Citations Summary
Jun 2022 – May 20268 Inspections Conducted
5
No citations found
62% of all inspections
3
Resulted in citations
38% of all inspections
15 Total Citations — state avg: 41
Issued across those 3 inspections
11Standard Health
4Life Safety Code
Severity of Citations
How serious were those 15 citations?
0
Minor potential harm
All corrected ✓
0
No actual harm
None in this period
In plain language
- Across 8 inspections in the current reporting window, 5 found no citations at all; inspectors issued 15 citations in total.
- Of those, 11 were standard health citations (quality of care) and 4 were related to the Life Safety Code (fire protection).
- The state logged 115 complaints about this facility; 8 led to on-site inspections.
- The state has 2 formal enforcement actions (fines or stipulations) on record.
A citation is a rule violation noted by a state inspector. Most are corrected through a plan of correction; the sections below show each citation, its severity, and how the facility compares with the statewide average.
Provider Information
Type
Nursing Home
Operating Certificate
7000395N
County
Bronx
Phone
(718) 796-5800
Operated By
Terrace Acquistion Ii, LLC (For Profit)
DOH Regional Office
New York Metro
Occupancy Rate
93%
Staff Flu Vaccination
76%
Inspection Details
Surveys with Citations Only▼
Standard Health Citations
Accuracy Of Assessments
Standard Health Citation — quality of care
Activities Meet Interest/needs Each Resident
Standard Health Citation — quality of care
Food Procurement,store/prepare/serve-sanitary
Standard Health Citation — quality of care
Infection Prevention & Control
Standard Health Citation — quality of care
Physician Visits - Review Care/notes/order
Standard Health Citation — quality of care
Reporting Of Alleged Violations
Standard Health Citation — quality of care
Self-determination
Standard Health Citation — quality of care
Life Safety Code Citations
Subdivision Of Building Spaces - Smoke Barrie
Life Safety Code Citation — NFPA requirements
▼
Standard Health Citations
Investigate/prevent/correct Alleged Violation
Standard Health Citation — quality of care
Reporting Of Alleged Violations
Standard Health Citation — quality of care
Resident Records - Identifiable Information
Standard Health Citation — quality of care
Life Safety Code Citations
Electrical Systems - Essential Electric Syste
Life Safety Code Citation — NFPA requirements
Means Of Egress - General
Life Safety Code Citation — NFPA requirements
Physical Environment
Life Safety Code Citation — NFPA requirements
▼
Standard Health Citations
Free From Abuse And Neglect
Standard Health Citation — quality of care
Severity Scale Reference
Level 0 — No Harm Potential
Level 2 — Minor Potential Harm
Level 3 — Actual Harm
Level 4 — Immediate Jeopardy
Complaints
Jun 2022 – May 2026Below state average. This facility received 51.3 complaints per 100 beds vs. a statewide rate of 57.4. 4 citations resulted from those complaints (1.8 per 100 beds vs. 5.3 statewide).
Total Complaints
115
55,669 statewide
Per 100 Occupied Beds
51.3
57.4 state avg
On-Site Inspections
8
7,566 statewide
Citations Issued
4
1.8 per 100 beds · avg 5.3
Facility-Reported Incidents
63%
55% statewide
| Citations by Category | This Facility |
|---|---|
| Administration | 0 |
| Dietary Services | 1 |
| Other Services | 2 |
| Physical Environment | 1 |
| Quality of Care | 1 |
| Resident Rights | 3 |
| Total | 8 |
Enforcement & Fines
Jun 2016 – May 20262 enforcement actions totaling $20,000 in fines over the reporting period. Resolved via Stipulation & Order agreements with the NY Department of Health where applicable.
March 7, 2023
$10,000
Stipulation & Order #NH-24-021 · Signed March 6, 2024
Reason: Quality of Care
Reason: Quality of Care
August 31, 2022
$10,000
Stipulation & Order #NH-23-068 · Signed July 13, 2023
Reason: Quality of Care
Reason: Quality of Care