0 health deficiencies
No concentrated health issue counts in this cycle.
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Jamaica, NY
5-star overall rating with 4-star inspections with $8,788 in total fines
89-40 135th Street, Jamaica, NY
(718) 206-5000
Overall
5 / 5
CMS overall stars
Health inspections
4 / 5
Survey and complaint cycles
Staffing
3 / 5
RN + nurse staffing
Quality measures
5 / 5
Resident outcomes and process measures
Quick facts
Beds
226
Certified beds
Average residents
220
Average occupied residents
Ownership
Non-Profit
Publicly displayed owner type
Chain
No chain reported
Operator or chain grouping
Approved since
1975-01-01
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
Hospital-based
Yes
CMS reports the provider resides in a hospital
Staffing
RN hours / resident day
0.97
Registered nurse staffing · state 0.70 · national 0.68
LPN hours / resident day
0.27
Licensed practical nurse staffing · state 0.78 · national 0.87
Aide hours / resident day
2.26
Nurse aide staffing · state 2.20 · national 2.35
Total nurse hours
3.49
All reported nurse hours · state 3.65 · national 3.89
Licensed hours
1.23
RN + LPN hours · state 1.47 · national 1.54
Weekend hours
3.04
Weekend nurse staffing · state 3.16 · national 3.43
Weekend RN hours
0.77
Weekend registered nurse coverage · state 0.47 · national 0.47
Physical therapist
0.22
Reported PT staffing · state 0.11 · national 0.07
Adjusted RN hours
1.00
CMS adjusted RN staffing hours
Adjusted total hours
3.60
CMS adjusted total nurse staffing hours
Case-mix index
1.33
Higher values indicate more complex resident acuity
RN turnover
0%
Annual RN turnover
Total nurse turnover
0%
Annual nurse turnover
SNF VBP
Program rank
6,143
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
33.86
Composite VBP score used to determine payment impact.
Payment multiplier
0.9880
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
Readmission
5.80
Baseline 15.46% · Performance 18.74% · Measure score 5.80 · Achievement 5.80 · Improvement 0
Healthcare-associated infections
3.59
Baseline 5.84% · Performance 6.76% · Measure score 3.59 · Achievement 3.59 · Improvement 0
Total nurse turnover
Not reported
This facility did not meet this measure's case minimum policy requirement and therefore no measure data is publicly reported.
Adjusted total nurse staffing
0.77
Baseline 2.91 hours · Performance 3.27 hours · Measure score 0.77 · Achievement 0.69 · Improvement 0.77
SNF QRP
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 9.06% |
10.72%
1.7 pts better
|
No Different than the National Rate · Eligible stays 245 · Observed rate 6.12% · Lower 95% interval 6.74% |
| Discharge to community | 58.43% |
50.57%
7.9 pts better
|
Better than the National Rate · Eligible stays 278 · Observed rate 55.4% · Lower 95% interval 52.35% |
| Medicare spending per beneficiary | 0.95 |
1.02
0.1 pts better
|
|
| Drug regimen review with follow-up | 98.87% |
95.27%
3.6 pts better
|
Numerator 175 · Denominator 177 |
| Falls with major injury | 0.56% |
0.77%
0.2 pts better
|
Numerator 1 · Denominator 177 |
| Discharge self-care score | 52.63% |
53.69%
1.1 pts worse
|
Numerator 70 · Denominator 133 |
| Discharge mobility score | 59.4% |
50.94%
8.5 pts better
|
Numerator 79 · Denominator 133 |
| Pressure ulcers or injuries, new or worsened | 1.13% |
2.29%
1.2 pts better
|
Numerator 2 · Denominator 177 · Adjusted rate 0.82% |
| Healthcare-associated infections requiring hospitalization | 6.76% |
7.12%
0.4 pts better
|
No Different than the National Rate · Eligible stays 158 · Observed rate 5.7% · Lower 95% interval 4.39% |
| Staff COVID-19 vaccination coverage | 0% |
8.2%
8.2 pts worse
|
Numerator 0 · Denominator 221 |
| Staff flu vaccination coverage | 68.35% |
42%
26.3 pts better
|
Numerator 149 · Denominator 218 |
| Discharge function score | 44.36% |
56.45%
12.1 pts worse
|
Numerator 59 · Denominator 133 |
| Transfer of health information to provider | 95.56% |
95.95%
0.4 pts worse
|
Numerator 43 · Denominator 45 |
| Transfer of health information to patient | 97.27% |
96.28%
1 pts better
|
Numerator 107 · Denominator 110 |
| Resident COVID-19 vaccinations up to date | 22.09% |
25.2%
3.1 pts worse
|
Numerator 19 · Denominator 86 |
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 1.2 · Expected 1.5 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 0.3 |
1.3
1 pts better
|
1.8
1.5 pts better
|
Long Stay · 20240701-20250630 · Adjusted 0.3 · Observed 0.2 · Expected 1.2 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 100.0% |
91.2%
8.8 pts better
|
93.4%
6.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 100.0% · Q3 100.0% · Q4 100.0% · 4Q avg 100.0% |
| 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 | 0.4% |
3.0%
2.6 pts better
|
3.3%
2.9 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.6% · Q2 0.0% · Q3 0.0% · Q4 1.2% · 4Q avg 0.4% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 0.2% |
18.5%
18.3 pts better
|
11.4%
11.2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.6% · Q3 0.0% · Q4 0.0% · 4Q avg 0.2% |
| Percentage of long-stay residents who lose too much weight | 1.6% |
6.1%
4.5 pts better
|
5.4%
3.8 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 2.5% · Q2 0.0% · Q3 3.6% · Q4 0.6% · 4Q avg 1.6% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 1.5% |
13.5%
12 pts better
|
19.6%
18.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 1.2% · Q2 1.1% · Q3 1.7% · Q4 1.8% · 4Q avg 1.5% |
| Percentage of long-stay residents who received an antipsychotic medication | 4.2% |
14.8%
10.6 pts better
|
16.7%
12.5 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 4.3% · Q2 3.5% · Q3 4.8% · Q4 4.3% · 4Q avg 4.2% · 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 | 14.8% |
15.1%
0.3 pts better
|
16.3%
1.5 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 21.0% · Q2 10.9% · Q3 18.7% · Q4 10.5% · 4Q avg 14.8% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 13.7% |
15.5%
1.8 pts better
|
14.9%
1.2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 17.1% · Q2 11.8% · Q3 13.2% · Q4 12.9% · 4Q avg 13.7% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 1.3% |
0.6%
0.7 pts worse
|
1.0%
0.3 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 1.5% · Q2 2.4% · Q3 1.3% · Q4 0.0% · 4Q avg 1.3% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 0.7% |
1.4%
0.7 pts better
|
1.7%
1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.6% · Q2 1.7% · Q3 0.6% · Q4 0.0% · 4Q avg 0.7% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 7.8% |
20.8%
13 pts better
|
19.8%
12 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 19.4% · Q2 5.3% · Q3 3.3% · Q4 4.0% · 4Q avg 7.8% |
| Percentage of long-stay residents with pressure ulcers | 5.9% |
6.9%
1 pts better
|
5.1%
0.8 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 6.3% · Q2 5.5% · Q3 7.2% · Q4 4.6% · 4Q avg 5.9% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 99.2% |
76.7%
22.5 pts better
|
81.7%
17.5 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 98.7% · Q2 98.6% · Q3 100.0% · Q4 99.7% · 4Q avg 99.2% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 4.7% |
9.7%
5 pts better
|
12.0%
7.3 pts better
|
Short Stay · 20240701-20250630 · Adjusted 4.7% · Observed 4.4% · Expected 10.5% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 0.6% |
1.2%
0.6 pts better
|
1.6%
1 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 0.4% · Q2 0.0% · Q3 0.8% · Q4 1.2% · 4Q avg 0.6% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 97.2% |
78.8%
18.4 pts better
|
79.7%
17.5 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 97.2% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 18.5% |
20.6%
2.1 pts better
|
23.9%
5.4 pts better
|
Short Stay · 20240701-20250630 · Adjusted 18.5% · Observed 18.9% · Expected 24.4% · Used in QM five-star |
Survey summary
No concentrated health issue counts in this cycle.
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Top issue: Nutrition and Dietary (2 deficiencies)
4 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (2 deficiencies)
Top issue: Freedom from Abuse and Neglect and Exploitation (1 deficiency)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Fire safety
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2023-07-22
Fire Safety
Have proper power supply for life support equipment.
Corrected 2023-06-30
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2023-06-14
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2023-06-30
Inspection history
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2025-04-18
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2023-07-26
Health
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2023-07-26
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 2023-07-26
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 2023-07-26
Health
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
Corrected 2023-07-26
Health
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected 2023-07-26
Health
Provide and implement an infection prevention and control program.
Corrected 2023-07-26
Penalties and ownership
Fine · fine $8,788
Fine
Corporate Director · Individual
Corporate Director · Individual
Corporate Officer · Individual
Corporate Director · Individual
Corporate Officer · Individual
Corporate Director · Individual
Corporate Director · Individual
Corporate Director · Individual
Corporate Director · Individual
Operational/Managerial Control · Individual
Corporate Director · Individual
Nearby options
Jamaica, NY
4-star overall rating with 5-star inspections with 1 fire-safety deficiencies in the latest cycle
Jamaica, NY
2-star overall rating with 2-star inspections with $24,850 in total fines with 9 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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