St Vincent Depaul Residence
Bronx, New York · CCN 335763
12 surveys since 2011. The first finding at harm level was recorded in 2022.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
- Citations on record
- 42
- Surveys
- 12
- Harm or worse
- 1
- Immediate jeopardy
- 1
Findings at the most serious level CMS records.
Older surveys no longer in CMS’s monthly file or on Care Compare. They are shown here.
The facility
- Certified beds
- 200
- Ownership
- Non profit - Corporation
- Chain
- ARCHCARE
- County
- Bronx
- Medicare-certified since
- 1992
CMS ratings
- Overall
- 3
- Health inspection
- 2
- Staffing
- 4
- 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 82 not-for-profit facilities with 128 or more beds in New York.
Last survey on record
Jan 8, 2025
670 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 | 3.40 | 3.67 |
| Registered-nurse hours per resident day | 1.03 | — |
| Annual nurse turnover | 45.9% | 37.8% |
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 | D1257.1% | E628.6% | F29.5% |
| No harm, potential for minimal | A— | B— | C14.8% |
Most frequently cited here
In CMS’s current monthly file.
- F5842×
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
- F6412×
Ensure each resident receives an accurate assessment.
- F6562×
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- F6842×
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- F8122×
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
In the surveyor’s words
From the most serious findings on record at St Vincent Depaul Residence, in the surveyor’s own words.
- Immediate jeopardy, isolatedF678Jan 25, 2022
Based on observation, record review, and staff interviews conducted during an abbreviated survey on [DATE] through [DATE], the facility failed to ensure personnel provided basic life support, including Cardiopulmonary Resuscitation (CPR), to a resident. The resident was a DNR such emergency care prior to the arrival of emergency medical personnel. The facility failed to perform Cardiopulmonary Resuscitation (CPR) in a timely manner to a resident they thought was full code. This was evident for 1 out of 10 residents sampled for DNR. Specifically, Resident #1 was found unresponsive and not breathing at 5:35am. From 5:35am to 6:00am, facility staff only administered two chest compressions to Resident #1. […]
- No harm, potential for more than minimal, widespreadF812Jan 8, 2025
Based on observations, record review, and interviews conducted during the Recertification Survey [DATE] -[DATE], the facility did not ensure that food was stored and prepared in accordance with professional standards for food service safety. Specifically, (1) there were boxes containing food stored past their use by/best by date. There was an open box containing mirepoix vegetable soup mix, an open box Capi vegetable blend, open box with coleslaw stored. There was also an open box containing expired raw frozen shrimp in the freezer. (2) a dietary staff with a beard and mustache was observed in the process of preparing food without a beard net. This was evident in the kitchen observation. […]
- No harm, potential for more than minimal, widespreadF812Aug 7, 2023
Based on observation, record review, and interviews conducted during the recertification survey from 8/1/2023 to 8/7/2023, the facility did not ensure that food was stored, prepared, distributed, and served in accordance with professional standards for food service safety. This was evident during observation of the kitchen. Specifically, cold sandwiches were not maintained at the proper temperature of 41 degrees Fahrenheit (F) or below. The findings are: The facility policy titled Food Handling Guidelines dated 2/2023 documented food is handled in accordance with regulatory guidelines. Proper handling procedures and techniques are visually monitored on an ongoing basis. […]
- No harm, potential for more than minimal, patternF584Jan 8, 2025
Based on observation, interview, and record review conducted during the Recertification Survey from 01/02/2025 to 01/08/2025, the facility failed to maintain a clean, orderly, functional, and sanitary (homelike) environment for the residents. The deficient practice was identified for multiple resident rooms/units inspected: 1) room [ROOM NUMBER] had no hot water supply for about 3 weeks, 2) room [ROOM NUMBER] and shared shower room on Unit 3 were observed in disrepair/damaged/discolored/ dirt and dust accumulation, 3) 2nd floor dining room and rooms 201/202/210/211/212 were observed in disrepair/damaged/discolored. […]
- No harm, potential for more than minimal, patternF847Jan 8, 2025
Based on interviews and record reviews made during a recertification survey (BYS411), the facility did not ensure that the Arbitration Agreement was explained to residents or their representatives in a form or manner that they understood. This was true in 3 of 21 residents sampled for Arbitration (Residents #22, 57 and 206). The findings are: The facility's policy and procedure entitled Admission Procedures, last reviewed 07/2019, states that the Admissions Director discusses the Admission Agreement with the resident and/or designated representative after admission to the facility. The facility includes a Binding Arbitration Agreement within its Admission Agreement which is written in legal language. […]
Read 20 findings in full →The most serious and the most recent: 20 of 42 on record.
Every survey on record
FindingsAt actual harm or above
- Jan 8, 2025Standard and complaint10 findings
- Dec 12, 2024Complaint2 findings
- Aug 7, 2023Standard5 findings
- Apr 4, 2023Complaint1 finding
- Jan 25, 2022Complaint2 findings · 1 harm
- Aug 5, 2021Standard4 findings
- Mar 15, 2017Standard1 finding
- Jan 15, 2016Standard1 finding
Show the 4 earlier surveys
- Dec 23, 2014Standard7 findings
- Jan 17, 2014—1 finding
- Dec 17, 2012—7 findings
- Nov 22, 2011—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