New YorkBronx

Casa Promesa

308 East 175th Street, Bronx, NY 10457 · Bronx County · 108 certified beds · avg 80 residents/day · certified since Mar 17, 1995

2/5
Health inspection rating (on-site)
1
Serious findings on record
$8,281
Fines, last 3 years
5.84
Nurse hours/resident/day (adjusted)

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.

DateSeverityWhat the facility was cited for
May 28, 2025▲ J · Immediate jeopardy, one-offThe 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, 2024E · Potential for harm, repeatedThe 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, 2024E · Potential for harm, repeatedThe 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, 2024E · Potential for harm, repeatedThe 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, 2024D · Potential for harm, one-offThe 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, 2024D · Potential for harm, one-offThe 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, 2024D · Potential for harm, one-offThe facility did not designate a qualified infection preventionist — a trained person responsible for running the infection prevention and control program.
Dec 9, 2024C · Minimal risk, facility-wideThe facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives.
Dec 9, 2024B · Minimal risk, repeatedThe 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, 2024D · Potential for harm, one-offThe 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, 2023E · Potential for harm, repeatedThe 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, 2023E · Potential for harm, repeatedThe 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, 2023E · Potential for harm, repeatedThe facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.
Sep 15, 2023E · Potential for harm, repeatedThe 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, 2023E · Potential for harm, repeatedThe 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, 2023D · Potential for harm, one-offThe facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs.
Sep 15, 2023D · Potential for harm, one-offThe facility did not provide pharmacy services that meet each resident's needs, or did not employ or contract with a licensed pharmacist.
Sep 15, 2023D · Potential for harm, one-offThe 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, 2023D · Potential for harm, one-offThe 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, 2023C · Minimal risk, facility-wideThe facility did not keep all essential equipment working safely — things like heating and cooling systems, kitchen equipment, and medical devices.
Aug 24, 2023D · Potential for harm, one-offThe 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, 2023D · Potential for harm, one-offThe 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, 2022E · Potential for harm, repeatedThe 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, 2022E · Potential for harm, repeatedThe 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, 2022D · Potential for harm, one-offThe facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives.
May 13, 2022D · Potential for harm, one-offThe 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, 2022D · Potential for harm, one-offThe 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, 2022D · Potential for harm, one-offThe 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).

YearCitationsSerious (G–L)Worst severity that year
202260E
2023120E
202490E
202511J ▲

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.

DateTypeAmount / length
May 28, 2025Fine$8,281

Nurse staffing (from payroll records, adjusted for how much care residents need)

MeasureThis facilityNew York avgU.S. avgWhere it stands
Total nurse staffing (hours per resident per day)5.843.583.95top 1% in New York; top 5% in the U.S.
Registered Nurse hours0.670.680.69top 34% in New York; top 39% in the U.S.
Weekend total nurse staffing5.033.133.50top 2% in New York; top 6% in the U.S.
Weekend RN hours (not acuity-adjusted)0.320.480.48bottom 44% in New York; bottom 37% in the U.S.
Total nursing staff turnover (%)42.940.345.8bottom 41% in New York; top 44% in the U.S.
RN turnover (%)53.839.842.9bottom 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 / managerTypeRoleStakeSince
Acacia Network INCOrganizationOperational/Managerial ControlNOT APPLICABLE05/21/2009
Akhere, BrightIndividualCorporate DirectorNOT APPLICABLE08/11/2025
Akhere, BrightIndividualOperational/Managerial ControlNOT APPLICABLE08/01/2025
Collymore, DavidIndividualCorporate DirectorNOT APPLICABLE07/01/2019
Collymore, DavidIndividualOperational/Managerial ControlNOT APPLICABLE07/01/2019
Collymore, DavidIndividualADP of the SNFNOT APPLICABLE07/01/2019
Gatell, VickyIndividualCorporate DirectorNOT APPLICABLE09/01/2021
Gatell, VickyIndividualOperational/Managerial ControlNOT APPLICABLE09/01/2021
Gatell, VickyIndividualADP of the SNFNOT APPLICABLE09/01/2021
Isales, CynthiaIndividualCorporate DirectorNOT APPLICABLE01/01/2020
Peterson, KalaniIndividualOperational/Managerial ControlNOT APPLICABLE01/01/2025
Quiles, FrankIndividualCorporate DirectorNOT APPLICABLE01/01/2020
Quintana-Velasquez, AlejandroIndividualOperational/Managerial ControlNOT APPLICABLE01/01/2025
Ramirez, IrisIndividualCorporate DirectorNOT APPLICABLE04/08/2011
Rodriguez, JoseIndividualCorporate DirectorNOT APPLICABLE07/01/2019
Russi, RaulIndividualCorporate DirectorNOT APPLICABLE05/21/2009
Russi, RaulIndividualOperational/Managerial ControlNOT APPLICABLE05/21/2009
Sepulveda, DennisIndividualCorporate DirectorNOT APPLICABLE01/01/2020
Socarras-Rosa, JoelIndividualCorporate DirectorNOT APPLICABLE01/01/2020

Questions to ask on your visit

Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.

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Facility data as of CMS processing date 2026-08-01. CCN 335780.