3 health deficiencies
Top issue: Pharmacy Service (1 deficiency)
6 fire-safety deficiencies
Top issue: Egress (3 deficiencies)
Brooklyn, NY
5-star overall rating with 4-star inspections with 3 recent health deficiencies with 6 fire-safety deficiencies in the latest cycle
40 Heyward Street, Brooklyn, NY
(718) 858-6200
Overall
5 / 5
CMS overall stars
Health inspections
4 / 5
Survey and complaint cycles
Staffing
3 / 5
RN + nurse staffing
Quality measures
5 / 5
Resident outcomes and process measures
Quick facts
Beds
200
Certified beds
Average residents
195
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
Allure Group
Operator or chain grouping
Approved since
1978-08-14
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Chain footprint
6 facilities
Chain averages 4 overall / 3 health / 3 staffing / 5 quality stars
Changed ownership
No
Within the last 12 months
Family council
Yes
Resident and family council reported
Sprinklers
Yes
Automatic sprinklers in all required areas
Staffing
RN hours / resident day
0.71
Registered nurse staffing · state 0.70 · national 0.68
LPN hours / resident day
0.82
Licensed practical nurse staffing · state 0.78 · national 0.87
Aide hours / resident day
2.50
Nurse aide staffing · state 2.20 · national 2.35
Total nurse hours
4.03
All reported nurse hours · state 3.65 · national 3.89
Licensed hours
1.53
RN + LPN hours · state 1.47 · national 1.54
Weekend hours
3.70
Weekend nurse staffing · state 3.16 · national 3.43
Weekend RN hours
0.44
Weekend registered nurse coverage · state 0.47 · national 0.47
Physical therapist
0.00
Reported PT staffing
Adjusted RN hours
0.61
CMS adjusted RN staffing hours
Adjusted total hours
3.45
CMS adjusted total nurse staffing hours
Case-mix index
1.60
Higher values indicate more complex resident acuity
RN turnover
36%
Annual RN turnover · state 41% · national 45%
Total nurse turnover
31%
Annual nurse turnover · state 41% · national 46%
SNF VBP
Program rank
3,990
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
41.84
Composite VBP score used to determine payment impact.
Payment multiplier
0.9947
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
Readmission
4.35
Baseline 17.20% · Performance 19.41% · Measure score 4.35 · Achievement 4.35 · Improvement 0
Healthcare-associated infections
0
Baseline 8.54% · Performance 9.65% · Measure score 0 · Achievement 0 · Improvement 0
Total nurse turnover
10
Baseline 32.98% · Performance 24.41% · Measure score 10 · Achievement 10 · Improvement 9
Adjusted total nurse staffing
2.38
Baseline 3.36 hours · Performance 3.76 hours · Measure score 2.38 · Achievement 2.38 · Improvement 1.14
SNF QRP
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 8.56% |
10.72%
2.2 pts better
|
No Different than the National Rate · Eligible stays 192 · Observed rate 6.25% · Lower 95% interval 6.16% |
| Discharge to community | 38.93% |
50.57%
11.6 pts worse
|
Worse than the National Rate · Eligible stays 196 · Observed rate 31.63% · Lower 95% interval 31.38% |
| Medicare spending per beneficiary | 1.62 |
1.02
0.6 pts worse
|
|
| Drug regimen review with follow-up | 100% |
95.27%
4.7 pts better
|
Numerator 265 · Denominator 265 |
| Falls with major injury | 0.38% |
0.77%
0.4 pts better
|
Numerator 1 · Denominator 265 |
| Discharge self-care score | 52.81% |
53.69%
0.9 pts worse
|
Numerator 94 · Denominator 178 |
| Discharge mobility score | 62.36% |
50.94%
11.4 pts better
|
Numerator 111 · Denominator 178 |
| Pressure ulcers or injuries, new or worsened | 3.4% |
2.29%
1.1 pts worse
|
Numerator 9 · Denominator 265 · Adjusted rate 2.52% |
| Healthcare-associated infections requiring hospitalization | 9.65% |
7.12%
2.5 pts worse
|
No Different than the National Rate · Eligible stays 170 · Observed rate 14.12% · Lower 95% interval 6.89% |
| Staff COVID-19 vaccination coverage | 1.23% |
8.2%
7 pts worse
|
Numerator 4 · Denominator 325 |
| Staff flu vaccination coverage | 56.89% |
42%
14.9 pts better
|
Numerator 190 · Denominator 334 |
| Discharge function score | 56.18% |
56.45%
0.3 pts worse
|
Numerator 100 · Denominator 178 |
| Transfer of health information to provider | 98.7% |
95.95%
2.8 pts better
|
Numerator 76 · Denominator 77 |
| Transfer of health information to patient | 88.61% |
96.28%
7.7 pts worse
|
Numerator 70 · Denominator 79 |
| Resident COVID-19 vaccinations up to date | 32.03% |
25.2%
6.8 pts better
|
Numerator 41 · Denominator 128 |
Quality measures
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 1.4 |
1.7
0.3 pts better
|
1.9
0.5 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.4 · Observed 1.8 · Expected 2.5 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 1.0 |
1.3
0.3 pts better
|
1.8
0.8 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.0 · Observed 1.1 · Expected 1.8 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 99.3% |
91.2%
8.1 pts better
|
93.4%
5.9 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 99.4% · Q2 99.4% · Q3 99.4% · Q4 98.9% · 4Q avg 99.3% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 96.3% |
95.3%
1 pts better
|
95.5%
0.8 pts better
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 96.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 1.7% |
3.0%
1.3 pts better
|
3.3%
1.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 2.4% · Q2 1.8% · Q3 1.2% · Q4 1.7% · 4Q avg 1.7% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 8.9% |
18.5%
9.6 pts better
|
11.4%
2.5 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 7.5% · Q2 9.8% · Q3 9.6% · Q4 8.7% · 4Q avg 8.9% |
| Percentage of long-stay residents who lose too much weight | 3.0% |
6.1%
3.1 pts better
|
5.4%
2.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 3.8% · Q2 2.4% · Q3 3.6% · Q4 2.4% · 4Q avg 3.0% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 10.1% |
13.5%
3.4 pts better
|
19.6%
9.5 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 11.4% · Q2 9.6% · Q3 10.5% · Q4 9.1% · 4Q avg 10.1% |
| Percentage of long-stay residents who received an antipsychotic medication | 13.2% |
14.8%
1.6 pts better
|
16.7%
3.5 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 13.0% · Q2 12.6% · Q3 12.2% · Q4 15.0% · 4Q avg 13.2% · Used in QM five-star |
| Percentage of long-stay residents who were physically restrained | 0.0% |
0.2%
0.2 pts better
|
0.1%
0.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | 5.9% |
15.1%
9.2 pts better
|
16.3%
10.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 11.0% · Q2 4.9% · Q3 7.4% · Q4 1.0% · 4Q avg 5.9% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 8.6% |
15.5%
6.9 pts better
|
14.9%
6.3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 13.1% · Q2 6.0% · Q3 10.5% · Q4 5.1% · 4Q avg 8.6% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.0% |
0.6%
0.6 pts better
|
1.0%
1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 0.6% |
1.4%
0.8 pts better
|
1.7%
1.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.6% · Q2 1.2% · Q3 0.0% · Q4 0.6% · 4Q avg 0.6% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 11.5% |
20.8%
9.3 pts better
|
19.8%
8.3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 9.0% · Q2 16.6% · Q3 10.5% · Q4 9.9% · 4Q avg 11.5% |
| Percentage of long-stay residents with pressure ulcers | 12.4% |
6.9%
5.5 pts worse
|
5.1%
7.3 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 13.9% · Q2 13.5% · Q3 12.9% · Q4 9.4% · 4Q avg 12.4% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 83.7% |
76.7%
7 pts better
|
81.7%
2 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 90.0% · Q2 89.8% · Q3 78.4% · Q4 75.7% · 4Q avg 83.7% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 3.7% |
9.7%
6 pts better
|
12.0%
8.3 pts better
|
Short Stay · 20240701-20250630 · Adjusted 3.7% · Observed 3.9% · Expected 11.6% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 0.8% |
1.2%
0.4 pts better
|
1.6%
0.8 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 1.0% · Q3 0.0% · Q4 2.3% · 4Q avg 0.8% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 88.6% |
78.8%
9.8 pts better
|
79.7%
8.9 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 88.6% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 21.1% |
20.6%
0.5 pts worse
|
23.9%
2.8 pts better
|
Short Stay · 20240701-20250630 · Adjusted 21.1% · Observed 26.0% · Expected 29.4% · Used in QM five-star |
Survey summary
Top issue: Pharmacy Service (1 deficiency)
6 fire-safety deficiencies
Top issue: Egress (3 deficiencies)
Top issue: Resident Assessment and Care Planning (1 deficiency)
10 fire-safety deficiencies
Top issue: Smoke (6 deficiencies)
Top issue: Quality of Life and Care (3 deficiencies)
3 fire-safety deficiencies
Top issue: Egress (2 deficiencies)
Fire safety
Fire Safety
Have exits that are accessible at all times.
Corrected 2025-04-04
Fire Safety
Install emergency lighting that can last at least 1 1/2 hours.
Corrected 2025-04-04
Fire Safety
Have properly located and lighted "Exit" signs.
Corrected 2025-04-04
Fire Safety
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Corrected 2025-04-04
Fire Safety
Install smoke barrier doors that can resist smoke for at least 20 minutes.
Corrected 2025-04-04
Fire Safety
Meet requirements for the use and maintenance of medical gas equipment.
Corrected 2025-04-04
Fire Safety
Have stairways and smokeproof enclosures used as exits that meet safety requirements.
Corrected 2023-05-22
Fire Safety
Install proper backup exit lighting.
Corrected 2023-05-22
Fire Safety
Follow proper procedures when the fire alarm was out of service for more than 4 hours.
Corrected 2023-05-22
Fire Safety
Install an approved automatic sprinkler system.
Corrected 2023-05-22
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2023-05-22
Fire Safety
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected 2023-05-22
Fire Safety
Have properly located and lighted "Exit" signs.
Corrected 2023-05-22
Fire Safety
Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke.
Corrected 2023-05-22
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2023-05-22
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2023-05-22
Fire Safety
Have proper medical gas storage and administration areas.
Corrected 2020-04-27
Fire Safety
Have ramps, exits, fire escape ladders, steps, and areas of refuge that meet safety requirements.
Corrected 2020-02-27
Fire Safety
Have exits that are accessible at all times.
Corrected 2020-04-27
Inspection history
Health
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2025-05-13
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2025-05-13
Health
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.
Corrected 2025-05-13
Health
Respond appropriately to all alleged violations.
Corrected 2023-08-08
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2023-08-08
Health
Keep residents' personal and medical records private and confidential.
Corrected 2023-05-17
Health
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected 2023-05-17
Health
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected 2023-05-17
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2020-02-28
Health
Provide activities to meet all resident's needs.
Corrected 2020-02-27
Health
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.
Corrected 2020-02-28
Health
Provide and implement an infection prevention and control program.
Corrected 2020-02-28
Penalties and ownership
5% Or Greater Direct Ownership Interest · Individual
5% Or Greater Direct Ownership Interest · Individual
5% Or Greater Direct Ownership Interest · Individual
5% Or Greater Direct Ownership Interest · Individual
5% Or Greater Direct Ownership Interest · Individual
5% Or Greater Direct Ownership Interest · Individual
Corporate Officer · Individual
Corporate Officer · Individual
Corporate Officer · Individual
Corporate Officer · Individual
Corporate Officer · Individual
Operational/Managerial Control · Individual
Corporate Officer · Individual
W-2 Managing Employee · Individual
Nearby options
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4-star overall rating with 3-star inspections with 6 recent health deficiencies with 5 fire-safety deficiencies in the latest cycle
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