Far Rockaway, NY

Haven Manor Health Care Center, L L C

1-star overall rating with 2-star inspections with 10 recent health deficiencies with 4 fire-safety deficiencies in the latest cycle

1441 Gateway Boulevard, Far Rockaway, NY

(718) 471-1500

Compare this facility

Overall

1 / 5

CMS overall stars

Health inspections

2 / 5

Survey and complaint cycles

Staffing

2 / 5

RN + nurse staffing

Quality measures

1 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

240

Certified beds

Average residents

217

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

No chain reported

Operator or chain grouping

Approved since

1984-10-01

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

Hours and turnover

RN hours / resident day

0.29

Registered nurse staffing · state 0.70 · national 0.68

LPN hours / resident day

0.43

Licensed practical nurse staffing · state 0.78 · national 0.87

Aide hours / resident day

0.81

Nurse aide staffing · state 2.20 · national 2.35

Total nurse hours

1.53

All reported nurse hours · state 3.65 · national 3.89

Licensed hours

0.72

RN + LPN hours · state 1.47 · national 1.54

Weekend hours

1.26

Weekend nurse staffing · state 3.16 · national 3.43

Weekend RN hours

0.20

Weekend registered nurse coverage · state 0.47 · national 0.47

Physical therapist

0.02

Reported PT staffing · state 0.11 · national 0.07

Adjusted RN hours

0.35

CMS adjusted RN staffing hours

Adjusted total hours

1.86

CMS adjusted total nurse staffing hours

Case-mix index

1.12

Higher values indicate more complex resident acuity

RN turnover

18%

Annual RN turnover · state 41% · national 45%

Total nurse turnover

28%

Annual nurse turnover · state 41% · national 46%

SNF VBP

Value-based purchasing

Program rank

9,245

Lower is better among SNFs in the FY 2026 VBP program.

Performance score

24.31

Composite VBP score used to determine payment impact.

Payment multiplier

0.9834

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

0

Baseline 21.38% · Performance 21.45% · Measure score 0 · Achievement 0 · Improvement 0

Healthcare-associated infections

2.18

Baseline 9.05% · Performance 7.96% · Measure score 2.18 · Achievement 0 · Improvement 2.18

Total nurse turnover

7.55

Baseline 24.64% · Performance 32.84% · Measure score 7.55 · Achievement 7.55 · Improvement 0

Adjusted total nurse staffing

0

Baseline 2.45 hours · Performance 1.78 hours · Measure score 0 · Achievement 0 · Improvement 0

SNF QRP

Medicare quality reporting measures

Measure Facility National Note
Potentially preventable 30-day readmission 10.41%
10.72%
0.3 pts better
No Different than the National Rate · Eligible stays 106 · Observed rate 9.43% · Lower 95% interval 7.27%
Discharge to community Not Available
50.57%
Not Available · Eligible stays 13 · Observed rate Not Available · Lower 95% interval Not Available · Too few residents or stays to report publicly.
Medicare spending per beneficiary 0.83
1.02
0.2 pts better
Drug regimen review with follow-up 100%
95.27%
4.7 pts better
Numerator 57 · Denominator 57
Falls with major injury 0%
0.77%
0.8 pts better
Numerator 0 · Denominator 57
Discharge self-care score 39.39%
53.69%
14.3 pts worse
Numerator 13 · Denominator 33
Discharge mobility score 48.48%
50.94%
2.5 pts worse
Numerator 16 · Denominator 33
Pressure ulcers or injuries, new or worsened 0%
2.29%
2.3 pts better
Numerator 0 · Denominator 57 · Adjusted rate 0%
Healthcare-associated infections requiring hospitalization 7.96%
7.12%
0.8 pts worse
No Different than the National Rate · Eligible stays 64 · Observed rate 10.94% · Lower 95% interval 4.35%
Staff COVID-19 vaccination coverage 0.72%
8.2%
7.5 pts worse
Numerator 1 · Denominator 139
Staff flu vaccination coverage 49.64%
42%
7.6 pts better
Numerator 69 · Denominator 139
Discharge function score 57.58%
56.45%
1.1 pts better
Numerator 19 · Denominator 33
Transfer of health information to provider 95.65%
95.95%
0.3 pts worse
Numerator 22 · Denominator 23
Transfer of health information to patient Not Available
96.28%
Numerator Not Available · Denominator Not Available · Newly certified or not enough cases to report.
Resident COVID-19 vaccinations up to date 34.38%
25.2%
9.2 pts better
Numerator 11 · Denominator 32

Quality measures

Resident outcomes and process scores

Measure Facility State National Note
Number of hospitalizations per 1000 long-stay resident days 3.3
1.7
1.6 pts worse
1.9
1.4 pts worse
Long Stay · 20240701-20250630 · Adjusted 3.3 · Observed 2.7 · Expected 1.5 · Used in QM five-star
Number of outpatient emergency department visits per 1000 long-stay resident days 2.0
1.3
0.7 pts worse
1.8
0.2 pts worse
Long Stay · 20240701-20250630 · Adjusted 2.0 · Observed 1.7 · Expected 1.4 · Used in QM five-star
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine 97.1%
91.2%
5.9 pts better
93.4%
3.7 pts better
Long Stay · 2024Q4-2025Q3 · Q1 96.4% · Q2 96.2% · Q3 98.1% · Q4 97.7% · 4Q avg 97.1%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine 97.3%
95.3%
2 pts better
95.5%
1.8 pts better
Long Stay · 2024Q3-2025Q2 · 4Q avg 97.3%
Percentage of long-stay residents experiencing one or more falls with major injury 1.5%
3.0%
1.5 pts better
3.3%
1.8 pts better
Long Stay · 2024Q4-2025Q3 · Q1 1.4% · Q2 1.4% · Q3 1.4% · Q4 1.8% · 4Q avg 1.5% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms 8.8%
18.5%
9.7 pts better
11.4%
2.6 pts better
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 9.1% · Q4 25.7% · 4Q avg 8.8%
Percentage of long-stay residents who lose too much weight 3.2%
6.1%
2.9 pts better
5.4%
2.2 pts better
Long Stay · 2024Q4-2025Q3 · Q1 4.2% · Q2 4.0% · Q3 2.0% · Q4 2.4% · 4Q avg 3.2%
Percentage of long-stay residents who received an antianxiety or hypnotic medication 28.5%
13.5%
15 pts worse
19.6%
8.9 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 28.5% · Q2 28.8% · Q3 28.8% · Q4 27.8% · 4Q avg 28.5%
Percentage of long-stay residents who were physically restrained 3.7%
0.2%
3.5 pts worse
0.1%
3.6 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 4.1% · Q2 2.8% · Q3 3.8% · Q4 4.1% · 4Q avg 3.7%
Percentage of long-stay residents whose ability to walk independently worsened 10.5%
15.1%
4.6 pts better
16.3%
5.8 pts better
Long Stay · 2024Q4-2025Q3 · Q1 16.7% · Q2 7.8% · Q3 11.9% · Q4 5.6% · 4Q avg 10.5% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased 12.2%
15.5%
3.3 pts better
14.9%
2.7 pts better
Long Stay · 2024Q4-2025Q3 · Q1 14.1% · Q2 9.4% · Q3 13.0% · Q4 12.3% · 4Q avg 12.2% · 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 0.5% · Q2 0.5% · Q3 0.5% · Q4 0.4% · 4Q avg 0.5% · Used in QM five-star
Percentage of long-stay residents with a urinary tract infection 1.9%
1.4%
0.5 pts worse
1.7%
0.2 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 2.3% · Q2 3.0% · Q3 1.0% · Q4 1.5% · 4Q avg 1.9% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence 12.9%
20.8%
7.9 pts better
19.8%
6.9 pts better
Long Stay · 2024Q4-2025Q3 · Q1 9.6% · Q2 17.1% · Q3 11.3% · Q4 13.9% · 4Q avg 12.9%
Percentage of long-stay residents with pressure ulcers 3.9%
6.9%
3 pts better
5.1%
1.2 pts better
Long Stay · 2024Q4-2025Q3 · Q1 4.0% · Q2 4.1% · Q3 3.3% · Q4 4.0% · 4Q avg 3.9% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine 38.1%
76.7%
38.6 pts worse
81.7%
43.6 pts worse
Short Stay · 2024Q4-2025Q3 · 4Q avg 38.1%
Percentage of short-stay residents who had an outpatient emergency department visit 6.6%
9.7%
3.1 pts better
12.0%
5.4 pts better
Short Stay · 20240701-20250630 · Adjusted 6.6% · Observed 7.6% · Expected 12.9% · Used in QM five-star
Percentage of short-stay residents who were rehospitalized after a nursing home admission 28.7%
20.6%
8.1 pts worse
23.9%
4.8 pts worse
Short Stay · 20240701-20250630 · Adjusted 28.7% · Observed 32.9% · Expected 27.3% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2023-11-15 · Fire 2023-11-15

10 health deficiencies

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

4 fire-safety deficiencies

Top issue: Smoke (2 deficiencies)

Cycle 2 Health 2021-08-19 · Fire 2021-08-19

7 health deficiencies

Top issue: Freedom from Abuse and Neglect and Exploitation (3 deficiencies)

8 fire-safety deficiencies

Top issue: Egress (4 deficiencies)

Cycle 3 Health 2019-03-22 · Fire 2019-03-22

2 health deficiencies

Top issue: Nutrition and Dietary (2 deficiencies)

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 2023-11-15

K347 · Smoke Deficiencies

Fire Safety

Properly provide smoke detection systems in areas open to corridors.

Corrected 2024-01-08

D · Potential for more than minimal harm 2023-11-15

K281 · Egress Deficiencies

Fire Safety

Install proper backup exit lighting.

Corrected 2023-12-06

D · Potential for more than minimal harm 2023-11-15

K355 · Smoke Deficiencies

Fire Safety

Properly select, install, inspect, or maintain portable fire extinguishes.

Corrected 2024-01-08

D · Potential for more than minimal harm 2023-11-15

K911 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Meet requirements for the installation and maintenance of electrical systems.

Corrected 2024-01-08

E · Potential for more than minimal harm 2021-08-19

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 2021-10-12

E · Potential for more than minimal harm 2021-08-19

K363 · Smoke Deficiencies

Fire Safety

Install corridor and hallway doors that block smoke.

Corrected 2021-10-12

E · Potential for more than minimal harm 2021-08-19

K911 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Meet requirements for the installation and maintenance of electrical systems.

Corrected 2021-10-12

D · Potential for more than minimal harm 2021-08-19

K222 · Egress Deficiencies

Fire Safety

Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.

Corrected 2021-10-12

D · Potential for more than minimal harm 2021-08-19

K225 · Egress Deficiencies

Fire Safety

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

Corrected 2021-10-12

D · Potential for more than minimal harm 2021-08-19

K281 · Egress Deficiencies

Fire Safety

Install proper backup exit lighting.

Corrected 2021-10-12

D · Potential for more than minimal harm 2021-08-19

K781 · Miscellaneous Deficiencies

Fire Safety

Have restrictions on the use of portable space heaters.

Corrected 2021-10-12

D · Potential for more than minimal harm 2021-08-19

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

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

Corrected 2021-10-12

D · Potential for more than minimal harm 2019-03-22

K921 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure that testing and maintenance of electrical equipment is performed.

Corrected 2019-05-14

Inspection history

Recent health citations

D · Potential for more than minimal harm 2025-12-10

F583 · Resident Rights Deficiencies

Health

Keep residents' personal and medical records private and confidential.

Corrected 2026-02-02

D · Potential for more than minimal harm 2024-06-04

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 2024-07-29

E · Potential for more than minimal harm 2023-11-15

F727 · Nursing and Physician Services Deficiencies

Health

Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.

Corrected 2024-01-08

D · Potential for more than minimal harm 2023-11-15

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 2024-01-08

D · Potential for more than minimal harm 2023-11-15

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 2024-01-08

D · Potential for more than minimal harm 2023-11-15

F641 · Resident Assessment and Care Planning Deficiencies

Health

Ensure each resident receives an accurate assessment.

Corrected 2024-01-08

D · Potential for more than minimal harm 2023-11-15

F645 · Resident Assessment and Care Planning Deficiencies

Health

PASARR screening for Mental disorders or Intellectual Disabilities

Corrected 2024-01-08

D · Potential for more than minimal harm 2023-11-15

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 2024-01-08

D · Potential for more than minimal harm 2023-11-15

F685 · Quality of Life and Care Deficiencies

Health

Assist a resident in gaining access to vision and hearing services.

Corrected 2024-01-08

D · Potential for more than minimal harm 2023-11-15

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 2024-01-08

D · Potential for more than minimal harm 2023-11-15

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2024-01-08

F · Potential for more than minimal harm 2021-08-19

F570 · Resident Rights Deficiencies

Health

Assure the security of all personal funds of residents deposited with the facility.

Corrected 2021-10-11

E · Potential for more than minimal harm 2021-08-19

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 2021-10-11

E · Potential for more than minimal harm 2021-08-19

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2021-10-11

D · Potential for more than minimal harm 2021-08-19

F561 · Resident Rights Deficiencies

Health

Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.

Corrected 2021-10-11

D · Potential for more than minimal harm 2021-08-19

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 2021-10-11

D · Potential for more than minimal harm 2021-08-19

F610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Respond appropriately to all alleged violations.

Corrected 2021-10-11

E · Potential for more than minimal harm 2019-03-22

F812 · Nutrition and Dietary Deficiencies

Health

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Corrected 2019-05-03

D · Potential for more than minimal harm 2019-03-22

F814 · Nutrition and Dietary Deficiencies

Health

Dispose of garbage and refuse properly.

Corrected 2019-05-03

Penalties and ownership

What sits behind the stars

Ownership

Cytryn, Aron

5% Or Greater Direct Ownership Interest · Individual

99% 2 facilities 2007-12-17
Cytryn, Aron

General Partnership Interest · Individual

0% 2 facilities 2007-09-27
Cytryn, Aron

Operational/Managerial Control · Individual

0% 2 facilities 2007-12-17
Cytryn, Aron

W-2 Managing Employee · Individual

0% 2 facilities 2007-09-27

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