Grand Manor Nursing & Rehabilitation Center

Grand Manor Nursing & Rehabilitation Center sits at 700 White Plains Rd in the Bronx, close to Soundview Park and the East River, with a long history of serving seniors needing skilled nursing care, short-term rehab, assisted living, memory care, and hospice. The facility has 240 certified beds and provides services in Spanish, Russian, and English, which helps a lot of residents feel more comfortable. Every week, the staff arranges city outings so people can get fresh air and see new places, and there's a good number of activities like cooking clubs, movie nights, dances, Las Vegas Night, and even fashion shows. Grand Manor makes sure religious support is available with regular services for Jewish, Catholic, Protestant, Baptist, and Pentecostal faiths. Folks can see the in-house beauty salon for grooming, and the activities department keeps up with seasonal events. Residents also participate in a Resident Council to share concerns or suggestions.

Nursing care covers a lot, like wound care, memory care, oxygen therapy, diabetes management, and medication help, and there's a mix of rehabilitation services such as speech, occupational, and physical therapy. Registered nurses assist around the clock with bathing, dressing, and medication needs, and on-call physicians are available. The food is tailored and said to be nutritious, and the facility keeps a smoke-free and vape-free environment, which helps reduce breathing problems or fire risks. The building isn't part of a hospital or a continuing care retirement community and runs as a for-profit business under Grand Manor Health Related Facility Inc.

Staff hours for nursing care add up to about 50 minutes per resident per day, which is below state and national averages, and the number of registered nurses is on the lower side. The short-stay care, which is for folks staying under 100 days, is rated "below average" by CMS with 2 stars, while long-stay resident care gets a high 5-star mark ("much above average"), but the overall CMS rating sits at 2 stars, meaning "below average." Grand Manor has some positive numbers, like having no government fines in the last three years and fewer health citations than the New York and US average, about three health citations on the last inspection. The reports show a very low rate of moderate to severe pain among long-term residents, just 0%, and a lower-than-average amount of need for extra help with daily care. There's also a low rate of falls causing major injury, and almost no new use of antipsychotic drugs among new short-stay residents.

However, there's been trouble over the years. Grand Manor has a history of infection risks and unsafe conditions, like dirty kitchens, broken appliances, peeling paint, sticky floors, and non-working air conditioning, and there's been reports of abuse, like staff punching or spraying disinfectant on residents, which led to fines and legal problems. The place has been cited for not keeping up proper bowel care or documentation, and some residents have said personal items were stolen or medical privacy wasn't kept. It's been flagged as a Special Focus Facility because of serious quality issues, and there have been 57 deficiencies since 2021, most infection-related. Pressure ulcer rates among residents are higher than average, reaching 8.1% for all residents, and 10.2% among high-risk long-stay residents, both above the state and national figures. Short-stay pneumonia and flu vaccine rates are well below average, and short-stay residents are more likely to return to the hospital after leaving than elsewhere. The facility's hospitalization rate is higher than the averages, and while emergency visits compare fairly, there's been 5 federal fines totaling over $327,000 in the last three years, plus fines from state health officials.

Grand Manor tries to make people feel at home and supports independence, dignity, and privacy, and residents can ask for help, complain, or request a different room if needed. The rooms follow the facility's standards, and there's a focus on providing a range of medical and therapy services for people recovering from injury or managing long-term illnesses, including people with dementia, Alzheimer's or needing tube feeding, dialysis, and brain injury care. The facility is not the newest or flashiest, but it does have bilingual staff and a mix of care and activities, and it works to provide a safe, engaged environment for a wide mix of residents.