Cycle 1
Health 2025-04-10 · Fire 2025-04-10
3 health deficiencies
Top issue: Administration (1 deficiency)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Brooklyn, NY
Downtown Brooklyn Nursing & Rehabilitation Center
5-star overall rating with 4-star inspections with $37,650 in total fines with 2 recent health deficiencies
520 Prospect Place, Brooklyn, NY
(718) 636-1000
Overall
5 / 5
CMS overall stars
Health inspections
4 / 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
320
Certified beds
Average residents
310
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
Cassena Care
Operator or chain grouping
Approved since
1978-06-01
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Chain footprint
15 facilities
Chain averages 4 overall / 3 health / 3 staffing / 5 quality stars
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
0.99
Registered nurse staffing · state 0.70 · national 0.68
LPN hours / resident day
0.15
Licensed practical nurse staffing · state 0.78 · national 0.87
Aide hours / resident day
2.01
Nurse aide staffing · state 2.20 · national 2.35
Total nurse hours
3.15
All reported nurse hours · state 3.65 · national 3.89
Licensed hours
1.13
RN + LPN hours · state 1.47 · national 1.54
Weekend hours
2.73
Weekend nurse staffing · state 3.16 · national 3.43
Weekend RN hours
0.73
Weekend registered nurse coverage · state 0.47 · national 0.47
Physical therapist
0.06
Reported PT staffing · state 0.11 · national 0.07
Adjusted RN hours
0.86
CMS adjusted RN staffing hours
Adjusted total hours
2.74
CMS adjusted total nurse staffing hours
Case-mix index
1.57
Higher values indicate more complex resident acuity
RN turnover
35%
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
7,717
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
28.96
Composite VBP score used to determine payment impact.
Payment multiplier
0.9852
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
3.45
Baseline 23.40% · Performance 20.88% · Measure score 3.45 · Achievement 1.19 · Improvement 3.45
Healthcare-associated infections
0
Baseline 8.04% · Performance 8.38% · Measure score 0 · Achievement 0 · Improvement 0
Total nurse turnover
8.13
Baseline 40.36% · Performance 30.44% · Measure score 8.13 · Achievement 8.13 · Improvement 5.9
Adjusted total nurse staffing
0
Baseline 3.01 hours · Performance 3 hours · Measure score 0 · Achievement 0 · Improvement 0
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 9.27% |
10.72%
1.5 pts better
|
No Different than the National Rate · Eligible stays 248 · Observed rate 8.87% · Lower 95% interval 7.05% |
| Discharge to community | 41.94% |
50.57%
8.6 pts worse
|
Worse than the National Rate · Eligible stays 213 · Observed rate 30.52% · Lower 95% interval 34.61% |
| Medicare spending per beneficiary | 1.53 |
1.02
0.5 pts worse
|
|
| Drug regimen review with follow-up | 100% |
95.27%
4.7 pts better
|
Numerator 260 · Denominator 260 |
| Falls with major injury | 0.38% |
0.77%
0.4 pts better
|
Numerator 1 · Denominator 260 |
| Discharge self-care score | 83.23% |
53.69%
29.5 pts better
|
Numerator 139 · Denominator 167 |
| Discharge mobility score | 76.65% |
50.94%
25.7 pts better
|
Numerator 128 · Denominator 167 |
| Pressure ulcers or injuries, new or worsened | 0.38% |
2.29%
1.9 pts better
|
Numerator 1 · Denominator 260 · Adjusted rate 0.28% |
| Healthcare-associated infections requiring hospitalization | 8.38% |
7.12%
1.3 pts worse
|
No Different than the National Rate · Eligible stays 189 · Observed rate 11.11% · Lower 95% interval 5.66% |
| Staff COVID-19 vaccination coverage | 2.33% |
8.2%
5.9 pts worse
|
Numerator 9 · Denominator 387 |
| Staff flu vaccination coverage | 82.54% |
42%
40.5 pts better
|
Numerator 312 · Denominator 378 |
| Discharge function score | 83.23% |
56.45%
26.8 pts better
|
Numerator 139 · Denominator 167 |
| Transfer of health information to provider | 98.78% |
95.95%
2.8 pts better
|
Numerator 81 · Denominator 82 |
| Transfer of health information to patient | 100% |
96.28%
3.7 pts better
|
Numerator 58 · Denominator 58 |
| Resident COVID-19 vaccinations up to date | 25.64% |
25.2%
0.4 pts better
|
Numerator 30 · Denominator 117 |
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 2.4 · Expected 2.2 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 1.6 |
1.3
0.3 pts worse
|
1.8
0.2 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.6 · Observed 1.6 · Expected 1.7 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 99.5% |
91.2%
8.3 pts better
|
93.4%
6.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 99.2% · Q2 98.9% · Q3 100.0% · Q4 100.0% · 4Q avg 99.5% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 97.9% |
95.3%
2.6 pts better
|
95.5%
2.4 pts better
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 97.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 1.8% |
3.0%
1.2 pts better
|
3.3%
1.5 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 1.5% · Q2 1.5% · Q3 2.2% · Q4 1.8% · 4Q avg 1.8% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 38.3% |
18.5%
19.8 pts worse
|
11.4%
26.9 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 32.1% · Q2 29.9% · Q3 36.9% · Q4 54.3% · 4Q avg 38.3% |
| Percentage of long-stay residents who lose too much weight | 8.8% |
6.1%
2.7 pts worse
|
5.4%
3.4 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 8.5% · Q2 6.9% · Q3 9.5% · Q4 9.9% · 4Q avg 8.8% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 2.2% |
13.5%
11.3 pts better
|
19.6%
17.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 3.1% · Q2 2.3% · Q3 1.5% · Q4 1.9% · 4Q avg 2.2% |
| Percentage of long-stay residents who received an antipsychotic medication | 4.3% |
14.8%
10.5 pts better
|
16.7%
12.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 6.7% · Q2 4.7% · Q3 2.7% · Q4 3.2% · 4Q avg 4.3% · 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 | 5.8% |
15.1%
9.3 pts better
|
16.3%
10.5 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 7.5% · Q2 7.7% · Q3 4.6% · Q4 3.5% · 4Q avg 5.8% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 7.0% |
15.5%
8.5 pts better
|
14.9%
7.9 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 5.2% · Q2 4.3% · Q3 7.9% · Q4 10.5% · 4Q avg 7.0% · 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 | 0.8% |
1.4%
0.6 pts better
|
1.7%
0.9 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 1.2% · Q2 0.8% · Q3 0.4% · Q4 0.8% · 4Q avg 0.8% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 27.8% |
20.8%
7 pts worse
|
19.8%
8 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 30.1% · Q2 33.1% · Q3 24.0% · Q4 24.1% · 4Q avg 27.8% |
| Percentage of long-stay residents with pressure ulcers | 5.0% |
6.9%
1.9 pts better
|
5.1%
0.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 4.8% · Q2 3.4% · Q3 5.7% · Q4 6.1% · 4Q avg 5.0% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 95.2% |
76.7%
18.5 pts better
|
81.7%
13.5 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 90.3% · Q2 92.0% · Q3 98.6% · Q4 99.2% · 4Q avg 95.2% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 11.6% |
9.7%
1.9 pts worse
|
12.0%
0.4 pts better
|
Short Stay · 20240701-20250630 · Adjusted 11.6% · Observed 11.5% · Expected 11.0% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 0.0% |
1.2%
1.2 pts better
|
1.6%
1.6 pts better
|
Short 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 short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 90.8% |
78.8%
12 pts better
|
79.7%
11.1 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 90.8% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 20.4% |
20.6%
0.2 pts better
|
23.9%
3.5 pts better
|
Short Stay · 20240701-20250630 · Adjusted 20.4% · Observed 24.0% · Expected 28.0% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2024-01-10 · Fire 2024-01-10
7 health deficiencies
Top issue: Resident Assessment and Care Planning (4 deficiencies)
1 fire-safety deficiencies
Top issue: Smoke (1 deficiency)
Cycle 3
Health 2021-10-29 · Fire 2021-10-29
8 health deficiencies
Top issue: Quality of Life and Care (2 deficiencies)
4 fire-safety deficiencies
Top issue: Emergency Preparedness (2 deficiencies)
Fire safety
Fire-safety citations
D · Potential for more than minimal harm
2024-01-10
K353 · Smoke Deficiencies
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2024-03-08
D · Potential for more than minimal harm
2021-10-29
K291 · Egress Deficiencies
Fire Safety
Install emergency lighting that can last at least 1 1/2 hours.
Corrected 2021-11-23
D · Potential for more than minimal harm
2021-10-29
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 2021-11-23
C · Minimal harm
2021-10-29
E6 · Emergency Preparedness Deficiencies
Fire Safety
Conduct risk assessment and an All-Hazards approach.
Corrected 2021-11-23
C · Minimal harm
2021-10-29
E7 · Emergency Preparedness Deficiencies
Fire Safety
Address patient/client population and determine types of services needed.
Corrected 2021-11-23
Inspection history
Recent health citations
L · Immediate jeopardy
2025-06-27
F584 · Resident Rights Deficiencies
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 2025-07-18
F · Potential for more than minimal harm
2025-06-27
F835 · Administration Deficiencies
Health
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
Corrected 2025-07-18
D · Potential for more than minimal harm
2025-04-10
F695 · Quality of Life and Care Deficiencies
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2025-04-25
D · Potential for more than minimal harm
2024-01-10
F636 · Resident Assessment and Care Planning Deficiencies
Health
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
Corrected 2024-03-07
D · Potential for more than minimal harm
2024-01-10
F638 · Resident Assessment and Care Planning Deficiencies
Health
Assure that each resident’s assessment is updated at least once every 3 months.
Corrected 2024-03-07
D · Potential for more than minimal harm
2024-01-10
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 2024-03-07
D · Potential for more than minimal harm
2024-01-10
F641 · Resident Assessment and Care Planning Deficiencies
Health
Ensure each resident receives an accurate assessment.
Corrected 2024-03-07
D · Potential for more than minimal harm
2024-01-10
F676 · Quality of Life and Care Deficiencies
Health
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
Corrected 2024-03-07
D · Potential for more than minimal harm
2024-01-10
F679 · Quality of Life and Care Deficiencies
Health
Provide activities to meet all resident's needs.
Corrected 2024-03-07
D · Potential for more than minimal harm
2024-01-10
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 2024-03-07
D · Potential for more than minimal harm
2021-10-29
F568 · Resident Rights Deficiencies
Health
Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.
Corrected 2021-12-28
D · Potential for more than minimal harm
2021-10-29
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 2021-12-28
D · Potential for more than minimal harm
2021-10-29
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 2021-12-28
D · Potential for more than minimal harm
2021-10-29
F676 · Quality of Life and Care Deficiencies
Health
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
Corrected 2021-12-28
D · Potential for more than minimal harm
2021-10-29
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 2021-12-28
D · Potential for more than minimal harm
2021-10-29
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 2021-12-28
D · Potential for more than minimal harm
2021-10-29
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 2021-12-28
D · Potential for more than minimal harm
2021-10-29
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2021-12-28
Penalties and ownership
What sits behind the stars
$37,650
2025-06-27
Fine
Fine · fine $37,650
Fine
Ownership
Debenedictis, Pasquale
5% Or Greater Direct Ownership Interest · Individual
Friedman, Leopold
5% Or Greater Direct Ownership Interest · Individual
Solovey, Alex
5% Or Greater Direct Ownership Interest · Individual
Carillo, Joseph
5% Or Greater Direct Ownership Interest · Individual
Rutenberg, Solomon
5% Or Greater Direct Ownership Interest · Individual
Carillo, Joseph
Corporate Officer · Individual
Debenedictis, Pasquale
Corporate Officer · Individual
Derosa, Anthony
Operational/Managerial Control · Individual
Friedman, Leopold
Corporate Officer · Individual
Rutenberg, Solomon
Corporate Officer · Individual
Schrieber, Michael
Operational/Managerial Control · Individual
Schrieber, Michael
W-2 Managing Employee · Individual
Solovey, Alex
Corporate Officer · Individual
Nearby options
Other facilities in reach
#1
Concord Nursing And Rehabilitation Center
Brooklyn, NY
3-star overall rating with 4-star inspections with 5 recent health deficiencies with 8 fire-safety deficiencies in the latest cycle
#2
New Carlton Rehab And Nursing Center, L L C
Brooklyn, NY
4-star overall rating with 3-star inspections with 6 recent health deficiencies with 5 fire-safety deficiencies in the latest cycle
#3
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
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