Grand Manor Nursing & Rehabilitation Center

700 White Plains Road · Bronx, NY · 10473 · 7185188892

240 certified beds For profit - Corporation

Why this verdict

  • On the federal Special Focus list of the most persistently poor performers.
  • Inspectors found immediate jeopardy — danger of serious harm or death — in the most recent cycle (2 citations).
  • Inspection record is far worse than the national median (deficiency count and severity).
  • Federal penalties on record: $508,344 in fines in the last 24 months.

Red flags

Special Focus Facility

CMS has designated this facility one of the most persistently poor performers in the country — it is under increased inspection and enforcement.

2 immediate-jeopardy citations in the most recent inspection cycle

Immediate jeopardy is the most serious finding an inspector can make: a situation likely to cause serious injury, harm, or death.

2 abuse-related citations at the actual-harm level

Inspectors cited failures in the abuse-prevention rules (F600–F610) that resulted in actual harm to a resident.

$508,344 in federal fines in the last 24 months

3 fines — CMS fines are reserved for verified, serious non-compliance.

Total nurse staffing below 3.0 hours per resident-day

2.77 reported hours vs the 3.48 minimum CMS's own staffing study recommends.

Score breakdown

Inspection record 30% of score 0
Serious harm & abuse 20% 0
Staffing 20% 52
Federal penalties 15% 0
Trend 10% 64
Context 5% 0

Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.

CMS ratings & staffing

Overall: not rated Inspections: not rated Staffing: not rated Quality measures: not rated

Total nurse hours / resident-day2.773.48 min · 4.1 strong
RN hours / resident-day0.580.55–0.75
Weekend hours / resident-day2.37≈ weekday level
Nursing turnover / yearmedian 45%
Fines (3-yr window)5 · $656,294

Inspection citations (61 in the current record)

  • Immediate jeopardy · K February 24, 2026 · found via complaint

    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

    Corrected April 23, 2026 · Pharmacy Service

  • Potential for harm · E February 24, 2026 · found via complaint

    Ensure that residents are free from significant medication errors.

    Corrected April 23, 2026 · Pharmacy Service

  • Potential for harm · E February 24, 2026 · found via complaint

    Designate a physician to serve as medical director responsible for implementation of resident care policies and coordination of medical care in the facility.

    Corrected April 23, 2026 · Nursing and Physician Services

  • Immediate jeopardy · J December 9, 2025 · found via complaint

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    Corrected April 23, 2026 · Quality of Life and Care

  • Actual harm · G December 9, 2025 · found via complaint

    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

    Corrected February 12, 2026 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · D December 9, 2025

    Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.

    Corrected April 23, 2026 · Resident Rights

  • Potential for harm · D December 9, 2025

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    Corrected February 6, 2026 · Resident Assessment and Care Planning

  • Potential for harm · E December 9, 2025

    Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit.

    Corrected April 23, 2026 · Nursing and Physician Services

  • Potential for harm · F December 9, 2025

    Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.

    Deficient, Provider has plan of correction · Nutrition and Dietary

  • Potential for harm · D December 9, 2025

    Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.

    Corrected February 6, 2026 · Nutrition and Dietary

  • Potential for harm · F December 9, 2025

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Corrected February 6, 2026 · Nutrition and Dietary

  • Potential for harm · F December 9, 2025

    Administer the facility in a manner that enables it to use its resources effectively and efficiently.

    Deficient, Provider has plan of correction · Administration

  • Potential for harm · E December 9, 2025

    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

    Corrected February 6, 2026 · Resident Assessment and Care Planning

  • Potential for harm · F December 9, 2025

    Have a plan that describes the process for conducting QAPI and QAA activities.

    Deficient, Provider has plan of correction · Administration

  • Potential for harm · D December 9, 2025

    Provide and implement an infection prevention and control program.

    Corrected February 6, 2026 · Infection Control

  • Potential for harm · F December 9, 2025

    Implement a program that monitors antibiotic use.

    Corrected February 6, 2026 · Infection Control

  • Potential for harm · E December 9, 2025

    Develop and implement policies and procedures for flu and pneumonia vaccinations.

    Deficient, Provider has plan of correction · Infection Control

  • Potential for harm · E December 9, 2025

    Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.

    Corrected April 23, 2026 · Infection Control

  • Potential for harm · F December 9, 2025

    Keep all essential equipment working safely.

    Corrected February 6, 2026 · Environmental

  • Potential for harm · E December 9, 2025

    Make sure that a working call system is available in each resident's bathroom and bathing area.

    Corrected April 23, 2026 · Environmental

  • Potential for harm · E December 9, 2025

    Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.

    Corrected February 6, 2026 · Nursing and Physician Services

  • Potential for harm · E December 9, 2025 · found via complaint

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Corrected February 6, 2026 · Quality of Life and Care

  • No harm found · C December 9, 2025

    Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.

    Corrected February 6, 2026 · Resident Rights

  • No harm found · C December 9, 2025

    Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.

    Corrected February 6, 2026 · Administration

  • Potential for harm · E May 29, 2025 · found via complaint

    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

    Corrected July 18, 2025 · Freedom from Abuse, Neglect, and Exploitation

Showing the 25 most recent. The Safety Report includes every citation with full findings.

Federal penalties

DateTypeAmount / length
December 9, 2025Fine$25,805
December 9, 2025Fine$190,566
December 9, 2025Payment Denial93 days
November 21, 2024Fine$291,973
November 21, 2024Payment Denial91 days
December 11, 2023Fine$6,351
July 13, 2023Fine$141,599

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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 335744 · certified since March 10, 1992. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.