Acacia Network: Casa Promesa

    308 E 175th St, Bronx, NY, 10457
    2.8 · 21 reviews
    • Assisted living
    • Skilled nursing
    AnonymousCurrent/former resident
    3.0

    Good clinical care, poor operations

    I had mixed experiences. The nursing, medical team, and administration were caring, attentive, and helped me with recovery programs, groups, and overall medical needs. But communication and responsiveness were inconsistent: phones often went unanswered, waits were long, and some staff and security were rude or disrespectful, making parts of the environment feel punitive. I also noticed safety and maintenance issues (open doors, alarms, damaged walls) and had trouble contacting my fiancée. Good clinical care, but serious operational and culture problems - I can't fully recommend it without major improvements.

    Pricing

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    Amenities

    Healthcare services

    • Activities of daily living assistance
    • Assistance with bathing
    • Assistance with dressing
    • Assistance with transfers
    • Medication management
    • Mental wellness program

    Healthcare staffing

    • 12-16 hour nursing
    • 24-hour call system
    • 24-hour supervision

    Meals and dining

    • Diabetes diet
    • Meal preparation and service
    • Restaurant-style dining
    • Special dietary restrictions

    Room

    • Air-conditioning
    • Cable
    • Fully furnished
    • Housekeeping and linen services
    • Kitchenettes
    • Private bathrooms
    • Telephone
    • Wifi

    Transportation

    • Community operated transportation
    • Transportation arrangement
    • Transportation arrangement (non-medical)

    Common areas

    • Beauty salon
    • Computer center
    • Dining room
    • Fitness room
    • Gaming room
    • Garden
    • Outdoor space
    • Small library
    • Wellness center

    Community services

    • Concierge services
    • Fitness programs
    • Move-in coordination

    Activities

    • Community-sponsored activities
    • Planned day trips
    • Resident-run activities
    • Scheduled daily activities

    2.81 · 21 reviews

    Overall rating

    1. 5
    2. 4
    3. 3
    4. 2
    5. 1
    • Care

      3.0
    • Staff

      3.0
    • Meals

      2.8
    • Amenities

      1.0
    • Value

      2.8

    Pros

    • Supportive nursing staff
    • Attentive and supportive administration
    • Comprehensive medical care
    • Active involvement of social services and recreation
    • Dietitian involvement in care
    • Substance abuse recovery support and groups
    • Opportunities for trips, mental stimulation, and coping-skill groups
    • Care-focused teams that prioritize recovery
    • Positive outcomes and successful recoveries reported by some residents

    Cons

    • Unprofessional or rude front desk staff
    • Unprofessional or rude security guards
    • Long wait times and phones not being answered
    • Non-working appointment phone number
    • Poor facility maintenance (holes in walls, low-battery smoke detector, doors left open)
    • Inconsistent staff responsiveness and unclear training
    • Allegations of overmedication
    • Difficulty contacting or visiting loved ones
    • Accusations of misuse of government funds
    • Reports of prison-like treatment and lack of respect toward patients
    • Serious safety/medical escalation reported (hospitalization/ICU, state intervention suggested)
    • Mixed experiences depending on staff member or department

    Summary review

    Overall sentiment is strongly mixed, with a clear split in reviewer experience: many reviewers praise the clinical side of care (nursing, medical, administration, and recovery programming), while an equally vocal group reports significant problems with front-line customer service, safety, facility maintenance, and communication. Positive reviews focus on effective substance-abuse treatment, active social services, and staff members who helped residents achieve recovery. Negative reviews center on unprofessional behavior by non-clinical staff, difficulties contacting the facility, and worrying safety/quality incidents.

    Care quality and clinical services: Several reviewers explicitly praise the nursing team, administration, and the medical department — describing them as attentive, supportive, and providing the right treatment. Multiple summaries note involvement of a dietitian, integrated social service and recreation programming, and targeted substance-abuse support. Group activities such as coping-skills groups, mental-stimulation programs, and trips for self-improvement are repeatedly cited as meaningful elements that contributed to recovery for some residents. These comments indicate that clinical and programmatic components (medical treatment, counseling, and recovery groups) can be robust and effective for people who engage with them and want change.

    Staff behavior and consistency: A major theme is inconsistency in staff professionalism. While nursing and administration are frequently commended, front desk staff and security are repeatedly criticized as rude, unprofessional, or 'ghetto' by some reviewers. There are multiple reports of poor phone responsiveness — calls going unanswered, people put on hold indefinitely, and an appointment number that does not work — which contributes to family stress and barriers to care. One reviewer explicitly cautioned against a named provider (Dr. Rosa), and others mentioned concerns about overmedication. The overall pattern suggests a divide between clinical teams that some find caring and effective and other staff roles where communication, courtesy, and competence are questioned.

    Facilities, safety, and maintenance: Several safety and maintenance issues are raised that warrant attention. Specific complaints include a low-battery smoke detector repeatedly sounding, a door left wide open, and physical damage such as a hole in a wall. These items suggest lapses in routine maintenance and building safety protocols. Conversely, some reviewers call the facility a 'safe place' with comprehensive care, indicating that perceptions of safety vary significantly among residents and families. The reports of poor maintenance combined with allegations of overmedication and at least one account of a resident being hospitalized (ICU) and calls for state intervention are serious flags that should be investigated further by administrators and regulators.

    Communication, visitation, and administrative concerns: Communication problems are a recurring complaint — unanswered phones, inability to reach loved ones, and staff who cannot or will not answer questions. Some reviews describe a runaround and unclear facility training, implying systemic problems with orientation and customer-service standards. Additional allegations — including possible misuse of government funds and restrictions on visitation — appear in the summaries and contribute to distrust among some reviewers. At least one review describes 'prison-like' treatment and zero respect for patients, which underscores a perceived lack of dignity in some interactions.

    Activities, recovery outcomes, and resident experience: On the positive side, multiple reviewers attribute real recovery progress to the facility’s programs, noting that staff gave them a chance to get sober and that recreational and therapeutic activities were helpful. These accounts indicate that for residents motivated to change, the behavioral-health programming can be effective. However, other residents report feeling disrespected or poorly treated, and some suggest they would not recommend the facility.

    Patterns and recommendations: The dominant pattern is variability — strong clinical and programmatic components exist alongside problematic customer service, maintenance, and communication. Administrators should prioritize: (1) addressing safety/maintenance concerns (smoke detectors, doors, physical repairs); (2) fixing phone and appointment-line reliability; (3) standardizing staff training and professionalism for front-desk and security personnel; (4) investigating medication practices and any serious medical incidents; and (5) improving family communication and transparent visitation policies. For prospective residents and families, the reviews suggest that outcomes may depend heavily on which staff members are involved and the resident’s willingness to engage in recovery work. Those seeking strong clinical recovery programs may find valuable services here, but they should also directly inquire about current safety measures, staffing consistency, and phone/communication protocols before admission.

    Location

    Map showing location of Acacia Network: Casa Promesa

    About Acacia Network: Casa Promesa

    Acacia Network: Casa Promesa is a residential healthcare facility in the Bronx with 108 beds for adults aged 18 and over, where skilled nursing care goes round the clock, and there's strong support for people with HIV/AIDS, memory issues like dementia, and other serious health needs, offering services in both English and Spanish so everyone can feel understood. The place runs on compassion and strong clinical care, focusing a lot on recovery and wellness, supporting folks with mental health conditions or substance use problems through help from psychiatrists, social workers, and substance abuse counselors, all working together. You'll find help for daily living like medication management, bathing, dressing, and regular health checks, plus case management and social services made to fit each person's needs, while meals come with nutrition support, and there are transportation services too.

    Residents have access to physical and occupational therapy meant to keep them moving and help them stay strong and able to handle everyday tasks, and for those who need it, there's memory care and structured programs to support cognition, offered alongside arts, culture, and recreation, making some days feel lighter and encouraging community connections. The place treats everyone with dignity and respect, does what it can to make sure people can keep as much independence as possible, and tries hard to serve Hispanic/Latino people and others in the community who often get left out. Casa Promesa stands out for short-term respite care for families who need a break, as well as permanent stays with 24-hour supervision, and the care plans really do adjust for what each person needs, whether it's help with medications, eye, ear, and dental care, or even hospice care for those nearing end of life.

    There are programs for older adults, but also daycare for younger children and afterschool help for youth, since Acacia Network works on building community health at every age. Folks get nutritious meals, outdoor spaces to enjoy, programs for socializing and learning, and support with housing, from affordable apartments to transitional living, aiming to keep everyone safe and cared for while they work on getting better. The team responds to things like COVID-19 and other health challenges, helps people find jobs, and makes sure everyone-whether they're aging, living with illness, or just in need of a hand-can get support in a setting that feels welcoming and respectful, no matter the circumstances.

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