1 health deficiencies
Top issue: Pharmacy Service (1 deficiency)
14 fire-safety deficiencies
Top issue: Smoke (5 deficiencies)
Hollis, NY
5-star overall rating with 5-star inspections with 1 recent health deficiencies with 14 fire-safety deficiencies in the latest cycle
191 06 Hillside Avenue, Hollis, NY
(718) 479-1010
Overall
5 / 5
CMS overall stars
Health inspections
5 / 5
Survey and complaint cycles
Staffing
4 / 5
RN + nurse staffing
Quality measures
4 / 5
Resident outcomes and process measures
Quick facts
Beds
80
Certified beds
Average residents
77
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
No chain reported
Operator or chain grouping
Approved since
1971-09-14
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
1.31
Registered nurse staffing · state 0.70 · national 0.68
LPN hours / resident day
0.21
Licensed practical nurse staffing · state 0.78 · national 0.87
Aide hours / resident day
2.33
Nurse aide staffing · state 2.20 · national 2.35
Total nurse hours
3.85
All reported nurse hours · state 3.65 · national 3.89
Licensed hours
1.53
RN + LPN hours · state 1.47 · national 1.54
Weekend hours
3.41
Weekend nurse staffing · state 3.16 · national 3.43
Weekend RN hours
0.92
Weekend registered nurse coverage · state 0.47 · national 0.47
Physical therapist
0.07
Reported PT staffing · state 0.11 · national 0.07
Adjusted RN hours
1.34
CMS adjusted RN staffing hours
Adjusted total hours
3.93
CMS adjusted total nurse staffing hours
Case-mix index
1.34
Higher values indicate more complex resident acuity
RN turnover
42%
Annual RN turnover · state 41% · national 45%
Total nurse turnover
27%
Annual nurse turnover · state 41% · national 46%
SNF VBP
Program rank
1,802
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
53.91
Composite VBP score used to determine payment impact.
Payment multiplier
1.0087
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
Readmission
5.95
Performance 18.68% · Measure score 5.95 · Achievement 5.95 · This facility did not have sufficient data to calculate a baseline period measure result.
Healthcare-associated infections
3.91
Performance 6.67% · Measure score 3.91 · Achievement 3.91 · This facility did not have sufficient data to calculate a baseline period measure result.
Total nurse turnover
9.08
Baseline 15.94% · Performance 26.58% · Measure score 9.08 · Achievement 9.08 · Improvement 0
Adjusted total nurse staffing
2.63
Baseline 3.54 hours · Performance 3.83 hours · Measure score 2.63 · Achievement 2.63 · Improvement 0.79
SNF QRP
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 11.48% |
10.72%
0.8 pts worse
|
No Different than the National Rate · Eligible stays 38 · Observed rate 13.16% · Lower 95% interval 7.26% |
| Discharge to community | 48.3% |
50.57%
2.3 pts worse
|
No Different than the National Rate · Eligible stays 25 · Observed rate 40% · Lower 95% interval 32.67% |
| Medicare spending per beneficiary | 1.43 |
1.02
0.4 pts worse
|
|
| Drug regimen review with follow-up | 59.68% |
95.27%
35.6 pts worse
|
Numerator 37 · Denominator 62 |
| Falls with major injury | 0% |
0.77%
0.8 pts better
|
Numerator 0 · Denominator 62 |
| Discharge self-care score | 60% |
53.69%
6.3 pts better
|
Numerator 27 · Denominator 45 |
| Discharge mobility score | 86.67% |
50.94%
35.7 pts better
|
Numerator 39 · Denominator 45 |
| Pressure ulcers or injuries, new or worsened | 0% |
2.29%
2.3 pts better
|
Numerator 0 · Denominator 62 · Adjusted rate 0% |
| Healthcare-associated infections requiring hospitalization | 6.67% |
7.12%
0.5 pts better
|
No Different than the National Rate · Eligible stays 37 · Observed rate 5.41% · Lower 95% interval 3.52% |
| Staff COVID-19 vaccination coverage | 8.4% |
8.2%
0.2 pts better
|
Numerator 10 · Denominator 119 |
| Staff flu vaccination coverage | 56.41% |
42%
14.4 pts better
|
Numerator 66 · Denominator 117 |
| Discharge function score | 62.22% |
56.45%
5.8 pts better
|
Numerator 28 · Denominator 45 |
| Transfer of health information to provider | Not Available |
95.95%
|
Numerator Not Available · Denominator 12 · Too few residents or stays to report publicly. |
| Transfer of health information to patient | Not Available |
96.28%
|
Numerator Not Available · Denominator 19 · Too few residents or stays to report publicly. |
| Resident COVID-19 vaccinations up to date | 36.36% |
25.2%
11.2 pts better
|
Numerator 12 · Denominator 33 |
Quality measures
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 2.7 |
1.7
1 pts worse
|
1.9
0.8 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 2.7 · Observed 2.7 · Expected 1.9 · Used in QM five-star |
| 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 · Adjusted 1.2 · Observed 1.1 · Expected 1.5 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 99.3% |
91.2%
8.1 pts better
|
93.4%
5.9 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 100.0% · Q3 98.5% · Q4 98.6% · 4Q avg 99.3% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 100.0% |
95.3%
4.7 pts better
|
95.5%
4.5 pts better
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 100.0% |
| 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 1.5% · Q2 0.0% · Q3 1.5% · Q4 2.8% · 4Q avg 1.5% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 15.8% |
18.5%
2.7 pts better
|
11.4%
4.4 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 25.4% · Q2 30.2% · Q3 9.7% · Q4 0.0% · 4Q avg 15.8% |
| Percentage of long-stay residents who lose too much weight | 6.1% |
6.1%
About the same
|
5.4%
0.7 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 7.6% · Q2 3.1% · Q3 3.1% · Q4 10.3% · 4Q avg 6.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 12.3% |
13.5%
1.2 pts better
|
19.6%
7.3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 13.6% · Q2 10.8% · Q3 12.1% · Q4 12.7% · 4Q avg 12.3% |
| Percentage of long-stay residents who received an antipsychotic medication | 10.5% |
14.8%
4.3 pts better
|
16.7%
6.2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 8.5% · Q2 11.5% · Q3 13.2% · Q4 8.8% · 4Q avg 10.5% · 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 | 25.5% |
15.1%
10.4 pts worse
|
16.3%
9.2 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 17.2% · Q2 30.6% · Q3 22.2% · Q4 30.4% · 4Q avg 25.5% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 22.6% |
15.5%
7.1 pts worse
|
14.9%
7.7 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 25.5% · Q2 22.6% · Q3 19.6% · Q4 22.8% · 4Q avg 22.6% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 1.7% |
0.6%
1.1 pts worse
|
1.0%
0.7 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 2.9% · Q2 1.1% · Q3 1.0% · Q4 1.7% · 4Q avg 1.7% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 3.0% |
1.4%
1.6 pts worse
|
1.7%
1.3 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 4.5% · Q2 3.1% · Q3 3.1% · Q4 1.4% · 4Q avg 3.0% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 9.9% |
20.8%
10.9 pts better
|
19.8%
9.9 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 11.2% · Q2 15.6% · Q3 13.3% · Q4 0.0% · 4Q avg 9.9% |
| Percentage of long-stay residents with pressure ulcers | 6.2% |
6.9%
0.7 pts better
|
5.1%
1.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 6.9% · Q2 5.2% · Q3 6.0% · Q4 6.5% · 4Q avg 6.2% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 99.4% |
76.7%
22.7 pts better
|
81.7%
17.7 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 100.0% · Q3 98.0% · Q4 100.0% · 4Q avg 99.4% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 7.1% |
9.7%
2.6 pts better
|
12.0%
4.9 pts better
|
Short Stay · 20240701-20250630 · Adjusted 7.1% · Observed 7.5% · Expected 11.8% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 0.0% |
1.2%
1.2 pts better
|
1.6%
1.6 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 100.0% |
78.8%
21.2 pts better
|
79.7%
20.3 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 100.0% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 18.7% |
20.6%
1.9 pts better
|
23.9%
5.2 pts better
|
Short Stay · 20240701-20250630 · Adjusted 18.7% · Observed 18.9% · Expected 24.1% · Used in QM five-star |
Survey summary
Top issue: Pharmacy Service (1 deficiency)
14 fire-safety deficiencies
Top issue: Smoke (5 deficiencies)
Top issue: Resident Rights (2 deficiencies)
1 fire-safety deficiencies
Top issue: Smoke (1 deficiency)
Top issue: Pharmacy Service (2 deficiencies)
1 fire-safety deficiencies
Top issue: Egress (1 deficiency)
Fire safety
Fire Safety
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Corrected 2025-06-12
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 2025-06-05
Fire Safety
Have an enclosure around a vertical opening shaft.
Corrected 2025-07-09
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2025-06-12
Fire Safety
Install an approved automatic sprinkler system.
Corrected 2025-06-26
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2025-07-15
Fire Safety
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Corrected 2025-06-12
Fire Safety
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Corrected 2025-06-17
Fire Safety
Meet requirements for the installation and maintenance of electrical systems.
Corrected 2025-06-18
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2025-07-10
Fire Safety
Ensure that testing and maintenance of electrical equipment is performed.
Corrected 2025-06-24
Fire Safety
Have properly located and lighted "Exit" signs.
Corrected 2025-06-20
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 2025-07-03
Fire Safety
Have power receptacles that are properly grounded.
Corrected 2025-07-07
Fire Safety
Install an approved automatic sprinkler system.
Corrected 2024-02-29
Fire Safety
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Corrected 2022-04-14
Inspection history
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 2025-06-11
Health
Reasonably accommodate the needs and preferences of each resident.
Corrected 2024-03-18
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 2024-03-18
Health
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2024-03-18
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2024-03-18
Health
Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit.
Corrected 2024-03-18
Health
Assess the resident when there is a significant change in condition
Corrected 2022-03-23
Health
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
Corrected 2022-03-23
Health
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Corrected 2022-03-23
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 2022-03-23
Penalties and ownership
5% Or Greater Direct Ownership Interest · Individual
5% Or Greater Direct Ownership Interest · Individual
5% Or Greater Direct Ownership Interest · Individual
5% Or Greater Direct Ownership Interest · Individual
5% Or Greater Direct Ownership Interest · Individual
Corporate Director · Individual
Operational/Managerial Control · Individual
Corporate Officer · Individual
Corporate Officer · Individual
Nearby options
Hollis, NY
2-star overall rating with 2-star inspections with 5 recent health deficiencies with 2 fire-safety deficiencies in the latest cycle
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2-star overall rating with 1-star inspections with $306,240 in total fines with 3 recent health deficiencies with 2 fire-safety deficiencies in the latest cycle
Jamaica, NY
5-star overall rating with 5-star inspections with 3 recent health deficiencies with 2 fire-safety deficiencies in the latest cycle
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