4 health deficiencies
Top issue: Quality of Life and Care (2 deficiencies)
5 fire-safety deficiencies
Top issue: Smoke (3 deficiencies)
Brooklyn, NY
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
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
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
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
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
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
| 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
| 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
Top issue: Quality of Life and Care (2 deficiencies)
5 fire-safety deficiencies
Top issue: Smoke (3 deficiencies)
Top issue: Freedom from Abuse and Neglect and Exploitation (1 deficiency)
2 fire-safety deficiencies
Top issue: Egress (1 deficiency)
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
Install proper backup exit lighting.
Corrected 2024-04-14
Fire Safety
Have an enclosure around a vertical opening shaft.
Corrected 2024-04-14
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
Fire Safety
Install smoke barrier doors that can resist smoke for at least 20 minutes.
Corrected 2024-04-14
Fire Safety
Meet requirements for the installation and maintenance of electrical systems.
Corrected 2024-04-14
Fire Safety
Have ramps, exits, fire escape ladders, steps, and areas of refuge that meet safety requirements.
Corrected 2022-02-18
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2022-02-18
Inspection history
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2024-04-14
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
Health
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2024-04-14
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
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
Health
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Corrected 2024-04-14
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
Health
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2022-01-28
Health
Provide and implement an infection prevention and control program.
Corrected 2022-01-28
Health
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
Corrected 2019-07-10
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
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
Health
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2019-07-10
Health
Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.
Corrected 2019-07-10
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
Health
Ensure each resident receives an accurate assessment.
Corrected 2019-07-10
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
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2019-07-16
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
Health
Dispose of garbage and refuse properly.
Corrected 2019-07-10
Penalties and ownership
5% Or Greater Direct Ownership Interest · Organization
Corporate Director · Individual
Corporate Director · Individual
Corporate Director · Individual
Corporate Director · Individual
Corporate Director · Individual
Corporate Director · Individual
Corporate Director · Individual
5% Or Greater Security Interest · Organization
5% Or Greater Mortgage Interest · Organization
Corporate Director · Individual
Corporate Director · Individual
Operational/Managerial Control · Individual
Operational/Managerial Control · Individual
Corporate Officer · Individual
Corporate Director · Individual
Operational/Managerial Control · Individual
Corporate Officer · Individual
Corporate Director · Individual
Nearby options
Brooklyn, NY
5-star overall rating with 5-star inspections with 2 recent health deficiencies with 3 fire-safety deficiencies in the latest cycle
Brooklyn, NY
4-star overall rating with 4-star inspections with 3 recent health deficiencies with 1 fire-safety deficiencies in the latest cycle
Brooklyn, NY
5-star overall rating with 4-star inspections with 3 recent health deficiencies with 4 fire-safety deficiencies in the latest cycle
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