Cycle 1
Health 2025-09-19 · Fire 2025-09-19
0 health deficiencies
No concentrated health issue counts in this cycle.
1 fire-safety deficiencies
Top issue: Miscellaneous (1 deficiency)
Jamaica, NY
Margaret Tietz Center For Nursing Care Inc
5-star overall rating with 5-star inspections with $8,512 in total fines with 1 fire-safety deficiencies in the latest cycle
164 11 Chapin Parkway, Jamaica, NY
(718) 298-7800
Overall
5 / 5
CMS overall stars
Health inspections
5 / 5
Survey and complaint cycles
Staffing
3 / 5
RN + nurse staffing
Quality measures
5 / 5
Resident outcomes and process measures
Quick facts
Facility snapshot
Beds
200
Certified beds
Average residents
192
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
Cassena Care
Operator or chain grouping
Approved since
1971-11-01
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Chain footprint
15 facilities
Chain averages 4 overall / 3 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
Hours and turnover
RN hours / resident day
1.24
Registered nurse staffing · state 0.70 · national 0.68
LPN hours / resident day
0.07
Licensed practical nurse staffing · state 0.78 · national 0.87
Aide hours / resident day
2.03
Nurse aide staffing · state 2.20 · national 2.35
Total nurse hours
3.34
All reported nurse hours · state 3.65 · national 3.89
Licensed hours
1.31
RN + LPN hours · state 1.47 · national 1.54
Weekend hours
3.06
Weekend nurse staffing · state 3.16 · national 3.43
Weekend RN hours
1.02
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
0.96
CMS adjusted RN staffing hours
Adjusted total hours
2.59
CMS adjusted total nurse staffing hours
Case-mix index
1.76
Higher values indicate more complex resident acuity
RN turnover
49%
Annual RN turnover · state 41% · national 45%
Total nurse turnover
32%
Annual nurse turnover · state 41% · national 46%
SNF VBP
Value-based purchasing
Program rank
3,923
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
42.11
Composite VBP score used to determine payment impact.
Payment multiplier
0.9950
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
6.52
Baseline 19.37% · Performance 18.41% · Measure score 6.52 · Achievement 6.52 · Improvement 3.60
Healthcare-associated infections
2.52
Baseline 10.08% · Performance 8.54% · Measure score 2.52 · Achievement 0 · Improvement 2.52
Total nurse turnover
7.81
Baseline 49.28% · Performance 31.77% · Measure score 7.81 · Achievement 7.81 · Improvement 6.67
Adjusted total nurse staffing
0
Baseline 2.86 hours · Performance 2.77 hours · Measure score 0 · Achievement 0 · Improvement 0
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 11.07% |
10.72%
0.3 pts worse
|
No Different than the National Rate · Eligible stays 668 · Observed rate 10.18% · Lower 95% interval 8.84% |
| Discharge to community | 59.8% |
50.57%
9.2 pts better
|
Better than the National Rate · Eligible stays 780 · Observed rate 51.79% · Lower 95% interval 55.71% |
| Medicare spending per beneficiary | 1.52 |
1.02
0.5 pts worse
|
|
| Drug regimen review with follow-up | 98.21% |
95.27%
2.9 pts better
|
Numerator 602 · Denominator 613 |
| Falls with major injury | 0.65% |
0.77%
0.1 pts better
|
Numerator 4 · Denominator 613 |
| Discharge self-care score | 76.96% |
53.69%
23.3 pts better
|
Numerator 284 · Denominator 369 |
| Discharge mobility score | 78.05% |
50.94%
27.1 pts better
|
Numerator 288 · Denominator 369 |
| Pressure ulcers or injuries, new or worsened | 3.1% |
2.29%
0.8 pts worse
|
Numerator 19 · Denominator 613 · Adjusted rate 1.7% |
| Healthcare-associated infections requiring hospitalization | 8.54% |
7.12%
1.4 pts worse
|
No Different than the National Rate · Eligible stays 493 · Observed rate 9.13% · Lower 95% interval 6.69% |
| Staff COVID-19 vaccination coverage | 7.63% |
8.2%
0.6 pts worse
|
Numerator 20 · Denominator 262 |
| Staff flu vaccination coverage | 84.6% |
42%
42.6 pts better
|
Numerator 324 · Denominator 383 |
| Discharge function score | 72.9% |
56.45%
16.5 pts better
|
Numerator 269 · Denominator 369 |
| Transfer of health information to provider | 97.18% |
95.95%
1.2 pts better
|
Numerator 448 · Denominator 461 |
| Transfer of health information to patient | 97.1% |
96.28%
0.8 pts better
|
Numerator 67 · Denominator 69 |
| Resident COVID-19 vaccinations up to date | 8.12% |
25.2%
17.1 pts worse
|
Numerator 25 · Denominator 308 |
Quality measures
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 2.0 |
1.7
0.3 pts worse
|
1.9
0.1 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 2.0 · Observed 1.8 · Expected 1.7 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 0.8 |
1.3
0.5 pts better
|
1.8
1 pts better
|
Long Stay · 20240701-20250630 · Adjusted 0.8 · Observed 0.7 · Expected 1.4 · 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 | 3.3% |
3.0%
0.3 pts worse
|
3.3%
About the same
|
Long Stay · 2024Q4-2025Q3 · Q1 3.2% · Q2 3.4% · Q3 3.2% · Q4 3.3% · 4Q avg 3.3% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 61.8% |
18.5%
43.3 pts worse
|
11.4%
50.4 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 71.3% · Q2 65.5% · Q3 57.0% · Q4 53.4% · 4Q avg 61.8% |
| Percentage of long-stay residents who lose too much weight | 7.7% |
6.1%
1.6 pts worse
|
5.4%
2.3 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 2.8% · Q2 8.7% · Q3 9.6% · Q4 10.0% · 4Q avg 7.7% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 5.6% |
13.5%
7.9 pts better
|
19.6%
14 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 5.3% · Q2 6.4% · Q3 5.4% · Q4 5.4% · 4Q avg 5.6% |
| Percentage of long-stay residents who received an antipsychotic medication | 9.9% |
14.8%
4.9 pts better
|
16.7%
6.8 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 11.1% · Q2 9.1% · Q3 7.5% · Q4 11.7% · 4Q avg 9.9% · 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 | 8.5% |
15.1%
6.6 pts better
|
16.3%
7.8 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 10.5% · Q2 4.4% · Q3 15.1% · Q4 4.2% · 4Q avg 8.5% · 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 9.5% · Q2 16.1% · Q3 16.7% · Q4 6.4% · 4Q avg 12.2% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.0% |
0.6%
0.6 pts better
|
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% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 1.1% |
1.4%
0.3 pts better
|
1.7%
0.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 1.7% · Q2 2.6% · Q3 0.0% · Q4 0.0% · 4Q avg 1.1% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 17.3% |
20.8%
3.5 pts better
|
19.8%
2.5 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 17.1% · Q2 26.8% · Q3 14.6% · Q4 10.9% · 4Q avg 17.3% |
| Percentage of long-stay residents with pressure ulcers | 4.1% |
6.9%
2.8 pts better
|
5.1%
1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 6.2% · Q2 3.9% · Q3 2.4% · Q4 3.7% · 4Q avg 4.1% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 99.6% |
76.7%
22.9 pts better
|
81.7%
17.9 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 100.0% · Q3 99.4% · Q4 99.1% · 4Q avg 99.6% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 8.3% |
9.7%
1.4 pts better
|
12.0%
3.7 pts better
|
Short Stay · 20240701-20250630 · Adjusted 8.3% · Observed 7.5% · Expected 10.1% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 0.3% |
1.2%
0.9 pts better
|
1.6%
1.3 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 0.4% · Q2 0.0% · Q3 0.4% · Q4 0.4% · 4Q avg 0.3% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 98.9% |
78.8%
20.1 pts better
|
79.7%
19.2 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 98.9% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 15.2% |
20.6%
5.4 pts better
|
23.9%
8.7 pts better
|
Short Stay · 20240701-20250630 · Adjusted 15.2% · Observed 15.6% · Expected 24.5% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2024-05-29 · Fire 2024-05-29
2 health deficiencies
Top issue: Quality of Life and Care (1 deficiency)
1 fire-safety deficiencies
Top issue: Smoke (1 deficiency)
Cycle 3
Health 2022-05-13 · Fire 2022-05-13
3 health deficiencies
Top issue: Resident Assessment and Care Planning (2 deficiencies)
12 fire-safety deficiencies
Top issue: Smoke (5 deficiencies)
Fire safety
Fire-safety citations
D · Potential for more than minimal harm
2025-09-19
K761 · Miscellaneous Deficiencies
Fire Safety
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Corrected 2025-12-18
D · Potential for more than minimal harm
2024-05-29
K353 · Smoke Deficiencies
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2024-06-13
F · Potential for more than minimal harm
2022-05-13
K161 · Construction Deficiencies
Fire Safety
Use approved construction type or materials.
Corrected 2022-08-10
E · Potential for more than minimal harm
2022-05-13
K321 · Smoke Deficiencies
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 2022-06-14
E · Potential for more than minimal harm
2022-05-13
K353 · Smoke Deficiencies
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2022-06-16
D · Potential for more than minimal harm
2022-05-13
K211 · Egress Deficiencies
Fire Safety
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Corrected 2022-08-10
D · Potential for more than minimal harm
2022-05-13
K232 · Egress Deficiencies
Fire Safety
Have corridors or aisles that are unobstructed and are at least 8 feet in width.
Corrected 2022-06-16
D · Potential for more than minimal harm
2022-05-13
K271 · Egress Deficiencies
Fire Safety
Have exits that are accessible at all times.
Corrected 2022-05-20
D · Potential for more than minimal harm
2022-05-13
K293 · Egress Deficiencies
Fire Safety
Have properly located and lighted "Exit" signs.
Corrected 2022-06-16
D · Potential for more than minimal harm
2022-05-13
K324 · Smoke Deficiencies
Fire Safety
Provide properly protected cooking facilities.
Corrected 2022-06-14
D · Potential for more than minimal harm
2022-05-13
K351 · Smoke Deficiencies
Fire Safety
Install an approved automatic sprinkler system.
Corrected 2022-06-14
D · Potential for more than minimal harm
2022-05-13
K355 · Smoke Deficiencies
Fire Safety
Properly select, install, inspect, or maintain portable fire extinguishes.
Corrected 2022-06-09
D · Potential for more than minimal harm
2022-05-13
K911 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Meet requirements for the installation and maintenance of electrical systems.
Corrected 2022-06-14
D · Potential for more than minimal harm
2022-05-13
K918 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2022-05-20
Inspection history
Recent health citations
G · Actual harm
2024-05-29
F689 · Quality of Life and Care Deficiencies
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2024-06-15
D · Potential for more than minimal harm
2024-05-29
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 2024-06-15
D · Potential for more than minimal harm
2022-05-13
F641 · Resident Assessment and Care Planning Deficiencies
Health
Ensure each resident receives an accurate assessment.
Corrected 2022-06-15
D · Potential for more than minimal harm
2022-05-13
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 2022-06-15
D · Potential for more than minimal harm
2022-05-13
F689 · Quality of Life and Care Deficiencies
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2022-06-15
Penalties and ownership
What sits behind the stars
$8,512
2024-05-29
Fine
Fine · fine $8,512
Fine
Ownership
Debenedictis, Pasquale
5% Or Greater Direct Ownership Interest · Individual
Friedman, Leopold
5% Or Greater Direct Ownership Interest · Individual
Solovey, Alex
5% Or Greater Direct Ownership Interest · Individual
Rutenberg, Solomon
5% Or Greater Direct Ownership Interest · Individual
Debenedictis, Pasquale
Corporate Officer · Individual
Derosa, Anthony
Operational/Managerial Control · Individual
Friedman, Leopold
Corporate Officer · Individual
Lee, Kwang
W-2 Managing Employee · Individual
Rutenberg, Solomon
Corporate Officer · Individual
Solovey, Alex
Corporate Officer · Individual
Nearby options
Other facilities in reach
#1
Chapin Home For The Aging
Jamaica, NY
5-star overall rating with 5-star inspections with 3 recent health deficiencies with 2 fire-safety deficiencies in the latest cycle
#2
Highland Care Center
Jamaica, NY
4-star overall rating with 4-star inspections with 4 recent health deficiencies with 1 fire-safety deficiencies in the latest cycle
#3
Hillside Manor Rehab & Extended Care Center
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
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