Cycle 1
Health 2024-12-23 · Fire 2024-12-23
7 health deficiencies
Top issue: Nursing and Physician Services (2 deficiencies)
2 fire-safety deficiencies
Top issue: Construction (1 deficiency)
East Meadow, NY
Fulton Commons Care Center Inc
2-star overall rating with 2-star inspections with $8,278 in total fines with 7 recent health deficiencies with 2 fire-safety deficiencies in the latest cycle
60 Merrick Avenue, East Meadow, NY
(516) 222-9300
Overall
2 / 5
CMS overall stars
Health inspections
2 / 5
Survey and complaint cycles
Staffing
3 / 5
RN + nurse staffing
Quality measures
4 / 5
Resident outcomes and process measures
Quick facts
Facility snapshot
Beds
280
Certified beds
Average residents
273
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
The Grand Healthcare
Operator or chain grouping
Approved since
2001-11-14
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Chain footprint
16 facilities
Chain averages 2 overall / 2 health / 2 staffing / 3 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
0.48
Registered nurse staffing · state 0.70 · national 0.68
LPN hours / resident day
0.76
Licensed practical nurse staffing · state 0.78 · national 0.87
Aide hours / resident day
2.51
Nurse aide staffing · state 2.20 · national 2.35
Total nurse hours
3.75
All reported nurse hours · state 3.65 · national 3.89
Licensed hours
1.24
RN + LPN hours · state 1.47 · national 1.54
Weekend hours
3.59
Weekend nurse staffing · state 3.16 · national 3.43
Weekend RN hours
0.34
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
0.43
CMS adjusted RN staffing hours
Adjusted total hours
3.35
CMS adjusted total nurse staffing hours
Case-mix index
1.53
Higher values indicate more complex resident acuity
RN turnover
29%
Annual RN turnover · state 41% · national 45%
Total nurse turnover
24%
Annual nurse turnover · state 41% · national 46%
SNF VBP
Value-based purchasing
Program rank
686
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
65.38
Composite VBP score used to determine payment impact.
Payment multiplier
1.0196
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
10
Baseline 19.17% · Performance 17.02% · Measure score 10 · Achievement 10 · Improvement 9
Healthcare-associated infections
6.15
Baseline 8.41% · Performance 6.14% · Measure score 6.15 · Achievement 5.67 · Improvement 6.15
Total nurse turnover
10
Baseline 23.39% · Performance 19.79% · Measure score 10 · Achievement 10 · Improvement 9
Adjusted total nurse staffing
0
Baseline 3.09 hours · Performance 2.69 hours · Measure score 0 · Achievement 0 · Improvement 0
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 10.05% |
10.72%
0.7 pts better
|
No Different than the National Rate · Eligible stays 371 · Observed rate 9.16% · Lower 95% interval 7.52% |
| Discharge to community | 41.82% |
50.57%
8.8 pts worse
|
Worse than the National Rate · Eligible stays 382 · Observed rate 33.25% · Lower 95% interval 36.65% |
| Medicare spending per beneficiary | 1.58 |
1.02
0.6 pts worse
|
|
| Drug regimen review with follow-up | 100% |
95.27%
4.7 pts better
|
Numerator 288 · Denominator 288 |
| Falls with major injury | 0.35% |
0.77%
0.4 pts better
|
Numerator 1 · Denominator 287 |
| Discharge self-care score | 58.82% |
53.69%
5.1 pts better
|
Numerator 110 · Denominator 187 |
| Discharge mobility score | 60.96% |
50.94%
10 pts better
|
Numerator 114 · Denominator 187 |
| Pressure ulcers or injuries, new or worsened | 3.14% |
2.29%
0.9 pts worse
|
Numerator 9 · Denominator 287 · Adjusted rate 2.74% |
| Healthcare-associated infections requiring hospitalization | 6.14% |
7.12%
1 pts better
|
No Different than the National Rate · Eligible stays 240 · Observed rate 5.83% · Lower 95% interval 4.36% |
| Staff COVID-19 vaccination coverage | 0.81% |
8.2%
7.4 pts worse
|
Numerator 3 · Denominator 372 |
| Staff flu vaccination coverage | 61.99% |
42%
20 pts better
|
Numerator 230 · Denominator 371 |
| Discharge function score | 59.89% |
56.45%
3.4 pts better
|
Numerator 112 · Denominator 187 |
| Transfer of health information to provider | 97.85% |
95.95%
1.9 pts better
|
Numerator 91 · Denominator 93 |
| Transfer of health information to patient | 97.56% |
96.28%
1.3 pts better
|
Numerator 80 · Denominator 82 |
| Resident COVID-19 vaccinations up to date | 38.92% |
25.2%
13.7 pts better
|
Numerator 65 · Denominator 167 |
Quality measures
Resident outcomes and process scores
| 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 2.0 · Expected 1.8 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 0.7 |
1.3
0.6 pts better
|
1.8
1.1 pts better
|
Long Stay · 20240701-20250630 · Adjusted 0.7 · Observed 0.6 · Expected 1.6 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 72.8% |
91.2%
18.4 pts worse
|
93.4%
20.6 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 72.7% · Q2 71.6% · Q3 73.4% · Q4 73.7% · 4Q avg 72.8% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 93.3% |
95.3%
2 pts worse
|
95.5%
2.2 pts worse
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 93.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 1.7% |
3.0%
1.3 pts better
|
3.3%
1.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 3.2% · Q2 2.1% · Q3 0.8% · Q4 0.8% · 4Q avg 1.7% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 83.1% |
18.5%
64.6 pts worse
|
11.4%
71.7 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 79.4% · Q2 80.3% · Q3 88.4% · Q4 84.3% · 4Q avg 83.1% |
| 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 · Q1 3.8% · Q2 4.7% · Q3 3.5% · Q4 7.9% · 4Q avg 5.0% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 11.2% |
13.5%
2.3 pts better
|
19.6%
8.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 9.2% · Q2 9.5% · Q3 11.8% · Q4 14.2% · 4Q avg 11.2% |
| Percentage of long-stay residents who received an antipsychotic medication | 28.0% |
14.8%
13.2 pts worse
|
16.7%
11.3 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 27.5% · Q2 29.1% · Q3 28.7% · Q4 26.9% · 4Q avg 28.0% · 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 | 11.2% |
15.1%
3.9 pts better
|
16.3%
5.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 11.7% · Q2 11.1% · Q3 9.5% · Q4 12.5% · 4Q avg 11.2% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 16.4% |
15.5%
0.9 pts worse
|
14.9%
1.5 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 15.2% · Q2 15.9% · Q3 17.3% · Q4 17.1% · 4Q avg 16.4% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.9% |
0.6%
0.3 pts worse
|
1.0%
0.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 1.4% · Q2 1.3% · Q3 0.3% · Q4 0.7% · 4Q avg 0.9% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 0.1% |
1.4%
1.3 pts better
|
1.7%
1.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.4% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.1% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 11.6% |
20.8%
9.2 pts better
|
19.8%
8.2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 16.4% · Q2 13.4% · Q3 8.0% · Q4 8.7% · 4Q avg 11.6% |
| Percentage of long-stay residents with pressure ulcers | 7.9% |
6.9%
1 pts worse
|
5.1%
2.8 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 6.3% · Q2 10.5% · Q3 6.1% · Q4 8.7% · 4Q avg 7.9% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 48.7% |
76.7%
28 pts worse
|
81.7%
33 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 48.7% · Q2 46.6% · Q3 49.3% · Q4 50.0% · 4Q avg 48.7% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 5.2% |
9.7%
4.5 pts better
|
12.0%
6.8 pts better
|
Short Stay · 20240701-20250630 · Adjusted 5.2% · Observed 5.6% · Expected 12.0% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 4.2% |
1.2%
3 pts worse
|
1.6%
2.6 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 5.3% · Q2 6.2% · Q3 4.1% · Q4 1.7% · 4Q avg 4.2% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 63.4% |
78.8%
15.4 pts worse
|
79.7%
16.3 pts worse
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 63.4% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 22.1% |
20.6%
1.5 pts worse
|
23.9%
1.8 pts better
|
Short Stay · 20240701-20250630 · Adjusted 22.1% · Observed 23.6% · Expected 25.5% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2023-04-28 · Fire 2023-04-28
10 health deficiencies
Top issue: Quality of Life and Care (4 deficiencies)
8 fire-safety deficiencies
Top issue: Smoke (3 deficiencies)
Cycle 3
Health 2020-10-20 · Fire 2020-10-20
2 health deficiencies
Top issue: Quality of Life and Care (1 deficiency)
1 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (1 deficiency)
Fire safety
Fire-safety citations
E · Potential for more than minimal harm
2024-12-23
K161 · Construction Deficiencies
Fire Safety
Use approved construction type or materials.
Corrected 2025-02-18
C · Minimal harm
2024-12-23
K281 · Egress Deficiencies
Fire Safety
Install proper backup exit lighting.
Corrected 2025-02-18
E · Potential for more than minimal harm
2023-04-28
K161 · Construction Deficiencies
Fire Safety
Use approved construction type or materials.
Corrected 2023-08-21
E · Potential for more than minimal harm
2023-04-28
K211 · Egress Deficiencies
Fire Safety
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Corrected 2023-06-30
E · Potential for more than minimal harm
2023-04-28
K353 · Smoke Deficiencies
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2023-06-12
E · Potential for more than minimal harm
2023-04-28
K372 · Smoke Deficiencies
Fire Safety
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected 2023-06-22
D · Potential for more than minimal harm
2023-04-28
K374 · Smoke Deficiencies
Fire Safety
Install smoke barrier doors that can resist smoke for at least 20 minutes.
Corrected 2023-06-12
C · Minimal harm
2023-04-28
E39 · Emergency Preparedness Deficiencies
Fire Safety
Conduct testing and exercise requirements.
Corrected 2023-06-07
C · Minimal harm
2023-04-28
K521 · Services Deficiencies
Fire Safety
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Corrected 2023-06-15
C · Minimal harm
2023-04-28
K761 · Miscellaneous Deficiencies
Fire Safety
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Corrected 2023-06-22
C · Minimal harm
2020-10-20
K915 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Have proper power supply for life support equipment.
Corrected 2020-10-28
Inspection history
Recent health citations
E · Potential for more than minimal harm
2024-12-23
F725 · Nursing and Physician Services Deficiencies
Health
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Corrected 2025-02-18
D · Potential for more than minimal harm
2024-12-23
F553 · Resident Rights Deficiencies
Health
Allow resident to participate in the development and implementation of his or her person-centered plan of care.
Corrected 2025-02-18
D · Potential for more than minimal harm
2024-12-23
F660 · Resident Assessment and Care Planning Deficiencies
Health
Plan the resident's discharge to meet the resident's goals and needs.
Corrected 2025-02-18
D · Potential for more than minimal harm
2024-12-23
F685 · Quality of Life and Care Deficiencies
Health
Assist a resident in gaining access to vision and hearing services.
Corrected 2025-02-18
D · Potential for more than minimal harm
2024-12-23
F710 · Nursing and Physician Services Deficiencies
Health
Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care.
Corrected 2025-02-18
D · Potential for more than minimal harm
2024-12-23
F740 · Quality of Life and Care Deficiencies
Health
Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
Corrected 2025-02-18
D · Potential for more than minimal harm
2024-12-23
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 2025-02-18
E · Potential for more than minimal harm
2023-11-28
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 2024-01-12
E · Potential for more than minimal harm
2023-11-28
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 2024-01-12
E · Potential for more than minimal harm
2023-04-28
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 2023-06-14
D · Potential for more than minimal harm
2023-04-28
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 2023-06-14
D · Potential for more than minimal harm
2023-04-28
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 2023-06-14
D · Potential for more than minimal harm
2023-04-28
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 2023-06-14
D · Potential for more than minimal harm
2023-04-28
F690 · Quality of Life and Care Deficiencies
Health
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected 2023-06-14
D · Potential for more than minimal harm
2023-04-28
F698 · Quality of Life and Care Deficiencies
Health
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Corrected 2023-06-14
D · Potential for more than minimal harm
2023-04-28
F710 · Nursing and Physician Services Deficiencies
Health
Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care.
Corrected 2023-06-14
D · Potential for more than minimal harm
2023-04-28
F725 · Nursing and Physician Services Deficiencies
Health
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Corrected 2023-06-14
D · Potential for more than minimal harm
2023-04-28
F756 · Pharmacy Service Deficiencies
Health
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Corrected 2023-06-14
D · Potential for more than minimal harm
2023-04-28
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 2023-06-14
Penalties and ownership
What sits behind the stars
$8,278
2025-04-02
Fine
Fine · fine $8,278
Fine
Ownership
Kalter, Moshe
5% Or Greater Direct Ownership Interest · Individual
Fogel, Aaron
5% Or Greater Direct Ownership Interest · Individual
Fogel, Esther
5% Or Greater Direct Ownership Interest · Individual
Kalter, Frady
5% Or Greater Direct Ownership Interest · Individual
Kalter, Moshe
W-2 Managing Employee · Individual
Nearby options
Other facilities in reach
#1
Hempstead Park Nursing Home
Hempstead, NY
1-star overall rating with 2-star inspections with abuse icon flag with $15,445 in total fines with 11 recent health deficiencies with 1 fire-safety deficiencies in the latest cycle
#2
Townhouse Center For Rehabilitation & Nursing
Uniondale, NY
4-star overall rating with 4-star inspections with 6 recent health deficiencies with 4 fire-safety deficiencies in the latest cycle
#3
A Holly Patterson Extended Care Facility
Uniondale, NY
1-star overall rating with 1-star inspections with Special Focus status with abuse icon flag with $138,880 in total fines with 10 recent health deficiencies with 10 fire-safety deficiencies in the latest cycle
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