2 health deficiencies
Top issue: Freedom from Abuse and Neglect and Exploitation (1 deficiency)
2 fire-safety deficiencies
Top issue: Smoke (2 deficiencies)
Forest Hills, NY
5-star overall rating with 5-star inspections with 2 recent health deficiencies with 2 fire-safety deficiencies in the latest cycle
71 20 110th Street, Forest Hills, NY
(718) 793-3200
Overall
5 / 5
CMS overall stars
Health inspections
5 / 5
Survey and complaint cycles
Staffing
3 / 5
RN + nurse staffing
Quality measures
5 / 5
Resident outcomes and process measures
Quick facts
Beds
160
Certified beds
Average residents
158
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
No chain reported
Operator or chain grouping
Approved since
1971-06-04
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
0.58
Registered nurse staffing · state 0.70 · national 0.68
LPN hours / resident day
0.65
Licensed practical nurse staffing · state 0.78 · national 0.87
Aide hours / resident day
2.23
Nurse aide staffing · state 2.20 · national 2.35
Total nurse hours
3.46
All reported nurse hours · state 3.65 · national 3.89
Licensed hours
1.23
RN + LPN hours · state 1.47 · national 1.54
Weekend hours
3.20
Weekend nurse staffing · state 3.16 · national 3.43
Weekend RN hours
0.40
Weekend registered nurse coverage · state 0.47 · national 0.47
Physical therapist
0.09
Reported PT staffing · state 0.11 · national 0.07
Adjusted RN hours
0.59
CMS adjusted RN staffing hours
Adjusted total hours
3.57
CMS adjusted total nurse staffing hours
Case-mix index
1.33
Higher values indicate more complex resident acuity
RN turnover
38%
Annual RN turnover · state 41% · national 45%
Total nurse turnover
27%
Annual nurse turnover · state 41% · national 46%
SNF VBP
Program rank
2,090
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
51.85
Composite VBP score used to determine payment impact.
Payment multiplier
1.0063
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
Readmission
8.76
Baseline 20.90% · Performance 17.37% · Measure score 8.76 · Achievement 8.76 · Improvement 8.62
Healthcare-associated infections
3.38
Baseline 9.37% · Performance 7.67% · Measure score 3.38 · Achievement 0.55 · Improvement 3.38
Total nurse turnover
7.12
Baseline 39.24% · Performance 34.59% · Measure score 7.12 · Achievement 7.12 · Improvement 2.73
Adjusted total nurse staffing
1.48
Baseline 3.26 hours · Performance 3.50 hours · Measure score 1.48 · Achievement 1.48 · Improvement 0.45
SNF QRP
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 10.09% |
10.72%
0.6 pts better
|
No Different than the National Rate · Eligible stays 361 · Observed rate 8.59% · Lower 95% interval 8.03% |
| Discharge to community | 61.15% |
50.57%
10.6 pts better
|
Better than the National Rate · Eligible stays 375 · Observed rate 54.67% · Lower 95% interval 55.74% |
| Medicare spending per beneficiary | 1.19 |
1.02
0.2 pts worse
|
|
| Drug regimen review with follow-up | 98.44% |
95.27%
3.2 pts better
|
Numerator 252 · Denominator 256 |
| Falls with major injury | 0.39% |
0.77%
0.4 pts better
|
Numerator 1 · Denominator 256 |
| Discharge self-care score | 37.5% |
53.69%
16.2 pts worse
|
Numerator 72 · Denominator 192 |
| Discharge mobility score | 63.54% |
50.94%
12.6 pts better
|
Numerator 122 · Denominator 192 |
| Pressure ulcers or injuries, new or worsened | 1.95% |
2.29%
0.3 pts better
|
Numerator 5 · Denominator 256 · Adjusted rate 2% |
| Healthcare-associated infections requiring hospitalization | 7.67% |
7.12%
0.5 pts worse
|
No Different than the National Rate · Eligible stays 196 · Observed rate 7.14% · Lower 95% interval 4.9% |
| Staff COVID-19 vaccination coverage | 0% |
8.2%
8.2 pts worse
|
Numerator 0 · Denominator 220 |
| Staff flu vaccination coverage | 79.17% |
42%
37.2 pts better
|
Numerator 114 · Denominator 144 |
| Discharge function score | 42.19% |
56.45%
14.3 pts worse
|
Numerator 81 · Denominator 192 |
| Transfer of health information to provider | 76.92% |
95.95%
19 pts worse
|
Numerator 30 · Denominator 39 |
| Transfer of health information to patient | 94.97% |
96.28%
1.3 pts worse
|
Numerator 151 · Denominator 159 |
| Resident COVID-19 vaccinations up to date | 35.16% |
25.2%
10 pts better
|
Numerator 45 · Denominator 128 |
Quality measures
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 1.6 |
1.7
0.1 pts better
|
1.9
0.3 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.6 · Observed 1.1 · Expected 1.3 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 1.0 |
1.3
0.3 pts better
|
1.8
0.8 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.0 · Observed 0.8 · Expected 1.2 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 40.4% |
91.2%
50.8 pts worse
|
93.4%
53 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 74.6% · Q2 26.8% · Q3 27.9% · Q4 34.1% · 4Q avg 40.4% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 82.4% |
95.3%
12.9 pts worse
|
95.5%
13.1 pts worse
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 82.4% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 2.0% |
3.0%
1 pts better
|
3.3%
1.3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 4.2% · Q2 0.8% · Q3 1.6% · Q4 1.6% · 4Q avg 2.0% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 21.9% |
18.5%
3.4 pts worse
|
11.4%
10.5 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 14.2% · Q2 23.5% · Q3 25.6% · Q4 24.0% · 4Q avg 21.9% |
| Percentage of long-stay residents who lose too much weight | 1.7% |
6.1%
4.4 pts better
|
5.4%
3.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 2.0% · Q2 1.9% · Q3 1.9% · Q4 0.9% · 4Q avg 1.7% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 7.3% |
13.5%
6.2 pts better
|
19.6%
12.3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 8.7% · Q2 9.0% · Q3 7.2% · Q4 4.4% · 4Q avg 7.3% |
| Percentage of long-stay residents who received an antipsychotic medication | 6.1% |
14.8%
8.7 pts better
|
16.7%
10.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 10.8% · Q2 4.1% · Q3 3.3% · Q4 6.1% · 4Q avg 6.1% · 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 | 3.7% |
15.1%
11.4 pts better
|
16.3%
12.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 3.4% · Q2 2.9% · Q3 5.0% · Q4 3.4% · 4Q avg 3.7% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 5.8% |
15.5%
9.7 pts better
|
14.9%
9.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 8.6% · Q2 4.0% · Q3 7.1% · Q4 3.9% · 4Q avg 5.8% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.1% |
0.6%
0.5 pts better
|
1.0%
0.9 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.5% · 4Q avg 0.1% · 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 0.9% · Q2 0.0% · Q3 1.7% · 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 | 32.4% |
20.8%
11.6 pts worse
|
19.8%
12.6 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 43.4% · Q2 37.0% · Q3 35.4% · Q4 15.1% · 4Q avg 32.4% |
| Percentage of long-stay residents with pressure ulcers | 9.1% |
6.9%
2.2 pts worse
|
5.1%
4 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 13.6% · Q2 10.7% · Q3 7.4% · Q4 5.3% · 4Q avg 9.1% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 21.4% |
76.7%
55.3 pts worse
|
81.7%
60.3 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 19.6% · Q2 21.8% · Q3 22.2% · Q4 22.5% · 4Q avg 21.4% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 5.1% |
9.7%
4.6 pts better
|
12.0%
6.9 pts better
|
Short Stay · 20240701-20250630 · Adjusted 5.1% · Observed 4.3% · Expected 9.4% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 1.1% |
1.2%
0.1 pts better
|
1.6%
0.5 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.7% · Q3 1.5% · Q4 2.4% · 4Q avg 1.1% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 36.9% |
78.8%
41.9 pts worse
|
79.7%
42.8 pts worse
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 36.9% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 18.0% |
20.6%
2.6 pts better
|
23.9%
5.9 pts better
|
Short Stay · 20240701-20250630 · Adjusted 18.0% · Observed 15.6% · Expected 20.7% · Used in QM five-star |
Survey summary
Top issue: Freedom from Abuse and Neglect and Exploitation (1 deficiency)
2 fire-safety deficiencies
Top issue: Smoke (2 deficiencies)
Top issue: Resident Assessment and Care Planning (2 deficiencies)
17 fire-safety deficiencies
Top issue: Smoke (7 deficiencies)
Top issue: Infection Control (1 deficiency)
5 fire-safety deficiencies
Top issue: Smoke (2 deficiencies)
Fire safety
Fire Safety
Properly select, install, inspect, or maintain portable fire extinguishes.
Corrected 2024-05-30
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2024-05-30
Fire Safety
Use approved construction type or materials.
Corrected 2022-06-23
Fire Safety
Have stairways and smokeproof enclosures used as exits that meet safety requirements.
Corrected 2022-06-23
Fire Safety
Install an approved automatic sprinkler system.
Corrected 2022-06-23
Fire Safety
Have elevators that firefighters can control in the event of a fire.
Corrected 2022-06-23
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2022-06-23
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 2022-06-23
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2022-06-23
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2022-06-23
Fire Safety
Have proper medical gas storage and administration areas.
Corrected 2022-06-23
Fire Safety
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Corrected 2022-06-23
Fire Safety
Have correct number of accessible exits for each story.
Corrected 2022-06-23
Fire Safety
Have properly located and lighted "Exit" signs.
Corrected 2022-06-23
Fire Safety
Have an enclosure around a vertical opening shaft.
Corrected 2022-06-23
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2022-06-23
Fire Safety
Properly select, install, inspect, or maintain portable fire extinguishes.
Corrected 2022-06-23
Fire Safety
Meet requirements for the installation and maintenance of electrical systems.
Corrected 2022-06-23
Fire Safety
Establish staff and initial training requirements.
Corrected 2022-06-23
Fire Safety
Have stairways and smokeproof enclosures used as exits that meet safety requirements.
Corrected 2019-07-26
Fire Safety
Have an enclosure around a vertical opening shaft.
Corrected 2019-07-26
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2019-07-26
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2019-08-02
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2019-07-26
Inspection history
Health
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2024-05-31
Health
Ensure each resident receives an accurate assessment.
Corrected 2024-05-31
Health
Respond appropriately to all alleged violations.
Corrected 2022-05-11
Health
Ensure each resident receives an accurate assessment.
Corrected 2022-05-06
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 2022-05-11
Health
Provide activities to meet all resident's needs.
Corrected 2022-06-03
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2019-07-31
Health
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
Corrected 2019-07-31
Health
Provide and implement an infection prevention and control program.
Corrected 2019-07-31
Penalties and ownership
5% Or Greater Direct Ownership Interest · Individual
5% Or Greater Direct Ownership Interest · Organization
5% Or Greater Direct Ownership Interest · Individual
5% Or Greater Direct Ownership Interest · Individual
5% Or Greater Direct Ownership Interest · Individual
Corporate Officer · Individual
Corporate Officer · Individual
Operational/Managerial Control · Individual
Operational/Managerial Control · Individual
Corporate Officer · Individual
Nearby options
Forest Hills, NY
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5-star overall rating with 4-star inspections with 4 recent health deficiencies with 5 fire-safety deficiencies in the latest cycle
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