11 health deficiencies
Top issue: Nutrition and Dietary (2 deficiencies)
7 fire-safety deficiencies
Top issue: Smoke (3 deficiencies)
Staten Island, NY
2-star overall rating with 2-star inspections with 11 recent health deficiencies with 7 fire-safety deficiencies in the latest cycle
91 Tompkins Avenue, Staten Island, NY
(718) 876-1200
Overall
2 / 5
CMS overall stars
Health inspections
2 / 5
Survey and complaint cycles
Staffing
4 / 5
RN + nurse staffing
Quality measures
4 / 5
Resident outcomes and process measures
Quick facts
Beds
372
Certified beds
Average residents
356
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
Centers Health Care
Operator or chain grouping
Approved since
1994-01-14
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Chain footprint
35 facilities
Chain averages 2 overall / 2 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
0.39
Registered nurse staffing · state 0.70 · national 0.68
LPN hours / resident day
0.92
Licensed practical nurse staffing · state 0.78 · national 0.87
Aide hours / resident day
3.14
Nurse aide staffing · state 2.20 · national 2.35
Total nurse hours
4.44
All reported nurse hours · state 3.65 · national 3.89
Licensed hours
1.30
RN + LPN hours · state 1.47 · national 1.54
Weekend hours
3.95
Weekend nurse staffing · state 3.16 · national 3.43
Weekend RN hours
0.23
Weekend registered nurse coverage · state 0.47 · national 0.47
Physical therapist
0.02
Reported PT staffing · state 0.11 · national 0.07
Adjusted RN hours
0.43
CMS adjusted RN staffing hours
Adjusted total hours
4.95
CMS adjusted total nurse staffing hours
Case-mix index
1.23
Higher values indicate more complex resident acuity
RN turnover
31%
Annual RN turnover · state 41% · national 45%
Total nurse turnover
29%
Annual nurse turnover · state 41% · national 46%
SNF VBP
Program rank
7,071
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
30.85
Composite VBP score used to determine payment impact.
Payment multiplier
0.9862
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
Readmission
0
Baseline 20.34% · Performance 21.71% · Measure score 0 · Achievement 0 · Improvement 0
Healthcare-associated infections
2.53
Baseline 6.95% · Performance 7.08% · Measure score 2.53 · Achievement 2.53 · Improvement 0
Total nurse turnover
5.14
Baseline 26.54% · Performance 42.65% · Measure score 5.14 · Achievement 5.14 · Improvement 0
Adjusted total nurse staffing
4.66
Baseline 4.81 hours · Performance 4.40 hours · Measure score 4.66 · Achievement 4.66 · Improvement 0
SNF QRP
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 11.54% |
10.72%
0.8 pts worse
|
No Different than the National Rate · Eligible stays 135 · Observed rate 13.33% · Lower 95% interval 7.55% |
| Discharge to community | 42.86% |
50.57%
7.7 pts worse
|
Worse than the National Rate · Eligible stays 137 · Observed rate 33.58% · Lower 95% interval 35.1% |
| Medicare spending per beneficiary | 0.82 |
1.02
0.2 pts better
|
|
| Drug regimen review with follow-up | 96.81% |
95.27%
1.5 pts better
|
Numerator 91 · Denominator 94 |
| Falls with major injury | 1.06% |
0.77%
0.3 pts worse
|
Numerator 1 · Denominator 94 |
| Discharge self-care score | 70.15% |
53.69%
16.5 pts better
|
Numerator 47 · Denominator 67 |
| Discharge mobility score | 77.61% |
50.94%
26.7 pts better
|
Numerator 52 · Denominator 67 |
| Pressure ulcers or injuries, new or worsened | 1.06% |
2.29%
1.2 pts better
|
Numerator 1 · Denominator 94 · Adjusted rate 1.03% |
| Healthcare-associated infections requiring hospitalization | 7.08% |
7.12%
About the same
|
No Different than the National Rate · Eligible stays 58 · Observed rate 8.62% · Lower 95% interval 3.91% |
| Staff COVID-19 vaccination coverage | 0% |
8.2%
8.2 pts worse
|
Numerator 0 · Denominator 467 |
| Staff flu vaccination coverage | 48.09% |
42%
6.1 pts better
|
Numerator 378 · Denominator 786 |
| Discharge function score | 80.6% |
56.45%
24.1 pts better
|
Numerator 54 · Denominator 67 |
| Transfer of health information to provider | Not Available |
95.95%
|
Numerator Not Available · Denominator 16 · Too few residents or stays to report publicly. |
| Transfer of health information to patient | 97.96% |
96.28%
1.7 pts better
|
Numerator 48 · Denominator 49 |
| Resident COVID-19 vaccinations up to date | 11.29% |
25.2%
13.9 pts worse
|
Numerator 7 · Denominator 62 |
Quality measures
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 2.2 |
1.7
0.5 pts worse
|
1.9
0.3 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 2.2 · Observed 3.0 · Expected 2.6 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 2.3 |
1.3
1 pts worse
|
1.8
0.5 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 2.3 · Observed 2.7 · Expected 2.0 · 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 | 99.7% |
95.3%
4.4 pts better
|
95.5%
4.2 pts better
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 99.7% |
| 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 1.8% · Q2 2.1% · Q3 2.3% · Q4 1.2% · 4Q avg 1.9% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 4.8% |
18.5%
13.7 pts better
|
11.4%
6.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 6.7% · Q2 4.0% · Q3 3.3% · Q4 5.5% · 4Q avg 4.8% |
| Percentage of long-stay residents who lose too much weight | 3.1% |
6.1%
3 pts better
|
5.4%
2.3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 2.8% · Q2 1.5% · Q3 3.5% · Q4 4.5% · 4Q avg 3.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 21.5% |
13.5%
8 pts worse
|
19.6%
1.9 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 21.0% · Q2 19.9% · Q3 22.9% · Q4 22.0% · 4Q avg 21.5% |
| Percentage of long-stay residents who received an antipsychotic medication | 42.6% |
14.8%
27.8 pts worse
|
16.7%
25.9 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 41.7% · Q2 41.3% · Q3 42.3% · Q4 45.2% · 4Q avg 42.6% · 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 | 2.6% |
15.1%
12.5 pts better
|
16.3%
13.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 5.8% · Q2 2.1% · Q3 1.2% · Q4 1.3% · 4Q avg 2.6% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 3.8% |
15.5%
11.7 pts better
|
14.9%
11.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 4.0% · Q2 4.7% · Q3 4.1% · Q4 2.4% · 4Q avg 3.8% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.1% |
0.6%
0.5 pts better
|
1.0%
0.9 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.2% · 4Q avg 0.1% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 0.7% |
1.4%
0.7 pts better
|
1.7%
1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.3% · Q2 0.3% · Q3 0.9% · Q4 1.2% · 4Q avg 0.7% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 11.7% |
20.8%
9.1 pts better
|
19.8%
8.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 16.4% · Q2 13.5% · Q3 9.0% · Q4 7.8% · 4Q avg 11.7% |
| Percentage of long-stay residents with pressure ulcers | 12.8% |
6.9%
5.9 pts worse
|
5.1%
7.7 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 16.4% · Q2 14.4% · Q3 11.6% · Q4 9.0% · 4Q avg 12.8% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 99.0% |
76.7%
22.3 pts better
|
81.7%
17.3 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 98.2% · Q2 99.5% · Q3 99.5% · Q4 98.9% · 4Q avg 99.0% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 9.4% |
9.7%
0.3 pts better
|
12.0%
2.6 pts better
|
Short Stay · 20240701-20250630 · Adjusted 9.4% · Observed 11.1% · Expected 13.2% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 1.1% |
1.2%
0.1 pts better
|
1.6%
0.5 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 1.1% · Q2 1.9% · Q3 1.2% · Q4 0.0% · 4Q avg 1.1% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 98.3% |
78.8%
19.5 pts better
|
79.7%
18.6 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 98.3% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 25.1% |
20.6%
4.5 pts worse
|
23.9%
1.2 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 25.1% · Observed 28.3% · Expected 26.9% · Used in QM five-star |
Survey summary
Top issue: Nutrition and Dietary (2 deficiencies)
7 fire-safety deficiencies
Top issue: Smoke (3 deficiencies)
Top issue: Nutrition and Dietary (2 deficiencies)
6 fire-safety deficiencies
Top issue: Smoke (3 deficiencies)
Top issue: Quality of Life and Care (2 deficiencies)
6 fire-safety deficiencies
Top issue: Smoke (4 deficiencies)
Fire safety
Fire Safety
Address subsistence needs for staff and patients.
Corrected 2023-10-10
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2023-10-17
Fire Safety
Properly select, install, inspect, or maintain portable fire extinguishes.
Corrected 2023-10-17
Fire Safety
Install smoke barrier doors that can resist smoke for at least 20 minutes.
Corrected 2023-10-17
Fire Safety
Have proper medical gas storage and administration areas.
Corrected 2023-10-17
Fire Safety
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Corrected 2023-10-17
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2023-10-17
Fire Safety
Properly select, install, inspect, or maintain portable fire extinguishes.
Corrected 2021-07-29
Fire Safety
Have elevators that firefighters can control in the event of a fire.
Corrected 2021-07-29
Fire Safety
Install emergency lighting that can last at least 1 1/2 hours.
Corrected 2021-07-29
Fire Safety
Provide properly protected cooking facilities.
Corrected 2021-07-29
Fire Safety
Have a battery powered remote alarm panel in a location accessible by operating personnel.
Corrected 2021-07-29
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2021-07-29
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2019-03-29
Fire Safety
Install an approved automatic sprinkler system.
Not marked corrected
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2019-03-29
Fire Safety
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Corrected 2019-03-15
Fire Safety
Have proper power supply for life support equipment.
Corrected 2019-03-29
Fire Safety
Install smoke barrier doors that can resist smoke for at least 20 minutes.
Corrected 2019-03-29
Inspection history
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2024-04-19
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2023-10-10
Health
Dispose of garbage and refuse properly.
Corrected 2023-10-10
Health
Ensure residents have reasonable access to and privacy in their use of communication methods.
Corrected 2023-10-10
Health
Provide and implement an infection prevention and control program.
Corrected 2023-10-10
Health
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2023-10-10
Health
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2023-10-10
Health
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Corrected 2023-10-10
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2023-10-10
Health
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2023-10-10
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2023-10-10
Health
Provide enough food/fluids to maintain a resident's health.
Corrected 2023-10-10
Health
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected 2023-10-10
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 2023-10-10
Health
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected 2021-08-25
Health
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected 2021-08-25
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2021-08-25
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2021-08-25
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2021-08-25
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 2021-08-25
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2021-08-25
Health
Provide and implement an infection prevention and control program.
Corrected 2021-08-25
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 2019-03-15
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 2019-03-21
Health
Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.
Corrected 2019-03-15
Health
Provide and implement an infection prevention and control program.
Corrected 2019-03-22
Penalties and ownership
5% Or Greater Direct Ownership Interest · Individual
5% Or Greater Direct Ownership Interest · Individual
Operational/Managerial Control · Individual
5% Or Greater Direct Ownership Interest · Individual
Nearby options
Staten Island, NY
1-star overall rating with 1-star inspections with 15 recent health deficiencies with 4 fire-safety deficiencies in the latest cycle
Staten Island, NY
2-star overall rating with 3-star inspections with $130,902 in total fines with 4 recent health deficiencies with 3 fire-safety deficiencies in the latest cycle
Staten Island, NY
3-star overall rating with 3-star inspections with 8 recent health deficiencies with 24 fire-safety deficiencies in the latest cycle
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