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Nursing home

Casa Promesa

Bronx, New York · Bronx County

  • 308 East 175th Street, Bronx, NY 10457 · Directions
  • (718) 960‑7603
  • Medicare overall rating: 3 of 5 starsMedicare overall rating
  • Ownership: Non-profit – corporation
  • 25 health citations in its last 3 inspection cycles (most serious: level J), $8,281 in fines. See the inspection record

Summary

Casa Promesa is a Medicare-certified nursing home in Bronx, New York, with 108 certified beds. Medicare overall rating: 3 of 5 stars. Most recent standard health inspection: 2024-12-09, with 8 health deficiencies. Medicare lists 1 fine. Ownership: non-profit – corporation. Source: Medicare (CMS) Provider Information, data updated 2026-10-01.

What is a nursing home?

A nursing home (skilled nursing facility) gives 24-hour nursing care and help with daily activities. Some people stay for a short time to recover after a hospital stay (rehabilitation); others live there long term. The homes listed here are certified by Medicare and/or Medicaid and inspected by the state.

Official Medicare data

Everything on this page comes from Medicare (CMS) data updated 2026-10-01. It is information, not a recommendation. Call the nursing home and visit before you decide, and talk with your doctor.

In a medical emergency, call 911.

At a glance

Medicare overall rating: 3 of 5 starsMedicare overall rating
108Certified beds
Health inspections: 2 of 5 starsHealth inspections

Quick answers

Where is Casa Promesa?
308 East 175th Street, Bronx, NY 10457, in Bronx County, New York.
What is the phone number of Casa Promesa?
(718) 960-7603, as listed by Medicare (CMS).
What is the Medicare star rating of Casa Promesa?
Medicare overall rating: 3 out of 5 stars (CMS data updated 2026-10-01).
Has Casa Promesa been fined?
Medicare lists 1 fine totaling $8,281.
What did inspectors find at Casa Promesa?
In its last three inspection cycles (May 13, 2022 to May 28, 2025), Medicare lists 25 health citations; the most serious was level J. 1 was level G or higher (actual harm or immediate jeopardy). See the list below (CMS data updated 2026-10-01).

Medicare ratings, explained

Star ratings are one piece of information. Visit, ask questions and talk with your doctor about what matters for your care.

Overall rating
Overall rating: 3 of 5 stars
Medicare’s summary of the three ratings below, from 1 star (much below average) to 5 stars (much above average).
Health inspections
Health inspections: 2 of 5 stars
Based on state health inspections and complaint investigations of about the last three years, compared with other nursing homes in the same state.
Staffing
Staffing: 4 of 5 stars
Based on how many hours nurses and aides spend with each resident per day (from payroll records) and how often staff leave.
Quality of resident care
Quality of resident care: 5 of 5 stars
Based on how residents do on measures such as falls with injury, pressure sores, getting better at moving around and going back to the hospital.
Short-stay residents (rehab)
Not rated
Quality rating for people who stay a short time, usually to recover after a hospital stay. Medicare (CMS) does not show this rating for this provider. This happens, for example, when a provider is new or has too few patients or survey answers.
Long-stay residents
Long-stay residents: 5 of 5 stars
Quality rating for people who live in the nursing home.

Inspections, fines and staffing

In its last three inspection cycles (May 13, 2022 to May 28, 2025), Casa Promesa had 25 health citations; the most serious was level J (immediate jeopardy to resident health or safety). 1 of them was level G or higher (actual harm or immediate jeopardy). It was fined $8,281 in total (1 fine, the latest on May 28, 2025). Nurse staffing is 3.79 hours per resident per day; the New York average is 3.69 and the national average is 3.90.

Source: Medicare (CMS) Provider Data Catalog, data updated October 1, 2026, retrieved November 13, 2026.

Inspection history: last three cycles

State inspectors visit about once a year and also investigate complaints. Each citation (deficiency) has a tag number and a letter, A to L. The letter shows how serious the problem was and how many residents it affected.

What the letters A to L mean
Scope and severity letters
SeriousnessIsolated (a few residents)Pattern (some)Widespread (many)
No actual harm, potential for minimal harmABC
No actual harm, potential for more than minimal harmDEF
Actual harm to residentsGHI
Immediate jeopardy to resident health or safetyJKL

Source: the scope and severity grid Medicare (CMS) uses for nursing home citations.

Most recent cycle: December 9, 2024 — 8 health citations

Inspections in this cycle: December 9, 2024 (standard health inspection).

Show 8 citations (levels A to F, no actual harm)
  • F0657 Level E December 9, 2024 · from a complaint · corrected January 31, 2025

    “Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.”

  • F0761 Level E December 9, 2024 · corrected January 31, 2025

    “Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.”

  • F0812 Level E December 9, 2024 · corrected January 31, 2025

    “Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.”

  • F0561 Level D December 9, 2024 · corrected January 31, 2025

    “Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.”

  • F0695 Level D December 9, 2024 · corrected January 31, 2025

    “Provide safe and appropriate respiratory care for a resident when needed.”

  • F0882 Level D December 9, 2024 · corrected January 31, 2025

    “Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.”

  • F0641 Level C December 9, 2024 · corrected January 31, 2025

    “Ensure each resident receives an accurate assessment.”

  • F0582 Level B December 9, 2024 · corrected January 31, 2025

    “Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.”

Previous cycle: September 15, 2023 — 11 health citations

Inspections in this cycle: September 15, 2023 (standard health inspection); November 26, 2024 (complaint investigation); December 9, 2024 (complaint investigation); May 28, 2025 (complaint investigation).

  • F0689 Level J May 28, 2025 · from a complaint · corrected July 18, 2025

    “Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.”

    immediate jeopardy to resident health or safety; isolated (a few residents) · Quality of Life and Care Deficiencies

Show 10 less serious citations (levels A to F)
  • F0577 Level E September 15, 2023 · corrected November 13, 2023

    “Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.”

  • F0645 Level E September 15, 2023 · corrected November 13, 2023

    “PASARR screening for Mental disorders or Intellectual Disabilities”

  • F0689 Level E September 15, 2023 · corrected November 13, 2023

    “Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.”

  • F0725 Level E September 15, 2023 · corrected November 13, 2023

    “Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.”

  • F0919 Level E September 15, 2023 · corrected November 13, 2023

    “Make sure that a working call system is available in each resident's bathroom and bathing area.”

  • F0609 Level D November 26, 2024 · from a complaint · corrected January 17, 2025

    “Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.”

  • F0584 Level D September 15, 2023 · corrected November 13, 2023

    “Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.”

  • F0755 Level D September 15, 2023 · corrected November 13, 2023

    “Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.”

  • F0812 Level D September 15, 2023 · corrected November 13, 2023

    “Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.”

  • F0908 Level C September 15, 2023 · corrected November 13, 2023

    “Keep all essential equipment working safely.”

Earlier cycle: May 13, 2022 — 6 health citations

Inspections in this cycle: May 13, 2022 (standard health inspection).

Show 6 citations (levels A to F, no actual harm)
  • F0725 Level E May 13, 2022 · corrected July 11, 2022

    “Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.”

  • F0880 Level E May 13, 2022 · corrected July 11, 2022

    “Provide and implement an infection prevention and control program.”

  • F0641 Level D May 13, 2022 · corrected July 11, 2022

    “Ensure each resident receives an accurate assessment.”

  • F0657 Level D May 13, 2022 · corrected July 11, 2022

    “Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.”

  • F0732 Level D May 13, 2022 · corrected July 11, 2022

    “Post nurse staffing information every day.”

  • F0755 Level D May 13, 2022 · corrected July 11, 2022

    “Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.”

Citation descriptions are Medicare’s official wording. “From a complaint” means the citation came from a complaint investigation instead of the regular yearly inspection.

Full inspection reports on Medicare Care Compare →

Fire safety citations (16)
  • K0291 Level D December 9, 2024 · corrected February 13, 2025

    “Install emergency lighting that can last at least 1 1/2 hours.”

  • K0321 Level D December 9, 2024 · corrected February 13, 2025

    “Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.”

  • K0920 Level D December 9, 2024 · corrected February 13, 2025

    “Ensure proper usage of power strips and extension cords.”

  • K0918 Level F September 15, 2023 · corrected September 22, 2023

    “Have generator or other power source capable of supplying service within 10 seconds.”

  • K0353 Level E September 15, 2023 · corrected October 15, 2023

    “Inspect, test, and maintain automatic sprinkler systems.”

  • K0531 Level E September 15, 2023 · corrected November 23, 2023

    “Have elevators that firefighters can control in the event of a fire.”

  • E0001 Level C September 15, 2023 · corrected October 18, 2023

    “Establish an Emergency Preparedness Program (EP).”

  • K0345 Level C September 15, 2023 · corrected September 23, 2023

    “Have approved installation, maintenance and testing program for fire alarm systems.”

  • K0761 Level C September 15, 2023 · corrected September 23, 2023

    “To conduct inspection, testing and maintenance of fire doors by qualified individuals.”

  • K0225 Level E May 13, 2022 · corrected July 11, 2022

    “Have stairways and smokeproof enclosures used as exits that meet safety requirements.”

  • K0353 Level E May 13, 2022 · corrected July 11, 2022

    “Inspect, test, and maintain automatic sprinkler systems.”

  • K0281 Level D May 13, 2022 · corrected July 11, 2022

    “Install proper backup exit lighting.”

  • K0351 Level D May 13, 2022 · corrected July 11, 2022

    “Install an approved automatic sprinkler system.”

  • E0006 Level C May 13, 2022 · corrected August 3, 2022

    “Conduct risk assessment and an All-Hazards approach.”

  • E0015 Level C May 13, 2022 · corrected August 3, 2022

    “Address subsistence needs for staff and patients.”

  • K0918 Level C May 13, 2022 · corrected July 11, 2022

    “Have generator or other power source capable of supplying service within 10 seconds.”

Fines and payment denials

Total fines over about the last three years: $8,281 (1 fine). A payment denial means Medicare stopped paying for new admissions for a time.

DatePenaltyAmount or length
May 28, 2025Fine$8,281

Source: Medicare (CMS) Penalties file, data updated October 1, 2026.

Staffing

Hours of nursing care per resident per day, from the payroll records nursing homes send to Medicare, next to the state and national averages.

MeasureThis homeNew YorkNational
Registered nurse (RN) hours per resident per day0.400.730.69
Licensed practical nurse (LPN) hours per resident per day0.980.760.86
Nurse aide hours per resident per day2.412.202.35
Total nurse staff hours per resident per day3.793.693.90
Total nurse staff hours per resident per day on the weekend3.213.203.43
RN hours per resident per day on the weekend0.240.490.48
Nursing staff turnover (per year)42.9%40.3%45.3%
RN turnover (per year)45.5%39.6%42.5%
Administrators who left in the last year0.00.50.5

Source: Medicare (CMS) Provider Information and State US Averages, data updated October 1, 2026.

Owners and operator

Legal business name: Promesa Residential Health Care Facility, Inc..

Owners and managers Medicare lists (1)
NameRoleShareSince
Acacia Network IncManagement company (operational or managerial control)NOT APPLICABLEMay 21, 2009

Source: Medicare (CMS) Ownership file, data updated October 1, 2026. Only owners with an ownership interest and management companies are shown.

Compare with other nursing homes

Key facts

TypeNursing home
Certified beds108
Average residents per day80.8
Takes part inMedicare and Medicaid
OwnershipNon-profit – corporation
Legal business namePromesa Residential Health Care Facility, Inc.
First approved by Medicare/Medicaid1995-03-17
Resident and family councilsResident council
Sprinklers in all required areasYes
Changed ownership in the last 12 monthsNo
Address308 East 175th Street, Bronx, NY 10457
CountyBronx County
StateNew York
Phone(718) 960‑7603
CMS Certification Number335780
CorrectionsReport an error or suggest an update →

What to ask when you call or visit

A general checklist for any nursing home, not advice about this one. Medicare also publishes guides on medicare.gov.

  • Is the home certified by Medicare and/or Medicaid, and does it have a bed for the care you need (short-term rehab or long-term care)?
  • Can you see the latest state inspection report? Ask how any problems found were fixed.
  • How many nurses and aides work on each shift, at night and on weekends? Is there a registered nurse on site at all times?
  • Which doctors see residents, and how often? What happens in a medical emergency, and which hospital is used?
  • What therapy (physical, occupational, speech) is offered, and how many days a week?
  • Are residents clean, dressed and taking part in activities? Do staff speak to them kindly and answer call lights quickly?
  • What do the daily rate and extra services cost, and what do Medicare, Medicaid or your insurance pay? Ask for it in writing.
  • Is there a resident council and a family council? How are complaints handled? Ask for the long-term care ombudsman’s contact.
  • Are meals appetizing, and can the home meet special diets, language needs and religious or cultural preferences?
  • Visit more than once, including at a mealtime or in the evening, without an appointment.

Other nursing homes nearby

By straight-line distance (not driving distance).

Nearest hospital emergency rooms

Sources

  1. Provider Information — Centers for Medicare & Medicaid Services (CMS), data updated 2026-10-01, retrieved 2026-11-13
  2. Medicare Care Compare — official Medicare profile of this provider
  3. Health Deficiencies — CMS, data updated 2026-10-01, retrieved 2026-11-13
  4. Fire Safety Deficiencies — CMS, data updated 2026-10-01, retrieved 2026-11-13
  5. Penalties — CMS, data updated 2026-10-01, retrieved 2026-11-13
  6. Ownership — CMS, data updated 2026-10-01, retrieved 2026-11-13
  7. State US Averages — CMS, data updated 2026-10-01, retrieved 2026-11-13
  8. Survey Summary — CMS, data updated 2026-10-01, retrieved 2026-11-13
  9. Citation Code Look-up — CMS, data updated 2026-10-01, retrieved 2026-11-13
  10. Inspection Dates — CMS, data updated 2026-10-01, retrieved 2026-11-13