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Nursing Home · Bronx, NY
308 East 175 Street, West Bronx · Bronx, NY 10457
Map location from our source data
Medicare overall rating
3 / 5 stars
Inspection records →About this listing
Catalog updated Sep 1, 2026. Current services and availability are unconfirmed.
Monthly cost
Ask for the full monthly cost, including care fees and one-time charges.
Availability
We don't have live openings. Ask about current availability, waiting lists, and move-in timing.
Reported capacity: 108 beds. This is not the number of openings.
Contact information →Care & support
Provides nursing care and help with daily activities. Some offer short-term rehabilitation.
This describes the care category. Confirm support for your family member's needs.
Understand care types →Payment options
Participation is reported in our source data. Confirm eligibility, covered services, and any private-pay costs.
Medicare participation does not mean all stays or services are covered.
Ask about these reported findings and check the latest official record.
Your next step
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Casa Promesa has a middle-range Medicare overall rating. Strengths include effective physical therapy programs. Some reviewers note concerns about poor communication and difficulty reaching staff by phone (mentioned by 4 reviewers). Review the health-inspection, staffing, and quality-measure components separately, then visit in person.
Casa Promesa presents a stark divide in experiences, with some residents praising the facility for its substance abuse recovery support and physical therapy, while others report severe neglect and unprofessionalism. Critics frequently cite issues with medication management, poor communication, and an environment described as unhygienic or prison-like. Families should be aware that while some find the staff supportive, others have raised serious concerns regarding patient safety and basic care standards.
AI summaries of public opinions. These describe review sentiment, not verified care quality.
Reviews are polarized, with some praising the team while others report rude behavior and incompetence.
Multiple reviewers report being unable to reach the facility by phone or get answers to basic questions.
Reports of unhygienic conditions and bad odors conflict with claims that the facility is well-maintained.
Multiple residents highlight positive experiences with daily activities, trips, and coping skill groups.
Several reviewers allege that residents are denied necessary medication or are over-medicated.
Scores range from 0 (negative) to 10 (positive). They are model interpretations of reviews and are not clinical, safety, or inspection ratings. Unmentioned topics are omitted.
Strengths
Concerns
Rating Trends
Tap a year to see what changed
Distribution · 28 analyzed
Key Review Excerpts
“When I arrived, I could not walk and was losing faith that I ever would. The physical therapy team greeted me on my first day and two months later I am leaving with a walker and new found hope.”
“El lugar es antihigiénico .no le dan medicinas a las personas. Huele mal y el televisor está toda la noche con volumen alto. Parece una cárcel.”
“Casa Promesa help me to be a better person. I get support from every staff from administration, social service and specially nursing.”
Reported nursing hours are daily averages per resident. They do not describe a specific shift or guarantee one-to-one care.
Per resident, per day
Nurses and aides combined
Reported by Medicare
Registered nurses
Ask during your visit: Who will help my family member during the day and overnight? How do you plan staffing when residents need more support?
EveryPlace uses reference points of 0.75 registered-nurse hours and 4.1 total nursing hours per resident per day. These are comparison targets, not current federal minimum requirements or a determination that a facility meets a resident's needs.
Resident outcomes compared with national, state, and local averages · 17 measures
7
measures
8
measures
2
measures
Residents on antipsychotic medication
Residents with depression symptoms
Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.
Residents vaccinated for pneumonia
Residents whose bladder or bowel control got worse
Residents on anti-anxiety or sleep medication
Residents needing more daily help over time
Short-stay residents vaccinated for pneumonia
Short-stay residents vaccinated for the flu
Short-stay residents newly given antipsychotics
US average from Medicare published data
Detailed Medicare record · up to 3-year lookback
Casa Promesa has concerning patterns of families filing complaints, including recent issues with accident prevention, abuse reporting, and care planning. The facility shows recurring problems with medication management, nursing staffing, and safety hazards that repeat across multiple surveys spanning 2022-2025. While all deficiencies show correction dates, the persistent nature of core care issues like staffing and medication safety suggests ongoing challenges that families should carefully evaluate.
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Resident Assessment and Care Planning Deficiencies
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Pharmacy Service Deficiencies
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.
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Resident Rights Deficiencies
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Quality of Life and Care Deficiencies
Provide safe and appropriate respiratory care for a resident when needed.
Infection Control Deficiencies
Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.
Egress Deficiencies
Install emergency lighting that can last at least 1 1/2 hours.
Smoke Deficiencies
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Gas, Vacuum, and Electrical Systems Deficiencies
Ensure proper usage of power strips and extension cords.
Resident Assessment and Care Planning Deficiencies
Ensure each resident receives an accurate assessment.
Resident Rights Deficiencies
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Gas, Vacuum, and Electrical Systems Deficiencies
Have generator or other power source capable of supplying service within 10 seconds.
Resident Rights Deficiencies
Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.
Resident Assessment and Care Planning Deficiencies
PASARR screening for Mental disorders or Intellectual Disabilities
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Nursing and Physician Services Deficiencies
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Environmental Deficiencies
Make sure that a working call system is available in each resident's bathroom and bathing area.
Smoke Deficiencies
Inspect, test, and maintain automatic sprinkler systems.
Services Deficiencies
Have elevators that firefighters can control in the event of a fire.
Resident Rights Deficiencies
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.
Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Environmental Deficiencies
Keep all essential equipment working safely.
Emergency Preparedness Deficiencies
Establish an Emergency Preparedness Program (EP).
Smoke Deficiencies
Have approved installation, maintenance and testing program for fire alarm systems.
Miscellaneous Deficiencies
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Resident Rights Deficiencies
Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
Federal Penalties
Fine
May 28, 2025
$8,281
Casa Promesa
nonprofit
Key personnel
Contact the provider directly when you feel ready. Have your questions handy and ask for answers in writing.
Confirm current status with NY Dept. of Health. A direct record link is not available in this catalog.
Medicare Care Compare
Official Medicare quality ratings, inspections & staffing data
Google Maps
Photos, directions & neighborhood info
Google Reviews
25 reviews from families & visitors
Official Website
Visit acacianetwork.org
Medicare data downloads
Original nursing home datasets
EveryPlace is a research directory. Facility information is compiled from public sources — Medicare.gov, state licensing portals, Google Places, and publicly available street-level imagery. Some summaries, interpretations, suggested questions, and pricing research are AI-generated or AI-assisted and may contain errors or omit important context. Listings do not constitute endorsement, recommendation, or advertisement, and we do not accept payment for placement. Families should verify all details directly with the facility and the original sources linked above before making any care decisions. See our Research Policy for our editorial standards, correction process, and image-removal policy.
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