Cycle 1
Health 2024-08-16 · Fire 2024-08-16
2 health deficiencies
Top issue: Infection Control (1 deficiency)
2 fire-safety deficiencies
Top issue: Egress (2 deficiencies)
Brooklyn, NY
Norwegian Christian Home And Health Center
4-star overall rating with 4-star inspections with 2 recent health deficiencies with 2 fire-safety deficiencies in the latest cycle
1250 67th Street, Brooklyn, NY
(718) 232-2322
Overall
4 / 5
CMS overall stars
Health inspections
4 / 5
Survey and complaint cycles
Staffing
2 / 5
RN + nurse staffing
Quality measures
4 / 5
Resident outcomes and process measures
Quick facts
Facility snapshot
Beds
135
Certified beds
Average residents
130
Average occupied residents
Ownership
Non-Profit
Publicly displayed owner type
Chain
No chain reported
Operator or chain grouping
Approved since
1976-07-01
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
Staffing
Hours and turnover
RN hours / resident day
0.79
Registered nurse staffing · state 0.70 · national 0.68
LPN hours / resident day
0.56
Licensed practical nurse staffing · state 0.78 · national 0.87
Aide hours / resident day
2.36
Nurse aide staffing · state 2.20 · national 2.35
Total nurse hours
3.71
All reported nurse hours · state 3.65 · national 3.89
Licensed hours
1.36
RN + LPN hours · state 1.47 · national 1.54
Weekend hours
3.18
Weekend nurse staffing · state 3.16 · national 3.43
Weekend RN hours
0.48
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
0.71
CMS adjusted RN staffing hours
Adjusted total hours
3.34
CMS adjusted total nurse staffing hours
Case-mix index
1.52
Higher values indicate more complex resident acuity
RN turnover
0%
Annual RN turnover
Total nurse turnover
0%
Annual nurse turnover
SNF VBP
Value-based purchasing
Program rank
9,010
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
25
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 18.14% · Performance 22.20% · Measure score 0 · Achievement 0 · Improvement 0
Healthcare-associated infections
0
Baseline 6.78% · Performance 8.76% · Measure score 0 · Achievement 0 · Improvement 0
Total nurse turnover
10
Baseline 30.39% · Performance 22.22% · Measure score 10 · Achievement 10 · Improvement 9
Adjusted total nurse staffing
0
Baseline 2.99 hours · Performance 2.86 hours · Measure score 0 · Achievement 0 · Improvement 0
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 9.54% |
10.72%
1.2 pts better
|
No Different than the National Rate · Eligible stays 365 · Observed rate 7.67% · Lower 95% interval 7.09% |
| Discharge to community | 57.91% |
50.57%
7.3 pts better
|
Better than the National Rate · Eligible stays 403 · Observed rate 51.36% · Lower 95% interval 52.2% |
| Medicare spending per beneficiary | 1.2 |
1.02
0.2 pts worse
|
|
| Drug regimen review with follow-up | 100% |
95.27%
4.7 pts better
|
Numerator 251 · Denominator 251 |
| Falls with major injury | 0.8% |
0.77%
About the same
|
Numerator 2 · Denominator 251 |
| Discharge self-care score | 60% |
53.69%
6.3 pts better
|
Numerator 102 · Denominator 170 |
| Discharge mobility score | 71.18% |
50.94%
20.2 pts better
|
Numerator 121 · Denominator 170 |
| Pressure ulcers or injuries, new or worsened | 0.8% |
2.29%
1.5 pts better
|
Numerator 2 · Denominator 251 · Adjusted rate 0.67% |
| Healthcare-associated infections requiring hospitalization | 8.76% |
7.12%
1.6 pts worse
|
No Different than the National Rate · Eligible stays 235 · Observed rate 9.36% · Lower 95% interval 6.47% |
| Staff COVID-19 vaccination coverage | 0% |
8.2%
8.2 pts worse
|
Numerator 0 · Denominator 183 |
| Staff flu vaccination coverage | 78.61% |
42%
36.6 pts better
|
Numerator 158 · Denominator 201 |
| Discharge function score | 65.29% |
56.45%
8.8 pts better
|
Numerator 111 · Denominator 170 |
| Transfer of health information to provider | 100% |
95.95%
4 pts better
|
Numerator 167 · Denominator 167 |
| Transfer of health information to patient | 100% |
96.28%
3.7 pts better
|
Numerator 42 · Denominator 42 |
| Resident COVID-19 vaccinations up to date | 20% |
25.2%
5.2 pts worse
|
Numerator 26 · Denominator 130 |
Quality measures
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 2.8 |
1.7
1.1 pts worse
|
1.9
0.9 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 2.8 · Observed 2.9 · 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 1.6 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 97.0% |
91.2%
5.8 pts better
|
93.4%
3.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 96.9% · Q3 96.0% · Q4 95.4% · 4Q avg 97.0% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 99.0% |
95.3%
3.7 pts better
|
95.5%
3.5 pts better
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 99.0% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 3.0% |
3.0%
About the same
|
3.3%
0.3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 5.3% · Q2 4.1% · Q3 2.0% · Q4 0.9% · 4Q avg 3.0% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 1.1% |
18.5%
17.4 pts better
|
11.4%
10.3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 1.1% · Q3 2.2% · Q4 1.0% · 4Q avg 1.1% |
| Percentage of long-stay residents who lose too much weight | 8.3% |
6.1%
2.2 pts worse
|
5.4%
2.9 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 11.1% · Q2 9.8% · Q3 6.7% · Q4 6.2% · 4Q avg 8.3% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 18.2% |
13.5%
4.7 pts worse
|
19.6%
1.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 17.9% · Q2 16.3% · Q3 19.6% · Q4 19.0% · 4Q avg 18.2% |
| Percentage of long-stay residents who received an antipsychotic medication | 16.3% |
14.8%
1.5 pts worse
|
16.7%
0.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 18.8% · Q2 19.1% · Q3 15.0% · Q4 13.3% · 4Q avg 16.3% · 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 | 23.8% |
15.1%
8.7 pts worse
|
16.3%
7.5 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 38.3% · Q2 20.8% · Q3 19.6% · Q4 19.2% · 4Q avg 23.8% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 21.2% |
15.5%
5.7 pts worse
|
14.9%
6.3 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 32.4% · Q2 21.3% · Q3 17.6% · Q4 15.8% · 4Q avg 21.2% · 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 | 0.5% |
1.4%
0.9 pts better
|
1.7%
1.2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 1.1% · Q2 1.1% · Q3 0.0% · Q4 0.0% · 4Q avg 0.5% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 31.8% |
20.8%
11 pts worse
|
19.8%
12 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 39.5% · Q2 36.6% · Q3 33.8% · Q4 17.9% · 4Q avg 31.8% |
| Percentage of long-stay residents with pressure ulcers | 7.1% |
6.9%
0.2 pts worse
|
5.1%
2 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 6.0% · Q2 6.4% · Q3 9.4% · Q4 6.6% · 4Q avg 7.1% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 93.3% |
76.7%
16.6 pts better
|
81.7%
11.6 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 97.0% · Q2 95.6% · Q3 91.4% · Q4 88.7% · 4Q avg 93.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 10.5% |
9.7%
0.8 pts worse
|
12.0%
1.5 pts better
|
Short Stay · 20240701-20250630 · Adjusted 10.5% · Observed 9.5% · Expected 10.2% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 2.1% |
1.2%
0.9 pts worse
|
1.6%
0.5 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 0.9% · Q2 1.9% · Q3 2.9% · Q4 2.9% · 4Q avg 2.1% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 93.1% |
78.8%
14.3 pts better
|
79.7%
13.4 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 93.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 20.1% |
20.6%
0.5 pts better
|
23.9%
3.8 pts better
|
Short Stay · 20240701-20250630 · Adjusted 20.1% · Observed 20.0% · Expected 23.7% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2022-09-26 · Fire 2022-09-26
3 health deficiencies
Top issue: Infection Control (1 deficiency)
3 fire-safety deficiencies
Top issue: Smoke (2 deficiencies)
Cycle 3
Health 2020-01-03 · Fire 2020-01-03
3 health deficiencies
Top issue: Resident Assessment and Care Planning (2 deficiencies)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Fire safety
Fire-safety citations
E · Potential for more than minimal harm
2024-08-16
K225 · Egress Deficiencies
Fire Safety
Have stairways and smokeproof enclosures used as exits that meet safety requirements.
Corrected 2024-10-11
E · Potential for more than minimal harm
2024-08-16
K293 · Egress Deficiencies
Fire Safety
Have properly located and lighted "Exit" signs.
Corrected 2024-10-11
E · Potential for more than minimal harm
2022-09-26
K351 · Smoke Deficiencies
Fire Safety
Install an approved automatic sprinkler system.
Corrected 2022-11-09
D · Potential for more than minimal harm
2022-09-26
K353 · Smoke Deficiencies
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2022-11-09
D · Potential for more than minimal harm
2022-09-26
K918 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2022-11-09
Inspection history
Recent health citations
E · Potential for more than minimal harm
2024-08-16
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2024-10-11
D · Potential for more than minimal harm
2024-08-16
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 2024-10-11
D · Potential for more than minimal harm
2022-09-26
F558 · Resident Rights Deficiencies
Health
Reasonably accommodate the needs and preferences of each resident.
Corrected 2022-11-21
D · Potential for more than minimal harm
2022-09-26
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 2022-11-21
D · Potential for more than minimal harm
2022-09-26
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2022-11-21
D · Potential for more than minimal harm
2020-01-03
F640 · Resident Assessment and Care Planning Deficiencies
Health
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
Corrected 2020-03-01
D · Potential for more than minimal harm
2020-01-03
F641 · Resident Assessment and Care Planning Deficiencies
Health
Ensure each resident receives an accurate assessment.
Corrected 2020-03-01
D · Potential for more than minimal harm
2020-01-03
F688 · Quality of Life and Care Deficiencies
Health
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
Corrected 2020-03-01
Penalties and ownership
What sits behind the stars
Ownership
Aavik, Lori
Corporate Officer · Individual
Aavik, Ralph
Corporate Officer · Individual
Bensen, Eleanor
Corporate Director · Individual
Berntsen, Torry
Corporate Director · Individual
Daniel, Rebecca
Corporate Officer · Individual
Dietrich, William
Corporate Director · Individual
Jensen, George
5% Or Greater Direct Ownership Interest · Individual
Jensen, George
Operational/Managerial Control · Individual
Jensen, George
Corporate Director · Individual
Jensen, George
Corporate Officer · Individual
Johannesen, Edward
Corporate Director · Individual
Oftedal, Arnold
Corporate Director · Individual
Ramsdal, Stanley
Corporate Director · Individual
Reeve, Daniel
Corporate Director · Individual
Restaino, Anthony
Corporate Officer · Individual
Rutuelo, Arlene
Corporate Officer · Individual
Thompson, Richard
Corporate Director · Individual
Nearby options
Other facilities in reach
#1
The Heritage Rehabilitation And Health Care Center
Brooklyn, NY
5-star overall rating with 5-star inspections with 2 recent health deficiencies with 3 fire-safety deficiencies in the latest cycle
#2
Boro Park Center For Rehabilitation And Healthcare
Brooklyn, NY
2-star overall rating with 2-star inspections with 6 recent health deficiencies with 4 fire-safety deficiencies in the latest cycle
#3
Bensonhurst Center For Rehab And Healthcare
Brooklyn, NY
5-star overall rating with 4-star inspections with 5 recent health deficiencies with 2 fire-safety deficiencies in the latest cycle
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