Jamaica, NY

Chapin Home For The Aging

5-star overall rating with 5-star inspections with 3 recent health deficiencies with 2 fire-safety deficiencies in the latest cycle

165 01 Chapin Parkway, Jamaica, NY

(718) 739-2523

Compare this facility

Overall

5 / 5

CMS overall stars

Health inspections

5 / 5

Survey and complaint cycles

Staffing

4 / 5

RN + nurse staffing

Quality measures

4 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

220

Certified beds

Average residents

136

Average occupied residents

Ownership

Non-Profit

Publicly displayed owner type

Chain

No chain reported

Operator or chain grouping

Approved since

1979-02-01

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

Hours and turnover

RN hours / resident day

0.85

Registered nurse staffing · state 0.70 · national 0.68

LPN hours / resident day

0.59

Licensed practical nurse staffing · state 0.78 · national 0.87

Aide hours / resident day

2.12

Nurse aide staffing · state 2.20 · national 2.35

Total nurse hours

3.56

All reported nurse hours · state 3.65 · national 3.89

Licensed hours

1.44

RN + LPN hours · state 1.47 · national 1.54

Weekend hours

3.13

Weekend nurse staffing · state 3.16 · national 3.43

Weekend RN hours

0.62

Weekend registered nurse coverage · state 0.47 · national 0.47

Physical therapist

0.05

Reported PT staffing · state 0.11 · national 0.07

Adjusted RN hours

0.94

CMS adjusted RN staffing hours

Adjusted total hours

3.92

CMS adjusted total nurse staffing hours

Case-mix index

1.24

Higher values indicate more complex resident acuity

RN turnover

43%

Annual RN turnover · state 41% · national 45%

Total nurse turnover

36%

Annual nurse turnover · state 41% · national 46%

SNF VBP

Value-based purchasing

Program rank

2,661

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

Performance score

48.46

Composite VBP score used to determine payment impact.

Payment multiplier

1.0022

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

5.03

Baseline 18.15% · Performance 19.10% · Measure score 5.03 · Achievement 5.03 · Improvement 0

Healthcare-associated infections

5.58

Baseline 9.19% · Performance 6.64% · Measure score 5.58 · Achievement 4 · Improvement 5.58

Total nurse turnover

6.72

Baseline 42.20% · Performance 36.23% · Measure score 6.72 · Achievement 6.72 · Improvement 2.94

Adjusted total nurse staffing

2.06

Baseline 3.51 hours · Performance 3.66 hours · Measure score 2.06 · Achievement 2.06 · Improvement 0.19

SNF QRP

Medicare quality reporting measures

Measure	Facility	National	Note
Potentially preventable 30-day readmission	10.63%	10.72% 0.1 pts better	No Different than the National Rate · Eligible stays 36 · Observed rate 8.33% · Lower 95% interval 6.57%
Discharge to community	48.07%	50.57% 2.5 pts worse	No Different than the National Rate · Eligible stays 30 · Observed rate 40% · Lower 95% interval 31.26%
Medicare spending per beneficiary	1.12	1.02 0.1 pts worse
Drug regimen review with follow-up	Not Available	95.27%	Numerator Not Available · Denominator 8 · Too few residents or stays to report publicly.
Falls with major injury	Not Available	0.77%	Numerator Not Available · Denominator 8 · Too few residents or stays to report publicly.
Discharge self-care score	Not Available	53.69%	Numerator Not Available · Denominator 8 · Too few residents or stays to report publicly.
Discharge mobility score	Not Available	50.94%	Numerator Not Available · Denominator 8 · Too few residents or stays to report publicly.
Pressure ulcers or injuries, new or worsened	Not Available	2.29%	Numerator Not Available · Denominator 8 · Adjusted rate Not Available · Too few residents or stays to report publicly.
Healthcare-associated infections requiring hospitalization	6.64%	7.12% 0.5 pts better	No Different than the National Rate · Eligible stays 30 · Observed rate 3.33% · Lower 95% interval 3.43%
Staff COVID-19 vaccination coverage	4.35%	8.2% 3.8 pts worse	Numerator 6 · Denominator 138
Staff flu vaccination coverage	74.68%	42% 32.7 pts better	Numerator 115 · Denominator 154
Discharge function score	Not Available	56.45%	Numerator Not Available · Denominator 8 · Too few residents or stays to report publicly.
Transfer of health information to provider	Not Available	95.95%	Numerator Not Available · Denominator 1 · Too few residents or stays to report publicly.
Transfer of health information to patient	Not Available	96.28%	Numerator Not Available · Denominator 7 · Too few residents or stays to report publicly.
Resident COVID-19 vaccinations up to date	Not Available	25.2%	Numerator Not Available · Denominator 4 · Too few residents or stays to report publicly.

Quality measures

Resident outcomes and process scores

Measure	Facility	State	National	Note
Number of hospitalizations per 1000 long-stay resident days	2.0	1.7 0.3 pts worse	1.9 0.1 pts worse	Long Stay · 20240701-20250630 · Adjusted 2.0 · Observed 1.5 · Expected 1.5 · 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 1.0 · Expected 1.4 · Used in QM five-star
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine	87.5%	91.2% 3.7 pts worse	93.4% 5.9 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 90.3% · Q2 88.5% · Q3 87.0% · Q4 83.3% · 4Q avg 87.5%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine	98.7%	95.3% 3.4 pts better	95.5% 3.2 pts better	Long Stay · 2024Q3-2025Q2 · 4Q avg 98.7%
Percentage of long-stay residents experiencing one or more falls with major injury	2.9%	3.0% 0.1 pts better	3.3% 0.4 pts better	Long Stay · 2024Q4-2025Q3 · Q1 3.4% · Q2 2.3% · Q3 3.3% · Q4 2.5% · 4Q avg 2.9% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms	1.5%	18.5% 17 pts better	11.4% 9.9 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 6.5% · 4Q avg 1.5%
Percentage of long-stay residents who lose too much weight	12.0%	6.1% 5.9 pts worse	5.4% 6.6 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 9.9% · Q2 15.7% · Q3 14.2% · Q4 8.0% · 4Q avg 12.0%
Percentage of long-stay residents who received an antianxiety or hypnotic medication	10.3%	13.5% 3.2 pts better	19.6% 9.3 pts better	Long Stay · 2024Q4-2025Q3 · Q1 9.8% · Q2 11.5% · Q3 13.0% · Q4 6.7% · 4Q avg 10.3%
Percentage of long-stay residents who received an antipsychotic medication	20.9%	14.8% 6.1 pts worse	16.7% 4.2 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 19.5% · Q2 20.0% · Q3 18.5% · Q4 25.7% · 4Q avg 20.9% · 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	14.1%	15.1% 1 pts better	16.3% 2.2 pts better	Long Stay · 2024Q4-2025Q3 · Q1 14.3% · Q2 20.6% · Q3 11.6% · Q4 8.1% · 4Q avg 14.1% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased	14.7%	15.5% 0.8 pts better	14.9% 0.2 pts better	Long Stay · 2024Q4-2025Q3 · Q1 13.7% · Q2 15.0% · Q3 11.9% · Q4 18.4% · 4Q avg 14.7% · Used in QM five-star
Percentage of long-stay residents with a catheter inserted and left in their bladder	0.5%	0.6% 0.1 pts better	1.0% 0.5 pts better	Long Stay · 2024Q4-2025Q3 · Q1 1.0% · Q2 0.0% · Q3 0.0% · Q4 1.0% · 4Q avg 0.5% · Used in QM five-star
Percentage of long-stay residents with a urinary tract infection	2.8%	1.4% 1.4 pts worse	1.7% 1.1 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 4.9% · Q2 2.4% · Q3 2.5% · Q4 0.9% · 4Q avg 2.8% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence	15.0%	20.8% 5.8 pts better	19.8% 4.8 pts better	Long Stay · 2024Q4-2025Q3 · Q1 13.8% · Q2 13.0% · Q3 16.7% · Q4 17.2% · 4Q avg 15.0%
Percentage of long-stay residents with pressure ulcers	10.9%	6.9% 4 pts worse	5.1% 5.8 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 10.8% · Q2 10.9% · Q3 10.9% · Q4 11.1% · 4Q avg 10.9% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine	32.6%	76.7% 44.1 pts worse	81.7% 49.1 pts worse	Short Stay · 2024Q4-2025Q3 · Q1 55.2% · Q2 40.9% · Q4 24.1% · 4Q avg 32.6%
Percentage of short-stay residents who had an outpatient emergency department visit	4.0%	9.7% 5.7 pts better	12.0% 8 pts better	Short Stay · 20240701-20250630 · Adjusted 4.0% · Observed 4.0% · Expected 11.2% · Used in QM five-star
Percentage of short-stay residents who newly received an antipsychotic medication	3.4%	1.2% 2.2 pts worse	1.6% 1.8 pts worse	Short Stay · 2024Q4-2025Q3 · Q4 4.8% · 4Q avg 3.4% · Used in QM five-star
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine	59.1%	78.8% 19.7 pts worse	79.7% 20.6 pts worse	Short Stay · 2024Q3-2025Q2 · 4Q avg 59.1%
Percentage of short-stay residents who were rehospitalized after a nursing home admission	17.1%	20.6% 3.5 pts better	23.9% 6.8 pts better	Short Stay · 20240701-20250630 · Adjusted 17.1% · Observed 16.0% · Expected 22.2% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2024-09-10 · Fire 2024-09-10

3 health deficiencies

Top issue: Quality of Life and Care (2 deficiencies)

2 fire-safety deficiencies

Top issue: Smoke (2 deficiencies)

Cycle 2 Health 2022-07-05 · Fire 2022-07-05

1 health deficiencies

Top issue: Resident Assessment and Care Planning (1 deficiency)

5 fire-safety deficiencies

Top issue: Egress (2 deficiencies)

Cycle 3 Health 2019-10-01 · Fire 2019-10-01

6 health deficiencies

Top issue: Pharmacy Service (2 deficiencies)

1 fire-safety deficiencies

Top issue: Smoke (1 deficiency)

Fire safety

Fire-safety citations

D · Potential for more than minimal harm 2024-09-10

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 2024-10-21

D · Potential for more than minimal harm 2024-09-10

K372 · Smoke Deficiencies

Fire Safety

Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

Corrected 2024-10-21

F · Potential for more than minimal harm 2022-07-05

K223 · Egress Deficiencies

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 2022-08-30

F · Potential for more than minimal harm 2022-07-05

K351 · Smoke Deficiencies

Fire Safety

Install an approved automatic sprinkler system.

Corrected 2022-09-13

E · Potential for more than minimal harm 2022-07-05

K293 · Egress Deficiencies

Fire Safety

Have properly located and lighted "Exit" signs.

Corrected 2022-08-13

E · Potential for more than minimal harm 2022-07-05

K355 · Smoke Deficiencies

Fire Safety

Properly select, install, inspect, or maintain portable fire extinguishes.

Corrected 2022-08-12

D · Potential for more than minimal harm 2022-07-05

K912 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have power receptacles that are properly grounded.

Corrected 2022-09-12

D · Potential for more than minimal harm 2019-10-01

K311 · Smoke Deficiencies

Fire Safety

Have an enclosure around a vertical opening shaft.

Corrected 2019-10-02

Inspection history

Recent health citations

D · Potential for more than minimal harm 2024-09-10

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 2024-10-31

D · Potential for more than minimal harm 2024-09-10

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 2024-08-15

C · Minimal harm 2024-09-10

F732 · Nursing and Physician Services Deficiencies

Health

Post nurse staffing information every day.

Corrected 2024-10-31

D · Potential for more than minimal harm 2022-07-05

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 2022-07-31

D · Potential for more than minimal harm 2019-10-01

F582 · Resident Rights Deficiencies

Health

Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

Corrected 2019-11-30

D · Potential for more than minimal harm 2019-10-01

F711 · Nursing and Physician Services Deficiencies

Health

Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit.

Corrected 2019-11-30

D · Potential for more than minimal harm 2019-10-01

F745 · Quality of Life and Care Deficiencies

Health

Provide medically-related social services to help each resident achieve the highest possible quality of life.

Corrected 2019-11-30

D · Potential for more than minimal harm 2019-10-01

F756 · Pharmacy Service Deficiencies

Health

Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

Corrected 2019-11-30

D · Potential for more than minimal harm 2019-10-01

F758 · Pharmacy Service Deficiencies

Health

Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

Corrected 2019-11-30

D · Potential for more than minimal harm 2019-10-01

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2019-11-30

Penalties and ownership