Casa Promesa
308 East 175th Street, Bronx, NY 10457 · Bronx County · 108 certified beds · avg 80 residents/day · certified since Mar 17, 1995
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★★☆☆☆2/5 · CMS overall rating: 3/5
The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and self-reported quality measures.
Most serious findings (actual harm or immediate jeopardy)
▲ Immediate jeopardy, one-off · May 28, 2025 · F-0689 · triggered by a complaint
The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.
Why it matters: This is one of the most common citations and directly relates to falls and injuries, which can be devastating for older adults.
Severity (J): Inspectors found a situation that put a resident's life or safety in immediate danger, affecting one or a few residents. The facility must fix it immediately — these citations often come with large fines.
Corrected: Jul 18, 2025 (Deficient, Provider has date of correction)
All citations in the current public record (28)
CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed.
| Date | Severity | What the facility was cited for |
|---|---|---|
| May 28, 2025 | ▲ J · Immediate jeopardy, one-off | The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · from a complaint |
| Dec 9, 2024 | E · Potential for harm, repeated | The facility did not develop a resident's complete plan of care within 7 days of the full assessment, or the plan wasn't prepared, reviewed, and updated by a team of health professionals as required. · from a complaint |
| Dec 9, 2024 | E · Potential for harm, repeated | The facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock. |
| Dec 9, 2024 | E · Potential for harm, repeated | The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. |
| Dec 9, 2024 | D · Potential for harm, one-off | The facility did not honor residents' right to make their own choices about their daily lives, such as when to wake up, what to eat, or how to spend their time. |
| Dec 9, 2024 | D · Potential for harm, one-off | The facility did not provide safe and appropriate respiratory care — such as oxygen, breathing treatments, or care for residents on breathing equipment — for residents who needed it. |
| Dec 9, 2024 | D · Potential for harm, one-off | The facility did not designate a qualified infection preventionist — a trained person responsible for running the infection prevention and control program. |
| Dec 9, 2024 | C · Minimal risk, facility-wide | The facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives. |
| Dec 9, 2024 | B · Minimal risk, repeated | The facility did not give residents proper notice about what Medicare or Medicaid covers, or about charges the resident might owe for services that aren't covered. |
| Nov 26, 2024 | D · Potential for harm, one-off | The facility did not report suspected abuse, neglect, or theft to the proper authorities quickly enough, or did not report the results of its investigation. · from a complaint |
| Sep 15, 2023 | E · Potential for harm, repeated | The facility did not make its inspection results easy for residents to see, or made it hard for residents to contact advocacy agencies like the ombudsman. |
| Sep 15, 2023 | E · Potential for harm, repeated | The facility did not properly complete the required screening (called PASARR) that identifies whether a person entering a nursing home has a mental illness or intellectual disability and needs specialized services. |
| Sep 15, 2023 | E · Potential for harm, repeated | The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. |
| Sep 15, 2023 | E · Potential for harm, repeated | The facility did not have enough nursing staff each day to meet every resident's needs, or did not have a licensed nurse in charge on each shift. Adequate staffing is one of the strongest predictors of good care. |
| Sep 15, 2023 | E · Potential for harm, repeated | The facility did not have a working call system — the button or cord residents use to summon help — in each resident's bathroom and bathing area. |
| Sep 15, 2023 | D · Potential for harm, one-off | The facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs. |
| Sep 15, 2023 | D · Potential for harm, one-off | The facility did not provide pharmacy services that meet each resident's needs, or did not employ or contract with a licensed pharmacist. |
| Sep 15, 2023 | D · Potential for harm, one-off | The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. |
| Sep 15, 2023 | D · Potential for harm, one-off | The facility did not honor residents' right to voice complaints without discrimination or retaliation, or did not have a working complaint process that resolves issues promptly. · from a complaint |
| Sep 15, 2023 | C · Minimal risk, facility-wide | The facility did not keep all essential equipment working safely — things like heating and cooling systems, kitchen equipment, and medical devices. |
| Aug 24, 2023 | D · Potential for harm, one-off | The facility provided care that did not meet professional standards of quality — the accepted standards that nurses and other clinicians are expected to follow. · from a complaint |
| Aug 24, 2023 | D · Potential for harm, one-off | The facility did not keep residents free from significant medication errors — such as giving the wrong drug, the wrong dose, or missing a critical medication. · from a complaint |
| May 13, 2022 | E · Potential for harm, repeated | The facility did not have enough nursing staff each day to meet every resident's needs, or did not have a licensed nurse in charge on each shift. Adequate staffing is one of the strongest predictors of good care. |
| May 13, 2022 | E · Potential for harm, repeated | The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. |
| May 13, 2022 | D · Potential for harm, one-off | The facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives. |
| May 13, 2022 | D · Potential for harm, one-off | The facility did not develop a resident's complete plan of care within 7 days of the full assessment, or the plan wasn't prepared, reviewed, and updated by a team of health professionals as required. |
| May 13, 2022 | D · Potential for harm, one-off | The facility did not post its nurse staffing information every day. Nursing homes must publicly display how many nurses and aides are on duty each day. |
| May 13, 2022 | D · Potential for harm, one-off | The facility did not provide pharmacy services that meet each resident's needs, or did not employ or contract with a licensed pharmacist. |
Inspection trend by year
Citations from standard inspections stayed about the same across the last two inspection cycles (9 → 8).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2022 | 6 | 0 | E |
| 2023 | 12 | 0 | E |
| 2024 | 9 | 0 | E |
| 2025 | 1 | 1 | J ▲ |
Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.
Fines and enforcement (last 3 years)
1 fine totaling $8,281.
| Date | Type | Amount / length |
|---|---|---|
| May 28, 2025 | Fine | $8,281 |
Nurse staffing (from payroll records, adjusted for how much care residents need)
| Measure | This facility | New York avg | U.S. avg | Where it stands |
|---|---|---|---|---|
| Total nurse staffing (hours per resident per day) | 5.84 | 3.58 | 3.95 | top 1% in New York; top 5% in the U.S. |
| Registered Nurse hours | 0.67 | 0.68 | 0.69 | top 34% in New York; top 39% in the U.S. |
| Weekend total nurse staffing | 5.03 | 3.13 | 3.50 | top 2% in New York; top 6% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.32 | 0.48 | 0.48 | bottom 44% in New York; bottom 37% in the U.S. |
| Total nursing staff turnover (%) | 42.9 | 40.3 | 45.8 | bottom 41% in New York; top 44% in the U.S. |
| RN turnover (%) | 53.8 | 39.8 | 42.9 | bottom 21% in New York; bottom 30% in the U.S. |
Hours are per resident per day, case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 3.87, RN 0.45, weekend 3.33. Staffing rating: 4/5.
Self-reported quality measures
Note: these ratings are based on data the facility reports about itself to CMS. They are not independently verified by inspectors, and can look better than inspection findings. Give more weight to the inspection results above.
Quality measures rating: 5/5 · long-stay residents: 5/5 · short-stay residents: —/5
Who owns this facility
Non profit - Corporation
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Acacia Network INC | Organization | Operational/Managerial Control | NOT APPLICABLE | 05/21/2009 |
| Akhere, Bright | Individual | Corporate Director | NOT APPLICABLE | 08/11/2025 |
| Akhere, Bright | Individual | Operational/Managerial Control | NOT APPLICABLE | 08/01/2025 |
| Collymore, David | Individual | Corporate Director | NOT APPLICABLE | 07/01/2019 |
| Collymore, David | Individual | Operational/Managerial Control | NOT APPLICABLE | 07/01/2019 |
| Collymore, David | Individual | ADP of the SNF | NOT APPLICABLE | 07/01/2019 |
| Gatell, Vicky | Individual | Corporate Director | NOT APPLICABLE | 09/01/2021 |
| Gatell, Vicky | Individual | Operational/Managerial Control | NOT APPLICABLE | 09/01/2021 |
| Gatell, Vicky | Individual | ADP of the SNF | NOT APPLICABLE | 09/01/2021 |
| Isales, Cynthia | Individual | Corporate Director | NOT APPLICABLE | 01/01/2020 |
| Peterson, Kalani | Individual | Operational/Managerial Control | NOT APPLICABLE | 01/01/2025 |
| Quiles, Frank | Individual | Corporate Director | NOT APPLICABLE | 01/01/2020 |
| Quintana-Velasquez, Alejandro | Individual | Operational/Managerial Control | NOT APPLICABLE | 01/01/2025 |
| Ramirez, Iris | Individual | Corporate Director | NOT APPLICABLE | 04/08/2011 |
| Rodriguez, Jose | Individual | Corporate Director | NOT APPLICABLE | 07/01/2019 |
| Russi, Raul | Individual | Corporate Director | NOT APPLICABLE | 05/21/2009 |
| Russi, Raul | Individual | Operational/Managerial Control | NOT APPLICABLE | 05/21/2009 |
| Sepulveda, Dennis | Individual | Corporate Director | NOT APPLICABLE | 01/01/2020 |
| Socarras-Rosa, Joel | Individual | Corporate Director | NOT APPLICABLE | 01/01/2020 |
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
- "Who is on the team that builds each resident's care plan, and how quickly is it in place after admission?"
- "Can you show me how medications are stored and secured on the units, including controlled drugs?"
- "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
- "What choices do residents have over their daily schedule, like meal times, bathing, and activities?"
- "How many residents here use oxygen or breathing equipment, and who checks that equipment each shift?"
- "Who is your infection preventionist, and what training do they have?"
- "Who completes resident assessments here, and how do you check them for accuracy?"
- "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
- "Can I see the results and plan of correction from your most recent state inspection?"
Nearby facilities (within 20 miles)
| Facility | Distance | City | Overall | Inspection | Flags |
|---|---|---|---|---|---|
| Bronx Gardens Rehabilitation and Nursing Center | 0.9 mi | Bronx, NY | ★★★☆☆ | 2/5 | |
| Bronxcare Special Care Center | 1.0 mi | Bronx, NY | ★★★★☆ | 4/5 | |
| Hope Center for Hiv and Nursing Care | 1.1 mi | Bronx, NY | ★☆☆☆☆ | 1/5 | |
| Triboro Center for Rehabilitation and Nursing | 1.1 mi | Bronx, NY | ★★☆☆☆ | 2/5 | abuse |
| University Center for Rehabilitation and Nursing | 1.3 mi | Bronx, NY | ★★★★☆ | 4/5 | |
| Concourse Rehabilitation and Nursing Center, INC | 1.3 mi | Bronx, NY | ★★☆☆☆ | 2/5 | |
| Isabella Geriatric Center INC | 1.3 mi | New York, NY | ★★☆☆☆ | 2/5 | |
| The Plaza Rehab and Nursing Center | 1.5 mi | Bronx, NY | ★★★★★ | 4/5 | |
| Fordham Nursing and Rehabilitation Center | 1.6 mi | Bronx, NY | ★★★☆☆ | 3/5 | |
| Highbridge Woodycrest Center | 1.6 mi | Bronx, NY | ★★★★☆ | 4/5 | |
| Fort Tryon Center for Rehabilitation and Nursing | 1.7 mi | New York, NY | ★★★★★ | 4/5 | |
| St Vincent Depaul Residence | 2.0 mi | Bronx, NY | ★★★☆☆ | 2/5 |
Compare this facility with the 3 closest →
Facility data as of CMS processing date 2026-08-01. CCN 335780.