Brooklyn, NY

Concord Nursing And Rehabilitation Center

3-star overall rating with 4-star inspections with 5 recent health deficiencies with 8 fire-safety deficiencies in the latest cycle

300 Madison Street, Brooklyn, NY

(718) 636-7500

Compare this facility

Overall

3 / 5

CMS overall stars

Health inspections

4 / 5

Survey and complaint cycles

Staffing

1 / 5

RN + nurse staffing

Quality measures

3 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

140

Certified beds

Average residents

137

Average occupied residents

Ownership

Non-Profit

Publicly displayed owner type

Chain

No chain reported

Operator or chain grouping

Approved since

1976-07-01

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Staffing

Hours and turnover

RN hours / resident day

0.42

Registered nurse staffing

LPN hours / resident day

0.70

Licensed practical nurse staffing

Aide hours / resident day

2.27

Nurse aide staffing

Weekend hours

3.03

Weekend nurse staffing

RN turnover

45%

Annual RN turnover

Total nurse turnover

38%

Annual nurse turnover

Quality measures

Resident outcomes and process scores

Measure Facility State National Note
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine 97.7%
91.2%
6.5 pts better
93.4%
4.3 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine 90.7%
95.3%
4.6 pts worse
95.5%
4.8 pts worse
Long Stay · 2024Q3-2025Q2
Percentage of long-stay residents experiencing one or more falls with major injury 1.4%
3.0%
1.6 pts better
3.3%
1.9 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who have depressive symptoms 37.9%
18.5%
19.4 pts worse
11.4%
26.5 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who lose too much weight 6.4%
6.1%
0.3 pts worse
5.4%
1 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who received an antianxiety or hypnotic medication 11.3%
13.5%
2.2 pts better
19.6%
8.3 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who received an antipsychotic medication 6.2%
14.8%
8.6 pts better
16.7%
10.5 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who were physically restrained 0.4%
0.2%
0.2 pts worse
0.1%
0.3 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents whose ability to walk independently worsened 24.7%
15.1%
9.6 pts worse
16.3%
8.4 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents whose need for help with daily activities has increased 20.4%
15.5%
4.9 pts worse
14.9%
5.5 pts worse
Long Stay · 2024Q4-2025Q3
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
Percentage of long-stay residents with a urinary tract infection 0.6%
1.4%
0.8 pts better
1.7%
1.1 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with new or worsened bowel or bladder incontinence 21.3%
20.8%
0.5 pts worse
19.8%
1.5 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with pressure ulcers 7.8%
6.9%
0.9 pts worse
5.1%
2.7 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine 94.6%
76.7%
17.9 pts better
81.7%
12.9 pts better
Short Stay · 2024Q4-2025Q3
Percentage of short-stay residents who had an outpatient emergency department visit 11.1%
9.7%
1.4 pts worse
12.0%
0.9 pts better
Short Stay · 20240701-20250630
Percentage of short-stay residents who newly received an antipsychotic medication 1.0%
1.2%
0.2 pts better
1.6%
0.6 pts better
Short Stay · 2024Q4-2025Q3
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine 82.7%
78.8%
3.9 pts better
79.7%
3 pts better
Short Stay · 2024Q3-2025Q2
Percentage of short-stay residents who were rehospitalized after a nursing home admission 17.7%
20.6%
2.9 pts better
23.9%
6.2 pts better
Short Stay · 20240701-20250630

Survey summary

Recent inspection cycles

Cycle 1 Health 2024-07-26 · Fire 2024-07-26

5 health deficiencies

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

8 fire-safety deficiencies

Top issue: Gas and Vacuum and Electrical Systems (3 deficiencies)

Cycle 2 Health 2022-06-08 · Fire 2022-06-08

5 health deficiencies

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

8 fire-safety deficiencies

Top issue: Smoke (5 deficiencies)

Cycle 3 Health 2019-10-21 · Fire 2019-10-21

6 health deficiencies

Top issue: Resident Assessment and Care Planning (3 deficiencies)

4 fire-safety deficiencies

Top issue: Egress (2 deficiencies)

Fire safety

Fire-safety citations

E · Potential for more than minimal harm 2024-07-26

E36 · Emergency Preparedness Deficiencies

Fire Safety

Establish emergency prep training and testing.

Corrected 2024-09-06

E · Potential for more than minimal harm 2024-07-26

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2024-09-06

E · Potential for more than minimal harm 2024-07-26

K912 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have power receptacles that are properly grounded.

Corrected 2024-09-06

E · Potential for more than minimal harm 2024-07-26

K921 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure that testing and maintenance of electrical equipment is performed.

Corrected 2024-09-06

D · Potential for more than minimal harm 2024-07-26

E39 · Emergency Preparedness Deficiencies

Fire Safety

Conduct testing and exercise requirements.

Corrected 2024-09-06

D · Potential for more than minimal harm 2024-07-26

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 2024-09-06

D · Potential for more than minimal harm 2024-07-26

K372 · Smoke Deficiencies

Fire Safety

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

Corrected 2024-09-06

D · Potential for more than minimal harm 2024-07-26

K920 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure proper usage of power strips and extension cords.

Corrected 2024-09-06

F · Potential for more than minimal harm 2022-06-08

K161 · Construction Deficiencies

Fire Safety

Use approved construction type or materials.

Corrected 2022-07-14

F · Potential for more than minimal harm 2022-06-08

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2022-07-14

F · Potential for more than minimal harm 2022-06-08

K915 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have proper power supply for life support equipment.

Corrected 2022-07-14

D · Potential for more than minimal harm 2022-06-08

K311 · Smoke Deficiencies

Fire Safety

Have an enclosure around a vertical opening shaft.

Corrected 2022-07-14

D · Potential for more than minimal harm 2022-06-08

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 2022-07-14

D · Potential for more than minimal harm 2022-06-08

K355 · Smoke Deficiencies

Fire Safety

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

Corrected 2022-07-14

D · Potential for more than minimal harm 2022-06-08

K372 · Smoke Deficiencies

Fire Safety

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

Corrected 2022-07-14

D · Potential for more than minimal harm 2022-06-08

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

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

Corrected 2022-07-14

E · Potential for more than minimal harm 2019-10-21

K923 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have proper medical gas storage and administration areas.

Corrected 2019-11-12

D · Potential for more than minimal harm 2019-10-21

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 2019-11-05

D · Potential for more than minimal harm 2019-10-21

K225 · Egress Deficiencies

Fire Safety

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

Corrected 2019-11-27

D · Potential for more than minimal harm 2019-10-21

K351 · Smoke Deficiencies

Fire Safety

Install an approved automatic sprinkler system.

Corrected 2019-11-01

Inspection history

Recent health citations

D · Potential for more than minimal harm 2025-12-01

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.

Not marked corrected

E · Potential for more than minimal harm 2024-07-26

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2024-09-02

D · Potential for more than minimal harm 2024-07-26

F604 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.

Corrected 2024-09-02

D · Potential for more than minimal harm 2024-07-26

F761 · Pharmacy Service Deficiencies

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 2024-09-02

C · Minimal harm 2024-07-26

F577 · Resident Rights Deficiencies

Health

Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.

Corrected 2024-09-02

D · Potential for more than minimal harm 2024-07-12

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 2024-07-28

D · Potential for more than minimal harm 2024-07-12

F842 · Resident Assessment and Care Planning Deficiencies

Health

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Corrected 2024-07-28

D · Potential for more than minimal harm 2022-06-08

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 2022-07-08

D · Potential for more than minimal harm 2022-06-08

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 2022-07-08

D · Potential for more than minimal harm 2022-06-08

F842 · Resident Assessment and Care Planning Deficiencies

Health

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Corrected 2022-07-08

E · Potential for more than minimal harm 2019-10-21

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 2019-12-16

E · Potential for more than minimal harm 2019-10-21

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2019-12-16

D · Potential for more than minimal harm 2019-10-21

F610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Respond appropriately to all alleged violations.

Corrected 2019-12-16

D · Potential for more than minimal harm 2019-10-21

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 2019-12-16

D · Potential for more than minimal harm 2019-10-21

F655 · Resident Assessment and Care Planning Deficiencies

Health

Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

Corrected 2019-12-16

D · Potential for more than minimal harm 2019-10-21

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 2019-12-16

Penalties and ownership

What sits behind the stars

Ownership

Butler, Erica

Corporate Officer · Individual

0% 1 facilities 2016-01-01
Gaddy, Craig

Corporate Director · Individual

0% 1 facilities 2016-01-01
Gaddy, Craig

Corporate Officer · Individual

0% 1 facilities 2016-01-01
Phillips, Samuel

Corporate Officer · Individual

0% 1 facilities 2016-01-01
Phillips, Samuel

W-2 Managing Employee · Individual

0% 1 facilities 2022-12-01
Pilgrim, Deidre

Corporate Director · Individual

0% 1 facilities 2016-01-01
Pilgrim, Deidre

Corporate Officer · Individual

0% 1 facilities 2016-01-01
Wiltshire, Albert

Corporate Director · Individual

0% 1 facilities 2016-01-01
Wiltshire, Albert

Corporate Officer · Individual

0% 1 facilities 2016-01-10

Nearby options

Other facilities in reach

#2

Crown Heights Center For Nursing And Rehab

Brooklyn, NY

3-star overall rating with 2-star inspections with 12 recent health deficiencies with 12 fire-safety deficiencies in the latest cycle

Overall
3 / 5
Health
2 / 5
Staffing
3 / 5
Fines
$0
#3

Brooklyn Gardens Nursing & Rehabilitation Center

Brooklyn, NY

2-star overall rating with 2-star inspections with 8 recent health deficiencies with 3 fire-safety deficiencies in the latest cycle

Overall
2 / 5
Health
2 / 5
Staffing
2 / 5
Fines
$0

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