7 health deficiencies
Top issue: Resident Assessment and Care Planning (3 deficiencies)
3 fire-safety deficiencies
Top issue: Egress (1 deficiency)
Maspeth, NY
2-star overall rating with 3-star inspections with 7 recent health deficiencies with 3 fire-safety deficiencies in the latest cycle
69 95 Queens Midtown Expressway, Maspeth, NY
(718) 429-2200
Overall
2 / 5
CMS overall stars
Health inspections
3 / 5
Survey and complaint cycles
Staffing
1 / 5
RN + nurse staffing
Quality measures
0 / 5
Resident outcomes and process measures
Quick facts
Beds
200
Certified beds
Average residents
196
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
No chain reported
Operator or chain grouping
Approved since
1976-02-01
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
RN hours / resident day
0.36
Registered nurse staffing · state 0.70 · national 0.68
LPN hours / resident day
0.55
Licensed practical nurse staffing · state 0.78 · national 0.87
Aide hours / resident day
2.11
Nurse aide staffing · state 2.20 · national 2.35
Total nurse hours
3.02
All reported nurse hours · state 3.65 · national 3.89
Licensed hours
0.91
RN + LPN hours · state 1.47 · national 1.54
Weekend hours
2.67
Weekend nurse staffing · state 3.16 · national 3.43
Weekend RN hours
0.15
Weekend registered nurse coverage · state 0.47 · national 0.47
Physical therapist
0.09
Reported PT staffing · state 0.11 · national 0.07
Adjusted RN hours
0.36
CMS adjusted RN staffing hours
Adjusted total hours
3.05
CMS adjusted total nurse staffing hours
Case-mix index
1.35
Higher values indicate more complex resident acuity
RN turnover
50%
Annual RN turnover · state 41% · national 45%
Total nurse turnover
39%
Annual nurse turnover · state 41% · national 46%
SNF VBP
Program rank
7,285
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
30.19
Composite VBP score used to determine payment impact.
Payment multiplier
0.9858
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
Readmission
2.25
Baseline 16.87% · Performance 20.39% · Measure score 2.25 · Achievement 2.25 · Improvement 0
Healthcare-associated infections
1.52
Baseline 7.23% · Performance 7.38% · Measure score 1.52 · Achievement 1.52 · Improvement 0
Total nurse turnover
8.31
Baseline 17.48% · Performance 29.73% · Measure score 8.31 · Achievement 8.31 · Improvement 0
Adjusted total nurse staffing
0
Baseline 3.20 hours · Performance 2.66 hours · Measure score 0 · Achievement 0 · Improvement 0
SNF QRP
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 11.52% |
10.72%
0.8 pts worse
|
No Different than the National Rate · Eligible stays 109 · Observed rate 12.84% · Lower 95% interval 8.03% |
| Discharge to community | 30.08% |
50.57%
20.5 pts worse
|
Worse than the National Rate · Eligible stays 69 · Observed rate 17.39% · Lower 95% interval 19.57% |
| Medicare spending per beneficiary | 1.78 |
1.02
0.8 pts worse
|
|
| Drug regimen review with follow-up | 98.45% |
95.27%
3.2 pts better
|
Numerator 254 · Denominator 258 |
| Falls with major injury | 0.78% |
0.77%
About the same
|
Numerator 2 · Denominator 258 |
| Discharge self-care score | 64.02% |
53.69%
10.3 pts better
|
Numerator 105 · Denominator 164 |
| Discharge mobility score | 68.29% |
50.94%
17.4 pts better
|
Numerator 112 · Denominator 164 |
| Pressure ulcers or injuries, new or worsened | 0% |
2.29%
2.3 pts better
|
Numerator 0 · Denominator 258 · Adjusted rate 0% |
| Healthcare-associated infections requiring hospitalization | 7.38% |
7.12%
0.3 pts worse
|
No Different than the National Rate · Eligible stays 67 · Observed rate 7.46% · Lower 95% interval 4.86% |
| Staff COVID-19 vaccination coverage | 1.62% |
8.2%
6.6 pts worse
|
Numerator 3 · Denominator 185 |
| Staff flu vaccination coverage | 53.36% |
42%
11.4 pts better
|
Numerator 119 · Denominator 223 |
| Discharge function score | 73.78% |
56.45%
17.3 pts better
|
Numerator 121 · Denominator 164 |
| Transfer of health information to provider | 86.52% |
95.95%
9.4 pts worse
|
Numerator 77 · Denominator 89 |
| Transfer of health information to patient | 88.37% |
96.28%
7.9 pts worse
|
Numerator 38 · Denominator 43 |
| Resident COVID-19 vaccinations up to date | 14.84% |
25.2%
10.4 pts worse
|
Numerator 19 · Denominator 128 |
Quality measures
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 2.2 |
1.7
0.5 pts worse
|
1.9
0.3 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 2.2 · Observed 2.2 · Expected 1.9 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 1.2 |
1.3
0.1 pts better
|
1.8
0.6 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.2 · Observed 1.3 · Expected 1.9 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 70.5% |
91.2%
20.7 pts worse
|
93.4%
22.9 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 74.9% · Q2 71.3% · Q3 67.2% · Q4 68.5% · 4Q avg 70.5% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 81.9% |
95.3%
13.4 pts worse
|
95.5%
13.6 pts worse
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 81.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 2.1% |
3.0%
0.9 pts better
|
3.3%
1.2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 2.7% · Q2 2.3% · Q3 1.6% · Q4 1.7% · 4Q avg 2.1% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 36.2% |
18.5%
17.7 pts worse
|
11.4%
24.8 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 22.2% · Q2 42.1% · Q3 44.3% · Q4 38.0% · 4Q avg 36.2% |
| Percentage of long-stay residents who lose too much weight | 4.0% |
6.1%
2.1 pts better
|
5.4%
1.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 2.8% · Q2 4.8% · Q3 3.9% · Q4 4.5% · 4Q avg 4.0% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 16.6% |
13.5%
3.1 pts worse
|
19.6%
3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 14.3% · Q2 15.8% · Q3 16.9% · Q4 19.3% · 4Q avg 16.6% |
| 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 | 8.1% |
15.1%
7 pts better
|
16.3%
8.2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 12.8% · Q2 9.9% · Q3 7.1% · Q4 3.4% · 4Q avg 8.1% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 10.6% |
15.5%
4.9 pts better
|
14.9%
4.3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 9.8% · Q2 12.3% · Q3 11.9% · Q4 8.4% · 4Q avg 10.6% · 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 | 0.3% |
1.4%
1.1 pts better
|
1.7%
1.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 1.1% · Q4 0.0% · 4Q avg 0.3% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 23.9% |
20.8%
3.1 pts worse
|
19.8%
4.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 20.8% · Q2 32.9% · Q3 17.3% · Q4 25.2% · 4Q avg 23.9% |
| Percentage of long-stay residents with pressure ulcers | 5.8% |
6.9%
1.1 pts better
|
5.1%
0.7 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 5.1% · Q2 6.7% · Q3 7.7% · Q4 3.7% · 4Q avg 5.8% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 20.8% |
76.7%
55.9 pts worse
|
81.7%
60.9 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 28.8% · Q2 24.0% · Q3 13.8% · Q4 16.0% · 4Q avg 20.8% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 12.5% |
9.7%
2.8 pts worse
|
12.0%
0.5 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 12.5% · Observed 17.3% · Expected 15.4% · 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 0.0% · Q3 1.6% · Q4 1.8% · 4Q avg 0.8% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 35.6% |
78.8%
43.2 pts worse
|
79.7%
44.1 pts worse
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 35.6% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 25.8% |
20.6%
5.2 pts worse
|
23.9%
1.9 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 25.8% · Observed 32.3% · Expected 29.9% · Used in QM five-star |
Survey summary
Top issue: Resident Assessment and Care Planning (3 deficiencies)
3 fire-safety deficiencies
Top issue: Egress (1 deficiency)
Top issue: Resident Rights (4 deficiencies)
6 fire-safety deficiencies
Top issue: Smoke (3 deficiencies)
Top issue: Resident Assessment and Care Planning (4 deficiencies)
1 fire-safety deficiencies
Top issue: Miscellaneous (1 deficiency)
Fire safety
Fire Safety
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Corrected 2025-09-30
Fire Safety
Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.
Corrected 2025-09-30
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2025-09-30
Fire Safety
Have stairways and smokeproof enclosures used as exits that meet safety requirements.
Corrected 2023-09-22
Fire Safety
Install an approved automatic sprinkler system.
Corrected 2023-09-22
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2023-09-22
Fire Safety
Install smoke barrier doors that can resist smoke for at least 20 minutes.
Corrected 2023-09-22
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2023-09-22
Fire Safety
Address subsistence needs for staff and patients.
Corrected 2023-09-22
Fire Safety
Meet requirements for operating features, such as evacuation plans, fire drills, smoking regulations, draperies, decorations and the inspection, testing and maintenance of fire doors.
Corrected 2021-06-30
Inspection history
Health
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2025-10-01
Health
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.
Corrected 2025-10-01
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2025-10-01
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 2025-10-01
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2025-10-01
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2025-10-01
Health
Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit.
Corrected 2025-10-01
Health
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2025-03-14
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2023-09-22
Health
Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.
Corrected 2023-09-22
Health
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Corrected 2023-09-22
Health
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected 2023-09-22
Health
Keep residents' personal and medical records private and confidential.
Corrected 2023-09-22
Health
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.
Corrected 2023-09-22
Health
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2023-09-22
Health
Respond appropriately to all alleged violations.
Corrected 2023-09-22
Health
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
Corrected 2023-09-22
Health
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Corrected 2023-09-22
Health
Plan the resident's discharge to meet the resident's goals and needs.
Corrected 2023-09-22
Health
Provide activities to meet all resident's needs.
Corrected 2023-09-22
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2023-09-22
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 2023-09-22
Health
Dispose of garbage and refuse properly.
Corrected 2023-09-22
Health
Assure the security of all personal funds of residents deposited with the facility.
Corrected 2021-07-12
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2021-07-12
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2021-07-12
Health
Ensure each resident receives an accurate assessment.
Corrected 2021-07-12
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 2021-07-12
Health
Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit.
Corrected 2021-07-12
Health
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected 2021-07-12
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 2021-07-12
Health
Provide special eating equipment and utensils for residents who need them and appropriate assistance.
Corrected 2021-07-12
Health
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2021-07-12
Penalties and ownership
5% Or Greater Direct Ownership Interest · Individual
5% Or Greater Direct Ownership Interest · Individual
5% Or Greater Direct Ownership Interest · Individual
Operational/Managerial Control · Individual
Corporate Director · Individual
Corporate Officer · Individual
Operational/Managerial Control · Individual
Operational/Managerial Control · Individual
Corporate Director · Individual
Corporate Officer · Individual
Operational/Managerial Control · Individual
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