Cycle 1
Health 2024-08-08 · Fire 2024-08-08
4 health deficiencies
Top issue: Freedom from Abuse and Neglect and Exploitation (1 deficiency)
3 fire-safety deficiencies
Top issue: Egress (2 deficiencies)
Staten Island, NY
Carmel Richmond Healthcare And Rehab Center
5-star overall rating with 4-star inspections with 4 recent health deficiencies with 3 fire-safety deficiencies in the latest cycle
88 Old Town Road, Staten Island, NY
(718) 979-5000
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
Facility snapshot
Beds
300
Certified beds
Average residents
271
Average occupied residents
Ownership
Non-Profit
Publicly displayed owner type
Chain
Archcare
Operator or chain grouping
Approved since
1976-01-01
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Chain footprint
7 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
Hours and turnover
RN hours / resident day
0.93
Registered nurse staffing · state 0.70 · national 0.68
LPN hours / resident day
0.32
Licensed practical nurse staffing · state 0.78 · national 0.87
Aide hours / resident day
1.85
Nurse aide staffing · state 2.20 · national 2.35
Total nurse hours
3.10
All reported nurse hours · state 3.65 · national 3.89
Licensed hours
1.25
RN + LPN hours · state 1.47 · national 1.54
Weekend hours
2.76
Weekend nurse staffing · state 3.16 · national 3.43
Weekend RN hours
0.68
Weekend registered nurse coverage · state 0.47 · national 0.47
Physical therapist
0.07
Reported PT staffing · state 0.11 · national 0.07
Adjusted RN hours
0.84
CMS adjusted RN staffing hours
Adjusted total hours
2.79
CMS adjusted total nurse staffing hours
Case-mix index
1.52
Higher values indicate more complex resident acuity
RN turnover
30%
Annual RN turnover · state 41% · national 45%
Total nurse turnover
27%
Annual nurse turnover · state 41% · national 46%
SNF VBP
Value-based purchasing
Program rank
6,411
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
32.96
Composite VBP score used to determine payment impact.
Payment multiplier
0.9874
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
3.78
Baseline 23.49% · Performance 20.72% · Measure score 3.78 · Achievement 1.52 · Improvement 3.78
Healthcare-associated infections
0.92
Baseline 6.86% · Performance 7.56% · Measure score 0.92 · Achievement 0.92 · Improvement 0
Total nurse turnover
8.48
Baseline 39.47% · Performance 29.01% · Measure score 8.48 · Achievement 8.48 · Improvement 6.66
Adjusted total nurse staffing
0
Baseline 3.17 hours · Performance 2.88 hours · Measure score 0 · Achievement 0 · Improvement 0
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 12.35% |
10.72%
1.6 pts worse
|
No Different than the National Rate · Eligible stays 868 · Observed rate 11.52% · Lower 95% interval 10.5% |
| Discharge to community | 56.24% |
50.57%
5.7 pts better
|
Better than the National Rate · Eligible stays 1016 · Observed rate 50.3% · Lower 95% interval 52.33% |
| Medicare spending per beneficiary | 1.11 |
1.02
0.1 pts worse
|
|
| Drug regimen review with follow-up | 99.53% |
95.27%
4.3 pts better
|
Numerator 641 · Denominator 644 |
| Falls with major injury | 1.4% |
0.77%
0.6 pts worse
|
Numerator 9 · Denominator 644 |
| Discharge self-care score | 83.3% |
53.69%
29.6 pts better
|
Numerator 399 · Denominator 479 |
| Discharge mobility score | 82.67% |
50.94%
31.7 pts better
|
Numerator 396 · Denominator 479 |
| Pressure ulcers or injuries, new or worsened | 0.31% |
2.29%
2 pts better
|
Numerator 2 · Denominator 644 · Adjusted rate 0.25% |
| Healthcare-associated infections requiring hospitalization | 7.56% |
7.12%
0.4 pts worse
|
No Different than the National Rate · Eligible stays 610 · Observed rate 7.54% · Lower 95% interval 5.66% |
| Staff COVID-19 vaccination coverage | 0% |
8.2%
8.2 pts worse
|
Numerator 0 · Denominator 429 |
| Staff flu vaccination coverage | 67.41% |
42%
25.4 pts better
|
Numerator 271 · Denominator 402 |
| Discharge function score | 83.72% |
56.45%
27.3 pts better
|
Numerator 401 · Denominator 479 |
| Transfer of health information to provider | 99.37% |
95.95%
3.4 pts better
|
Numerator 158 · Denominator 159 |
| Transfer of health information to patient | 99.51% |
96.28%
3.2 pts better
|
Numerator 407 · Denominator 409 |
| Resident COVID-19 vaccinations up to date | 15.18% |
25.2%
10 pts worse
|
Numerator 51 · Denominator 336 |
Quality measures
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 1.7 |
1.7
About the same
|
1.9
0.2 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.7 · Observed 1.3 · Expected 1.4 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 0.9 |
1.3
0.4 pts better
|
1.8
0.9 pts better
|
Long Stay · 20240701-20250630 · Adjusted 0.9 · Observed 0.7 · Expected 1.3 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 99.9% |
91.2%
8.7 pts better
|
93.4%
6.5 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 99.5% · Q2 100.0% · Q3 100.0% · Q4 100.0% · 4Q avg 99.9% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 99.6% |
95.3%
4.3 pts better
|
95.5%
4.1 pts better
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 99.6% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 1.5% |
3.0%
1.5 pts better
|
3.3%
1.8 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 2.3% · Q2 1.9% · Q3 1.1% · Q4 0.5% · 4Q avg 1.5% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 11.4% |
18.5%
7.1 pts better
|
11.4%
About the same
|
Long Stay · 2024Q4-2025Q3 · Q1 9.6% · Q2 9.8% · Q3 11.2% · Q4 15.4% · 4Q avg 11.4% |
| Percentage of long-stay residents who lose too much weight | 6.2% |
6.1%
0.1 pts worse
|
5.4%
0.8 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 4.8% · Q2 9.4% · Q3 8.0% · Q4 2.3% · 4Q avg 6.2% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 13.8% |
13.5%
0.3 pts worse
|
19.6%
5.8 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 14.6% · Q2 15.3% · Q3 12.4% · Q4 12.7% · 4Q avg 13.8% |
| Percentage of long-stay residents who received an antipsychotic medication | 4.1% |
14.8%
10.7 pts better
|
16.7%
12.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 4.0% · Q2 4.4% · Q3 3.4% · Q4 4.4% · 4Q avg 4.1% · 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 | 7.4% |
15.1%
7.7 pts better
|
16.3%
8.9 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 11.1% · Q2 10.0% · Q3 1.0% · Q4 6.5% · 4Q avg 7.4% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 7.8% |
15.5%
7.7 pts better
|
14.9%
7.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 7.1% · Q2 7.4% · Q3 6.5% · Q4 10.2% · 4Q avg 7.8% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.2% |
0.6%
0.4 pts better
|
1.0%
0.8 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.8% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.2% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 1.4% |
1.4%
About the same
|
1.7%
0.3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 1.8% · Q2 1.0% · Q3 1.1% · Q4 1.7% · 4Q avg 1.4% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 12.2% |
20.8%
8.6 pts better
|
19.8%
7.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 13.6% · Q2 13.9% · Q3 12.4% · Q4 8.3% · 4Q avg 12.2% |
| Percentage of long-stay residents with pressure ulcers | 6.6% |
6.9%
0.3 pts better
|
5.1%
1.5 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 7.0% · Q2 9.0% · Q3 4.7% · Q4 5.4% · 4Q avg 6.6% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 99.3% |
76.7%
22.6 pts better
|
81.7%
17.6 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 98.7% · Q2 99.2% · Q3 99.6% · Q4 99.8% · 4Q avg 99.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 6.7% |
9.7%
3 pts better
|
12.0%
5.3 pts better
|
Short Stay · 20240701-20250630 · Adjusted 6.7% · Observed 6.1% · Expected 10.1% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 1.3% |
1.2%
0.1 pts worse
|
1.6%
0.3 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 1.2% · Q2 1.2% · Q3 1.3% · Q4 1.5% · 4Q avg 1.3% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 98.4% |
78.8%
19.6 pts better
|
79.7%
18.7 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 98.4% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 22.9% |
20.6%
2.3 pts worse
|
23.9%
1 pts better
|
Short Stay · 20240701-20250630 · Adjusted 22.9% · Observed 21.5% · Expected 22.3% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2022-06-09 · Fire 2022-06-09
1 health deficiencies
Top issue: Freedom from Abuse and Neglect and Exploitation (1 deficiency)
1 fire-safety deficiencies
Top issue: Smoke (1 deficiency)
Cycle 3
Health 2019-10-09 · Fire 2019-10-09
2 health deficiencies
Top issue: Resident Assessment and Care Planning (2 deficiencies)
1 fire-safety deficiencies
Top issue: Egress (1 deficiency)
Fire safety
Fire-safety citations
E · Potential for more than minimal harm
2024-08-08
K225 · Egress Deficiencies
Fire Safety
Have stairways and smokeproof enclosures used as exits that meet safety requirements.
Corrected 2024-09-16
E · Potential for more than minimal harm
2024-08-08
K363 · Smoke Deficiencies
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2024-09-16
D · Potential for more than minimal harm
2024-08-08
K281 · Egress Deficiencies
Fire Safety
Install proper backup exit lighting.
Corrected 2024-09-16
D · Potential for more than minimal harm
2022-06-09
K351 · Smoke Deficiencies
Fire Safety
Install an approved automatic sprinkler system.
Corrected 2022-08-01
E · Potential for more than minimal harm
2019-10-09
K211 · Egress Deficiencies
Fire Safety
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Corrected 2019-12-08
Inspection history
Recent health citations
D · Potential for more than minimal harm
2025-03-12
F689 · Quality of Life and Care Deficiencies
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2025-04-03
D · Potential for more than minimal harm
2025-01-27
F600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Health
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2025-03-19
D · Potential for more than minimal harm
2024-08-08
F609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Health
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2024-09-16
D · Potential for more than minimal harm
2024-08-08
F637 · Resident Assessment and Care Planning Deficiencies
Health
Assess the resident when there is a significant change in condition
Corrected 2024-09-16
D · Potential for more than minimal harm
2024-08-08
F812 · Nutrition and Dietary Deficiencies
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2024-09-16
D · Potential for more than minimal harm
2019-10-09
F640 · Resident Assessment and Care Planning Deficiencies
Health
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
Corrected 2019-11-22
D · Potential for more than minimal harm
2019-10-09
F641 · Resident Assessment and Care Planning Deficiencies
Health
Ensure each resident receives an accurate assessment.
Corrected 2019-11-22
Penalties and ownership
What sits behind the stars
Ownership
Alberto, Thomas
Corporate Director · Individual
Augustine, Gemma
Operational/Managerial Control · Individual
Bujno, Stephen
Corporate Director · Individual
Cahill, John
Corporate Director · Individual
Catholic Health Care Systems
Operational/Managerial Control · Organization
Cortes, Tara
Corporate Director · Individual
Covone, Annmarie
Operational/Managerial Control · Individual
Covone, Annmarie
Corporate Officer · Individual
Esposito, Gina
Operational/Managerial Control · Individual
Fahey, Thomas
Corporate Director · Individual
Feldmann, Eric
Corporate Director · Individual
Gleason, John
Corporate Director · Individual
Gray, Karen
Corporate Director · Individual
Johnson, Clarion
Corporate Director · Individual
Kasergrande, Leslie
Corporate Director · Individual
Kelleher, Rory
Corporate Director · Individual
Lamorte, Joseph
Corporate Director · Individual
Larue, Scott
Operational/Managerial Control · Individual
Larue, Scott
Corporate Officer · Individual
O'brien, Thomas
Corporate Director · Individual
Park, Richard
Corporate Director · Individual
Roberti, Cynthia
Corporate Director · Individual
Rooney, Kathryn
Corporate Director · Individual
Saporito, Joseph
Corporate Director · Individual
Serbaroli, Frank
Corporate Director · Individual
Sweeney, Gerald
Corporate Director · Individual
Tirado, Miguel
Operational/Managerial Control · Individual
Tooker, Patricia
Corporate Director · Individual
Whiston, William
Corporate Director · Individual
Nearby options
Other facilities in reach
#1
New Vanderbilt Rehabilitation And Care Center, Inc
Staten Island, NY
1-star overall rating with 1-star inspections with 15 recent health deficiencies with 4 fire-safety deficiencies in the latest cycle
#2
Clove Lakes Health Care And Rehab Center, Inc
Staten Island, NY
4-star overall rating with 3-star inspections with 5 recent health deficiencies with 1 fire-safety deficiencies in the latest cycle
#3
Richmond Ctr For Rehab And Specialty Healthcare
Staten Island, NY
2-star overall rating with 2-star inspections with 11 recent health deficiencies with 7 fire-safety deficiencies in the latest cycle
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