Riverdale, NY

Park Gardens Rehabilitation & Nursing Center L L C

3-star overall rating with 3-star inspections with 4 recent health deficiencies with 3 fire-safety deficiencies in the latest cycle

6585 Broadway, Riverdale, NY

(718) 549-2200

Compare this facility

Overall

3 / 5

CMS overall stars

Health inspections

3 / 5

Survey and complaint cycles

Staffing

3 / 5

RN + nurse staffing

Quality measures

0 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

200

Certified beds

Average residents

188

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

No chain reported

Operator or chain grouping

Approved since

1972-12-31

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

0.49

Registered nurse staffing · state 0.70 · national 0.68

LPN hours / resident day

0.47

Licensed practical nurse staffing · state 0.78 · national 0.87

Aide hours / resident day

2.12

Nurse aide staffing · state 2.20 · national 2.35

Total nurse hours

3.09

All reported nurse hours · state 3.65 · national 3.89

Licensed hours

0.96

RN + LPN hours · state 1.47 · national 1.54

Weekend hours

2.79

Weekend nurse staffing · state 3.16 · national 3.43

Weekend RN hours

0.32

Weekend registered nurse coverage · state 0.47 · national 0.47

Physical therapist

0.12

Reported PT staffing · state 0.11 · national 0.07

Adjusted RN hours

0.52

CMS adjusted RN staffing hours

Adjusted total hours

3.24

CMS adjusted total nurse staffing hours

Case-mix index

1.30

Higher values indicate more complex resident acuity

RN turnover

31%

Annual RN turnover · state 41% · national 45%

Total nurse turnover

23%

Annual nurse turnover · state 41% · national 46%

SNF VBP

Value-based purchasing

Program rank

7,852

Lower is better among SNFs in the FY 2026 VBP program.

Performance score

28.61

Composite VBP score used to determine payment impact.

Payment multiplier

0.9851

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

1.44

Baseline 21.19% · Performance 20.76% · Measure score 1.44 · Achievement 1.44 · Improvement 0.53

Healthcare-associated infections

0

Baseline 6.00% · Performance 8.21% · Measure score 0 · Achievement 0 · Improvement 0

Total nurse turnover

10

Baseline 20.34% · Performance 22.56% · Measure score 10 · Achievement 10 · Improvement 0

Adjusted total nurse staffing

0

Baseline 2.95 hours · Performance 2.96 hours · Measure score 0 · Achievement 0 · Improvement 0

SNF QRP

Medicare quality reporting measures

Measure Facility National Note
Potentially preventable 30-day readmission 9.98%
10.72%
0.7 pts better
No Different than the National Rate · Eligible stays 57 · Observed rate 7.02% · Lower 95% interval 6.57%
Discharge to community 53.98%
50.57%
3.4 pts better
No Different than the National Rate · Eligible stays 34 · Observed rate 44.12% · Lower 95% interval 39.52%
Medicare spending per beneficiary 1.67
1.02
0.6 pts worse
Drug regimen review with follow-up 100%
95.27%
4.7 pts better
Numerator 90 · Denominator 90
Falls with major injury 1.11%
0.77%
0.3 pts worse
Numerator 1 · Denominator 90
Discharge self-care score 85.07%
53.69%
31.4 pts better
Numerator 57 · Denominator 67
Discharge mobility score 76.12%
50.94%
25.2 pts better
Numerator 51 · Denominator 67
Pressure ulcers or injuries, new or worsened 3.33%
2.29%
1 pts worse
Numerator 3 · Denominator 90 · Adjusted rate 1.71%
Healthcare-associated infections requiring hospitalization 8.21%
7.12%
1.1 pts worse
No Different than the National Rate · Eligible stays 41 · Observed rate 12.2% · Lower 95% interval 4.29%
Staff COVID-19 vaccination coverage 2.38%
8.2%
5.8 pts worse
Numerator 5 · Denominator 210
Staff flu vaccination coverage 77.45%
42%
35.5 pts better
Numerator 158 · Denominator 204
Discharge function score 85.07%
56.45%
28.6 pts better
Numerator 57 · Denominator 67
Transfer of health information to provider 100%
95.95%
4 pts better
Numerator 24 · Denominator 24
Transfer of health information to patient Not Available
96.28%
Numerator Not Available · Denominator 12 · Too few residents or stays to report publicly.
Resident COVID-19 vaccinations up to date 52%
25.2%
26.8 pts better
Numerator 26 · Denominator 50

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 4.5 · Expected 2.9 · Used in QM five-star
Number of outpatient emergency department visits per 1000 long-stay resident days 1.8
1.3
0.5 pts worse
1.8
About the same
Long Stay · 20240701-20250630 · Adjusted 1.8 · Observed 2.1 · Expected 1.9 · Used in QM five-star
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine 94.7%
91.2%
3.5 pts better
93.4%
1.3 pts better
Long Stay · 2024Q4-2025Q3 · Q1 92.0% · Q2 96.6% · Q3 93.6% · Q4 96.6% · 4Q avg 94.7%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine 98.9%
95.3%
3.6 pts better
95.5%
3.4 pts better
Long Stay · 2024Q3-2025Q2 · 4Q avg 98.9%
Percentage of long-stay residents experiencing one or more falls with major injury 1.9%
3.0%
1.1 pts better
3.3%
1.4 pts better
Long Stay · 2024Q4-2025Q3 · Q1 3.4% · Q2 1.7% · Q3 1.2% · Q4 1.1% · 4Q avg 1.9% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms 13.1%
18.5%
5.4 pts better
11.4%
1.7 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 5.7% · Q2 15.3% · Q3 15.0% · Q4 16.4% · 4Q avg 13.1%
Percentage of long-stay residents who lose too much weight 5.2%
6.1%
0.9 pts better
5.4%
0.2 pts better
Long Stay · 2024Q4-2025Q3 · Q1 5.4% · Q2 4.9% · Q3 3.7% · Q4 6.6% · 4Q avg 5.2%
Percentage of long-stay residents who received an antianxiety or hypnotic medication 15.1%
13.5%
1.6 pts worse
19.6%
4.5 pts better
Long Stay · 2024Q4-2025Q3 · Q1 15.7% · Q2 14.6% · Q3 14.8% · Q4 15.1% · 4Q avg 15.1%
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 16.0%
15.1%
0.9 pts worse
16.3%
0.3 pts better
Long Stay · 2024Q4-2025Q3 · Q1 37.0% · Q2 17.1% · Q3 9.7% · Q4 7.5% · 4Q avg 16.0% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased 10.5%
15.5%
5 pts better
14.9%
4.4 pts better
Long Stay · 2024Q4-2025Q3 · Q1 13.8% · Q2 9.6% · Q3 9.6% · Q4 9.0% · 4Q avg 10.5% · 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 0.0% · Q3 1.0% · Q4 0.4% · 4Q avg 0.4% · Used in QM five-star
Percentage of long-stay residents with a urinary tract infection 1.9%
1.4%
0.5 pts worse
1.7%
0.2 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 1.2% · Q2 2.4% · Q3 1.8% · Q4 2.3% · 4Q avg 1.9% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence 13.5%
20.8%
7.3 pts better
19.8%
6.3 pts better
Long Stay · 2024Q4-2025Q3 · Q1 17.8% · Q2 13.8% · Q3 12.5% · Q4 9.8% · 4Q avg 13.5%
Percentage of long-stay residents with pressure ulcers 5.1%
6.9%
1.8 pts better
5.1%
About the same
Long Stay · 2024Q4-2025Q3 · Q1 3.6% · Q2 3.6% · Q3 6.9% · Q4 6.2% · 4Q avg 5.1% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine 31.2%
76.7%
45.5 pts worse
81.7%
50.5 pts worse
Short Stay · 2024Q4-2025Q3 · Q1 26.4% · Q2 34.4% · Q3 33.8% · Q4 30.8% · 4Q avg 31.2%
Percentage of short-stay residents who had an outpatient emergency department visit 11.5%
9.7%
1.8 pts worse
12.0%
0.5 pts better
Short Stay · 20240701-20250630 · Adjusted 11.5% · Observed 12.2% · Expected 11.8% · Used in QM five-star
Percentage of short-stay residents who newly received an antipsychotic medication 0.6%
1.2%
0.6 pts better
1.6%
1 pts better
Short Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 2.0% · 4Q avg 0.6% · Used in QM five-star
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine 47.1%
78.8%
31.7 pts worse
79.7%
32.6 pts worse
Short Stay · 2024Q3-2025Q2 · 4Q avg 47.1%
Percentage of short-stay residents who were rehospitalized after a nursing home admission 16.5%
20.6%
4.1 pts better
23.9%
7.4 pts better
Short Stay · 20240701-20250630 · Adjusted 16.5% · Observed 17.6% · Expected 25.4% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2023-07-26 · Fire 2023-07-26

4 health deficiencies

Top issue: Resident Assessment and Care Planning (3 deficiencies)

3 fire-safety deficiencies

Top issue: Egress (1 deficiency)

Cycle 2 Health 2021-04-21 · Fire 2021-04-21

8 health deficiencies

Top issue: Resident Assessment and Care Planning (2 deficiencies)

2 fire-safety deficiencies

Top issue: Egress (1 deficiency)

Cycle 3 Health 2019-02-11 · Fire 2019-02-11

10 health deficiencies

Top issue: Freedom from Abuse and Neglect and Exploitation (3 deficiencies)

6 fire-safety deficiencies

Top issue: Smoke (4 deficiencies)

Fire safety

Fire-safety citations

E · Potential for more than minimal harm 2023-07-26

K271 · Egress Deficiencies

Fire Safety

Have exits that are accessible at all times.

Corrected 2023-08-18

D · Potential for more than minimal harm 2023-07-26

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2023-08-18

D · Potential for more than minimal harm 2023-07-26

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have generator or other power source capable of supplying service within 10 seconds.

Corrected 2023-08-18

E · Potential for more than minimal harm 2021-04-21

K374 · Smoke Deficiencies

Fire Safety

Install smoke barrier doors that can resist smoke for at least 20 minutes.

Corrected 2021-05-28

D · Potential for more than minimal harm 2021-04-21

K271 · Egress Deficiencies

Fire Safety

Have exits that are accessible at all times.

Corrected 2021-05-28

E · Potential for more than minimal harm 2019-02-11

K225 · Egress Deficiencies

Fire Safety

Have stairways and smokeproof enclosures used as exits that meet safety requirements.

Corrected 2019-04-05

E · Potential for more than minimal harm 2019-02-11

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 2019-04-05

E · Potential for more than minimal harm 2019-02-11

K351 · Smoke Deficiencies

Fire Safety

Install an approved automatic sprinkler system.

Corrected 2019-04-05

E · Potential for more than minimal harm 2019-02-11

K355 · Smoke Deficiencies

Fire Safety

Properly select, install, inspect, or maintain portable fire extinguishes.

Corrected 2019-04-05

E · Potential for more than minimal harm 2019-02-11

K521 · Services Deficiencies

Fire Safety

Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

Corrected 2019-04-05

D · Potential for more than minimal harm 2019-02-11

K324 · Smoke Deficiencies

Fire Safety

Provide properly protected cooking facilities.

Corrected 2019-04-05

Inspection history

Recent health citations

D · Potential for more than minimal harm 2023-07-26

F602 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Protect each resident from the wrongful use of the resident's belongings or money.

Corrected 2023-09-11

D · Potential for more than minimal harm 2023-07-26

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 2023-09-11

D · Potential for more than minimal harm 2023-07-26

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 2023-09-11

D · Potential for more than minimal harm 2023-07-26

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 2023-09-11

D · Potential for more than minimal harm 2023-07-26

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 2023-09-11

E · Potential for more than minimal harm 2021-04-21

F577 · Resident Rights Deficiencies

Health

Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.

Corrected 2021-05-12

E · Potential for more than minimal harm 2021-04-21

F584 · Resident Rights Deficiencies

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 2021-05-12

E · Potential for more than minimal harm 2021-04-21

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2021-05-28

E · Potential for more than minimal harm 2021-04-21

F921 · Environmental Deficiencies

Health

Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

Corrected 2021-05-12

D · Potential for more than minimal harm 2021-04-21

F641 · Resident Assessment and Care Planning Deficiencies

Health

Ensure each resident receives an accurate assessment.

Corrected 2021-05-06

D · Potential for more than minimal harm 2021-04-21

F677 · Quality of Life and Care Deficiencies

Health

Provide care and assistance to perform activities of daily living for any resident who is unable.

Corrected 2021-05-28

D · Potential for more than minimal harm 2021-04-21

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 2021-05-28

D · Potential for more than minimal harm 2021-04-21

F842 · Resident Assessment and Care Planning Deficiencies

Health

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Corrected 2021-05-28

F · Potential for more than minimal harm 2019-02-11

F574 · Resident Rights Deficiencies

Health

The resident has the right to receive notices in a format and a language he or she understands.

Corrected 2019-04-05

E · Potential for more than minimal harm 2019-02-11

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2019-04-05

D · Potential for more than minimal harm 2019-02-11

F583 · Resident Rights Deficiencies

Health

Keep residents' personal and medical records private and confidential.

Corrected 2019-03-15

D · Potential for more than minimal harm 2019-02-11

F609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Corrected 2019-03-29

D · Potential for more than minimal harm 2019-02-11

F610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Respond appropriately to all alleged violations.

Corrected 2019-03-31

D · Potential for more than minimal harm 2019-02-11

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 2019-03-22

D · Potential for more than minimal harm 2019-02-11

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 2019-04-05

D · Potential for more than minimal harm 2019-02-11

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 2019-03-29

D · Potential for more than minimal harm 2019-02-11

F921 · Environmental Deficiencies

Health

Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

Corrected 2019-04-05

Penalties and ownership

What sits behind the stars

Ownership

Abramczyk, Solomon

General Partnership Interest · Individual

0% 6 facilities 2002-01-01
Abramczyk, Solomon

Operational/Managerial Control · Individual

0% 6 facilities 2011-09-21
Goldenberg, Leon

General Partnership Interest · Individual

0% 1 facilities 2002-01-01
Kahan, Steve

General Partnership Interest · Individual

0% 1 facilities 2002-01-01

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