Staten Island, NY

Golden Gate Rehabilitation & Health Care Center

1-star overall rating with 1-star inspections with 5 recent health deficiencies with 2 fire-safety deficiencies in the latest cycle

191 Bradley Ave, Staten Island, NY

(718) 698-8800

Compare this facility

Overall

1 / 5

CMS overall stars

Health inspections

1 / 5

Survey and complaint cycles

Staffing

2 / 5

RN + nurse staffing

Quality measures

4 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

238

Certified beds

Average residents

230

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

Benjamin Landa

Operator or chain grouping

Approved since

1976-05-01

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Staffing

Hours and turnover

RN hours / resident day

0.62

Registered nurse staffing

LPN hours / resident day

0.35

Licensed practical nurse staffing

Aide hours / resident day

1.77

Nurse aide staffing

Weekend hours

2.50

Weekend nurse staffing

RN turnover

35%

Annual RN turnover

Total nurse turnover

32%

Annual nurse turnover

Quality measures

Resident outcomes and process scores

Measure	Facility	State	National	Note
Number of hospitalizations per 1000 long-stay resident days	1.9	1.7 0.2 pts worse	1.9 About the same	Long Stay · 20240701-20250630
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
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine	93.7%	91.2% 2.5 pts better	93.4% 0.3 pts better	Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine	95.6%	95.3% 0.3 pts better	95.5% 0.1 pts better	Long Stay · 2024Q3-2025Q2
Percentage of long-stay residents experiencing one or more falls with major injury	2.6%	3.0% 0.4 pts better	3.3% 0.7 pts better	Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who have depressive symptoms	17.3%	18.5% 1.2 pts better	11.4% 5.9 pts worse	Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who lose too much weight	5.9%	6.1% 0.2 pts better	5.4% 0.5 pts worse	Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who received an antianxiety or hypnotic medication	20.5%	13.5% 7 pts worse	19.6% 0.9 pts worse	Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who received an antipsychotic medication	9.1%	14.8% 5.7 pts better	16.7% 7.6 pts better	Long Stay · 2024Q4-2025Q3
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
Percentage of long-stay residents whose ability to walk independently worsened	17.7%	15.1% 2.6 pts worse	16.3% 1.4 pts worse	Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents whose need for help with daily activities has increased	20.0%	15.5% 4.5 pts worse	14.9% 5.1 pts worse	Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with a catheter inserted and left in their bladder	1.5%	0.6% 0.9 pts worse	1.0% 0.5 pts worse	Long Stay · 2024Q4-2025Q3
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
Percentage of long-stay residents with new or worsened bowel or bladder incontinence	14.9%	20.8% 5.9 pts better	19.8% 4.9 pts better	Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with pressure ulcers	5.2%	6.9% 1.7 pts better	5.1% 0.1 pts worse	Long Stay · 2024Q4-2025Q3
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine	37.2%	76.7% 39.5 pts worse	81.7% 44.5 pts worse	Short Stay · 2024Q4-2025Q3
Percentage of short-stay residents who had an outpatient emergency department visit	7.6%	9.7% 2.1 pts better	12.0% 4.4 pts better	Short Stay · 20240701-20250630
Percentage of short-stay residents who newly received an antipsychotic medication	0.2%	1.2% 1 pts better	1.6% 1.4 pts better	Short Stay · 2024Q4-2025Q3
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine	40.9%	78.8% 37.9 pts worse	79.7% 38.8 pts worse	Short Stay · 2024Q3-2025Q2
Percentage of short-stay residents who were rehospitalized after a nursing home admission	22.9%	20.6% 2.3 pts worse	23.9% 1 pts better	Short Stay · 20240701-20250630

Survey summary

Recent inspection cycles

Cycle 1 Health 2024-05-29 · Fire 2024-05-29

5 health deficiencies

Top issue: Resident Assessment and Care Planning (2 deficiencies)

2 fire-safety deficiencies

Top issue: Egress (1 deficiency)

Cycle 2 Health 2022-03-03 · Fire 2022-03-03

6 health deficiencies

Top issue: Freedom from Abuse and Neglect and Exploitation (4 deficiencies)

1 fire-safety deficiencies

Top issue: Smoke (1 deficiency)

Cycle 3 Health 2019-06-27 · Fire 2019-06-27

7 health deficiencies

Top issue: Freedom from Abuse and Neglect and Exploitation (1 deficiency)

3 fire-safety deficiencies

Top issue: Smoke (2 deficiencies)

Fire safety

Fire-safety citations

E · Potential for more than minimal harm 2024-05-29

K225 · Egress Deficiencies

Fire Safety

Have stairways and smokeproof enclosures used as exits that meet safety requirements.

Corrected 2024-07-29

D · Potential for more than minimal harm 2024-05-29

K351 · Smoke Deficiencies

Fire Safety

Install an approved automatic sprinkler system.

Corrected 2024-07-29

E · Potential for more than minimal harm 2022-03-03

K311 · Smoke Deficiencies

Fire Safety

Have an enclosure around a vertical opening shaft.

Corrected 2022-04-28

E · Potential for more than minimal harm 2019-06-27

K211 · Egress Deficiencies

Fire Safety

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

Corrected 2019-08-26

E · Potential for more than minimal harm 2019-06-27

K351 · Smoke Deficiencies

Fire Safety

Install an approved automatic sprinkler system.

Corrected 2019-08-26

C · Minimal harm 2019-06-27

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2019-08-26

Inspection history

Recent health citations

E · Potential for more than minimal harm 2024-05-29

F804 · Nutrition and Dietary Deficiencies

Health

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

Corrected 2024-07-26

D · Potential for more than minimal harm 2024-05-29

F641 · Resident Assessment and Care Planning Deficiencies

Health

Ensure each resident receives an accurate assessment.

Corrected 2024-07-26

D · Potential for more than minimal harm 2024-05-29

F658 · Resident Assessment and Care Planning Deficiencies

Health

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

Corrected 2024-07-26

D · Potential for more than minimal harm 2024-05-29

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 2024-07-26

D · Potential for more than minimal harm 2024-05-29

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2024-07-26

D · Potential for more than minimal harm 2023-11-02

F609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Corrected 2023-12-15

D · Potential for more than minimal harm 2023-11-02

F661 · Resident Assessment and Care Planning Deficiencies

Health

Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.

Corrected 2023-12-15

K · Immediate jeopardy 2022-03-03

F600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Corrected 2022-04-28

K · Immediate jeopardy 2022-03-03

F610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Respond appropriately to all alleged violations.

Corrected 2022-04-28

J · Immediate jeopardy 2022-03-03

F608 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Develop and implement policies and procedures to ensure (1) employees report any suspicion of a crime against any resident, according to timelines; (2) post the notice of employee rights; and (3) prohibit and prevent retaliation for reporting.

Corrected 2022-04-28

E · Potential for more than minimal harm 2022-03-03

F609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Corrected 2022-04-28

D · Potential for more than minimal harm 2022-03-03

F641 · Resident Assessment and Care Planning Deficiencies

Health

Ensure each resident receives an accurate assessment.

Corrected 2022-04-28

D · Potential for more than minimal harm 2022-03-03

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 2022-04-28