4 health deficiencies
Top issue: Infection Control (1 deficiency)
3 fire-safety deficiencies
Top issue: Smoke (3 deficiencies)
Flushing, NY
5-star overall rating with 4-star inspections with 4 recent health deficiencies with 3 fire-safety deficiencies in the latest cycle
144-61 38th Ave, Flushing, NY
(718) 939-7500
Overall
5 / 5
CMS overall stars
Health inspections
4 / 5
Survey and complaint cycles
Staffing
2 / 5
RN + nurse staffing
Quality measures
5 / 5
Resident outcomes and process measures
Quick facts
Beds
200
Certified beds
Average residents
191
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
Paragon Healthnet
Operator or chain grouping
Approved since
1969-10-15
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Chain footprint
11 facilities
Chain averages 5 overall / 4 health / 3 staffing / 5 quality stars
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
0.71
Registered nurse staffing · state 0.70 · national 0.68
LPN hours / resident day
0.66
Licensed practical nurse staffing · state 0.78 · national 0.87
Aide hours / resident day
2.19
Nurse aide staffing · state 2.20 · national 2.35
Total nurse hours
3.56
All reported nurse hours · state 3.65 · national 3.89
Licensed hours
1.37
RN + LPN hours · state 1.47 · national 1.54
Weekend hours
3.19
Weekend nurse staffing · state 3.16 · national 3.43
Weekend RN hours
0.45
Weekend registered nurse coverage · state 0.47 · national 0.47
Physical therapist
0.03
Reported PT staffing · state 0.11 · national 0.07
Adjusted RN hours
0.60
CMS adjusted RN staffing hours
Adjusted total hours
3.00
CMS adjusted total nurse staffing hours
Case-mix index
1.62
Higher values indicate more complex resident acuity
RN turnover
52%
Annual RN turnover · state 41% · national 45%
Total nurse turnover
28%
Annual nurse turnover · state 41% · national 46%
SNF VBP
Program rank
8,309
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
27.18
Composite VBP score used to determine payment impact.
Payment multiplier
0.9845
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
Readmission
1.88
Baseline 16.99% · Performance 20.56% · Measure score 1.88 · Achievement 1.88 · Improvement 0
Healthcare-associated infections
0
Baseline 7.24% · Performance 8.29% · Measure score 0 · Achievement 0 · Improvement 0
Total nurse turnover
8.99
Baseline 28.16% · Performance 26.92% · Measure score 8.99 · Achievement 8.99 · Improvement 3.24
Adjusted total nurse staffing
0
Baseline 2.89 hours · Performance 3.03 hours · Measure score 0 · Achievement 0 · Improvement 0
SNF QRP
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 9.59% |
10.72%
1.1 pts better
|
No Different than the National Rate · Eligible stays 173 · Observed rate 9.25% · Lower 95% interval 7.01% |
| Discharge to community | 40.45% |
50.57%
10.1 pts worse
|
Worse than the National Rate · Eligible stays 174 · Observed rate 28.74% · Lower 95% interval 32.66% |
| Medicare spending per beneficiary | 1.76 |
1.02
0.7 pts worse
|
|
| Drug regimen review with follow-up | 94.98% |
95.27%
0.3 pts worse
|
Numerator 208 · Denominator 219 |
| Falls with major injury | 2.28% |
0.77%
1.5 pts worse
|
Numerator 5 · Denominator 219 |
| Discharge self-care score | 66.14% |
53.69%
12.5 pts better
|
Numerator 84 · Denominator 127 |
| Discharge mobility score | 66.93% |
50.94%
16 pts better
|
Numerator 85 · Denominator 127 |
| Pressure ulcers or injuries, new or worsened | 1.37% |
2.29%
0.9 pts better
|
Numerator 3 · Denominator 219 · Adjusted rate 1.01% |
| Healthcare-associated infections requiring hospitalization | 8.29% |
7.12%
1.2 pts worse
|
No Different than the National Rate · Eligible stays 116 · Observed rate 12.07% · Lower 95% interval 5.43% |
| Staff COVID-19 vaccination coverage | 0% |
8.2%
8.2 pts worse
|
Numerator 0 · Denominator 324 |
| Staff flu vaccination coverage | 31.21% |
42%
10.8 pts worse
|
Numerator 103 · Denominator 330 |
| Discharge function score | 63.78% |
56.45%
7.3 pts better
|
Numerator 81 · Denominator 127 |
| Transfer of health information to provider | 97.67% |
95.95%
1.7 pts better
|
Numerator 84 · Denominator 86 |
| Transfer of health information to patient | 90.24% |
96.28%
6 pts worse
|
Numerator 37 · Denominator 41 |
| Resident COVID-19 vaccinations up to date | 16.39% |
25.2%
8.8 pts worse
|
Numerator 20 · Denominator 122 |
Quality measures
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 1.3 |
1.7
0.4 pts better
|
1.9
0.6 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.3 · Observed 1.3 · Expected 1.9 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 0.7 |
1.3
0.6 pts better
|
1.8
1.1 pts better
|
Long Stay · 20240701-20250630 · Adjusted 0.7 · Observed 0.6 · Expected 1.5 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 88.2% |
91.2%
3 pts worse
|
93.4%
5.2 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 81.7% · Q2 87.0% · Q3 90.5% · Q4 93.4% · 4Q avg 88.2% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 90.4% |
95.3%
4.9 pts worse
|
95.5%
5.1 pts worse
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 90.4% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 1.7% |
3.0%
1.3 pts better
|
3.3%
1.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 1.8% · Q2 2.5% · Q3 1.8% · Q4 0.6% · 4Q avg 1.7% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 48.9% |
18.5%
30.4 pts worse
|
11.4%
37.5 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 62.7% · Q2 60.4% · Q3 40.9% · Q4 32.0% · 4Q avg 48.9% |
| Percentage of long-stay residents who lose too much weight | 4.0% |
6.1%
2.1 pts better
|
5.4%
1.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 3.1% · Q2 5.8% · Q3 4.8% · Q4 2.5% · 4Q avg 4.0% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 14.1% |
13.5%
0.6 pts worse
|
19.6%
5.5 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 11.0% · Q2 13.6% · Q3 14.3% · Q4 17.5% · 4Q avg 14.1% |
| Percentage of long-stay residents who received an antipsychotic medication | 15.5% |
14.8%
0.7 pts worse
|
16.7%
1.2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 13.4% · Q2 13.0% · Q3 18.0% · Q4 17.6% · 4Q avg 15.5% · Used in QM five-star |
| Percentage of long-stay residents who were physically restrained | 1.8% |
0.2%
1.6 pts worse
|
0.1%
1.7 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 1.2% · Q2 2.5% · Q3 1.8% · Q4 1.8% · 4Q avg 1.8% |
| Percentage of long-stay residents whose ability to walk independently worsened | 9.7% |
15.1%
5.4 pts better
|
16.3%
6.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 20.2% · Q2 6.1% · Q3 7.3% · Q4 6.6% · 4Q avg 9.7% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 11.2% |
15.5%
4.3 pts better
|
14.9%
3.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 21.2% · Q2 8.5% · Q3 9.2% · Q4 6.0% · 4Q avg 11.2% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.4% |
0.6%
0.2 pts better
|
1.0%
0.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.5% · Q3 1.1% · Q4 0.0% · 4Q avg 0.4% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 1.7% |
1.4%
0.3 pts worse
|
1.7%
About the same
|
Long Stay · 2024Q4-2025Q3 · Q1 2.5% · Q2 0.0% · Q3 1.8% · Q4 2.5% · 4Q avg 1.7% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 2.9% |
20.8%
17.9 pts better
|
19.8%
16.9 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 3.3% · Q2 2.0% · Q3 3.5% · Q4 2.9% · 4Q avg 2.9% |
| Percentage of long-stay residents with pressure ulcers | 8.9% |
6.9%
2 pts worse
|
5.1%
3.8 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 10.6% · Q2 10.1% · Q3 7.8% · Q4 7.2% · 4Q avg 8.9% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 58.4% |
76.7%
18.3 pts worse
|
81.7%
23.3 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 55.2% · Q2 52.7% · Q3 60.4% · Q4 65.6% · 4Q avg 58.4% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 4.1% |
9.7%
5.6 pts better
|
12.0%
7.9 pts better
|
Short Stay · 20240701-20250630 · Adjusted 4.1% · Observed 4.9% · Expected 13.2% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 1.5% |
1.2%
0.3 pts worse
|
1.6%
0.1 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 2.6% · Q2 1.2% · Q3 2.4% · Q4 0.0% · 4Q avg 1.5% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 60.1% |
78.8%
18.7 pts worse
|
79.7%
19.6 pts worse
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 60.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 18.3% |
20.6%
2.3 pts better
|
23.9%
5.6 pts better
|
Short Stay · 20240701-20250630 · Adjusted 18.3% · Observed 23.6% · Expected 30.8% · Used in QM five-star |
Survey summary
Top issue: Infection Control (1 deficiency)
3 fire-safety deficiencies
Top issue: Smoke (3 deficiencies)
Top issue: Pharmacy Service (4 deficiencies)
7 fire-safety deficiencies
Top issue: Smoke (4 deficiencies)
No concentrated health issue counts in this cycle.
1 fire-safety deficiencies
Top issue: Egress (1 deficiency)
Fire safety
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 2024-05-30
Fire Safety
Have an enclosure around a vertical opening shaft.
Corrected 2024-04-25
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2024-04-25
Fire Safety
Use approved construction type or materials.
Corrected 2022-05-24
Fire Safety
Have an enclosure around a vertical opening shaft.
Corrected 2022-05-24
Fire Safety
Install smoke barrier doors that can resist smoke for at least 20 minutes.
Corrected 2022-05-24
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 2022-05-24
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 2022-05-24
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2022-05-24
Fire Safety
Have proper power supply for life support equipment.
Corrected 2022-05-24
Fire Safety
Have stairways and smokeproof enclosures used as exits that meet safety requirements.
Corrected 2019-07-31
Inspection history
Health
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected 2026-02-06
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 2026-02-06
Health
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2024-06-19
Health
Provide and implement an infection prevention and control program.
Corrected 2024-05-17
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2024-05-17
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 2022-05-24
Health
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
Corrected 2022-05-24
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 2022-05-24
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2022-05-24
Health
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected 2022-05-24
Health
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Corrected 2022-05-24
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 2022-05-24
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 2022-05-24
Penalties and ownership
5% Or Greater Direct Ownership Interest · Individual
5% Or Greater Direct Ownership Interest · Individual
5% Or Greater Direct Ownership Interest · Individual
W-2 Managing Employee · Individual
W-2 Managing Employee · Individual
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