Brooklyn, NY

Caton Park Rehab And Nursing Center, L L C

4-star overall rating with 4-star inspections with 5 recent health deficiencies with 2 fire-safety deficiencies in the latest cycle

1312 Caton Avenue, Brooklyn, NY

(718) 693-7000

Compare this facility

Overall

4 / 5

CMS overall stars

Health inspections

4 / 5

Survey and complaint cycles

Staffing

2 / 5

RN + nurse staffing

Quality measures

3 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

119

Certified beds

Average residents

116

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

No chain reported

Operator or chain grouping

Approved since

1968-08-21

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

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

0.51

Registered nurse staffing · state 0.70 · national 0.68

LPN hours / resident day

0.45

Licensed practical nurse staffing · state 0.78 · national 0.87

Aide hours / resident day

1.82

Nurse aide staffing · state 2.20 · national 2.35

Total nurse hours

2.77

All reported nurse hours · state 3.65 · national 3.89

Licensed hours

0.96

RN + LPN hours · state 1.47 · national 1.54

Weekend hours

2.44

Weekend nurse staffing · state 3.16 · national 3.43

Weekend RN hours

0.40

Weekend registered nurse coverage · state 0.47 · national 0.47

Physical therapist

0.15

Reported PT staffing · state 0.11 · national 0.07

Adjusted RN hours

0.47

CMS adjusted RN staffing hours

Adjusted total hours

2.57

CMS adjusted total nurse staffing hours

Case-mix index

1.48

Higher values indicate more complex resident acuity

RN turnover

28%

Annual RN turnover · state 41% · national 45%

Total nurse turnover

20%

Annual nurse turnover · state 41% · national 46%

SNF VBP

Value-based purchasing

Program rank

3,048

Lower is better among SNFs in the FY 2026 VBP program.

Performance score

46.25

Composite VBP score used to determine payment impact.

Payment multiplier

0.9996

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

4.93

Baseline 21.76% · Performance 19.19% · Measure score 4.93 · Achievement 4.83 · Improvement 4.93

Healthcare-associated infections

3.57

Baseline 7.63% · Performance 6.77% · Measure score 3.57 · Achievement 3.57 · Improvement 2.79

Total nurse turnover

10

Baseline 35.23% · Performance 18.92% · Measure score 10 · Achievement 10 · Improvement 9

Adjusted total nurse staffing

0

Baseline 2.70 hours · Performance 2.72 hours · Measure score 0 · Achievement 0 · Improvement 0

SNF QRP

Medicare quality reporting measures

Measure	Facility	National	Note
Potentially preventable 30-day readmission	11.59%	10.72% 0.9 pts worse	No Different than the National Rate · Eligible stays 54 · Observed rate 14.81% · Lower 95% interval 7.56%
Discharge to community	31.95%	50.57% 18.6 pts worse	Worse than the National Rate · Eligible stays 36 · Observed rate 16.67% · Lower 95% interval 19.19%
Medicare spending per beneficiary	1.71	1.02 0.7 pts worse
Drug regimen review with follow-up	100%	95.27% 4.7 pts better	Numerator 76 · Denominator 76
Falls with major injury	0%	0.77% 0.8 pts better	Numerator 0 · Denominator 76
Discharge self-care score	54.17%	53.69% 0.5 pts better	Numerator 26 · Denominator 48
Discharge mobility score	41.67%	50.94% 9.3 pts worse	Numerator 20 · Denominator 48
Pressure ulcers or injuries, new or worsened	1.32%	2.29% 1 pts better	Numerator 1 · Denominator 76 · Adjusted rate 1.06%
Healthcare-associated infections requiring hospitalization	6.77%	7.12% 0.4 pts better	No Different than the National Rate · Eligible stays 38 · Observed rate 5.26% · Lower 95% interval 3.7%
Staff COVID-19 vaccination coverage	1.1%	8.2% 7.1 pts worse	Numerator 2 · Denominator 181
Staff flu vaccination coverage	41.24%	42% 0.8 pts worse	Numerator 73 · Denominator 177
Discharge function score	39.58%	56.45% 16.9 pts worse	Numerator 19 · Denominator 48
Transfer of health information to provider	100%	95.95% 4 pts better	Numerator 28 · Denominator 28
Transfer of health information to patient	Not Available	96.28%	Numerator Not Available · Denominator 13 · Too few residents or stays to report publicly.
Resident COVID-19 vaccinations up to date	65.71%	25.2% 40.5 pts better	Numerator 23 · Denominator 35

Quality measures

Resident outcomes and process scores

Measure	Facility	State	National	Note
Number of hospitalizations per 1000 long-stay resident days	2.6	1.7 0.9 pts worse	1.9 0.7 pts worse	Long Stay · 20240701-20250630 · Adjusted 2.6 · Observed 2.5 · Expected 1.8 · Used in QM five-star
Number of outpatient emergency department visits per 1000 long-stay resident days	2.0	1.3 0.7 pts worse	1.8 0.2 pts worse	Long Stay · 20240701-20250630 · Adjusted 2.0 · Observed 1.7 · Expected 1.5 · Used in QM five-star
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine	85.0%	91.2% 6.2 pts worse	93.4% 8.4 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 91.8% · Q2 93.2% · Q3 78.3% · Q4 77.8% · 4Q avg 85.0%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine	96.6%	95.3% 1.3 pts better	95.5% 1.1 pts better	Long Stay · 2024Q3-2025Q2 · 4Q avg 96.6%
Percentage of long-stay residents experiencing one or more falls with major injury	1.2%	3.0% 1.8 pts better	3.3% 2.1 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 1.0% · Q3 1.9% · Q4 1.9% · 4Q avg 1.2% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms	56.0%	18.5% 37.5 pts worse	11.4% 44.6 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 39.6% · Q2 49.0% · Q3 80.2% · Q4 54.8% · 4Q avg 56.0%
Percentage of long-stay residents who lose too much weight	9.1%	6.1% 3 pts worse	5.4% 3.7 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 3.2% · Q2 7.0% · Q3 10.0% · Q4 16.0% · 4Q avg 9.1%
Percentage of long-stay residents who received an antianxiety or hypnotic medication	8.5%	13.5% 5 pts better	19.6% 11.1 pts better	Long Stay · 2024Q4-2025Q3 · Q1 9.3% · Q2 8.7% · Q3 7.5% · Q4 8.3% · 4Q avg 8.5%
Percentage of long-stay residents who received an antipsychotic medication	7.7%	14.8% 7.1 pts better	16.7% 9 pts better	Long Stay · 2024Q4-2025Q3 · Q1 8.5% · Q2 6.6% · Q3 9.6% · Q4 6.3% · 4Q avg 7.7% · 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	13.4%	15.1% 1.7 pts better	16.3% 2.9 pts better	Long Stay · 2024Q4-2025Q3 · Q1 10.5% · Q2 21.2% · Q3 12.6% · Q4 9.3% · 4Q avg 13.4% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased	16.0%	15.5% 0.5 pts worse	14.9% 1.1 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 8.2% · Q2 23.3% · Q3 22.1% · Q4 9.8% · 4Q avg 16.0% · Used in QM five-star
Percentage of long-stay residents with a catheter inserted and left in their bladder	0.4%	0.6% 0.2 pts better	1.0% 0.6 pts better	Long Stay · 2024Q4-2025Q3 · Q1 1.0% · Q2 0.0% · Q3 0.8% · Q4 0.0% · 4Q avg 0.4% · Used in QM five-star
Percentage of long-stay residents with a urinary tract infection	0.0%	1.4% 1.4 pts better	1.7% 1.7 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 new or worsened bowel or bladder incontinence	16.0%	20.8% 4.8 pts better	19.8% 3.8 pts better	Long Stay · 2024Q4-2025Q3 · Q1 13.4% · Q2 23.2% · Q3 12.6% · Q4 14.9% · 4Q avg 16.0%
Percentage of long-stay residents with pressure ulcers	3.7%	6.9% 3.2 pts better	5.1% 1.4 pts better	Long Stay · 2024Q4-2025Q3 · Q1 3.3% · Q2 6.7% · Q3 2.9% · Q4 1.9% · 4Q avg 3.7% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine	66.7%	76.7% 10 pts worse	81.7% 15 pts worse	Short Stay · 2024Q4-2025Q3 · Q1 72.1% · Q2 72.2% · Q3 58.1% · Q4 59.6% · 4Q avg 66.7%
Percentage of short-stay residents who had an outpatient emergency department visit	20.0%	9.7% 10.3 pts worse	12.0% 8 pts worse	Short Stay · 20240701-20250630 · Adjusted 20.0% · Observed 20.7% · Expected 11.5% · Used in QM five-star
Percentage of short-stay residents who newly received an antipsychotic medication	2.2%	1.2% 1 pts worse	1.6% 0.6 pts worse	Short Stay · 2024Q4-2025Q3 · Q1 1.9% · Q2 2.1% · Q3 0.0% · Q4 5.3% · 4Q avg 2.2% · Used in QM five-star
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine	69.2%	78.8% 9.6 pts worse	79.7% 10.5 pts worse	Short Stay · 2024Q3-2025Q2 · 4Q avg 69.2%
Percentage of short-stay residents who were rehospitalized after a nursing home admission	21.8%	20.6% 1.2 pts worse	23.9% 2.1 pts better	Short Stay · 20240701-20250630 · Adjusted 21.8% · Observed 24.1% · Expected 26.4% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2024-08-16 · Fire 2024-08-16

5 health deficiencies

Top issue: Resident Assessment and Care Planning (2 deficiencies)

2 fire-safety deficiencies

Top issue: Miscellaneous (1 deficiency)

Cycle 2 Health 2022-08-10 · Fire 2022-08-10

8 health deficiencies

Top issue: Resident Assessment and Care Planning (4 deficiencies)

4 fire-safety deficiencies

Top issue: Gas and Vacuum and Electrical Systems (2 deficiencies)

Cycle 3 Health 2019-12-06 · Fire 2019-12-06

2 health deficiencies

Top issue: Environmental (1 deficiency)

7 fire-safety deficiencies

Top issue: Smoke (4 deficiencies)

Fire safety

Fire-safety citations

D · Potential for more than minimal harm 2024-08-16

K311 · Smoke Deficiencies

Fire Safety

Have an enclosure around a vertical opening shaft.

Corrected 2024-09-19

D · Potential for more than minimal harm 2024-08-16

K712 · Miscellaneous Deficiencies

Fire Safety

Have simulated fire drills held at unexpected times.

Corrected 2024-09-19

F · Potential for more than minimal harm 2022-08-10

K161 · Construction Deficiencies

Fire Safety

Use approved construction type or materials.

Corrected 2022-11-09

F · Potential for more than minimal harm 2022-08-10

K916 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have a battery powered remote alarm panel in a location accessible by operating personnel.

Corrected 2022-11-07

F · Potential for more than minimal harm 2022-08-10

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

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

Corrected 2022-11-06

D · Potential for more than minimal harm 2022-08-10

K293 · Egress Deficiencies

Fire Safety

Have properly located and lighted "Exit" signs.

Corrected 2022-09-30

E · Potential for more than minimal harm 2019-12-06

K351 · Smoke Deficiencies

Fire Safety

Install an approved automatic sprinkler system.

Corrected 2020-01-30

E · Potential for more than minimal harm 2019-12-06

K363 · Smoke Deficiencies

Fire Safety

Install corridor and hallway doors that block smoke.

Corrected 2020-01-30

E · Potential for more than minimal harm 2019-12-06

K923 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have proper medical gas storage and administration areas.

Corrected 2020-01-30

D · Potential for more than minimal harm 2019-12-06

K211 · Egress Deficiencies

Fire Safety

Keep aisles, corridors, and exits free of obstruction in case of emergency.

Corrected 2020-01-30

D · Potential for more than minimal harm 2019-12-06

K225 · Egress Deficiencies

Fire Safety

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

Corrected 2020-01-30

D · Potential for more than minimal harm 2019-12-06

K311 · Smoke Deficiencies

Fire Safety

Have an enclosure around a vertical opening shaft.

Corrected 2020-01-30

D · Potential for more than minimal harm 2019-12-06

K321 · Smoke Deficiencies

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 2020-01-30

Inspection history

Recent health citations

D · Potential for more than minimal harm 2025-12-08

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 2026-02-05

D · Potential for more than minimal harm 2024-08-16

F657 · Resident Assessment and Care Planning Deficiencies

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 2024-09-30

D · Potential for more than minimal harm 2024-08-16

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 2024-09-30

D · Potential for more than minimal harm 2024-08-16

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2024-09-30

B · Minimal harm 2024-08-16

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 2024-09-30

D · Potential for more than minimal harm 2024-03-12

F658 · Resident Assessment and Care Planning Deficiencies

Health

Ensure services provided by the nursing facility meet professional standards of quality.

Corrected 2024-05-01

D · Potential for more than minimal harm 2024-03-12

F697 · Quality of Life and Care Deficiencies

Health

Provide safe, appropriate pain management for a resident who requires such services.

Corrected 2024-05-01

D · Potential for more than minimal harm 2023-08-11

F925 · Environmental Deficiencies

Health

Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.

Corrected 2023-09-15

E · Potential for more than minimal harm 2022-08-10

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 2022-10-09

D · Potential for more than minimal harm 2022-08-10

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 2022-10-09

D · Potential for more than minimal harm 2022-08-10

F656 · Resident Assessment and Care Planning Deficiencies

Health

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Corrected 2022-10-09

D · Potential for more than minimal harm 2022-08-10

F658 · Resident Assessment and Care Planning Deficiencies

Health

Ensure services provided by the nursing facility meet professional standards of quality.

Corrected 2022-10-09

D · Potential for more than minimal harm 2022-08-10

F684 · Quality of Life and Care Deficiencies

Health

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Corrected 2022-10-09

D · Potential for more than minimal harm 2022-08-10

F791 · Quality of Life and Care Deficiencies

Health

Provide or obtain dental services for each resident.

Corrected 2022-10-09

D · Potential for more than minimal harm 2019-12-06

F688 · Quality of Life and Care Deficiencies

Health

Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.

Corrected 2020-01-30

Penalties and ownership