11 health deficiencies
Top issue: Nursing and Physician Services (3 deficiencies)
2 fire-safety deficiencies
Top issue: Egress (2 deficiencies)
Long Beach, NY
3-star overall rating with 2-star inspections with 11 recent health deficiencies with 2 fire-safety deficiencies in the latest cycle
425 National Boulevard, Long Beach, NY
(516) 431-2600
Overall
3 / 5
CMS overall stars
Health inspections
2 / 5
Survey and complaint cycles
Staffing
2 / 5
RN + nurse staffing
Quality measures
5 / 5
Resident outcomes and process measures
Quick facts
Beds
240
Certified beds
Average residents
226
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
Philosophy Care Centers
Operator or chain grouping
Approved since
1999-10-14
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Chain footprint
5 facilities
Chain averages 3 overall / 3 health / 2 staffing / 4 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
0.43
Registered nurse staffing · state 0.70 · national 0.68
LPN hours / resident day
0.73
Licensed practical nurse staffing · state 0.78 · national 0.87
Aide hours / resident day
2.01
Nurse aide staffing · state 2.20 · national 2.35
Total nurse hours
3.17
All reported nurse hours · state 3.65 · national 3.89
Licensed hours
1.16
RN + LPN hours · state 1.47 · national 1.54
Weekend hours
2.90
Weekend nurse staffing · state 3.16 · national 3.43
Weekend RN hours
0.35
Weekend registered nurse coverage · state 0.47 · national 0.47
Physical therapist
0.14
Reported PT staffing · state 0.11 · national 0.07
Adjusted RN hours
0.36
CMS adjusted RN staffing hours
Adjusted total hours
2.65
CMS adjusted total nurse staffing hours
Case-mix index
1.63
Higher values indicate more complex resident acuity
RN turnover
30%
Annual RN turnover · state 41% · national 45%
Total nurse turnover
37%
Annual nurse turnover · state 41% · national 46%
SNF VBP
Program rank
10,900
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
18.70
Composite VBP score used to determine payment impact.
Payment multiplier
0.9820
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
Readmission
1.18
Baseline 18.81% · Performance 20.89% · Measure score 1.18 · Achievement 1.18 · Improvement 0
Healthcare-associated infections
0
Baseline 7.34% · Performance 9.30% · Measure score 0 · Achievement 0 · Improvement 0
Total nurse turnover
6.30
Baseline 32.72% · Performance 37.91% · Measure score 6.30 · Achievement 6.30 · Improvement 0
Adjusted total nurse staffing
0
Baseline 2.85 hours · Performance 2.76 hours · Measure score 0 · Achievement 0 · Improvement 0
SNF QRP
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 11.39% |
10.72%
0.7 pts worse
|
No Different than the National Rate · Eligible stays 223 · Observed rate 11.66% · Lower 95% interval 8.72% |
| Discharge to community | 54.82% |
50.57%
4.2 pts better
|
No Different than the National Rate · Eligible stays 272 · Observed rate 45.96% · Lower 95% interval 48.53% |
| Medicare spending per beneficiary | 1.48 |
1.02
0.5 pts worse
|
|
| Drug regimen review with follow-up | 99.62% |
95.27%
4.4 pts better
|
Numerator 261 · Denominator 262 |
| Falls with major injury | 1.15% |
0.77%
0.4 pts worse
|
Numerator 3 · Denominator 262 |
| Discharge self-care score | 56.07% |
53.69%
2.4 pts better
|
Numerator 97 · Denominator 173 |
| Discharge mobility score | 58.38% |
50.94%
7.4 pts better
|
Numerator 101 · Denominator 173 |
| Pressure ulcers or injuries, new or worsened | 0.38% |
2.29%
1.9 pts better
|
Numerator 1 · Denominator 262 · Adjusted rate 0.28% |
| Healthcare-associated infections requiring hospitalization | 9.3% |
7.12%
2.2 pts worse
|
No Different than the National Rate · Eligible stays 209 · Observed rate 11.96% · Lower 95% interval 6.51% |
| Staff COVID-19 vaccination coverage | 0.29% |
8.2%
7.9 pts worse
|
Numerator 1 · Denominator 344 |
| Staff flu vaccination coverage | 43.73% |
42%
1.7 pts better
|
Numerator 129 · Denominator 295 |
| Discharge function score | 65.32% |
56.45%
8.9 pts better
|
Numerator 113 · Denominator 173 |
| Transfer of health information to provider | 100% |
95.95%
4 pts better
|
Numerator 88 · Denominator 88 |
| Transfer of health information to patient | 100% |
96.28%
3.7 pts better
|
Numerator 96 · Denominator 96 |
| Resident COVID-19 vaccinations up to date | 7.74% |
25.2%
17.5 pts worse
|
Numerator 12 · Denominator 155 |
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 2.2 · Expected 2.6 · 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 1.3 · Expected 1.8 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 94.8% |
91.2%
3.6 pts better
|
93.4%
1.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 99.4% · Q2 98.4% · Q3 91.6% · Q4 90.1% · 4Q avg 94.8% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 98.5% |
95.3%
3.2 pts better
|
95.5%
3 pts better
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 98.5% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 3.6% |
3.0%
0.6 pts worse
|
3.3%
0.3 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 2.8% · Q2 4.3% · Q3 3.7% · Q4 3.7% · 4Q avg 3.6% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 54.6% |
18.5%
36.1 pts worse
|
11.4%
43.2 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 49.1% · Q2 55.6% · Q3 58.7% · Q4 54.9% · 4Q avg 54.6% |
| Percentage of long-stay residents who lose too much weight | 4.2% |
6.1%
1.9 pts better
|
5.4%
1.2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 1.2% · Q2 3.5% · Q3 3.0% · Q4 9.1% · 4Q avg 4.2% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 10.8% |
13.5%
2.7 pts better
|
19.6%
8.8 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 9.4% · Q2 10.2% · Q3 12.6% · Q4 10.6% · 4Q avg 10.8% |
| Percentage of long-stay residents who received an antipsychotic medication | 8.8% |
14.8%
6 pts better
|
16.7%
7.9 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 7.7% · Q2 9.8% · Q3 8.5% · Q4 9.1% · 4Q avg 8.8% · 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 | 8.0% |
15.1%
7.1 pts better
|
16.3%
8.3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 10.0% · Q2 3.4% · Q3 11.6% · Q4 6.8% · 4Q avg 8.0% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 11.1% |
15.5%
4.4 pts better
|
14.9%
3.8 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 11.0% · Q2 13.9% · Q3 10.5% · Q4 9.0% · 4Q avg 11.1% · 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 | 0.0% |
1.4%
1.4 pts better
|
1.7%
1.7 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 new or worsened bowel or bladder incontinence | 14.5% |
20.8%
6.3 pts better
|
19.8%
5.3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 14.0% · Q2 13.9% · Q3 14.6% · Q4 15.3% · 4Q avg 14.5% |
| Percentage of long-stay residents with pressure ulcers | 6.8% |
6.9%
0.1 pts better
|
5.1%
1.7 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 6.5% · Q2 7.0% · Q3 7.5% · Q4 6.0% · 4Q avg 6.8% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 56.3% |
76.7%
20.4 pts worse
|
81.7%
25.4 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 78.0% · Q2 48.8% · Q3 44.5% · Q4 53.4% · 4Q avg 56.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 8.2% |
9.7%
1.5 pts better
|
12.0%
3.8 pts better
|
Short Stay · 20240701-20250630 · Adjusted 8.2% · Observed 7.7% · Expected 10.5% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 0.2% |
1.2%
1 pts better
|
1.6%
1.4 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 0.9% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.2% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 56.2% |
78.8%
22.6 pts worse
|
79.7%
23.5 pts worse
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 56.2% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 19.4% |
20.6%
1.2 pts better
|
23.9%
4.5 pts better
|
Short Stay · 20240701-20250630 · Adjusted 19.4% · Observed 20.1% · Expected 24.7% · Used in QM five-star |
Survey summary
Top issue: Nursing and Physician Services (3 deficiencies)
2 fire-safety deficiencies
Top issue: Egress (2 deficiencies)
Top issue: Infection Control (1 deficiency)
4 fire-safety deficiencies
Top issue: Smoke (2 deficiencies)
Top issue: Resident Assessment and Care Planning (3 deficiencies)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Fire safety
Fire Safety
Install proper backup exit lighting.
Corrected 2024-12-11
Fire Safety
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Corrected 2024-12-11
Fire Safety
Install emergency lighting that can last at least 1 1/2 hours.
Corrected 2023-02-28
Fire Safety
Have an enclosure around a vertical opening shaft.
Corrected 2023-02-08
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2023-02-10
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2023-02-21
Inspection history
Health
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Corrected 2025-01-03
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2025-01-03
Health
Make sure that a working call system is available in each resident's bathroom and bathing area.
Corrected 2025-01-03
Health
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2025-01-03
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2025-01-03
Health
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2025-01-03
Health
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2025-01-03
Health
Provide enough food/fluids to maintain a resident's health.
Corrected 2025-01-03
Health
Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care.
Corrected 2025-01-03
Health
Post nurse staffing information every day.
Corrected 2025-01-03
Health
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected 2025-01-03
Health
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Corrected 2023-03-07
Health
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected 2023-03-07
Health
Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care.
Corrected 2023-03-07
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2020-03-31
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 2020-03-31
Health
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2020-03-31
Health
Ensure that residents are free from significant medication errors.
Corrected 2020-03-31
Health
Ensure each resident receives an accurate assessment.
Corrected 2020-03-31
Penalties and ownership
5% Or Greater Direct Ownership Interest · Individual
5% Or Greater Direct Ownership Interest · Individual
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
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