Casa Promesa is an average-sized non-profit facility in Bronx, New York. We awarded this facility an overall grade of B-. A grade in this range requires some decent scores. Even in a city featuring 45 other nursing homes, this facility should be a respectable choice. We were also pleased to find that this place was consistent in all four of the major categories we assessed. Additional information about these categories can be found below.

Additional Details:

Accepts Medicare 1 : TrueA checkmark indicating true.

Accepts Medicaid 1 : 108 Beds TrueA checkmark indicating true.

CCRC : FalseUsed to indicate false.

Non profit - Corporation

Resident Council: TrueA checkmark indicating true.

Family Council: FalseUsed to indicate false.

Medical Staff Hours Per Patient (2019)

Less:
More:
January
January 1, 2019January 2, 2019January 3, 2019January 4, 2019January 5, 2019January 6, 2019January 7, 2019January 8, 2019January 9, 2019January 10, 2019January 11, 2019January 12, 2019January 13, 2019January 14, 2019January 15, 2019January 16, 2019January 17, 2019January 18, 2019January 19, 2019January 20, 2019January 21, 2019January 22, 2019January 23, 2019January 24, 2019January 25, 2019January 26, 2019January 27, 2019January 28, 2019January 29, 2019January 30, 2019January 31, 2019
February
February 1, 2019February 2, 2019February 3, 2019February 4, 2019February 5, 2019February 6, 2019February 7, 2019February 8, 2019February 9, 2019February 10, 2019February 11, 2019February 12, 2019February 13, 2019February 14, 2019February 15, 2019February 16, 2019February 17, 2019February 18, 2019February 19, 2019February 20, 2019February 21, 2019February 22, 2019February 23, 2019February 24, 2019February 25, 2019February 26, 2019February 27, 2019February 28, 2019
March
March 1, 2019March 2, 2019March 3, 2019March 4, 2019March 5, 2019March 6, 2019March 7, 2019March 8, 2019March 9, 2019March 10, 2019March 11, 2019March 12, 2019March 13, 2019March 14, 2019March 15, 2019March 16, 2019March 17, 2019March 18, 2019March 19, 2019March 20, 2019March 21, 2019March 22, 2019March 23, 2019March 24, 2019March 25, 2019March 26, 2019March 27, 2019March 28, 2019March 29, 2019March 30, 2019March 31, 2019
April
April 1, 2019April 2, 2019April 3, 2019April 4, 2019April 5, 2019April 6, 2019April 7, 2019April 8, 2019April 9, 2019April 10, 2019April 11, 2019April 12, 2019April 13, 2019April 14, 2019April 15, 2019April 16, 2019April 17, 2019April 18, 2019April 19, 2019April 20, 2019April 21, 2019April 22, 2019April 23, 2019April 24, 2019April 25, 2019April 26, 2019April 27, 2019April 28, 2019April 29, 2019April 30, 2019
May
May 1, 2019May 2, 2019May 3, 2019May 4, 2019May 5, 2019May 6, 2019May 7, 2019May 8, 2019May 9, 2019May 10, 2019May 11, 2019May 12, 2019May 13, 2019May 14, 2019May 15, 2019May 16, 2019May 17, 2019May 18, 2019May 19, 2019May 20, 2019May 21, 2019May 22, 2019May 23, 2019May 24, 2019May 25, 2019May 26, 2019May 27, 2019May 28, 2019May 29, 2019May 30, 2019May 31, 2019
June
June 1, 2019June 2, 2019June 3, 2019June 4, 2019June 5, 2019June 6, 2019June 7, 2019June 8, 2019June 9, 2019June 10, 2019June 11, 2019June 12, 2019June 13, 2019June 14, 2019June 15, 2019June 16, 2019June 17, 2019June 18, 2019June 19, 2019June 20, 2019June 21, 2019June 22, 2019June 23, 2019June 24, 2019June 25, 2019June 26, 2019June 27, 2019June 28, 2019June 29, 2019June 30, 2019
July
July 1, 2019July 2, 2019July 3, 2019July 4, 2019July 5, 2019July 6, 2019July 7, 2019July 8, 2019July 9, 2019July 10, 2019July 11, 2019July 12, 2019July 13, 2019July 14, 2019July 15, 2019July 16, 2019July 17, 2019July 18, 2019July 19, 2019July 20, 2019July 21, 2019July 22, 2019July 23, 2019July 24, 2019July 25, 2019July 26, 2019July 27, 2019July 28, 2019July 29, 2019July 30, 2019July 31, 2019
August
August 1, 2019August 2, 2019August 3, 2019August 4, 2019August 5, 2019August 6, 2019August 7, 2019August 8, 2019August 9, 2019August 10, 2019August 11, 2019August 12, 2019August 13, 2019August 14, 2019August 15, 2019August 16, 2019August 17, 2019August 18, 2019August 19, 2019August 20, 2019August 21, 2019August 22, 2019August 23, 2019August 24, 2019August 25, 2019August 26, 2019August 27, 2019August 28, 2019August 29, 2019August 30, 2019August 31, 2019
September
September 1, 2019September 2, 2019September 3, 2019September 4, 2019September 5, 2019September 6, 2019September 7, 2019September 8, 2019September 9, 2019September 10, 2019September 11, 2019September 12, 2019September 13, 2019September 14, 2019September 15, 2019September 16, 2019September 17, 2019September 18, 2019September 19, 2019September 20, 2019September 21, 2019September 22, 2019September 23, 2019September 24, 2019September 25, 2019September 26, 2019September 27, 2019September 28, 2019September 29, 2019September 30, 2019
October
October 1, 2019October 2, 2019October 3, 2019October 4, 2019October 5, 2019October 6, 2019October 7, 2019October 8, 2019October 9, 2019October 10, 2019October 11, 2019October 12, 2019October 13, 2019October 14, 2019October 15, 2019October 16, 2019October 17, 2019October 18, 2019October 19, 2019October 20, 2019October 21, 2019October 22, 2019October 23, 2019October 24, 2019October 25, 2019October 26, 2019October 27, 2019October 28, 2019October 29, 2019October 30, 2019October 31, 2019
November
November 1, 2019November 2, 2019November 3, 2019November 4, 2019November 5, 2019November 6, 2019November 7, 2019November 8, 2019November 9, 2019November 10, 2019November 11, 2019November 12, 2019November 13, 2019November 14, 2019November 15, 2019November 16, 2019November 17, 2019November 18, 2019November 19, 2019November 20, 2019November 21, 2019November 22, 2019November 23, 2019November 24, 2019November 25, 2019November 26, 2019November 27, 2019November 28, 2019November 29, 2019November 30, 2019
December
December 1, 2019December 2, 2019December 3, 2019December 4, 2019December 5, 2019December 6, 2019December 7, 2019December 8, 2019December 9, 2019December 10, 2019December 11, 2019December 12, 2019December 13, 2019December 14, 2019December 15, 2019December 16, 2019December 17, 2019December 18, 2019December 19, 2019December 20, 2019December 21, 2019December 22, 2019December 23, 2019December 24, 2019December 25, 2019December 26, 2019December 27, 2019December 28, 2019December 29, 2019December 30, 2019December 31, 2019

Facility Inspections

B+
Oct 18: A+Nov 18: A+Dec 18: A+Jan 19: A+Feb 19: A+May 19: A+Jun 19: A+Jul 19: A+Aug 19: A+Sep 19: A+Jan 20: A+Mar 20: A-Apr 20: B+May 20: B+Jun 20: B+Jul 20: B+Aug 20: B+
Historical

While this facility earned a decent overall score, its inspections score is notably more impressive than its overall grade. Due to a strong government inspection report this year, it earned a strong score in that area with a B+. We take several aspects of a facility's inspection report into consideration in calculating these inspection scores. One critical factor is health deficiencies. It should be noted that the severity of these deficiencies is usually more important than the quantity of deficiencies, as some are relatively insignificant. This facility was hit with 2 deficiencies on its inspection report, but fortunately none of the deficiencies were considered severe. This indicates that the government inspectors didn't consider any of the deficiencies to cause an imminent risk to resident safety or health. Finally, this facility had no substantiated complaints this year from residents, which is an excellent sign.

Long-term Care Quality

B+
Oct 18: ANov 18: ADec 18: AJan 19: AFeb 19: AMay 19: A-Jun 19: A-Jul 19: A-Aug 19: A-Sep 19: A-Jan 20: A-Mar 20: A-Apr 20: A-May 20: A-Jun 20: A-Jul 20: B+Aug 20: B+
Historical

Another one of this facility's more favorable category grades came in the category of long-term care. In that category, we gave this nursing home a B+. In a long-term care setting, the primary goal is to maintain residents' quality of life and keep them safe. Once we assessed the volume of care provided by nurses, we then analyzed the nursing home's vaccination record. This facility vaccinated 93.07479 percent of its patients against pneumonia. Clearly, this place is doing something right in this area as it also excelled at keeping its patients out of the hospital. In fact, it had less than one hospitalization per one thousand long-term resident days, which is a remarkably low number.

Nurse Quality

B-
Oct 18: B+Nov 18: B+Dec 18: B+Jan 19: A-Feb 19: A-May 19: B+Jun 19: B+Jul 19: B+Aug 19: B+Sep 19: B+Jan 20: B-Mar 20: B-Apr 20: B-May 20: B-Jun 20: B-Jul 20: B-Aug 20: B-
Historical

This facility's next best category grade came in the area of nursing. In that category, we gave this nursing home a grade of B-. Our nursing score consists of many components, but the paramount one is the level of nurse hours spent with patients. This facility averages just 3.1 hours of nursing care per patient daily, which is a very low figure. Finally, we look at quality-based statistics, such as the percentage of residents who experienced pressure ulcers and major falls. These metrics are decent measures of the quality of nursing care.

Short-term Care Quality

C
Oct 18: B-Nov 18: B-Dec 18: B-Jan 19: B-Feb 19: B-May 19: BJun 19: BJul 19: B-Aug 19: B-Sep 19: B-Jan 20: CMar 20: CApr 20: CMay 20: CJun 20: CJul 20: CAug 20: C
Historical

The final area we analyzed is short-term care. We awarded this facility a grade of C in that category. Short-term care ratings are crucial for residents in need of rehabilitation. Rehabilitation usually requires additional highly-skilled nursing. This means a wide spectrum of nursing services, ranging from registered nurses to physical and respiratory therapists, as well as other types of therapy. Fortunately, it appear that this nursing home employs registered nurses. Not every facility employs these skilled professionals. However, based on the data they provided, they do not appear to employ physical therapists. The final datapoint we assessed in this category is the number of residents that ultimately returned home from the nursing home. We found that just 0 percent of this nursing home's patients returned home.

Overall Rating Over Time

Compared to national and state averages across all facilities.

Aug 20
Provider:
B-
State:
B
National:
B
FDCB-BB+A-AA+Oct 18Nov 18Dec 18Jan 19Feb 19Mar 19Apr 19May 19Jun 19Jul 19Aug 19Sep 19Oct 19Dec 19Jan 20Mar 20Apr 20May 20Jun 20Jul 20Aug 20
Overall Rating
Nurse Rating
Long-Term Rating
Short-Term Rating
Inspection Rating

Casa Promesa Quality Metrics

Minimizes Pressure Ulcers

This datapoint tells you the percent of long-term stay residents that are suffering from pressure ulcers. We find that pressure ulcers are a great barometer of the quality of nursing care a nursing home provides.

Provider
C
10%
State
B-
8.47%
National
B
7.33%

Percent of Patients with Pressure Ulcers
Lower is Better

Minimizes Serious Falls

This indicates the percentage of patients who have had a fall resulting in serious injury.

Provider
B-
3.88%
State
B+
2.91%
National
B
3.36%

Percent of Patients with Serious Falls
Lower is Better

Minimizes Urinary Tract Infections

This is a measure of the percent of long-term residents who have had urinary tract infections. While a higher rate of these infections could reflect poorly on a nursing home's cleanliness, it can be problematic to compare between nursing homes due to nursing homes having inconsistent reporting standards.

Provider
B+
1.67%
State
B+
2.21%
National
B
2.65%

Percent of Patients with UTIs
Lower is Better

Appropriately Uses Anti-Psychotic Medication

This metric gauges the percent of long-term patients which were administered antipsychotic medication. Increased usage of these drugs may mean a facility is using these drugs to subdue residents in situations where such medications aren't medically required. However, some facilities may need to rely more on these drugs due to an increased number of residents with Alzheimer's or other dementias.

Provider
D
26.57%
State
B+
11.1%
National
B
14.18%

Percent of Patients
Lower is Better

Appropriately Uses Anti-Anxiety Medication

This tells you the percentage of residents who were prescribed antianxiety medications. Antianxiety medications are administered to patients experiencing depression and anxiety.

Provider
B+
15.79%
State
A-
13.33%
National
B
19.67%

Percent of Patients
Lower is Better

Managing Depression Among Residents

This tells you the percent of patients showing signs of depression. High rates of depression could reveal a lower level of care.

Provider
A-
0.32%
State
B
7.09%
National
B+
5.09%

Percent of Patients
Lower is Better

Appropriate Vaccine Usage

This is the percent of patients that were administered the flu and pneumonia vaccines. High vaccination rates should be demanded by residents.

Provider
B-
95.47%
State
B
93.26%
National
B
92.04%

Percent of Patients
Higher is Better

Residents Maintain Autonomy

This datapoint measures the percent of long-term residents who required increased assistance with activities of daily living over time. Activities of daily living include activities such as moving around and taking a bath. Some believe that this is a reliable measure of a resident's well-being.

Provider
B-
17.29%
State
B+
13.31%
National
B
14.47%

Percentage of Patients
Lower is Better

Ability to Keep Residents Mobile

This tells you the percentage of patients that maintained mobility over time. Optimizing mobility can be a great sign for residents' well-being.

Provider
B
15.87%
State
B-
15.38%
National
B
17.09%

Percentage of Residents
Higher is Better

Hospitalizations

This is a measure of the number of times residents are hospitalized per 1,000 days of patient care. Avoiding the hospital is important to maintaining the physical well-being of nursing home patients.

Provider
A+
0.64
State
B+
1.46
National
B
1.70

Hospitalizations per 1,000 resident days
Lower is Better

Short-term Care: Rehospitalizations

This tells you the number of times residents are rehospitalized per 1,000 days of short-term care.

Provider
B
15.87
State
B+
15.38
National
B
17.09

Percentage of Residents Rehospitalized
Lower is Better

Nearby Hospitals

St Barnabas Hospital 0.76 mi
4422 Third Avenue Bronx New York 10457
(212) 960-9000
Acute Care Hospitals
Voluntary non-profit - Private
Bronx-Lebanon Hospital Center 1.04 mi
1276 Fulton Avenue Bronx New York 10456
(212) 588-7000
Acute Care Hospitals
Proprietary
Lincoln Medical & Mental Health Center 2.29 mi
234 East 149th Street Bronx New York 10451
(718) 579-5000
Acute Care Hospitals
Government - Local
Montefiore Medical Center 2.65 mi
111 East 210th Street Bronx New York 10467
(718) 920-4321
Acute Care Hospitals
Voluntary non-profit - Private
Harlem Hospital Center 2.96 mi
506 Lenox Avenue New York New York 10037
(212) 939-1000
Acute Care Hospitals
Government - Local
Jacobi Medical Center 3.05 mi
1400 Pelham Parkway South Bronx New York 10461
(718) 918-5000
Acute Care Hospitals
Government - Local
Metropolitan Hospital Center 4.82 mi
1901 First Avenue New York New York 10029
(212) 423-6262
Acute Care Hospitals
Government - Local
Englewood Hospital and Medical Center 5.08 mi
350 Engle St Englewood New Jersey 07631
(201) 894-3000
Acute Care Hospitals
Voluntary non-profit - Private

Nearby Dialysis

Grand Concourse Dialysis Facility 0.26 mi
CMS Rating: 3 stars
Dialysis Stations: 24
1780 Grand Concourse Bronx New York 10457
(718) 583-1800
Davita South Bronx Dialysis Center 0.26 mi
CMS Rating: 2 stars
Dialysis Stations: 21
1940 Webster Avenue Bronx New York 10457
(718) 299-9212
Davita Mount Hope Dialysis Center 0.26 mi
Dialysis Stations: 16
1940 Webster Avenue 2nd Floor Bronx New York 10457
(718) 901-9122
St. Barnabas Hospital Opd Dialysis Center 0.72 mi
CMS Rating: 3 stars
Dialysis Stations: 40
4451 Third Avenue Bronx New York 10457
(718) 960-3860
Knickerbocker Dialysis Inc. 0.77 mi
Dialysis Stations: 21
1490 Macombs Road Bronx New York 10452
(718) 588-2347
Newtown Dialysis Center, Inc. 1.13 mi
Dialysis Stations: 12
1160 Teller Avenue Bronx New York 10456
(718) 215-4355
New York Renal Associates 1.14 mi
CMS Rating: 4 stars
Dialysis Stations: 40
3468 Park Avenue Bronx New York 10456
(718) 401-2836
Bronx River Nephro Care at the Plaza Rehab & Nursing Center 1.52 mi
Dialysis Stations: 15
100 West Kingsbridge Road Bronx New York 10468
(347) 982-2420