Casa Promesa
308 East 175 Street, Bronx NY 10457 · (718) 960-7604 · 92.5% estimated occupancy 1Updated: Aug 1, 2020 · By Sara Levinsohn
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 :
Accepts Medicaid 1 : 108 Beds
CCRC :
Non profit - Corporation
Resident Council:
Family Council:
Medical Staff Hours Per Patient (2019)
Facility Inspections
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
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
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
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
Percentage of Residents Rehospitalized
Lower is Better