Cycle 1
Health 2024-09-25 · Fire 2024-09-25
8 health deficiencies
Top issue: Resident Assessment and Care Planning (3 deficiencies)
1 fire-safety deficiencies
Top issue: Miscellaneous (1 deficiency)
Hempstead, NY
Mayfair Care Center
1-star overall rating with 2-star inspections with $51,078 in total fines with 8 recent health deficiencies with 1 fire-safety deficiencies in the latest cycle
100 Baldwin Road, Hempstead, NY
(516) 538-7171
Overall
1 / 5
CMS overall stars
Health inspections
2 / 5
Survey and complaint cycles
Staffing
3 / 5
RN + nurse staffing
Quality measures
1 / 5
Resident outcomes and process measures
Quick facts
Facility snapshot
Beds
200
Certified beds
Average residents
191
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
The Grand Healthcare
Operator or chain grouping
Approved since
1969-01-14
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Chain footprint
16 facilities
Chain averages 2 overall / 2 health / 2 staffing / 3 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
0.51
Registered nurse staffing · state 0.70 · national 0.68
LPN hours / resident day
0.62
Licensed practical nurse staffing · state 0.78 · national 0.87
Aide hours / resident day
1.99
Nurse aide staffing · state 2.20 · national 2.35
Total nurse hours
3.12
All reported nurse hours · state 3.65 · national 3.89
Licensed hours
1.14
RN + LPN hours · state 1.47 · national 1.54
Weekend hours
2.73
Weekend nurse staffing · state 3.16 · national 3.43
Weekend RN hours
0.33
Weekend registered nurse coverage · state 0.47 · national 0.47
Physical therapist
0.09
Reported PT staffing · state 0.11 · national 0.07
Adjusted RN hours
0.50
CMS adjusted RN staffing hours
Adjusted total hours
3.06
CMS adjusted total nurse staffing hours
Case-mix index
1.39
Higher values indicate more complex resident acuity
RN turnover
20%
Annual RN turnover · state 41% · national 45%
Total nurse turnover
21%
Annual nurse turnover · state 41% · national 46%
SNF VBP
Value-based purchasing
Program rank
9,079
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
24.80
Composite VBP score used to determine payment impact.
Payment multiplier
0.9836
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
0
Baseline 18.88% · Performance 21.22% · Measure score 0 · Achievement 0 · Improvement 0
Healthcare-associated infections
1.61
Baseline 5.58% · Performance 7.35% · Measure score 1.61 · Achievement 1.61 · Improvement 0
Total nurse turnover
8.31
Baseline 29.79% · Performance 29.71% · Measure score 8.31 · Achievement 8.31 · Improvement 0
Adjusted total nurse staffing
0
Baseline 3.12 hours · Performance 2.83 hours · Measure score 0 · Achievement 0 · Improvement 0
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 13.78% |
10.72%
3.1 pts worse
|
No Different than the National Rate · Eligible stays 115 · Observed rate 19.13% · Lower 95% interval 10.33% |
| Discharge to community | 37.6% |
50.57%
13 pts worse
|
No Different than the National Rate · Eligible stays 52 · Observed rate 23.08% · Lower 95% interval 24.05% |
| Medicare spending per beneficiary | 1.63 |
1.02
0.6 pts worse
|
|
| Drug regimen review with follow-up | 100% |
95.27%
4.7 pts better
|
Numerator 129 · Denominator 129 |
| Falls with major injury | 0.78% |
0.77%
About the same
|
Numerator 1 · Denominator 129 |
| Discharge self-care score | 35.29% |
53.69%
18.4 pts worse
|
Numerator 30 · Denominator 85 |
| Discharge mobility score | 29.41% |
50.94%
21.5 pts worse
|
Numerator 25 · Denominator 85 |
| Pressure ulcers or injuries, new or worsened | 3.88% |
2.29%
1.6 pts worse
|
Numerator 5 · Denominator 129 · Adjusted rate 3.6% |
| Healthcare-associated infections requiring hospitalization | 7.35% |
7.12%
0.2 pts worse
|
No Different than the National Rate · Eligible stays 59 · Observed rate 8.47% · Lower 95% interval 4.13% |
| Staff COVID-19 vaccination coverage | 0.51% |
8.2%
7.7 pts worse
|
Numerator 1 · Denominator 198 |
| Staff flu vaccination coverage | 35.81% |
42%
6.2 pts worse
|
Numerator 77 · Denominator 215 |
| Discharge function score | 29.41% |
56.45%
27 pts worse
|
Numerator 25 · Denominator 85 |
| Transfer of health information to provider | 100% |
95.95%
4 pts better
|
Numerator 44 · Denominator 44 |
| Transfer of health information to patient | Not Available |
96.28%
|
Numerator Not Available · Denominator 13 · Too few residents or stays to report publicly. |
| Resident COVID-19 vaccinations up to date | 24.59% |
25.2%
0.6 pts worse
|
Numerator 15 · Denominator 61 |
Quality measures
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 2.9 |
1.7
1.2 pts worse
|
1.9
1 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 2.9 · Observed 2.7 · Expected 1.7 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 2.5 |
1.3
1.2 pts worse
|
1.8
0.7 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 2.5 · Observed 2.5 · Expected 1.6 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 70.7% |
91.2%
20.5 pts worse
|
93.4%
22.7 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 64.7% · Q2 65.8% · Q3 70.1% · Q4 82.3% · 4Q avg 70.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 86.2% |
95.3%
9.1 pts worse
|
95.5%
9.3 pts worse
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 86.2% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 2.2% |
3.0%
0.8 pts better
|
3.3%
1.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 2.1% · Q2 1.6% · Q3 1.6% · Q4 3.3% · 4Q avg 2.2% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 10.0% |
18.5%
8.5 pts better
|
11.4%
1.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 1.7% · Q2 7.0% · Q3 12.3% · Q4 19.4% · 4Q avg 10.0% |
| Percentage of long-stay residents who lose too much weight | 6.5% |
6.1%
0.4 pts worse
|
5.4%
1.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 8.0% · Q2 6.7% · Q3 6.7% · Q4 4.7% · 4Q avg 6.5% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 7.2% |
13.5%
6.3 pts better
|
19.6%
12.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 8.1% · Q2 7.1% · Q3 7.7% · Q4 6.1% · 4Q avg 7.2% |
| Percentage of long-stay residents who received an antipsychotic medication | 47.4% |
14.8%
32.6 pts worse
|
16.7%
30.7 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 37.4% · Q2 47.9% · Q3 52.6% · Q4 50.0% · 4Q avg 47.4% · 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 | 16.9% |
15.1%
1.8 pts worse
|
16.3%
0.6 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 18.8% · Q2 13.8% · Q3 21.4% · Q4 13.3% · 4Q avg 16.9% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 16.3% |
15.5%
0.8 pts worse
|
14.9%
1.4 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 14.8% · Q2 13.8% · Q3 20.1% · Q4 16.5% · 4Q avg 16.3% · 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 | 1.7% |
1.4%
0.3 pts worse
|
1.7%
About the same
|
Long Stay · 2024Q4-2025Q3 · Q1 2.2% · Q2 0.6% · Q3 2.2% · Q4 1.7% · 4Q avg 1.7% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 22.4% |
20.8%
1.6 pts worse
|
19.8%
2.6 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 18.9% · Q2 24.2% · Q3 23.6% · Q4 23.2% · 4Q avg 22.4% |
| Percentage of long-stay residents with pressure ulcers | 7.5% |
6.9%
0.6 pts worse
|
5.1%
2.4 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 7.7% · Q2 10.1% · Q3 5.9% · Q4 6.4% · 4Q avg 7.5% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 56.6% |
76.7%
20.1 pts worse
|
81.7%
25.1 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 51.5% · Q2 54.7% · Q3 58.6% · Q4 60.2% · 4Q avg 56.6% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 9.9% |
9.7%
0.2 pts worse
|
12.0%
2.1 pts better
|
Short Stay · 20240701-20250630 · Adjusted 9.9% · Observed 11.7% · Expected 13.2% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 14.4% |
1.2%
13.2 pts worse
|
1.6%
12.8 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 10.7% · Q2 19.0% · Q3 15.6% · Q4 10.5% · 4Q avg 14.4% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 44.2% |
78.8%
34.6 pts worse
|
79.7%
35.5 pts worse
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 44.2% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 34.4% |
20.6%
13.8 pts worse
|
23.9%
10.5 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 34.4% · Observed 35.1% · Expected 24.3% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2023-03-30 · Fire 2023-03-30
12 health deficiencies
Top issue: Pharmacy Service (4 deficiencies)
11 fire-safety deficiencies
Top issue: Smoke (3 deficiencies)
Cycle 3
Health 2020-10-02 · Fire 2020-10-02
3 health deficiencies
Top issue: Nutrition and Dietary (1 deficiency)
3 fire-safety deficiencies
Top issue: Smoke (2 deficiencies)
Fire safety
Fire-safety citations
E · Potential for more than minimal harm
2024-09-25
K712 · Miscellaneous Deficiencies
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2024-11-08
E · Potential for more than minimal harm
2023-03-30
K211 · Egress Deficiencies
Fire Safety
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Corrected 2023-04-27
E · Potential for more than minimal harm
2023-03-30
K353 · Smoke Deficiencies
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2023-05-24
D · Potential for more than minimal harm
2023-03-30
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 2023-04-19
D · Potential for more than minimal harm
2023-03-30
K374 · Smoke Deficiencies
Fire Safety
Install smoke barrier doors that can resist smoke for at least 20 minutes.
Corrected 2023-04-20
D · Potential for more than minimal harm
2023-03-30
K741 · Miscellaneous Deficiencies
Fire Safety
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Corrected 2023-05-10
D · Potential for more than minimal harm
2023-03-30
K923 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Have proper medical gas storage and administration areas.
Corrected 2023-04-20
C · Minimal harm
2023-03-30
E15 · Emergency Preparedness Deficiencies
Fire Safety
Address subsistence needs for staff and patients.
Corrected 2023-05-15
C · Minimal harm
2023-03-30
K521 · Services Deficiencies
Fire Safety
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Corrected 2023-05-25
C · Minimal harm
2023-03-30
K531 · Services Deficiencies
Fire Safety
Have elevators that firefighters can control in the event of a fire.
Corrected 2023-05-23
C · Minimal harm
2023-03-30
K712 · Miscellaneous Deficiencies
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2023-05-12
C · Minimal harm
2023-03-30
K918 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2023-04-20
C · Minimal harm
2020-10-02
K345 · Smoke Deficiencies
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2020-10-12
B · Minimal harm
2020-10-02
K161 · Construction Deficiencies
Fire Safety
Use approved construction type or materials.
Corrected 2020-10-12
B · Minimal harm
2020-10-02
K311 · Smoke Deficiencies
Fire Safety
Have an enclosure around a vertical opening shaft.
Corrected 2020-10-12
Inspection history
Recent health citations
G · Actual harm
2024-09-25
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 2024-11-13
E · Potential for more than minimal harm
2024-09-25
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2024-11-13
D · Potential for more than minimal harm
2024-09-25
F554 · Resident Rights Deficiencies
Health
Allow residents to self-administer drugs if determined clinically appropriate.
Corrected 2024-11-18
D · Potential for more than minimal harm
2024-09-25
F641 · Resident Assessment and Care Planning Deficiencies
Health
Ensure each resident receives an accurate assessment.
Corrected 2024-10-31
D · Potential for more than minimal harm
2024-09-25
F801 · Nutrition and Dietary Deficiencies
Health
Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.
Corrected 2024-11-13
D · Potential for more than minimal harm
2024-09-25
F806 · Nutrition and Dietary Deficiencies
Health
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
Corrected 2024-10-31
B · Minimal harm
2024-09-25
F636 · Resident Assessment and Care Planning Deficiencies
Health
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
Corrected 2024-11-05
B · Minimal harm
2024-09-25
F638 · Resident Assessment and Care Planning Deficiencies
Health
Assure that each resident’s assessment is updated at least once every 3 months.
Corrected 2024-11-05
G · Actual harm
2023-03-30
F600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Health
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2023-05-26
D · Potential for more than minimal harm
2023-03-30
F580 · Resident Rights Deficiencies
Health
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected 2023-05-26
D · Potential for more than minimal harm
2023-03-30
F655 · Resident Assessment and Care Planning Deficiencies
Health
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Corrected 2023-05-26
D · Potential for more than minimal harm
2023-03-30
F656 · Resident Assessment and Care Planning Deficiencies
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2023-05-26
D · Potential for more than minimal harm
2023-03-30
F692 · Quality of Life and Care Deficiencies
Health
Provide enough food/fluids to maintain a resident's health.
Corrected 2023-05-26
D · Potential for more than minimal harm
2023-03-30
F710 · Nursing and Physician Services Deficiencies
Health
Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care.
Corrected 2023-05-26
D · Potential for more than minimal harm
2023-03-30
F755 · Pharmacy Service Deficiencies
Health
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected 2023-05-26
D · Potential for more than minimal harm
2023-03-30
F756 · Pharmacy Service Deficiencies
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 2023-05-26
D · Potential for more than minimal harm
2023-03-30
F760 · Pharmacy Service Deficiencies
Health
Ensure that residents are free from significant medication errors.
Corrected 2023-05-26
D · Potential for more than minimal harm
2023-03-30
F761 · Pharmacy Service Deficiencies
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 2023-05-26
D · Potential for more than minimal harm
2023-03-30
F770 · Administration Deficiencies
Health
Provide timely, quality laboratory services/tests to meet the needs of residents.
Corrected 2023-05-26
D · Potential for more than minimal harm
2023-03-30
F806 · Nutrition and Dietary Deficiencies
Health
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
Corrected 2023-05-26
E · Potential for more than minimal harm
2020-10-02
F812 · Nutrition and Dietary Deficiencies
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2020-10-30
D · Potential for more than minimal harm
2020-10-02
F659 · Resident Assessment and Care Planning Deficiencies
Health
Provide care by qualified persons according to each resident's written plan of care.
Corrected 2020-10-30
D · Potential for more than minimal harm
2020-10-02
F761 · Pharmacy Service Deficiencies
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 2020-10-30
Penalties and ownership
What sits behind the stars
$41,308
2024-09-25
Fine
Fine · fine $41,308
Fine
$9,770
2023-03-30
Fine
Fine · fine $9,770
Fine
Ownership
Kalter, Moshe
5% Or Greater Direct Ownership Interest · Individual
Fogel, Aaron
5% Or Greater Direct Ownership Interest · Individual
Fogel, Esther
5% Or Greater Direct Ownership Interest · Individual
Kalter, Frady
5% Or Greater Direct Ownership Interest · Individual
Boden, Arthur
W-2 Managing Employee · Individual
Kalter, Moshe
W-2 Managing Employee · Individual
Stern, Samuel
Corporate Officer · Individual
Nearby options
Other facilities in reach
#1
Nassau Rehabilitation & Nursing Center
Hempstead, NY
3-star overall rating with 2-star inspections with $16,153 in total fines with 5 recent health deficiencies with 3 fire-safety deficiencies in the latest cycle
#2
Hempstead Park Nursing Home
Hempstead, NY
1-star overall rating with 2-star inspections with abuse icon flag with $15,445 in total fines with 11 recent health deficiencies with 1 fire-safety deficiencies in the latest cycle
#3
Townhouse Center For Rehabilitation & Nursing
Uniondale, NY
4-star overall rating with 4-star inspections with 6 recent health deficiencies with 4 fire-safety deficiencies in the latest cycle
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