Cycle 1
Health 2024-10-03 · Fire 2024-10-03
2 health deficiencies
Top issue: Infection Control (1 deficiency)
3 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (1 deficiency)
Brooklyn, NY
Dr Susan Smith Mckinney Nursing And Rehab Center
5-star overall rating with 5-star inspections with 2 recent health deficiencies with 3 fire-safety deficiencies in the latest cycle
594 Albany Avenue, Brooklyn, NY
(718) 245-7000
Overall
5 / 5
CMS overall stars
Health inspections
5 / 5
Survey and complaint cycles
Staffing
5 / 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
Government
Publicly displayed owner type
Chain
New York City Health + Hospitals
Operator or chain grouping
Approved since
1997-12-08
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Chain footprint
5 facilities
Chain averages 5 overall / 4 health / 5 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
1.73
Registered nurse staffing · state 0.70 · national 0.68
LPN hours / resident day
0.34
Licensed practical nurse staffing · state 0.78 · national 0.87
Aide hours / resident day
2.72
Nurse aide staffing · state 2.20 · national 2.35
Total nurse hours
4.79
All reported nurse hours · state 3.65 · national 3.89
Licensed hours
2.07
RN + LPN hours · state 1.47 · national 1.54
Weekend hours
3.82
Weekend nurse staffing · state 3.16 · national 3.43
Weekend RN hours
1.27
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
1.74
CMS adjusted RN staffing hours
Adjusted total hours
4.81
CMS adjusted total nurse staffing hours
Case-mix index
1.36
Higher values indicate more complex resident acuity
RN turnover
29%
Annual RN turnover · state 41% · national 45%
Total nurse turnover
25%
Annual nurse turnover · state 41% · national 46%
SNF VBP
Value-based purchasing
Program rank
1,299
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
57.84
Composite VBP score used to determine payment impact.
Payment multiplier
1.0130
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
5.19
Baseline 20.71% · Performance 19.03% · Measure score 5.19 · Achievement 5.19 · Improvement 4.08
Healthcare-associated infections
4.58
Baseline 9.44% · Performance 7.18% · Measure score 4.58 · Achievement 2.20 · Improvement 4.58
Total nurse turnover
7.73
Baseline 43.21% · Performance 32.08% · Measure score 7.73 · Achievement 7.73 · Improvement 5.56
Adjusted total nurse staffing
5.63
Baseline 4.76 hours · Performance 4.68 hours · Measure score 5.63 · Achievement 5.63 · Improvement 0
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 9.31% |
10.72%
1.4 pts better
|
No Different than the National Rate · Eligible stays 114 · Observed rate 6.14% · Lower 95% interval 7.26% |
| Discharge to community | 55.66% |
50.57%
5.1 pts better
|
No Different than the National Rate · Eligible stays 114 · Observed rate 47.37% · Lower 95% interval 45.76% |
| Medicare spending per beneficiary | 1.2 |
1.02
0.2 pts worse
|
|
| Drug regimen review with follow-up | 57.58% |
95.27%
37.7 pts worse
|
Numerator 57 · Denominator 99 |
| Falls with major injury | 0% |
0.77%
0.8 pts better
|
Numerator 0 · Denominator 99 |
| Discharge self-care score | 43.48% |
53.69%
10.2 pts worse
|
Numerator 30 · Denominator 69 |
| Discharge mobility score | 44.93% |
50.94%
6 pts worse
|
Numerator 31 · Denominator 69 |
| Pressure ulcers or injuries, new or worsened | 3.03% |
2.29%
0.7 pts worse
|
Numerator 3 · Denominator 99 · Adjusted rate 1.89% |
| Healthcare-associated infections requiring hospitalization | 7.18% |
7.12%
0.1 pts worse
|
No Different than the National Rate · Eligible stays 64 · Observed rate 7.81% · Lower 95% interval 4.05% |
| Staff COVID-19 vaccination coverage | 3.29% |
8.2%
4.9 pts worse
|
Numerator 17 · Denominator 516 |
| Staff flu vaccination coverage | 56.37% |
42%
14.4 pts better
|
Numerator 456 · Denominator 809 |
| Discharge function score | 39.13% |
56.45%
17.3 pts worse
|
Numerator 27 · Denominator 69 |
| Transfer of health information to provider | 100% |
95.95%
4 pts better
|
Numerator 25 · Denominator 25 |
| Transfer of health information to patient | 100% |
96.28%
3.7 pts better
|
Numerator 35 · Denominator 35 |
| Resident COVID-19 vaccinations up to date | 3.85% |
25.2%
21.3 pts worse
|
Numerator 2 · Denominator 52 |
Quality measures
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 0.6 |
1.7
1.1 pts better
|
1.9
1.3 pts better
|
Long Stay · 20240701-20250630 · Adjusted 0.6 · Observed 0.6 · Expected 2.2 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 0.6 |
1.3
0.7 pts better
|
1.8
1.2 pts better
|
Long Stay · 20240701-20250630 · Adjusted 0.6 · Observed 0.6 · Expected 1.7 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 94.9% |
91.2%
3.7 pts better
|
93.4%
1.5 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 83.2% · Q2 96.6% · Q3 100.0% · Q4 99.3% · 4Q avg 94.9% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 98.3% |
95.3%
3 pts better
|
95.5%
2.8 pts better
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 98.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 0.8% |
3.0%
2.2 pts better
|
3.3%
2.5 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.7% · Q2 0.7% · Q3 1.1% · Q4 0.7% · 4Q avg 0.8% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 7.0% |
18.5%
11.5 pts better
|
11.4%
4.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 18.9% · Q2 5.3% · Q3 2.5% · Q4 1.2% · 4Q avg 7.0% |
| Percentage of long-stay residents who lose too much weight | 3.0% |
6.1%
3.1 pts better
|
5.4%
2.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 3.8% · Q2 2.6% · Q3 3.9% · Q4 1.9% · 4Q avg 3.0% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 2.0% |
13.5%
11.5 pts better
|
19.6%
17.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 2.7% · Q2 2.3% · Q3 1.5% · Q4 1.5% · 4Q avg 2.0% |
| Percentage of long-stay residents who received an antipsychotic medication | 8.2% |
14.8%
6.6 pts better
|
16.7%
8.5 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 9.0% · Q2 8.3% · Q3 7.4% · Q4 8.1% · 4Q avg 8.2% · Used in QM five-star |
| Percentage of long-stay residents who were physically restrained | 0.1% |
0.2%
0.1 pts better
|
0.1%
About the same
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.3% · 4Q avg 0.1% |
| Percentage of long-stay residents whose ability to walk independently worsened | 17.1% |
15.1%
2 pts worse
|
16.3%
0.8 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 16.1% · Q2 20.0% · Q3 16.1% · Q4 16.2% · 4Q avg 17.1% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 15.5% |
15.5%
About the same
|
14.9%
0.6 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 14.8% · Q2 11.1% · Q3 14.7% · Q4 21.4% · 4Q avg 15.5% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.2% |
0.6%
0.4 pts better
|
1.0%
0.8 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.3% · Q2 0.3% · Q3 0.2% · Q4 0.2% · 4Q avg 0.2% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 1.0% |
1.4%
0.4 pts better
|
1.7%
0.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 1.5% · Q2 0.4% · Q3 1.1% · Q4 1.0% · 4Q avg 1.0% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 16.6% |
20.8%
4.2 pts better
|
19.8%
3.2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 16.3% · Q2 20.9% · Q3 14.5% · Q4 14.9% · 4Q avg 16.6% |
| Percentage of long-stay residents with pressure ulcers | 8.0% |
6.9%
1.1 pts worse
|
5.1%
2.9 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 5.6% · Q2 8.6% · Q3 9.0% · Q4 8.6% · 4Q avg 8.0% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 80.8% |
76.7%
4.1 pts better
|
81.7%
0.9 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 76.2% · Q2 78.5% · Q3 84.4% · Q4 86.1% · 4Q avg 80.8% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 7.5% |
9.7%
2.2 pts better
|
12.0%
4.5 pts better
|
Short Stay · 20240701-20250630 · Adjusted 7.5% · Observed 7.1% · Expected 10.6% · 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 | 90.5% |
78.8%
11.7 pts better
|
79.7%
10.8 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 90.5% |
| 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 22.9% · Expected 26.8% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2023-05-04 · Fire 2023-05-04
0 health deficiencies
No concentrated health issue counts in this cycle.
8 fire-safety deficiencies
Top issue: Smoke (4 deficiencies)
Cycle 3
Health 2020-12-07 · Fire 2020-12-07
0 health deficiencies
No concentrated health issue counts in this cycle.
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Fire safety
Fire-safety citations
E · Potential for more than minimal harm
2024-10-03
K911 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Meet requirements for the installation and maintenance of electrical systems.
Corrected 2024-12-02
D · Potential for more than minimal harm
2024-10-03
K363 · Smoke Deficiencies
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2024-12-02
D · Potential for more than minimal harm
2024-10-03
K761 · Miscellaneous Deficiencies
Fire Safety
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Corrected 2024-12-02
F · Potential for more than minimal harm
2023-05-04
K531 · Services Deficiencies
Fire Safety
Have elevators that firefighters can control in the event of a fire.
Corrected 2022-11-30
E · Potential for more than minimal harm
2023-05-04
K351 · Smoke Deficiencies
Fire Safety
Install an approved automatic sprinkler system.
Corrected 2022-11-30
E · Potential for more than minimal harm
2023-05-04
K353 · Smoke Deficiencies
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2022-11-30
E · Potential for more than minimal harm
2023-05-04
K363 · Smoke Deficiencies
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2022-11-30
D · Potential for more than minimal harm
2023-05-04
K291 · Egress Deficiencies
Fire Safety
Install emergency lighting that can last at least 1 1/2 hours.
Corrected 2022-11-30
D · Potential for more than minimal harm
2023-05-04
K345 · Smoke Deficiencies
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2022-11-30
D · Potential for more than minimal harm
2023-05-04
K918 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2022-11-30
D · Potential for more than minimal harm
2023-05-04
K923 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Have proper medical gas storage and administration areas.
Corrected 2022-11-30
Inspection history
Recent health citations
D · Potential for more than minimal harm
2024-10-03
F803 · Nutrition and Dietary Deficiencies
Health
Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
Corrected 2024-12-02
D · Potential for more than minimal harm
2024-10-03
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2024-12-02
Penalties and ownership
What sits behind the stars
Ownership
Basquez, Florencio
Operational/Managerial Control · Individual
Calamia, Vincent
Corporate Director · Individual
Dryden, Jason
Operational/Managerial Control · Individual
Hernandez-Pinero, Sally
Corporate Director · Individual
Karlin, Marjory
Operational/Managerial Control · Individual
Karlin, Marjory
Corporate Director · Individual
Katz, Mitchell
Corporate Director · Individual
Kawatra, Anita
Corporate Director · Individual
Khundkar, Kity
Operational/Managerial Control · Individual
Lowe, Barbara
Corporate Director · Individual
Luong, Khoi
Corporate Director · Individual
Marthone, Patricia
Corporate Director · Individual
New York City Health And Hospitals Corporation
Operational/Managerial Control · Organization
Pagan, Jose
Corporate Director · Individual
Rodrigues, Lucan
Operational/Managerial Control · Individual
Ulberg, John
Corporate Director · Individual
Wang, Freda
Corporate Director · Individual
Wasow-Park, Molly
Corporate Director · Individual
Weinstein, David
Operational/Managerial Control · Individual
Williams-Isom, Anne
Corporate Director · Individual
Nearby options
Other facilities in reach
#1
Rutland Nursing Home, Inc
Brooklyn, NY
2-star overall rating with 1-star inspections with abuse icon flag with $55,231 in total fines with 18 recent health deficiencies with 2 fire-safety deficiencies in the latest cycle
#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
#3
The Monarch At Brooklyn Rehab And Nursing Center
Brooklyn, NY
5-star overall rating with 4-star inspections with 5 recent health deficiencies with 4 fire-safety deficiencies in the latest cycle
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