Cycle 1
Health 2023-12-01 · Fire 2023-12-01
9 health deficiencies
Top issue: Quality of Life and Care (2 deficiencies)
3 fire-safety deficiencies
Top issue: Egress (2 deficiencies)
Jackson Heights, NY
Regal Heights Rehabilitation And Health Care Ctr
4-star overall rating with 3-star inspections with 9 recent health deficiencies with 3 fire-safety deficiencies in the latest cycle
70-05 35 Avenue, Jackson Heights, NY
(718) 662-5100
Overall
4 / 5
CMS overall stars
Health inspections
3 / 5
Survey and complaint cycles
Staffing
2 / 5
RN + nurse staffing
Quality measures
5 / 5
Resident outcomes and process measures
Quick facts
Facility snapshot
Beds
280
Certified beds
Average residents
273
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
No chain reported
Operator or chain grouping
Approved since
2000-02-08
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
0.63
Registered nurse staffing · state 0.70 · national 0.68
LPN hours / resident day
0.37
Licensed practical nurse staffing · state 0.78 · national 0.87
Aide hours / resident day
2.06
Nurse aide staffing · state 2.20 · national 2.35
Total nurse hours
3.06
All reported nurse hours · state 3.65 · national 3.89
Licensed hours
1.00
RN + LPN hours · state 1.47 · national 1.54
Weekend hours
2.84
Weekend nurse staffing · state 3.16 · national 3.43
Weekend RN hours
0.45
Weekend registered nurse coverage · state 0.47 · national 0.47
Physical therapist
0.05
Reported PT staffing · state 0.11 · national 0.07
Adjusted RN hours
0.66
CMS adjusted RN staffing hours
Adjusted total hours
3.19
CMS adjusted total nurse staffing hours
Case-mix index
1.31
Higher values indicate more complex resident acuity
RN turnover
61%
Annual RN turnover · state 41% · national 45%
Total nurse turnover
36%
Annual nurse turnover · state 41% · national 46%
SNF VBP
Value-based purchasing
Program rank
5,061
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
37.52
Composite VBP score used to determine payment impact.
Payment multiplier
0.9907
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
5.01
Baseline 18.88% · Performance 19.11% · Measure score 5.01 · Achievement 5.01 · Improvement 0
Healthcare-associated infections
0
Baseline 6.86% · Performance 7.83% · Measure score 0 · Achievement 0 · Improvement 0
Total nurse turnover
10
Baseline 34.74% · Performance 24.85% · Measure score 10 · Achievement 10 · Improvement 9
Adjusted total nurse staffing
0
Baseline 3 hours · Performance 3.14 hours · Measure score 0 · Achievement 0 · Improvement 0
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 10.72% |
10.72%
About the same
|
No Different than the National Rate · Eligible stays 347 · Observed rate 10.37% · Lower 95% interval 8.26% |
| Discharge to community | 39.87% |
50.57%
10.7 pts worse
|
Worse than the National Rate · Eligible stays 344 · Observed rate 30.52% · Lower 95% interval 34.63% |
| Medicare spending per beneficiary | 1.63 |
1.02
0.6 pts worse
|
|
| Drug regimen review with follow-up | 98.48% |
95.27%
3.2 pts better
|
Numerator 388 · Denominator 394 |
| Falls with major injury | 1.27% |
0.77%
0.5 pts worse
|
Numerator 5 · Denominator 394 |
| Discharge self-care score | 49.09% |
53.69%
4.6 pts worse
|
Numerator 135 · Denominator 275 |
| Discharge mobility score | 50.18% |
50.94%
0.8 pts worse
|
Numerator 138 · Denominator 275 |
| Pressure ulcers or injuries, new or worsened | 2.54% |
2.29%
0.2 pts worse
|
Numerator 10 · Denominator 394 · Adjusted rate 2% |
| Healthcare-associated infections requiring hospitalization | 7.83% |
7.12%
0.7 pts worse
|
No Different than the National Rate · Eligible stays 265 · Observed rate 7.92% · Lower 95% interval 5.48% |
| Staff COVID-19 vaccination coverage | 1.42% |
8.2%
6.8 pts worse
|
Numerator 4 · Denominator 282 |
| Staff flu vaccination coverage | 55.97% |
42%
14 pts better
|
Numerator 178 · Denominator 318 |
| Discharge function score | 59.27% |
56.45%
2.8 pts better
|
Numerator 163 · Denominator 275 |
| Transfer of health information to provider | 100% |
95.95%
4 pts better
|
Numerator 108 · Denominator 108 |
| Transfer of health information to patient | 99.17% |
96.28%
2.9 pts better
|
Numerator 120 · Denominator 121 |
| Resident COVID-19 vaccinations up to date | 17.09% |
25.2%
8.1 pts worse
|
Numerator 34 · Denominator 199 |
Quality measures
Resident outcomes and process scores
| 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 1.5 · Expected 1.8 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 0.9 |
1.3
0.4 pts better
|
1.8
0.9 pts better
|
Long Stay · 20240701-20250630 · Adjusted 0.9 · Observed 0.8 · Expected 1.4 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 92.8% |
91.2%
1.6 pts better
|
93.4%
0.6 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 86.8% · Q2 86.9% · Q3 99.1% · Q4 99.1% · 4Q avg 92.8% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 98.1% |
95.3%
2.8 pts better
|
95.5%
2.6 pts better
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 98.1% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 2.7% |
3.0%
0.3 pts better
|
3.3%
0.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 2.9% · Q2 2.5% · Q3 2.6% · Q4 2.6% · 4Q avg 2.7% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 3.9% |
18.5%
14.6 pts better
|
11.4%
7.5 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 2.2% · Q2 2.2% · Q3 6.4% · Q4 5.0% · 4Q avg 3.9% |
| Percentage of long-stay residents who lose too much weight | 7.0% |
6.1%
0.9 pts worse
|
5.4%
1.6 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 6.8% · Q2 9.5% · Q3 6.2% · Q4 5.2% · 4Q avg 7.0% |
| 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 8.4% · Q2 10.0% · Q3 10.8% · Q4 6.2% · 4Q avg 8.8% |
| Percentage of long-stay residents who received an antipsychotic medication | 8.5% |
14.8%
6.3 pts better
|
16.7%
8.2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 8.1% · Q2 8.2% · Q3 9.4% · Q4 8.5% · 4Q avg 8.5% · 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 | 4.5% |
15.1%
10.6 pts better
|
16.3%
11.8 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 5.0% · Q2 4.7% · Q3 4.9% · Q4 3.4% · 4Q avg 4.5% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 8.1% |
15.5%
7.4 pts better
|
14.9%
6.8 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 8.1% · Q2 7.9% · Q3 8.3% · Q4 8.1% · 4Q avg 8.1% · 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 | 27.4% |
20.8%
6.6 pts worse
|
19.8%
7.6 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 25.0% · Q2 21.6% · Q3 35.8% · Q4 27.3% · 4Q avg 27.4% |
| 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 4.3% · Q2 4.3% · Q3 5.7% · Q4 7.5% · 4Q avg 5.4% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 82.8% |
76.7%
6.1 pts better
|
81.7%
1.1 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 60.5% · Q2 79.1% · Q3 93.0% · Q4 95.8% · 4Q avg 82.8% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 7.1% |
9.7%
2.6 pts better
|
12.0%
4.9 pts better
|
Short Stay · 20240701-20250630 · Adjusted 7.1% · Observed 7.1% · Expected 11.2% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 0.7% |
1.2%
0.5 pts better
|
1.6%
0.9 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.9% · Q4 1.5% · 4Q avg 0.7% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 81.1% |
78.8%
2.3 pts better
|
79.7%
1.4 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 81.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 15.1% |
20.6%
5.5 pts better
|
23.9%
8.8 pts better
|
Short Stay · 20240701-20250630 · Adjusted 15.1% · Observed 16.1% · Expected 25.5% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2021-09-10 · Fire 2021-09-10
6 health deficiencies
Top issue: Quality of Life and Care (2 deficiencies)
1 fire-safety deficiencies
Top issue: Miscellaneous (1 deficiency)
Cycle 3
Health 2019-12-13 · Fire 2019-12-13
0 health deficiencies
No concentrated health issue counts in this cycle.
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
2023-12-01
E15 · Emergency Preparedness Deficiencies
Fire Safety
Address subsistence needs for staff and patients.
Corrected 2024-01-19
D · Potential for more than minimal harm
2023-12-01
K225 · Egress Deficiencies
Fire Safety
Have stairways and smokeproof enclosures used as exits that meet safety requirements.
Corrected 2023-12-18
D · Potential for more than minimal harm
2023-12-01
K271 · Egress Deficiencies
Fire Safety
Have exits that are accessible at all times.
Corrected 2023-12-18
E · Potential for more than minimal harm
2021-09-10
K753 · Miscellaneous Deficiencies
Fire Safety
Have restrictions on the use of highly flammable decorations.
Corrected 2021-10-11
Inspection history
Recent health citations
E · Potential for more than minimal harm
2023-12-01
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 2024-01-19
D · Potential for more than minimal harm
2023-12-01
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 2024-01-19
D · Potential for more than minimal harm
2023-12-01
F583 · Resident Rights Deficiencies
Health
Keep residents' personal and medical records private and confidential.
Corrected 2024-01-19
D · Potential for more than minimal harm
2023-12-01
F641 · Resident Assessment and Care Planning Deficiencies
Health
Ensure each resident receives an accurate assessment.
Corrected 2024-01-19
D · Potential for more than minimal harm
2023-12-01
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 2024-01-19
D · Potential for more than minimal harm
2023-12-01
F675 · Quality of Life and Care Deficiencies
Health
Honor each resident's preferences, choices, values and beliefs.
Corrected 2024-01-19
D · Potential for more than minimal harm
2023-12-01
F697 · Quality of Life and Care Deficiencies
Health
Provide safe, appropriate pain management for a resident who requires such services.
Corrected 2024-01-19
D · Potential for more than minimal harm
2023-12-01
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 2024-01-19
D · Potential for more than minimal harm
2023-12-01
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 2024-01-19
E · Potential for more than minimal harm
2021-09-10
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 2021-11-05
E · Potential for more than minimal harm
2021-09-10
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2021-11-05
D · Potential for more than minimal harm
2021-09-10
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 2021-11-05
D · Potential for more than minimal harm
2021-09-10
F679 · Quality of Life and Care Deficiencies
Health
Provide activities to meet all resident's needs.
Corrected 2021-11-05
D · Potential for more than minimal harm
2021-09-10
F687 · Quality of Life and Care Deficiencies
Health
Provide appropriate foot care.
Corrected 2021-11-05
D · Potential for more than minimal harm
2021-09-10
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 2021-11-05
Penalties and ownership
What sits behind the stars
Ownership
Berger, Martin
5% Or Greater Direct Ownership Interest · Individual
Fahey, Mary
5% Or Greater Direct Ownership Interest · Individual
Madden, William
5% Or Greater Direct Ownership Interest · Individual
Place, Kevin
W-2 Managing Employee · Individual
Nearby options
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#2
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2-star overall rating with 2-star inspections with $50,861 in total fines with 7 recent health deficiencies with 5 fire-safety deficiencies in the latest cycle
#3
Rego Park Nursing Home
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3-star overall rating with 3-star inspections with 3 recent health deficiencies with 4 fire-safety deficiencies in the latest cycle
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