Pelham Parkway Nursing Care And Rehabilitation Fac
Bronx, New York · CCN 335486
19 surveys since 2010, 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
- 59
- Surveys
- 19
- Harm or worse
- 0
- Immediate jeopardy
- 0
No finding on record has been cited at harm level or above.
Older surveys no longer in CMS’s monthly file or on Care Compare. They are shown here.
The facility
- Certified beds
- 200
- Ownership
- For profit - Partnership
- Chain
- Independent
- County
- Bronx
- Medicare-certified since
- 1976
CMS ratings
- Overall
- 4
- Health inspection
- 3
- Staffing
- 2
- Quality measures
- 5
CMS’s own Five-Star ratings.
Compared with similar facilities
Since 2021, this facility recorded somewhat more weighted findings than its peer group.
Weighted by harm level, against 259 for-profit facilities with 128 or more beds in New York.
Last survey on record
Feb 25, 2026
257 days ago.
Counts surveys with at least one finding. A clean survey leaves no record here, so the real gap may be shorter.
Staffing
| Measure | This facility | Peer median |
|---|---|---|
| Nurse hours per resident day | 2.60 | 3.37 |
| Registered-nurse hours per resident day | 0.33 | — |
| Annual nurse turnover | 32.8% | 33.3% |
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
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J— | K— | L— |
| Actual harm | G— | H— | I— |
| No harm, potential for more than minimal | D1770.8% | E520.8% | F14.2% |
| No harm, potential for minimal | A— | B14.2% | C— |
Most frequently cited here
In CMS’s current monthly file.
- F6093×
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
- F6573×
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
- F6562×
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- F5501×
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- F5511×
Give the resident's representative the ability to exercise the resident's rights.
In the surveyor’s words
From the most serious findings on record at Pelham Parkway Nursing Care And Rehabilitation Fac, in the surveyor’s own words.
- No harm, potential for more than minimal, widespreadF801Apr 13, 2021
Based on interview and record review conducted during the Recertification survey conducted 4/5/21 to 4/13/21, the facility did not ensure that a qualified dietician was employed either full time, part time, or on a consultant basis. Specifically, the facility did not have the services of a Registered Dietician (RD) from April 2020 to March 2021. The finding is: During the tour of the Kitchen on 4/13/21 at 11:30 AM, the facility provided a resume which documented that the dietician had a Bachelor of Arts in Home Economics and had completed Master Program and courses in clinical nutrition. Administrator stated that the facility did not have any additional documentation regarding the dietician being certified or registered. […]
- No harm, potential for more than minimal, patternF550Aug 26, 2025
Based on observations and staff interviews conducted during the Recertification survey, the facility did not ensure that each resident was treated with respect, dignity and care in a manner that promotes maintenance or enhancement of their quality of life and recognizes each resident's individuality. This was observed on five (5) out of five (5) units observed during the kitchen and Dining Observation Task. Specifically, the residents' meals were served on disposable dishware with plastic cutlery.The findings are: The facility policy titled Dining, with effective date January 3, 2024, stated food will be prepared and served in a manner that meets the individual needs of the resident. […]
- No harm, potential for more than minimal, patternF574Jun 21, 2023
Based on observations, interviews, and record review conducted during the recertification survey from 6/13/23 to 6/21/23, the facility did not ensure residents received notices orally and in writing with the list of names and addresses of the State regulatory agencies, resident advocacy groups, and Ombudsman information. This was evident for 6 (Resident #s 133, 113, 64, 30, 96, 109) of 8 residents in attendance at Residnt Council out of 30 total sampled residents. Specifically, Resident #s 133, 113, 64, 30, 96, and 109 stated they were not aware of their rights and were not provided with contact information for State agencies and advocates. […]
- No harm, potential for more than minimal, patternF812Jun 21, 2023
Based on observation, interviews, and record review conducted during the recertification survey from 6/13/23 through 6/21/23, the facility did not ensure that food was prepared, distributed, and served in accordance with professional standards for food service safety. This was evident during the Kitchen facility task. Specifically, 2 cold sandwiches were not held at a safe temperature of 41 F or below. The findings are: A undated facility policy titled Food Temperatures documented cold foods are kept refrigerated and are taken out in small batches to maintain a temperature of 40 degrees Fahrenheit or lower during meal service. Daily temperatures are recorded at meals to ensure proper procedure is being followed. […]
- No harm, potential for more than minimal, patternF600Apr 27, 2021
Based on record review and interview conducted during an abbreviated survey (NY00264110), the facility did not ensure that residents were free from abuse. Specifically, a resident with Dementia and a history of physically aggressive behavior, Resident #349, had multiple resident-to-resident altercations in which they pushed, hit with a newspaper, punched, slapped, or hit other residents. The facility did not implement interventions to protect other residents from abuse. This was evident for 8 of 8 residents reviewed for abuse (Resident #s 1, 2, 3, 4, 5, 6, 7, and 348). […]
Read 20 findings in full →The most serious and the most recent: 20 of 59 on record.
Every survey on record
FindingsAt actual harm or above
- Feb 25, 2026Complaint1 finding
- Dec 4, 2025Complaint1 finding
- Aug 26, 2025Standard5 findings
- Jun 11, 2025Complaint1 finding
- Jun 21, 2023Standard8 findings
- Nov 1, 2022Complaint1 finding
- Jan 31, 2022Complaint1 finding
- Apr 27, 2021Complaint4 findings
Show the 11 earlier surveys
- Apr 13, 2021Standard and complaint8 findings
- Feb 27, 2020Standard7 findings
- Dec 5, 2019Complaint1 finding
- Dec 11, 2018Standard3 findings
- Apr 26, 2018Complaint1 finding
- Feb 15, 2017Standard3 findings
- Dec 3, 2015Standard4 findings
- Oct 25, 2013—2 findings
- Aug 20, 2012—5 findings
- Sep 8, 2011—2 findings
- Oct 14, 2010—1 finding
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