Cycle 1
Health 2024-07-03 · Fire 2024-07-03
7 health deficiencies
Top issue: Quality of Life and Care (3 deficiencies)
1 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (1 deficiency)
Far Rockaway, NY
Peninsula Nursing And Rehabilitation Center
2-star overall rating with 1-star inspections with $125,210 in total fines with 7 recent health deficiencies with 1 fire-safety deficiencies in the latest cycle
50 15 Beach Channel Drive, Far Rockaway, NY
(718) 734-2000
Overall
2 / 5
CMS overall stars
Health inspections
1 / 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
183
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
Cassena Care
Operator or chain grouping
Approved since
1973-04-18
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
1.06
Registered nurse staffing · state 0.70 · national 0.68
LPN hours / resident day
0.29
Licensed practical nurse staffing · state 0.78 · national 0.87
Aide hours / resident day
1.92
Nurse aide staffing · state 2.20 · national 2.35
Total nurse hours
3.27
All reported nurse hours · state 3.65 · national 3.89
Licensed hours
1.35
RN + LPN hours · state 1.47 · national 1.54
Weekend hours
2.92
Weekend nurse staffing · state 3.16 · national 3.43
Weekend RN hours
0.80
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
0.89
CMS adjusted RN staffing hours
Adjusted total hours
2.74
CMS adjusted total nurse staffing hours
Case-mix index
1.63
Higher values indicate more complex resident acuity
RN turnover
40%
Annual RN turnover · state 41% · national 45%
Total nurse turnover
39%
Annual nurse turnover · state 41% · national 46%
SNF VBP
Value-based purchasing
Program rank
5,653
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
35.42
Composite VBP score used to determine payment impact.
Payment multiplier
0.9891
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
3.12
Baseline 19.83% · Performance 19.99% · Measure score 3.12 · Achievement 3.12 · Improvement 0
Healthcare-associated infections
4.80
Baseline 9.64% · Performance 7.18% · Measure score 4.80 · Achievement 2.20 · Improvement 4.80
Total nurse turnover
6.25
Baseline 46.79% · Performance 38.13% · Measure score 6.25 · Achievement 6.25 · Improvement 3.45
Adjusted total nurse staffing
0
Baseline 3.46 hours · Performance 2.94 hours · Measure score 0 · Achievement 0 · Improvement 0
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 9.74% |
10.72%
1 pts better
|
No Different than the National Rate · Eligible stays 96 · Observed rate 11.46% · Lower 95% interval 6.55% |
| Discharge to community | 38.9% |
50.57%
11.7 pts worse
|
Worse than the National Rate · Eligible stays 103 · Observed rate 24.27% · Lower 95% interval 29.05% |
| Medicare spending per beneficiary | 1.03 |
1.02
About the same
|
|
| Drug regimen review with follow-up | 100% |
95.27%
4.7 pts better
|
Numerator 82 · Denominator 82 |
| Falls with major injury | 0% |
0.77%
0.8 pts better
|
Numerator 0 · Denominator 82 |
| Discharge self-care score | 76.79% |
53.69%
23.1 pts better
|
Numerator 43 · Denominator 56 |
| Discharge mobility score | 71.43% |
50.94%
20.5 pts better
|
Numerator 40 · Denominator 56 |
| Pressure ulcers or injuries, new or worsened | 0% |
2.29%
2.3 pts better
|
Numerator 0 · Denominator 82 · Adjusted rate 0% |
| Healthcare-associated infections requiring hospitalization | 7.18% |
7.12%
0.1 pts worse
|
No Different than the National Rate · Eligible stays 39 · Observed rate 10.26% · Lower 95% interval 4.05% |
| Staff COVID-19 vaccination coverage | 0.41% |
8.2%
7.8 pts worse
|
Numerator 1 · Denominator 246 |
| Staff flu vaccination coverage | 82.99% |
42%
41 pts better
|
Numerator 200 · Denominator 241 |
| Discharge function score | 76.79% |
56.45%
20.3 pts better
|
Numerator 43 · Denominator 56 |
| Transfer of health information to provider | 100% |
95.95%
4 pts better
|
Numerator 23 · Denominator 23 |
| Transfer of health information to patient | 90% |
96.28%
6.3 pts worse
|
Numerator 27 · Denominator 30 |
| Resident COVID-19 vaccinations up to date | 0% |
25.2%
25.2 pts worse
|
Numerator 0 · Denominator 43 |
Quality measures
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 1.5 |
1.7
0.2 pts better
|
1.9
0.4 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.5 · Observed 1.8 · Expected 2.3 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 1.6 |
1.3
0.3 pts worse
|
1.8
0.2 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.6 · Observed 1.6 · Expected 1.7 · 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 | 1.7% |
3.0%
1.3 pts better
|
3.3%
1.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 1.3% · Q2 1.3% · Q3 1.8% · Q4 2.3% · 4Q avg 1.7% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 97.6% |
18.5%
79.1 pts worse
|
11.4%
86.2 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 93.8% · Q3 98.0% · Q4 98.1% · 4Q avg 97.6% |
| Percentage of long-stay residents who lose too much weight | 8.2% |
6.1%
2.1 pts worse
|
5.4%
2.8 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 10.1% · Q2 11.0% · Q3 7.2% · Q4 4.9% · 4Q avg 8.2% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 8.8% |
13.5%
4.7 pts better
|
19.6%
10.8 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 9.4% · Q2 8.8% · Q3 8.9% · Q4 7.9% · 4Q avg 8.8% |
| Percentage of long-stay residents who received an antipsychotic medication | 4.3% |
14.8%
10.5 pts better
|
16.7%
12.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 4.0% · Q2 5.0% · Q3 3.7% · Q4 4.5% · 4Q avg 4.3% · 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 | 7.3% |
15.1%
7.8 pts better
|
16.3%
9 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 4.8% · Q2 6.8% · Q3 12.2% · Q4 5.7% · 4Q avg 7.3% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 8.4% |
15.5%
7.1 pts better
|
14.9%
6.5 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 3.8% · Q2 10.1% · Q3 13.6% · Q4 6.2% · 4Q avg 8.4% · 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 | 0.3% |
1.4%
1.1 pts better
|
1.7%
1.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.6% · Q2 0.7% · Q3 0.0% · Q4 0.0% · 4Q avg 0.3% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 4.4% |
20.8%
16.4 pts better
|
19.8%
15.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 10.5% · Q2 3.4% · Q3 3.0% · Q4 1.1% · 4Q avg 4.4% |
| Percentage of long-stay residents with pressure ulcers | 5.4% |
6.9%
1.5 pts better
|
5.1%
0.3 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 6.3% · Q2 6.8% · Q3 4.7% · Q4 4.2% · 4Q avg 5.4% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 97.0% |
76.7%
20.3 pts better
|
81.7%
15.3 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 92.7% · Q2 96.8% · Q3 99.3% · Q4 99.2% · 4Q avg 97.0% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 16.0% |
9.7%
6.3 pts worse
|
12.0%
4 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 16.0% · Observed 17.8% · Expected 12.4% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 1.7% |
1.2%
0.5 pts worse
|
1.6%
0.1 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 1.1% · Q3 3.2% · Q4 2.2% · 4Q avg 1.7% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 96.8% |
78.8%
18 pts better
|
79.7%
17.1 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 96.8% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 18.2% |
20.6%
2.4 pts better
|
23.9%
5.7 pts better
|
Short Stay · 20240701-20250630 · Adjusted 18.2% · Observed 23.3% · Expected 30.5% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2022-07-28 · Fire 2022-07-28
2 health deficiencies
Top issue: Quality of Life and Care (1 deficiency)
10 fire-safety deficiencies
Top issue: Smoke (5 deficiencies)
Cycle 3
Health 2019-08-14 · Fire 2019-08-14
8 health deficiencies
Top issue: Resident Assessment and Care Planning (3 deficiencies)
1 fire-safety deficiencies
Top issue: Smoke (1 deficiency)
Fire safety
Fire-safety citations
D · Potential for more than minimal harm
2024-07-03
K923 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Have proper medical gas storage and administration areas.
Corrected 2024-07-31
E · Potential for more than minimal harm
2022-07-28
K161 · Construction Deficiencies
Fire Safety
Use approved construction type or materials.
Corrected 2022-09-27
E · Potential for more than minimal harm
2022-07-28
K211 · Egress Deficiencies
Fire Safety
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Corrected 2022-09-27
E · Potential for more than minimal harm
2022-07-28
K281 · Egress Deficiencies
Fire Safety
Install proper backup exit lighting.
Corrected 2022-09-27
E · Potential for more than minimal harm
2022-07-28
K311 · Smoke Deficiencies
Fire Safety
Have an enclosure around a vertical opening shaft.
Corrected 2022-09-27
D · Potential for more than minimal harm
2022-07-28
K132 · Construction Deficiencies
Fire Safety
Meet requirements for outpatient facilities located next to inpatient facilities separated by fire resistive construction.
Corrected 2022-09-27
D · Potential for more than minimal harm
2022-07-28
K324 · Smoke Deficiencies
Fire Safety
Provide properly protected cooking facilities.
Corrected 2022-09-27
D · Potential for more than minimal harm
2022-07-28
K346 · Smoke Deficiencies
Fire Safety
Follow proper procedures when the fire alarm was out of service for more than 4 hours.
Corrected 2022-09-27
C · Minimal harm
2022-07-28
E26 · Emergency Preparedness Deficiencies
Fire Safety
Establish roles under a Waiver declared by secretary.
Corrected 2022-09-27
C · Minimal harm
2022-07-28
K345 · Smoke Deficiencies
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2022-09-27
C · Minimal harm
2022-07-28
K353 · Smoke Deficiencies
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2022-09-27
D · Potential for more than minimal harm
2019-08-14
K353 · Smoke Deficiencies
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2019-09-04
Inspection history
Recent health citations
J · Immediate jeopardy
2025-10-31
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 2025-12-23
G · Actual harm
2025-10-31
F684 · Quality of Life and Care Deficiencies
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2025-12-23
D · Potential for more than minimal harm
2025-10-31
F610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Health
Respond appropriately to all alleged violations.
Corrected 2025-12-23
E · Potential for more than minimal harm
2024-07-03
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2024-08-23
D · Potential for more than minimal harm
2024-07-03
F582 · Resident Rights Deficiencies
Health
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Corrected 2024-08-23
D · Potential for more than minimal harm
2024-07-03
F711 · Nursing and Physician Services Deficiencies
Health
Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit.
Corrected 2024-08-23
D · Potential for more than minimal harm
2024-07-03
F791 · Quality of Life and Care Deficiencies
Health
Provide or obtain dental services for each resident.
Corrected 2024-08-23
D · Potential for more than minimal harm
2023-06-22
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 2023-07-07
D · Potential for more than minimal harm
2022-07-28
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 2022-09-23
D · Potential for more than minimal harm
2022-07-28
F679 · Quality of Life and Care Deficiencies
Health
Provide activities to meet all resident's needs.
Corrected 2022-09-23
D · Potential for more than minimal harm
2019-08-14
F550 · Resident Rights Deficiencies
Health
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2019-10-13
D · Potential for more than minimal harm
2019-08-14
F610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Health
Respond appropriately to all alleged violations.
Corrected 2019-10-13
D · Potential for more than minimal harm
2019-08-14
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 2019-10-13
D · Potential for more than minimal harm
2019-08-14
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 2019-10-13
D · Potential for more than minimal harm
2019-08-14
F658 · Resident Assessment and Care Planning Deficiencies
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2019-10-13
D · Potential for more than minimal harm
2019-08-14
F684 · Quality of Life and Care Deficiencies
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2019-10-13
D · Potential for more than minimal harm
2019-08-14
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 2019-10-13
Penalties and ownership
What sits behind the stars
$125,210
2025-10-31
Fine
Fine · fine $125,210
Fine
Ownership
Brunner, Joseph
5% Or Greater Direct Ownership Interest · Individual
Melnicke, Michael
5% Or Greater Direct Ownership Interest · Individual
Friedman, Leopold
5% Or Greater Direct Ownership Interest · Individual
Brunner, Joseph
Corporate Officer · Individual
Derosa, Anthony
Operational/Managerial Control · Individual
Friedman, Leopold
Corporate Officer · Individual
Melnicke, Michael
Corporate Officer · Individual
Skutzka, Alexander
W-2 Managing Employee · Individual
Nearby options
Other facilities in reach
#1
Beach Gardens Rehab And Nursing Center
Far Rockaway, NY
3-star overall rating with 3-star inspections with 7 recent health deficiencies with 1 fire-safety deficiencies in the latest cycle
#2
Bezalel Rehabilitation And Nursing Center
Far Rockaway, NY
4-star overall rating with 4-star inspections with 1 recent health deficiencies with 2 fire-safety deficiencies in the latest cycle
#3
Far Rockaway Center For Rehabilitation And Nursing
Far Rockaway, NY
1-star overall rating with 2-star inspections with 13 recent health deficiencies with 4 fire-safety deficiencies in the latest cycle
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