Casa Promesa in Bronx, NY has a 3-star overall rating, with strong staffing and quality scores but a weaker 2-star health inspection rating. It reported a recent federal penalty, $8,281 in fines over the last 24 months, and nurse staffing of 3.87 hours per resident per day versus the 4.1-hour federal benchmark.
Last inspection: May 28, 2025Penalties, last 24 months: $8,281recent federal penalty
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.869.
Staffing detail
Registered nurses
0.45
Licensed practical nurses
0.92
Nurse aides
2.50
Weekend nursing
3.33
Hours per resident per day.
Total staff turnover: 43%
Registered nurse turnover: 54%
Resident outcomes
Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.
Negative outcomes
Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).
Last yrNowTrend
Long-stay residents on antipsychotic medication
45.9%36.8%Improving
Residents with a fall causing major injury
3.8%0%Improving
Residents with pressure ulcers (bedsores)
5.7%10.9%Worsening
Residents with a urinary tract infection
1.3%1.4%No change
Residents who lost too much weight
5.4%4.2%Improving
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
5.3%4.2%Improving
Residents whose ability to walk got worse
5.4%5.9%No change
Long-stay residents on antianxiety or sleep medication
15.6%18.9%Worsening
Short-stay residents newly given an antipsychotic
8.3%4.5%Improving
Residents with a long-term catheter
0%0%No change
Residents with new or worsening incontinence
5.8%3.8%Improving
Residents with depressive symptoms
0%0%No change
Positive outcomes
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Last yrNowTrend
Long-stay residents given the seasonal flu vaccine
—91.1%—
Long-stay residents given the pneumonia vaccine
83.5%68%Worsening
Short-stay residents given the seasonal flu vaccine
—24.1%—
Short-stay residents given the pneumonia vaccine
7.5%15.2%Improving
What the inspectors found
The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited May 2025 — isolated incident, immediate jeopardy to residents.
View the original federal record
F-Tag 689 — 42 CFR §483.25(d) — S/S: J
The home failed to complete and keep the resident’s care plan properly prepared, reviewed, and updated by the right health professionals. Cited December 2024 — limited pattern, potential for harm.
View the original federal record
F-Tag 657 — 42 CFR §483.21(b)(2) — S/S: E
The home failed to properly label and securely store medications and biologicals. Cited December 2024 — limited pattern, potential for harm.
View the original federal record
F-Tag 761 — 42 CFR §483.45(g) — S/S: E
The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited December 2024 — limited pattern, potential for harm.
View the original federal record
F-Tag 812 — 42 CFR §483.60(i) — S/S: E
The nursing home failed to make survey results easy for residents to see and to help them contact advocate agencies. Cited September 2023 — limited pattern, potential for harm.
View the original federal record
F-Tag 577 — 42 CFR §483.10 — S/S: E
Recent history
STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
PENALTY
A federal fine of $8,281 was recorded.
INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
INSPECTION
Health inspection found 8 health deficiencies.
See what inspectors found
INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
Penalties & enforcement
On record with Medicare: 1 fine · $8,281 in total fines.
Federal fine
May 28, 2025
$8,281
Operator & ownership
Ownership
Non profit - Corporation
Occupancy
80.2 residents on an average day (74% of 108 beds)
Resident voice
Resident council
Medicare history
Certified for 31 years
Things at a nursing home change — inspections, staffing, ownership, news.
Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.