4 health deficiencies
Top issue: Infection Control (1 deficiency)
2 fire-safety deficiencies
Top issue: Egress (1 deficiency)
Forest Hills, NY
4-star overall rating with 3-star inspections with 4 recent health deficiencies with 2 fire-safety deficiencies in the latest cycle
71 44 Yellowstone Blvd, Forest Hills, NY
(718) 544-4300
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
100
Certified beds
Average residents
88
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
No chain reported
Operator or chain grouping
Approved since
1968-11-18
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
0.47
Registered nurse staffing · state 0.70 · national 0.68
LPN hours / resident day
0.69
Licensed practical nurse staffing · state 0.78 · national 0.87
Aide hours / resident day
2.02
Nurse aide staffing · state 2.20 · national 2.35
Total nurse hours
3.18
All reported nurse hours · state 3.65 · national 3.89
Licensed hours
1.16
RN + LPN hours · state 1.47 · national 1.54
Weekend hours
2.86
Weekend nurse staffing · state 3.16 · national 3.43
Weekend RN hours
0.44
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
0.48
CMS adjusted RN staffing hours
Adjusted total hours
3.27
CMS adjusted total nurse staffing hours
Case-mix index
1.33
Higher values indicate more complex resident acuity
RN turnover
21%
Annual RN turnover · state 41% · national 45%
Total nurse turnover
28%
Annual nurse turnover · state 41% · national 46%
SNF VBP
Program rank
4,109
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
41.24
Composite VBP score used to determine payment impact.
Payment multiplier
0.9942
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
Readmission
2.99
Baseline 21.68% · Performance 20.06% · Measure score 2.99 · Achievement 2.96 · Improvement 2.99
Healthcare-associated infections
4.51
Baseline 7.64% · Performance 6.49% · Measure score 4.51 · Achievement 4.51 · Improvement 3.85
Total nurse turnover
8.50
Baseline 20.78% · Performance 28.95% · Measure score 8.50 · Achievement 8.50 · Improvement 0
Adjusted total nurse staffing
0.50
Baseline 3.4 hours · Performance 3.22 hours · Measure score 0.50 · Achievement 0.50 · Improvement 0
SNF QRP
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 9.84% |
10.72%
0.9 pts better
|
No Different than the National Rate · Eligible stays 192 · Observed rate 7.29% · Lower 95% interval 6.8% |
| Discharge to community | 55.99% |
50.57%
5.4 pts better
|
No Different than the National Rate · Eligible stays 208 · Observed rate 51.44% · Lower 95% interval 49.24% |
| Medicare spending per beneficiary | 1.26 |
1.02
0.2 pts worse
|
|
| Drug regimen review with follow-up | 100% |
95.27%
4.7 pts better
|
Numerator 186 · Denominator 186 |
| Falls with major injury | 0% |
0.77%
0.8 pts better
|
Numerator 0 · Denominator 186 |
| Discharge self-care score | 81.43% |
53.69%
27.7 pts better
|
Numerator 114 · Denominator 140 |
| Discharge mobility score | 74.29% |
50.94%
23.4 pts better
|
Numerator 104 · Denominator 140 |
| Pressure ulcers or injuries, new or worsened | 1.61% |
2.29%
0.7 pts better
|
Numerator 3 · Denominator 186 · Adjusted rate 1.1% |
| Healthcare-associated infections requiring hospitalization | 6.49% |
7.12%
0.6 pts better
|
No Different than the National Rate · Eligible stays 141 · Observed rate 5.67% · Lower 95% interval 3.88% |
| Staff COVID-19 vaccination coverage | 3.82% |
8.2%
4.4 pts worse
|
Numerator 5 · Denominator 131 |
| Staff flu vaccination coverage | 88.1% |
42%
46.1 pts better
|
Numerator 111 · Denominator 126 |
| Discharge function score | 81.43% |
56.45%
25 pts better
|
Numerator 114 · Denominator 140 |
| Transfer of health information to provider | 95.24% |
95.95%
0.7 pts worse
|
Numerator 40 · Denominator 42 |
| Transfer of health information to patient | 100% |
96.28%
3.7 pts better
|
Numerator 97 · Denominator 97 |
| Resident COVID-19 vaccinations up to date | 8.42% |
25.2%
16.8 pts worse
|
Numerator 8 · Denominator 95 |
Quality measures
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 2.1 |
1.7
0.4 pts worse
|
1.9
0.2 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 2.1 · Observed 2.2 · Expected 1.9 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 1.2 |
1.3
0.1 pts better
|
1.8
0.6 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.2 · Observed 1.1 · Expected 1.5 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 91.4% |
91.2%
0.2 pts better
|
93.4%
2 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 95.5% · Q2 90.9% · Q3 90.2% · Q4 88.9% · 4Q avg 91.4% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 92.0% |
95.3%
3.3 pts worse
|
95.5%
3.5 pts worse
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 92.0% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 1.9% |
3.0%
1.1 pts better
|
3.3%
1.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 3.0% · Q2 1.5% · Q3 1.6% · Q4 1.6% · 4Q avg 1.9% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 7.6% |
18.5%
10.9 pts better
|
11.4%
3.8 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 7.7% · Q2 4.9% · Q3 8.2% · Q4 9.7% · 4Q avg 7.6% |
| Percentage of long-stay residents who lose too much weight | 3.6% |
6.1%
2.5 pts better
|
5.4%
1.8 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 3.5% · Q2 5.3% · Q3 3.7% · Q4 1.8% · 4Q avg 3.6% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 7.7% |
13.5%
5.8 pts better
|
19.6%
11.9 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 8.5% · Q2 8.3% · Q3 7.1% · Q4 6.7% · 4Q avg 7.7% |
| Percentage of long-stay residents who received an antipsychotic medication | 5.0% |
14.8%
9.8 pts better
|
16.7%
11.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 6.1% · Q2 5.7% · Q3 4.4% · Q4 3.7% · 4Q avg 5.0% · 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 | 10.6% |
15.1%
4.5 pts better
|
16.3%
5.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 19.6% · Q2 12.5% · Q3 6.6% · Q4 3.3% · 4Q avg 10.6% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 7.9% |
15.5%
7.6 pts better
|
14.9%
7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 11.1% · Q2 4.2% · Q3 8.5% · Q4 8.2% · 4Q avg 7.9% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.5% |
0.6%
0.1 pts better
|
1.0%
0.5 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 1.0% · Q2 0.0% · Q3 0.0% · Q4 0.9% · 4Q avg 0.5% · Used in QM five-star |
| 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 · 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 new or worsened bowel or bladder incontinence | 3.0% |
20.8%
17.8 pts better
|
19.8%
16.8 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 3.5% · Q3 5.3% · Q4 3.4% · 4Q avg 3.0% |
| Percentage of long-stay residents with pressure ulcers | 8.5% |
6.9%
1.6 pts worse
|
5.1%
3.4 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 7.6% · Q2 10.0% · Q3 9.0% · Q4 7.5% · 4Q avg 8.5% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 60.1% |
76.7%
16.6 pts worse
|
81.7%
21.6 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 64.1% · Q2 67.3% · Q3 58.9% · Q4 51.1% · 4Q avg 60.1% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 9.7% |
9.7%
About the same
|
12.0%
2.3 pts better
|
Short Stay · 20240701-20250630 · Adjusted 9.7% · Observed 8.7% · Expected 10.0% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 0.4% |
1.2%
0.8 pts better
|
1.6%
1.2 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.9% · Q3 0.9% · Q4 0.0% · 4Q avg 0.4% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 67.9% |
78.8%
10.9 pts worse
|
79.7%
11.8 pts worse
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 67.9% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 20.0% |
20.6%
0.6 pts better
|
23.9%
3.9 pts better
|
Short Stay · 20240701-20250630 · Adjusted 20.0% · Observed 22.1% · Expected 26.3% · Used in QM five-star |
Survey summary
Top issue: Infection Control (1 deficiency)
2 fire-safety deficiencies
Top issue: Egress (1 deficiency)
Top issue: Resident Rights (3 deficiencies)
2 fire-safety deficiencies
Top issue: Egress (1 deficiency)
Top issue: Infection Control (1 deficiency)
4 fire-safety deficiencies
Top issue: Smoke (2 deficiencies)
Fire safety
Fire Safety
Install emergency lighting that can last at least 1 1/2 hours.
Corrected 2025-08-04
Fire Safety
Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke.
Corrected 2025-08-04
Fire Safety
Have stairways and smokeproof enclosures used as exits that meet safety requirements.
Corrected 2024-02-14
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2024-02-14
Fire Safety
Address subsistence needs for staff and patients.
Corrected 2021-12-27
Fire Safety
Install an approved automatic sprinkler system.
Corrected 2021-12-20
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2021-12-20
Fire Safety
Ensure that testing and maintenance of electrical equipment is performed.
Corrected 2021-12-20
Inspection history
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 2025-08-04
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2025-08-04
Health
Provide safe, appropriate pain management for a resident who requires such services.
Corrected 2025-08-04
Health
Provide and implement an infection prevention and control program.
Corrected 2025-08-04
Health
Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.
Corrected 2024-02-14
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 2024-02-14
Health
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Corrected 2024-02-14
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2024-02-14
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 2024-02-14
Health
Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results.
Corrected 2024-02-14
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2024-02-14
Health
Provide and implement an infection prevention and control program.
Corrected 2024-02-14
Health
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Corrected 2024-02-14
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2021-12-27
Health
Provide and implement an infection prevention and control program.
Corrected 2021-12-27
Health
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2021-12-27
Penalties and ownership
Operational/Managerial Control · Individual
General Partnership Interest · Individual
General Partnership Interest · Individual
General Partnership Interest · Individual
General Partnership Interest · Individual
Operational/Managerial Control · Individual
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