Jan 12, 2026

    Based on observation, interview, and record review, the facility failed to ensure that drugs and biologicals were stored in accordance with professional standards. This was evident for one (1) (3rd Floor) of six (6) medication carts observed, and one (1) of three (3) (3rd Floor) medication rooms observed. Specifically, expired medications were stored in the 3rd floor medication cart and medication room. The findings include: The facility policy titled, Storage of Medications dated May 2003, with a last revised date of July 2024 documented Medications are stored according to procedures established and in compliance with state and federal regulations, as well as manufacturer's recommendations.checks expiration dates of all stock medications on a weekly basis. […]

  • No harm, potential for more than minimal, isolatedF883Jan 12, 2026

    Based on record review and interviews conducted during the Recertification Survey, the facility failed to ensure that each resident was offered the pneumococcal and influenza immunizations. This was observed in one (1) of five (5) residents (Resident #38) sampled for immunizations out of a total of 24 sampled residents. Specifically, there was no documented evidence that Resident #38 were offered, educated, received or declined the pneumococcal immunization.The findings include:The facility policy titled Pneumococcal Vaccine with a revised date of 01/2026 documented that unless previously immunized or contraindicated, all residents and staff will be offered Pneumococcal vaccine.Resident #38 had diagnoses that included Multiple Sclerosis (a chronic autoimmune disease of the central nervous… […]

  • No harm, potential for more than minimal, isolatedF887Jan 12, 2026

    Based on record review and interviews, the facility failed to ensure each resident was offered the COVID-19 immunization. This was evident for two (2) of five (5) residents (Residents #38 and #135) sampled for immunization out of 24 total sampled residents. Specifically, there was no documented evidence of screening, administration or declination, and education on the COVID-19 immunizations for Residents #38 and #135.The findings include:The facility policy titled COVID-19 Vaccine for Residents with a last reviewed date of 05/2025 documented that the facility shall offer all consenting, unvaccinated existing residents an opportunity to receive the first of any required next does of the COVID-19 vaccine. […]

Read 20 findings in full →The most serious and the most recent: 20 of 29 on record.

Every survey on record

FindingsAt actual harm or above

  • Jan 12, 2026Standard6 findings
  • May 16, 2024Standard1 finding
  • Sep 12, 2022Complaint1 finding
  • Aug 22, 2022Standard3 findings
  • Aug 8, 2022Complaint1 finding
  • Oct 1, 2019Standard1 finding
  • Sep 9, 2016Standard4 findings
  • Jun 11, 2015Standard4 findings
Show the 4 earlier surveys
  • Jun 20, 2014Standard1 finding
  • Jun 13, 2013—4 findings
  • Jan 23, 2013—1 finding
  • Jul 13, 2012—2 findings

Surveys that found no deficiencies are not in CMS’s files and do not appear here.

Comparable facilities

The nearest facilities to this one in the same peer group, by weighted findings.

Deficiency Index is independent and is not affiliated with, endorsed by, or approved by CMS, Medicare, or any government agency. About this data · Report a correction