5 health deficiencies
Top issue: Resident Assessment and Care Planning (2 deficiencies)
5 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (3 deficiencies)
Jamaica Est, NY
2-star overall rating with 2-star inspections with $34,947 in total fines with 5 recent health deficiencies with 5 fire-safety deficiencies in the latest cycle
182 15 Hillside Avenue, Jamaica Est, NY
(718) 291-8200
Overall
2 / 5
CMS overall stars
Health inspections
2 / 5
Survey and complaint cycles
Staffing
3 / 5
RN + nurse staffing
Quality measures
0 / 5
Resident outcomes and process measures
Quick facts
Beds
400
Certified beds
Average residents
366
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
No chain reported
Operator or chain grouping
Approved since
1975-12-22
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
0.76
Registered nurse staffing · state 0.70 · national 0.68
LPN hours / resident day
0.45
Licensed practical nurse staffing · state 0.78 · national 0.87
Aide hours / resident day
2.34
Nurse aide staffing · state 2.20 · national 2.35
Total nurse hours
3.55
All reported nurse hours · state 3.65 · national 3.89
Licensed hours
1.21
RN + LPN hours · state 1.47 · national 1.54
Weekend hours
3.16
Weekend nurse staffing · state 3.16 · national 3.43
Weekend RN hours
0.60
Weekend registered nurse coverage · state 0.47 · national 0.47
Physical therapist
0.04
Reported PT staffing · state 0.11 · national 0.07
Adjusted RN hours
0.73
CMS adjusted RN staffing hours
Adjusted total hours
3.40
CMS adjusted total nurse staffing hours
Case-mix index
1.43
Higher values indicate more complex resident acuity
RN turnover
30%
Annual RN turnover · state 41% · national 45%
Total nurse turnover
28%
Annual nurse turnover · state 41% · national 46%
SNF VBP
Program rank
6,763
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
31.79
Composite VBP score used to determine payment impact.
Payment multiplier
0.9867
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
Readmission
1.46
Baseline 20.16% · Performance 20.76% · Measure score 1.46 · Achievement 1.46 · Improvement 0
Healthcare-associated infections
0
Baseline 7.06% · Performance 9.79% · Measure score 0 · Achievement 0 · Improvement 0
Total nurse turnover
10
Baseline 18.99% · Performance 22.63% · Measure score 10 · Achievement 10 · Improvement 0
Adjusted total nurse staffing
1.25
Baseline 3.46 hours · Performance 3.43 hours · Measure score 1.25 · Achievement 1.25 · Improvement 0
SNF QRP
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 10.43% |
10.72%
0.3 pts better
|
No Different than the National Rate · Eligible stays 178 · Observed rate 9.55% · Lower 95% interval 6.92% |
| Discharge to community | 49.32% |
50.57%
1.2 pts worse
|
No Different than the National Rate · Eligible stays 218 · Observed rate 40.37% · Lower 95% interval 40.67% |
| Medicare spending per beneficiary | 1.14 |
1.02
0.1 pts worse
|
|
| Drug regimen review with follow-up | 86.13% |
95.27%
9.1 pts worse
|
Numerator 118 · Denominator 137 |
| Falls with major injury | 0.73% |
0.77%
About the same
|
Numerator 1 · Denominator 137 |
| Discharge self-care score | 37.76% |
53.69%
15.9 pts worse
|
Numerator 37 · Denominator 98 |
| Discharge mobility score | 40.82% |
50.94%
10.1 pts worse
|
Numerator 40 · Denominator 98 |
| Pressure ulcers or injuries, new or worsened | 2.92% |
2.29%
0.6 pts worse
|
Numerator 4 · Denominator 137 · Adjusted rate 1.65% |
| Healthcare-associated infections requiring hospitalization | 9.79% |
7.12%
2.7 pts worse
|
No Different than the National Rate · Eligible stays 129 · Observed rate 13.95% · Lower 95% interval 6.79% |
| Staff COVID-19 vaccination coverage | 0.45% |
8.2%
7.7 pts worse
|
Numerator 2 · Denominator 446 |
| Staff flu vaccination coverage | 71.4% |
42%
29.4 pts better
|
Numerator 387 · Denominator 542 |
| Discharge function score | 37.76% |
56.45%
18.7 pts worse
|
Numerator 37 · Denominator 98 |
| Transfer of health information to provider | 96.43% |
95.95%
0.5 pts better
|
Numerator 54 · Denominator 56 |
| Transfer of health information to patient | 100% |
96.28%
3.7 pts better
|
Numerator 24 · Denominator 24 |
| Resident COVID-19 vaccinations up to date | 39.66% |
25.2%
14.5 pts better
|
Numerator 23 · Denominator 58 |
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 2.0 · Expected 2.3 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 0.9 |
1.3
0.4 pts better
|
1.8
0.9 pts better
|
Long Stay · 20240701-20250630 · Adjusted 0.9 · Observed 0.9 · Expected 1.7 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 99.8% |
91.2%
8.6 pts better
|
93.4%
6.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 99.1% · Q3 100.0% · Q4 100.0% · 4Q avg 99.8% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 99.2% |
95.3%
3.9 pts better
|
95.5%
3.7 pts better
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 99.2% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 1.4% |
3.0%
1.6 pts better
|
3.3%
1.9 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 1.5% · Q2 1.8% · Q3 1.5% · Q4 0.9% · 4Q avg 1.4% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 2.8% |
18.5%
15.7 pts better
|
11.4%
8.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 1.7% · Q3 3.8% · Q4 5.4% · 4Q avg 2.8% |
| Percentage of long-stay residents who lose too much weight | 7.0% |
6.1%
0.9 pts worse
|
5.4%
1.6 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 5.7% · Q2 9.7% · Q3 7.8% · Q4 4.6% · 4Q avg 7.0% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 5.0% |
13.5%
8.5 pts better
|
19.6%
14.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 5.3% · Q2 5.9% · Q3 5.0% · Q4 4.0% · 4Q avg 5.0% |
| 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 | 29.3% |
15.1%
14.2 pts worse
|
16.3%
13 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 28.3% · Q2 37.7% · Q3 40.2% · Q4 10.6% · 4Q avg 29.3% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 11.1% |
15.5%
4.4 pts better
|
14.9%
3.8 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 17.0% · Q2 8.9% · Q3 12.6% · Q4 6.0% · 4Q avg 11.1% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.2% |
0.6%
0.4 pts better
|
1.0%
0.8 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.2% · Q2 0.4% · Q3 0.2% · Q4 0.2% · 4Q avg 0.2% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 1.3% |
1.4%
0.1 pts better
|
1.7%
0.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 2.4% · Q2 1.2% · Q3 0.3% · Q4 1.2% · 4Q avg 1.3% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 18.7% |
20.8%
2.1 pts better
|
19.8%
1.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 17.0% · Q2 23.9% · Q3 19.4% · Q4 14.5% · 4Q avg 18.7% |
| Percentage of long-stay residents with pressure ulcers | 6.1% |
6.9%
0.8 pts better
|
5.1%
1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 7.3% · Q2 7.5% · Q3 5.2% · Q4 4.6% · 4Q avg 6.1% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 90.4% |
76.7%
13.7 pts better
|
81.7%
8.7 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 91.3% · Q2 89.7% · Q3 91.1% · Q4 89.4% · 4Q avg 90.4% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 8.2% |
9.7%
1.5 pts better
|
12.0%
3.8 pts better
|
Short Stay · 20240701-20250630 · Adjusted 8.2% · Observed 8.0% · Expected 10.8% · Used in QM five-star |
| 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 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.8% · 4Q avg 0.2% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 91.2% |
78.8%
12.4 pts better
|
79.7%
11.5 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 91.2% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 18.9% |
20.6%
1.7 pts better
|
23.9%
5 pts better
|
Short Stay · 20240701-20250630 · Adjusted 18.9% · Observed 20.5% · Expected 25.8% · Used in QM five-star |
Survey summary
Top issue: Resident Assessment and Care Planning (2 deficiencies)
5 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (3 deficiencies)
Top issue: Freedom from Abuse and Neglect and Exploitation (2 deficiencies)
3 fire-safety deficiencies
Top issue: Smoke (2 deficiencies)
Top issue: Resident Assessment and Care Planning (2 deficiencies)
2 fire-safety deficiencies
Top issue: Emergency Preparedness (1 deficiency)
Fire safety
Fire Safety
Install an approved automatic sprinkler system.
Corrected 2025-05-20
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2025-05-23
Fire Safety
Meet requirements for the installation and maintenance of electrical systems.
Corrected 2025-05-20
Fire Safety
Have proper medical gas storage and administration areas.
Corrected 2025-04-29
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2025-05-25
Fire Safety
Properly provide smoke detection systems in areas open to corridors.
Corrected 2024-02-01
Fire Safety
Ensure that testing and maintenance of electrical equipment is performed.
Corrected 2024-02-01
Fire Safety
Provide properly protected cooking facilities.
Corrected 2024-02-01
Fire Safety
Address subsistence needs for staff and patients.
Corrected 2021-12-16
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 2021-12-15
Inspection history
Health
Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.
Corrected 2025-07-07
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2025-05-29
Health
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2025-05-29
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2025-05-29
Health
Ensure medication error rates are not 5 percent or greater.
Corrected 2025-05-29
Health
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2024-11-06
Health
Respond appropriately to all alleged violations.
Corrected 2024-11-06
Health
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
Corrected 2024-11-06
Health
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2024-02-09
Health
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
Corrected 2024-02-09
Health
Ensure each resident receives an accurate assessment.
Corrected 2024-02-09
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 2024-02-09
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2024-02-09
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2021-12-16
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 2021-12-16
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 2021-12-16
Health
Ensure each resident receives an accurate assessment.
Corrected 2021-12-16
Health
Provide activities to meet all resident's needs.
Corrected 2021-12-16
Health
Provide and implement an infection prevention and control program.
Corrected 2021-12-16
Penalties and ownership
Fine · fine $34,947
Fine
5% Or Greater Direct Ownership Interest · Individual
5% Or Greater Direct Ownership Interest · Individual
5% Or Greater Direct Ownership Interest · Individual
Operational/Managerial Control · Individual
Operational/Managerial Control · Individual
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