Hearth Record

Lincoln Medical & Mental Health Center

An acute care hospital in Bronx, New York 10451

234 East 149th Street, Bronx, New York 10451. (718) 579-5000.

CMS’s own record, on Care Compare

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The short answer

Record last released by CMS on Oct 20, 2026.

The last 24 months 2 deficiencies in 1 month of the last 36. Last cited Oct 2025. Most serious: Condition-level. Every month

Each figure’s source sits beside it, in its section below.

What these words mean4
Star ratings
CMS rates some kinds of place from 1 to 5 stars, more stars meaning better on CMS’s own measures for that kind: for a nursing home, its health inspections, staffing and quality measures. A rating is CMS’s summary of those measures; it doesn’t promise good care. Source: CMS, Care Compare and the Five-Star Quality Rating System.
Inspection (survey)
A visit by state inspectors, often unannounced, who check a place against the rules it must meet. For nursing homes and other places Medicare pays, CMS calls these visits surveys: a standard survey of a nursing home comes at least every 15 months, and a complaint survey whenever a complaint calls for one. Source: CMS; 42 CFR 488.308.
Deficiency, citation, violation
What inspectors write up when a place didn’t meet a rule: the rule, what they saw, and when. CMS calls it a deficiency; states may say citation or violation. It is the inspectors’ finding, not a court’s, and the place is usually asked for a plan to correct it. Source: CMS, statement of deficiencies (Form CMS-2567); each state’s licensing agency.
Condition-level deficiency
For hospices, home health agencies, hospitals and dialysis facilities, CMS writes deficiencies at two levels. Standard is the usual one; condition-level is the more serious, when a problem is serious enough that the provider doesn’t meet a whole condition of taking part in Medicare. Source: CMS, State Operations Manual.

What did inspectors find?

The last inspection on record was on Oct 17, 2025: a complaint inspection.

2 deficiencies cited in the last three years, 1 of them at condition level, the most serious.

1 deficiency at condition level, the more serious of CMS’s two levels

Source:

CMS, QCOR Hospital 2567 statements of deficiencies. Released Oct 20, 2026. Updated monthly.

When those deficiencies happened

2 deficiencies in 1 month of the last 36. Last cited Oct 2025. Most serious: Condition-level. The last 3 years, to Nov 5, 2026.

2 deficiencies by month over the last 3 years. Each cell is one month.
JanFebMarAprMayJunJulAugSepOctNovDec
2023 Dec
2024 JanFebMarAprMayJunJulAugSepOctNovDec
2025 JanFebMarAprMayJunJulAugSepOctNovDec
2026 JanFebMarAprMayJunJulAugSepOctNov

Hover or focus a month to read it.

No visit on record Visited, nothing cited A stronger orange is more serious, on its source’s own levels, read onto four bands: from the least serious it publishes to the most
Source:

Hearth Record drew this from the dates and levels in the source’s own records.

Each deficiency, as cited

Rule titles as CMS’s inspectors cite them, set in sentence case.

Source:

CMS, QCOR Hospital 2567 statements of deficiencies. Released Oct 20, 2026. Updated monthly.

Oct 17, 2025: complaint inspection2 deficiencies

  • Patient Rights

    “PATIENT RIGHTS CFR(s): 482.13 A hospital must protect and promote each patient’s rights. This Condition is not met as evidenced by: 48001 . Based on medical record review, document review, and interview, in one of the ten medical records reviewed, the facility failed to screen, identify, and provide appropriate monitoring of a patient with a known history of physical abuse and assault to ensure the safety of patients and others (Patient #1). Findings include: See tag A0144 - Patient Rights: Care in a Safe Setting 482.13(c)(2). .”

    Rule A0115. Condition-level. From a complaint.

  • Patient Rights: Care In Safe Setting

    The inspectors’ words, 982 words

    “PATIENT RIGHTS: CARE IN SAFE SETTING CFR(s): 482.13(c)(2) The patient has the right to receive care in a safe setting. This Standard is not met as evidenced by: 48001 . Based on medical record review, document review, and interview, in one of the ten medical records reviewed, the facility failed to screen, identify, and provide appropriate monitoring of a patient with a known history of physical abuse and assault to ensure the safety of patients and others (Patient #1). Findings include: Review of policy titled, “Levels of Observation and Patient Monitoring for ‘at-risk’ Behavior(s) in all patient care settings” effective 07/31/2024. The purpose of the policy is to establish standards for levels of patient monitoring in all patient care settings that ensure the safety of patients and staff. The policy notes, “Patients exhibiting ‘at-risk’ behaviors must be placed on the appropriate level of observation as determined by the interdisciplinary treatment team to ensure the safety of patients and staff. Patients exhibiting any one or a combination of the following behavior(s) should be assessed as being at risk for injury to self and/or others, and/or property, and placed on the appropriate level of observation. These behaviors include, but are not limited to the following: - Actions likely to cause harm to self - Actions likely to cause harm to others...” The policy lacks guidance related to the observation of patients with a history of aggressive behaviors and workplace violence. The review of the Violence Risk Screening tool, updated March 2025, revealed that patients exhibiting at-risk behavior must be placed at an appropriate level of observation; however, the tool lacked guidance on which patient categories require screening and the frequency of assessment. Patient #1 presented to the Emergency Department on 09/08/2025 with complaints of bilateral arm and chest pain and was admitted to a medical unit. The patient’s past medical history includes bipolar disorder, depression, and drug-seeking behavior. The facility flagged the patient’s medical record for aggressive behavior in the workplace. On 09/10/2025 at 03:02 AM, Patient #1 struck their roommate, Patient #2, on the head. Patient #2 had several CT scans (a diagnostic imaging procedure) of the head, which revealed progressive worsening of a subdural hemorrhage with a midline shift requiring surgical intervention. The Glasgow Coma Scale, a neurological assessment tool used to evaluate a person’s level of consciousness after a head injury, went from 15 [highest score indicating a patient is fully awake and responsive to their environment] to three (3) [Lowest score indicating a patient is completely unresponsive]. By 09/22/2025, the patient had no brain stem function. On 09/27/2025 at 9:00 AM, the patient was pronounced dead. Review of security incident log revealed Patient #1 had the following incidents of violent behavior: On 01/28/2024, the patient struck a nurse on the head; on 05/13/2024, they struck a nurse on the head with a closed fist; 01/09/2025, the patient hit a staff on the head while taking their vital signs; 03/17/2025, the patient struck a nurse on the head while being escorted to a taxi; 05/06/2025, the patient hit a nurse on the head causing injury; on 07/19/2025, while a nurse was removing the patient’s intravenous access, the patient hit the nurse on the head with a closed fist; on 07/23/2025, the patient threw their urine at security staff and a Behavior Health Aide; on 09/10/2025, the patient struck Patient #2 on the head resulting in injury; on 09/11/2025, the patient hit a Patient Care Technician resulting in injury. There was no documented evidence that Patient #1 received a violence risk assessment in the Emergency Department and on the medical unit. On 10/14/2025 at 1:27 PM, during an interview, Staff M (Hospital Police Leadership) reported that Patient #1 was placed on “Hospital Police Advisories Alert” on 01/05/2025 for five years due to their history of violent and aggressive behavior. When a patient is on Hospital Police Advisories Alert, the patient’s medical record is flagged, and hospital police are alerted to conduct frequent rounds when the patient is in the facility. On 09/09/2025, at 8:38 AM. Hospital Police received notification from staff that the patient was on the unit. An officer was dispatched to the Emergency Department (ED), and the patient was monitored in a non-threatening manner during care. The security log revealed that when the patient was admitted, hospital police conducted rounds on 09/09/2025 at 8:45 AM, 9:52 AM, 4:10 PM, 8:26 PM, 9:05 PM, 9:12 PM, and 11:02 PM before security was called on 09/10/2025 at 3:04 AM for an incident where Patient #1 struck Patient #2. Review of the facility policy and procedure titled “Hospital Police Advisories Alert,” last revised September 30, 2024, lacked guidance on the frequency of monitoring. On 10/10/25 at 11:41 AM, during the interview, Staff G, Hospital Administrator, acknowledged the findings and reported that the patient’s prior history of aggression was not taken into consideration by staff during the patient’s current admission. An Immediate Jeopardy (IJ) situation was identified on 10/16/2025 at 12:14 PM due to the facility’s failure to screen, identify, and provide appropriate monitoring of a patient with a known history of physical abuse and assault to staff and others. The facility provided an IJ Removal Plan to onsite surveyors on 10/16/2025 at 6:20 PM, which included the following: - Revisions to Hospital Police Advisories Alert to include constant observation for patients with a history of aggression. - Revisions to the Level of Observation policy to include care of a patient with prior workplace violence. - Developed a procedure for documenting violent incidents in the non-behavioral units, and a violent incident plan to be followed by patients with a prior incident alert flag. - Education to all non-behavioral clinical staff on revised policies and procedures before assuming patient care duties. The IJ was removed on 10/17/2025 at 12:35 PM based on onsite verification of the IJ plan’s implementation through observations, interviews, and document reviews.”

    Rule A0144. Standard-level. From a complaint.

All 4 inspections in the last three years
Inspections on record
DateVisitWhat the record says
Oct 17, 2025Complaint inspection2 deficiencies cited
Aug 11, 2025Complaint inspectionNo deficiencies cited
Nov 20, 2024Complaint inspectionNo deficiencies cited
Nov 19, 2024Complaint inspectionNo deficiencies cited

How do patients fare?

  • CMS’s overall for it is 2 of 5.
  • Of the measures behind its , CMS counts against the national value: mortality, 0 better and 0 worse of 4; safety of care, 2 better and 0 worse of 6; readmission, 0 better and 1 worse of 4.
  • Patients rate it 2 of 5 in CMS’s patient survey (484 surveys completed, Oct 1, 2024 to Sep 30, 2025): 56% rated it 9 or 10 out of 10, and 52% would definitely recommend it.
  • Infections, compared by CMS with the national benchmark (Oct 1, 2024 to Sep 30, 2025): central line bloodstream infections (CLABSI), no different than national benchmark; catheter urinary tract infections (CAUTI), better than the national benchmark; surgical site infections after colon surgery, no different than national benchmark; MRSA bloodstream infections, no different than national benchmark; C. diff infections, better than the national benchmark.
  • CMS’s patient safety composite for serious complications, PSI 90, Jul 1, 2022 to Jun 30, 2024: no different than the national value.
  • Deaths within 30 days, as CMS gives them (Jul 1, 2022 to Jun 30, 2025): heart failure 8.5%, pneumonia 13.9%, stroke 9.1%. CMS gives no comparison with the national rate for them in this release.
  • Readmissions within 30 days, as CMS gives them (Jul 1, 2023 to Jun 30, 2025): heart failure 24.5%, pneumonia 19.6%, COPD 21.6%, hip or knee replacement 6.1%. CMS gives no comparison with the national rate for them in this release.
  • After outpatient care, compared by CMS: unplanned hospital visits after a colonoscopy, no different than the national rate.
  • Emergency department patients spent a median of 234 minutes there before leaving (Oct 1, 2024 to Sep 30, 2025), and 9% left before being seen.
  • 45% of patients with severe sepsis or septic shock got the care CMS measures, SEP-1 (Oct 1, 2024 to Sep 30, 2025).
  • Medicare’s spending per patient here is 1.01 times the national median (Jan 1, 2024 to Dec 31, 2024).
Source:

CMS, Hospital General Information, Patient survey (HCAHPS) - Hospital, Healthcare Associated Infections - Hospital, Timely and Effective Care - Hospital and Medicare Spending Per Beneficiary - Hospital. Released Aug 13, 2026. Updated quarterly.

CMS, Complications and Deaths - Hospital and Unplanned Hospital Visits - Hospital. Released Sep 30, 2026. Updated quarterly.

Ratings and measures, as published
MeasureRating
Overall ratingCMS’s overall hospital quality star rating, 1 to 52 of 5
Patient survey ratingCMS star rating from its survey of the hospital’s patients (HCAHPS), 1 to 52 of 5

Is it certified, and in good standing?

  • Medicare-certified acute care hospital since Jul 1, 1970.
  • Ownership: government - local.
  • It is accredited by The Joint Commission, whose surveys stand in for the state’s routine inspections.
  • Cited at in the last three years: it didn’t meet a whole condition of Medicare’s rules for hospitals.
  • Government - Local.
Source:

CMS, Provider of Services File - Hospital & Non-Hospital Facilities. Released Oct 14, 2026. Updated quarterly.

CMS, Hospital General Information. Released Aug 13, 2026. Updated quarterly.

CMS, QCOR Hospital 2567 statements of deficiencies. Released Oct 20, 2026. Updated monthly.

Has it been penalized?

  • CMS doesn’t publish fines or other penalties for hospitals.
  • Not among the hospitals whose Medicare payments CMS cut under the Hospital-Acquired Condition Reduction Program for fiscal year 2026.
  • 2 deficiencies cited in the last three years came from inspections that included a complaint investigation.
Source:

CMS, Hospital-Acquired Condition (HAC) Reduction Program. Released Aug 13, 2026. Updated yearly.

CMS, Provider of Services File - Hospital & Non-Hospital Facilities. Released Oct 14, 2026. Updated quarterly.

CMS, QCOR Hospital 2567 statements of deficiencies. Released Oct 20, 2026. Updated monthly.

What do patients say about their care?

  • CMS doesn’t publish staffing levels for hospitals.
  • In CMS’s patient survey, patients rate how well its nurses communicated 1 of 5.
  • 36% of its health care workers got a flu shot (Oct 1, 2024 to Mar 31, 2025).
Source:

CMS, Patient survey (HCAHPS) - Hospital and Timely and Effective Care - Hospital. Released Aug 13, 2026. Updated quarterly.

Who owns it?

  • New York City Health and Hospitals Corporation runs it.
  • 18 owners or officers are people: Barbara A Lowe (corporate director); Vincent Calamia (corporate director); Gary Jenkins (corporate director, 0%); John E Ulberg (corporate officer, 0%); John E Ulberg (corporate director, 0%); Marjory J Karlin (corporate director, 0%); Marjory J Karlin (runs it (operational or managerial control), 0%); Anne Williams-Isom (corporate director, 0%); Anita Kawatra (corporate director); Patricia Marthone (corporate director, 0%); Feniosky Pena-Mora (corporate director); Richard A Minott (corporate director); Richard A Minott (managing employee (on the payroll)); Mitchell H Katz (corporate director); Jose Pagan (corporate director); Sally Hernandez-Pinero (corporate director); Ashwin Vasan (corporate director, 0%); Freda Wang (corporate director).
  • CMS’s Provider of Services file records no change of ownership.
  • No private-equity firm among the owners CMS lists.
  • No real-estate investment trust among the owners CMS lists.
Source:

CMS, Hospital All Owners and Hospital Enrollments. Released Sep 29, 2026. Updated monthly.

CMS, Provider of Services File - Hospital & Non-Hospital Facilities. Released Oct 14, 2026. Updated quarterly.

Organisations CMS lists
OrganisationRoleShareSince
New York City Health and Hospitals CorporationRuns it (operational or managerial control)100%Jul 1, 1970

How does it compare nearby?

  • Of the 7 hospitals CMS lists in Bronx County, 6 have an overall star rating from CMS: 1 rated 4 of 5, 1 rated 3 of 5, 2 rated 2 of 5, 2 rated 1 of 5.
  • CMS rates this one 2 of 5.
Source:

CMS, Hospital General Information. Released Aug 13, 2026. Updated quarterly.

6 compared
PlaceOverall star rating
Bronxcare Hospital Center1
Montefiore Medical Center3
Jacobi Medical Center2
Bronx VA Medical Center4
St Barnabas Hospital1
Bronx Psychiatric CenterNot given

What the record doesn’t say

  • CMS doesn’t publish fines or other penalties for hospitals, so none are shown. The one payment cut CMS publishes for each hospital, under its Hospital-Acquired Condition Reduction Program, is shown where it applies.
  • Only complaints that led to a citation appear; complaints that didn’t aren’t published.
  • Most hospitals are accredited by a private organisation (The Joint Commission, DNV and others) whose routine inspections stand in for the state’s; those reports aren’t public, and QCOR holds only the state’s surveys: no inspection on record here doesn’t mean none took place.
  • QCOR says its hospital inspection data are complete only through September 17, 2026, while it moves to a new system.
  • CMS doesn’t publish staffing levels for hospitals.
  • In its September 2026 release CMS gives no comparison with the national rate for death and readmission rates, though it gives the rates.

Sources

If you believe something here is wrong, a correction starts with the agency whose record this copies: CMS. CMS’s own record is on Care Compare. If Hearth Record copied something wrongly, it will fix it and log the correction publicly, with its date: how corrections work.

Source:

This copy of the record was made on Nov 5, 2026.

From the hospital

The public record above comes first. Anything the hospital adds will appear here, below it, and say who wrote it.

Replies

None. Replies aren’t open yet. When they open, the hospital will be able to answer any finding for free, and the reply will show beside that finding, unedited and dated.

Paid listing

None. Paid listings aren’t open yet. When they open, anything paid for will say “Paid by the hospital”, and paying will never change a finding, a rating or the order of results.

How to read a record

Four things every record does, shown on an example record made up for this guide.

An example record, made up for this guide

An example nursing home

Made up for this guide: no real place is shown

Not fully inspected in over two years (CMS flag)

11 health citations at the latest inspection cycle

The state average is 14.3.

Source:

CMS, State and US Averages and Health Deficiencies. Released Oct 28, 2026. Updated monthly.

From the homeNone yet. Replies and paid listings aren’t open, and when they open they will sit here, below the record.

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