Brooklyn, NY

Cobble Hill Health Center Inc

4-star overall rating with 3-star inspections with 4 recent health deficiencies with 5 fire-safety deficiencies in the latest cycle

380 Henry Street, Brooklyn, NY

(718) 855-6789

Compare this facility

Overall

4 / 5

CMS overall stars

Health inspections

3 / 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

364

Certified beds

Average residents

358

Average occupied residents

Ownership

Non-Profit

Publicly displayed owner type

Chain

No chain reported

Operator or chain grouping

Approved since

1967-01-01

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

0.87

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

2.42

Nurse aide staffing · state 2.20 · national 2.35

Total nurse hours

3.61

All reported nurse hours · state 3.65 · national 3.89

Licensed hours

1.19

RN + LPN hours · state 1.47 · national 1.54

Weekend hours

3.15

Weekend nurse staffing · state 3.16 · national 3.43

Weekend RN hours

0.63

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

0.84

CMS adjusted RN staffing hours

Adjusted total hours

3.48

CMS adjusted total nurse staffing hours

Case-mix index

1.42

Higher values indicate more complex resident acuity

RN turnover

45%

Annual RN turnover · state 41% · national 45%

Total nurse turnover

33%

Annual nurse turnover · state 41% · national 46%

SNF VBP

Value-based purchasing

Program rank

3,373

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

Performance score

44.67

Composite VBP score used to determine payment impact.

Payment multiplier

0.9978

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

9.05

Baseline 16.94% · Performance 17.24% · Measure score 9.05 · Achievement 9.05 · Improvement 0

Healthcare-associated infections

0

Baseline 7.09% · Performance 7.83% · Measure score 0 · Achievement 0 · Improvement 0

Total nurse turnover

7.56

Performance 32.78% · Measure score 7.56 · Achievement 7.56 · This facility did not have sufficient data to calculate a baseline period measure result.

Adjusted total nurse staffing

1.26

Baseline 3.32 hours · Performance 3.44 hours · Measure score 1.26 · Achievement 1.26 · Improvement 0

SNF QRP

Medicare quality reporting measures

Measure Facility National Note
Potentially preventable 30-day readmission 7.69%
10.72%
3 pts better
Better than the National Rate · Eligible stays 276 · Observed rate 4.71% · Lower 95% interval 5.29%
Discharge to community 50.82%
50.57%
0.2 pts better
No Different than the National Rate · Eligible stays 251 · Observed rate 42.63% · Lower 95% interval 43.69%
Medicare spending per beneficiary 1.36
1.02
0.3 pts worse
Drug regimen review with follow-up 100%
95.27%
4.7 pts better
Numerator 196 · Denominator 196
Falls with major injury 0%
0.77%
0.8 pts better
Numerator 0 · Denominator 196
Discharge self-care score 75.37%
53.69%
21.7 pts better
Numerator 101 · Denominator 134
Discharge mobility score 62.69%
50.94%
11.8 pts better
Numerator 84 · Denominator 134
Pressure ulcers or injuries, new or worsened 2.55%
2.29%
0.3 pts worse
Numerator 5 · Denominator 196 · Adjusted rate 1.95%
Healthcare-associated infections requiring hospitalization 7.83%
7.12%
0.7 pts worse
No Different than the National Rate · Eligible stays 187 · Observed rate 9.63% · Lower 95% interval 5.35%
Staff COVID-19 vaccination coverage 0.96%
8.2%
7.2 pts worse
Numerator 5 · Denominator 521
Staff flu vaccination coverage 55.72%
42%
13.7 pts better
Numerator 307 · Denominator 551
Discharge function score 71.64%
56.45%
15.2 pts better
Numerator 96 · Denominator 134
Transfer of health information to provider 99.05%
95.95%
3.1 pts better
Numerator 104 · Denominator 105
Transfer of health information to patient Not Available
96.28%
Numerator Not Available · Denominator 6 · Too few residents or stays to report publicly.
Resident COVID-19 vaccinations up to date 41.41%
25.2%
16.2 pts better
Numerator 41 · Denominator 99

Quality measures

Resident outcomes and process scores

Measure Facility State National Note
Number of hospitalizations per 1000 long-stay resident days 1.3
1.7
0.4 pts better
1.9
0.6 pts better
Long Stay · 20240701-20250630 · Adjusted 1.3 · Observed 1.0 · Expected 1.5 · Used in QM five-star
Number of outpatient emergency department visits per 1000 long-stay resident days 1.3
1.3
About the same
1.8
0.5 pts better
Long Stay · 20240701-20250630 · Adjusted 1.3 · Observed 1.0 · Expected 1.3 · Used in QM five-star
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine 99.7%
91.2%
8.5 pts better
93.4%
6.3 pts better
Long Stay · 2024Q4-2025Q3 · Q1 99.4% · Q2 100.0% · Q3 99.4% · Q4 100.0% · 4Q avg 99.7%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine 99.1%
95.3%
3.8 pts better
95.5%
3.6 pts better
Long Stay · 2024Q3-2025Q2 · 4Q avg 99.1%
Percentage of long-stay residents experiencing one or more falls with major injury 1.6%
3.0%
1.4 pts better
3.3%
1.7 pts better
Long Stay · 2024Q4-2025Q3 · Q1 1.0% · Q2 1.6% · Q3 1.6% · Q4 2.3% · 4Q avg 1.6% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms 56.1%
18.5%
37.6 pts worse
11.4%
44.7 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 42.8% · Q2 49.3% · Q3 60.0% · Q4 70.5% · 4Q avg 56.1%
Percentage of long-stay residents who lose too much weight 3.7%
6.1%
2.4 pts better
5.4%
1.7 pts better
Long Stay · 2024Q4-2025Q3 · Q1 3.0% · Q2 6.2% · Q3 3.9% · Q4 1.4% · 4Q avg 3.7%
Percentage of long-stay residents who received an antianxiety or hypnotic medication 7.2%
13.5%
6.3 pts better
19.6%
12.4 pts better
Long Stay · 2024Q4-2025Q3 · Q1 6.8% · Q2 6.7% · Q3 7.1% · Q4 8.3% · 4Q avg 7.2%
Percentage of long-stay residents who received an antipsychotic medication 3.8%
14.8%
11 pts better
16.7%
12.9 pts better
Long Stay · 2024Q4-2025Q3 · Q1 4.9% · Q2 4.2% · Q3 3.4% · Q4 2.4% · 4Q avg 3.8% · 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 15.2%
15.1%
0.1 pts worse
16.3%
1.1 pts better
Long Stay · 2024Q4-2025Q3 · Q1 11.4% · Q2 10.5% · Q3 20.5% · Q4 18.5% · 4Q avg 15.2% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased 14.6%
15.5%
0.9 pts better
14.9%
0.3 pts better
Long Stay · 2024Q4-2025Q3 · Q1 21.0% · Q2 11.5% · Q3 14.1% · Q4 11.6% · 4Q avg 14.6% · Used in QM five-star
Percentage of long-stay residents with a catheter inserted and left in their bladder 0.1%
0.6%
0.5 pts better
1.0%
0.9 pts better
Long Stay · 2024Q4-2025Q3 · Q1 0.2% · Q2 0.0% · Q3 0.0% · Q4 0.2% · 4Q avg 0.1% · Used in QM five-star
Percentage of long-stay residents with a urinary tract infection 0.5%
1.4%
0.9 pts better
1.7%
1.2 pts better
Long Stay · 2024Q4-2025Q3 · Q1 1.0% · Q2 1.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.5% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence 7.0%
20.8%
13.8 pts better
19.8%
12.8 pts better
Long Stay · 2024Q4-2025Q3 · Q1 15.2% · Q2 4.1% · Q3 4.2% · Q4 4.3% · 4Q avg 7.0%
Percentage of long-stay residents with pressure ulcers 9.3%
6.9%
2.4 pts worse
5.1%
4.2 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 11.0% · Q2 9.7% · Q3 8.4% · Q4 8.1% · 4Q avg 9.3% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine 86.5%
76.7%
9.8 pts better
81.7%
4.8 pts better
Short Stay · 2024Q4-2025Q3 · Q1 89.2% · Q2 88.7% · Q3 83.7% · Q4 84.6% · 4Q avg 86.5%
Percentage of short-stay residents who had an outpatient emergency department visit 5.6%
9.7%
4.1 pts better
12.0%
6.4 pts better
Short Stay · 20240701-20250630 · Adjusted 5.6% · Observed 5.8% · Expected 11.6% · Used in QM five-star
Percentage of short-stay residents who newly received an antipsychotic medication 0.3%
1.2%
0.9 pts better
1.6%
1.3 pts better
Short Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.6% · Q4 0.6% · 4Q avg 0.3% · Used in QM five-star
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine 90.7%
78.8%
11.9 pts better
79.7%
11 pts better
Short Stay · 2024Q3-2025Q2 · 4Q avg 90.7%
Percentage of short-stay residents who were rehospitalized after a nursing home admission 18.6%
20.6%
2 pts better
23.9%
5.3 pts better
Short Stay · 20240701-20250630 · Adjusted 18.6% · Observed 18.6% · Expected 23.9% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2024-02-15 · Fire 2024-02-15

4 health deficiencies

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

5 fire-safety deficiencies

Top issue: Smoke (3 deficiencies)

Cycle 2 Health 2021-12-08 · Fire 2021-12-08

3 health deficiencies

Top issue: Freedom from Abuse and Neglect and Exploitation (1 deficiency)

2 fire-safety deficiencies

Top issue: Egress (1 deficiency)

Cycle 3 Health 2019-05-14 · Fire 2019-05-14

13 health deficiencies

Top issue: Resident Assessment and Care Planning (5 deficiencies)

0 fire-safety deficiencies

No concentrated fire-safety issue counts in this cycle.

Fire safety

Fire-safety citations

D · Potential for more than minimal harm 2024-02-15

K281 · Egress Deficiencies

Fire Safety

Install proper backup exit lighting.

Corrected 2024-04-14

D · Potential for more than minimal harm 2024-02-15

K311 · Smoke Deficiencies

Fire Safety

Have an enclosure around a vertical opening shaft.

Corrected 2024-04-14

D · Potential for more than minimal harm 2024-02-15

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 2024-04-14

D · Potential for more than minimal harm 2024-02-15

K374 · Smoke Deficiencies

Fire Safety

Install smoke barrier doors that can resist smoke for at least 20 minutes.

Corrected 2024-04-14

D · Potential for more than minimal harm 2024-02-15

K911 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Meet requirements for the installation and maintenance of electrical systems.

Corrected 2024-04-14

D · Potential for more than minimal harm 2021-12-08

K227 · Egress Deficiencies

Fire Safety

Have ramps, exits, fire escape ladders, steps, and areas of refuge that meet safety requirements.

Corrected 2022-02-18

D · Potential for more than minimal harm 2021-12-08

K712 · Miscellaneous Deficiencies

Fire Safety

Have simulated fire drills held at unexpected times.

Corrected 2022-02-18

Inspection history

Recent health citations

D · Potential for more than minimal harm 2024-02-16

F658 · Resident Assessment and Care Planning Deficiencies

Health

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

Corrected 2024-04-14

F · Potential for more than minimal harm 2024-02-15

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 2024-04-14

D · Potential for more than minimal harm 2024-02-15

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 2024-04-14

D · Potential for more than minimal harm 2024-02-15

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 2024-04-14

D · Potential for more than minimal harm 2024-02-15

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 2024-04-14

D · Potential for more than minimal harm 2024-02-15

F698 · Quality of Life and Care Deficiencies

Health

Provide safe, appropriate dialysis care/services for a resident who requires such services.

Corrected 2024-04-14

E · Potential for more than minimal harm 2021-12-08

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 2022-01-28

D · Potential for more than minimal harm 2021-12-08

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 2022-01-28

D · Potential for more than minimal harm 2021-12-08

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2022-01-28

E · Potential for more than minimal harm 2019-05-14

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 2019-07-10

E · Potential for more than minimal harm 2019-05-14

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 2019-07-10

E · Potential for more than minimal harm 2019-05-14

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 2019-07-10

D · Potential for more than minimal harm 2019-05-14

F550 · Resident Rights Deficiencies

Health

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Corrected 2019-07-10

D · Potential for more than minimal harm 2019-05-14

F568 · Resident Rights Deficiencies

Health

Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.

Corrected 2019-07-10

D · Potential for more than minimal harm 2019-05-14

F578 · Resident Rights Deficiencies

Health

Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.

Corrected 2019-07-10

D · Potential for more than minimal harm 2019-05-14

F641 · Resident Assessment and Care Planning Deficiencies

Health

Ensure each resident receives an accurate assessment.

Corrected 2019-07-10

D · Potential for more than minimal harm 2019-05-14

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 2019-07-10

D · Potential for more than minimal harm 2019-05-14

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 2019-07-16

D · Potential for more than minimal harm 2019-05-14

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 2019-07-10

D · Potential for more than minimal harm 2019-05-14

F814 · Nutrition and Dietary Deficiencies

Health

Dispose of garbage and refuse properly.

Corrected 2019-07-10

Penalties and ownership

What sits behind the stars

Ownership

Cobble Hill Lifecare, Inc.

5% Or Greater Direct Ownership Interest · Organization

100% 1 facilities 2012-11-14
Brounstein, Genna

Corporate Director · Individual

0% 1 facilities 2021-01-01
Carames, Charlie

Corporate Director · Individual

0% 1 facilities 2018-01-01
Fox, Ira

Corporate Director · Individual

0% 1 facilities 2022-07-08
Godec, Ciril

Corporate Director · Individual

0% 1 facilities 1980-01-01
Heyer, John

Corporate Director · Individual

0% 1 facilities 2022-07-08
Jordan, Leonard

Corporate Director · Individual

0% 1 facilities 2016-01-01
Kamuf, Rudy W

Corporate Director · Individual

0% 1 facilities 2014-01-01
Metropolitan Commercial Bank

5% Or Greater Security Interest · Organization

0% 25 facilities 2024-12-09
Metropolitan Commercial Bank

5% Or Greater Mortgage Interest · Organization

0% 25 facilities 2024-12-09
Millman, Joan

Corporate Director · Individual

0% 1 facilities 2015-01-01
O'connell, Greg

Corporate Director · Individual

0% 1 facilities 2022-07-08
Ogunfowora, Olusegun

Operational/Managerial Control · Individual

0% 2 facilities 2023-01-01
Segelov, David

Operational/Managerial Control · Individual

0% 1 facilities 2023-04-17
Segelov, David

Corporate Officer · Individual

0% 1 facilities 2023-04-17
Spath, Thomas

Corporate Director · Individual

0% 1 facilities 1977-01-01
Tuchman, Daniel

Operational/Managerial Control · Individual

0% 1 facilities 2018-04-11
Tuchman, Daniel

Corporate Officer · Individual

0% 1 facilities 2018-04-11
Yatrakis, Peter

Corporate Director · Individual

0% 1 facilities 2013-01-01

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