Far Rockaway, NY

Far Rockaway Center For Rehabilitation And Nursing

1-star overall rating with 2-star inspections with 13 recent health deficiencies with 4 fire-safety deficiencies in the latest cycle

13 11 Virgina St, Far Rockaway, NY

(718) 327-2909

Compare this facility

Overall

1 / 5

CMS overall stars

Health inspections

2 / 5

Survey and complaint cycles

Staffing

1 / 5

RN + nurse staffing

Quality measures

2 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

100

Certified beds

Average residents

97

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

No chain reported

Operator or chain grouping

Approved since

1973-04-01

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Staffing

Hours and turnover

RN hours / resident day

0.28

Registered nurse staffing

LPN hours / resident day

0.73

Licensed practical nurse staffing

Aide hours / resident day

1.92

Nurse aide staffing

Weekend hours

2.62

Weekend nurse staffing

RN turnover

50%

Annual RN turnover

Total nurse turnover

46%

Annual nurse turnover

Quality measures

Resident outcomes and process scores

Measure Facility State National Note
Number of hospitalizations per 1000 long-stay resident days 2.3
1.7
0.6 pts worse
1.9
0.4 pts worse
Long Stay · 20240701-20250630
Number of outpatient emergency department visits per 1000 long-stay resident days 3.0
1.3
1.7 pts worse
1.8
1.2 pts worse
Long Stay · 20240701-20250630
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine 100.0%
91.2%
8.8 pts better
93.4%
6.6 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine 99.0%
95.3%
3.7 pts better
95.5%
3.5 pts better
Long Stay · 2024Q3-2025Q2
Percentage of long-stay residents experiencing one or more falls with major injury 1.3%
3.0%
1.7 pts better
3.3%
2 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who have depressive symptoms 13.8%
18.5%
4.7 pts better
11.4%
2.4 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who lose too much weight 5.0%
6.1%
1.1 pts better
5.4%
0.4 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who received an antianxiety or hypnotic medication 7.6%
13.5%
5.9 pts better
19.6%
12 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who received an antipsychotic medication 18.3%
14.8%
3.5 pts worse
16.7%
1.6 pts worse
Long Stay · 2024Q4-2025Q3
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
Percentage of long-stay residents whose ability to walk independently worsened 4.6%
15.1%
10.5 pts better
16.3%
11.7 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents whose need for help with daily activities has increased 6.9%
15.5%
8.6 pts better
14.9%
8 pts better
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 0.0%
1.4%
1.4 pts better
1.7%
1.7 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with new or worsened bowel or bladder incontinence 14.3%
20.8%
6.5 pts better
19.8%
5.5 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with pressure ulcers 4.5%
6.9%
2.4 pts better
5.1%
0.6 pts better
Long Stay · 2024Q4-2025Q3
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine 88.5%
76.7%
11.8 pts better
81.7%
6.8 pts better
Short Stay · 2024Q4-2025Q3
Percentage of short-stay residents who had an outpatient emergency department visit 19.5%
9.7%
9.8 pts worse
12.0%
7.5 pts worse
Short Stay · 20240701-20250630
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
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine 89.3%
78.8%
10.5 pts better
79.7%
9.6 pts better
Short Stay · 2024Q3-2025Q2
Percentage of short-stay residents who were rehospitalized after a nursing home admission 25.4%
20.6%
4.8 pts worse
23.9%
1.5 pts worse
Short Stay · 20240701-20250630

Survey summary

Recent inspection cycles

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

13 health deficiencies

Top issue: Pharmacy Service (3 deficiencies)

4 fire-safety deficiencies

Top issue: Egress (2 deficiencies)

Cycle 2 Health 2022-06-22 · Fire 2022-06-22

6 health deficiencies

Top issue: Resident Rights (3 deficiencies)

8 fire-safety deficiencies

Top issue: Gas and Vacuum and Electrical Systems (4 deficiencies)

Cycle 3 Health 2019-09-23 · Fire 2019-09-23

8 health deficiencies

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

8 fire-safety deficiencies

Top issue: Smoke (4 deficiencies)

Fire safety

Fire-safety citations

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

K271 · Egress Deficiencies

Fire Safety

Have exits that are accessible at all times.

Corrected 2024-08-19

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

K281 · Egress Deficiencies

Fire Safety

Install proper backup exit lighting.

Corrected 2024-08-19

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 2024-08-19

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

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

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

Corrected 2024-08-19

F · Potential for more than minimal harm 2022-06-22

K915 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have proper power supply for life support equipment.

Corrected 2022-08-15

E · Potential for more than minimal harm 2022-06-22

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2022-08-15

E · Potential for more than minimal harm 2022-06-22

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

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

Corrected 2022-08-15

D · Potential for more than minimal harm 2022-06-22

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 2022-08-15

D · Potential for more than minimal harm 2022-06-22

K271 · Egress Deficiencies

Fire Safety

Have exits that are accessible at all times.

Corrected 2022-08-15

D · Potential for more than minimal harm 2022-06-22

K281 · Egress Deficiencies

Fire Safety

Install proper backup exit lighting.

Corrected 2022-08-15

D · Potential for more than minimal harm 2022-06-22

K911 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Meet requirements for the installation and maintenance of electrical systems.

Corrected 2022-08-15

D · Potential for more than minimal harm 2022-06-22

K923 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have proper medical gas storage and administration areas.

Corrected 2022-08-15

E · Potential for more than minimal harm 2019-09-23

K271 · Egress Deficiencies

Fire Safety

Have exits that are accessible at all times.

Corrected 2019-11-21

E · Potential for more than minimal harm 2019-09-23

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2019-11-21

E · Potential for more than minimal harm 2019-09-23

K374 · Smoke Deficiencies

Fire Safety

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

Corrected 2019-11-21

D · Potential for more than minimal harm 2019-09-23

K211 · Egress Deficiencies

Fire Safety

Keep aisles, corridors, and exits free of obstruction in case of emergency.

Corrected 2019-11-21

D · Potential for more than minimal harm 2019-09-23

K281 · Egress Deficiencies

Fire Safety

Install proper backup exit lighting.

Corrected 2019-11-21

D · Potential for more than minimal harm 2019-09-23

K341 · Smoke Deficiencies

Fire Safety

Install a fire alarm system that can be heard throughout the facility.

Corrected 2019-11-21

D · Potential for more than minimal harm 2019-09-23

K363 · Smoke Deficiencies

Fire Safety

Install corridor and hallway doors that block smoke.

Corrected 2019-11-21

D · Potential for more than minimal harm 2019-09-23

K916 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have a battery powered remote alarm panel in a location accessible by operating personnel.

Corrected 2019-11-21

Inspection history

Recent health citations

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

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 2024-09-01

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

F582 · Resident Rights Deficiencies

Health

Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

Corrected 2024-09-01

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

F583 · Resident Rights Deficiencies

Health

Keep residents' personal and medical records private and confidential.

Corrected 2024-09-01

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

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 2024-09-01

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

F658 · Resident Assessment and Care Planning Deficiencies

Health

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

Corrected 2024-09-01

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

F686 · Quality of Life and Care Deficiencies

Health

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Corrected 2024-09-01

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

F755 · Pharmacy Service Deficiencies

Health

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Corrected 2024-09-01

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

F760 · Pharmacy Service Deficiencies

Health

Ensure that residents are free from significant medication errors.

Corrected 2024-09-01

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 2024-09-01

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

F806 · Nutrition and Dietary Deficiencies

Health

Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.

Corrected 2024-09-01

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

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2024-09-01

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

F921 · Environmental Deficiencies

Health

Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

Corrected 2024-09-01

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

F925 · Environmental Deficiencies

Health

Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.

Corrected 2024-09-01

E · Potential for more than minimal harm 2022-06-22

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 2022-08-01

D · Potential for more than minimal harm 2022-06-22

F558 · Resident Rights Deficiencies

Health

Reasonably accommodate the needs and preferences of each resident.

Corrected 2022-08-01

D · Potential for more than minimal harm 2022-06-22

F583 · Resident Rights Deficiencies

Health

Keep residents' personal and medical records private and confidential.

Corrected 2022-08-01

D · Potential for more than minimal harm 2022-06-22

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2022-08-01

D · Potential for more than minimal harm 2022-06-22

F919 · Environmental Deficiencies

Health

Make sure that a working call system is available in each resident's bathroom and bathing area.

Corrected 2022-08-01

D · Potential for more than minimal harm 2022-06-22

F921 · Environmental Deficiencies

Health

Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

Corrected 2022-08-01

F · Potential for more than minimal harm 2019-09-23

F925 · Environmental Deficiencies

Health

Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.

Corrected 2019-11-18

E · Potential for more than minimal harm 2019-09-23

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 2019-11-16

E · Potential for more than minimal harm 2019-09-23

F921 · Environmental Deficiencies

Health

Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

Corrected 2019-11-18

D · Potential for more than minimal harm 2019-09-23

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 2019-11-16

D · Potential for more than minimal harm 2019-09-23

F641 · Resident Assessment and Care Planning Deficiencies

Health

Ensure each resident receives an accurate assessment.

Corrected 2019-11-16

D · Potential for more than minimal harm 2019-09-23

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 2019-11-16

D · Potential for more than minimal harm 2019-09-23

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 2019-11-18

D · Potential for more than minimal harm 2019-09-23

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 2019-11-18

Penalties and ownership

What sits behind the stars

Ownership

Rockaway Kr Holdings LLC

5% Or Greater Direct Ownership Interest · Organization

98% 1 facilities 2017-04-05
Nat, Eitan

W-2 Managing Employee · Individual

0% 1 facilities 2017-04-05
Rozenberg, Beth

Limited Partnership Interest · Individual

0% 5 facilities 2017-04-05
Rozenberg, Kenneth

Corporate Director · Individual

0% 33 facilities 2016-08-25

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