Brooklyn, NY

Saints Joachim & Anne Nursing And Rehab Center

5-star overall rating with 4-star inspections with 3 recent health deficiencies with 1 fire-safety deficiencies in the latest cycle

2720 Surf Avenue, Brooklyn, NY

(718) 714-4800

Compare this facility

Overall

5 / 5

CMS overall stars

Health inspections

4 / 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

200

Certified beds

Average residents

190

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

No chain reported

Operator or chain grouping

Approved since

1991-02-04

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Staffing

Hours and turnover

RN hours / resident day

0.78

Registered nurse staffing

LPN hours / resident day

0.34

Licensed practical nurse staffing

Aide hours / resident day

2.07

Nurse aide staffing

Weekend hours

2.94

Weekend nurse staffing

RN turnover

70%

Annual RN turnover

Total nurse turnover

42%

Annual nurse turnover

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
Number of outpatient emergency department visits per 1000 long-stay resident days	1.4	1.3 0.1 pts worse	1.8 0.4 pts better	Long Stay · 20240701-20250630
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine	99.5%	91.2% 8.3 pts better	93.4% 6.1 pts better	Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine	96.5%	95.3% 1.2 pts better	95.5% 1 pts better	Long Stay · 2024Q3-2025Q2
Percentage of long-stay residents experiencing one or more falls with major injury	5.2%	3.0% 2.2 pts worse	3.3% 1.9 pts worse	Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who have depressive symptoms	51.4%	18.5% 32.9 pts worse	11.4% 40 pts worse	Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who lose too much weight	7.6%	6.1% 1.5 pts worse	5.4% 2.2 pts worse	Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who received an antianxiety or hypnotic medication	4.1%	13.5% 9.4 pts better	19.6% 15.5 pts better	Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who received an antipsychotic medication	16.1%	14.8% 1.3 pts worse	16.7% 0.6 pts better	Long Stay · 2024Q4-2025Q3
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
Percentage of long-stay residents whose ability to walk independently worsened	4.9%	15.1% 10.2 pts better	16.3% 11.4 pts better	Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents whose need for help with daily activities has increased	7.3%	15.5% 8.2 pts better	14.9% 7.6 pts better	Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with a catheter inserted and left in their bladder	0.3%	0.6% 0.3 pts better	1.0% 0.7 pts better	Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with a urinary tract infection	0.2%	1.4% 1.2 pts better	1.7% 1.5 pts better	Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with new or worsened bowel or bladder incontinence	17.5%	20.8% 3.3 pts better	19.8% 2.3 pts better	Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with pressure ulcers	6.7%	6.9% 0.2 pts better	5.1% 1.6 pts worse	Long Stay · 2024Q4-2025Q3
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine	97.4%	76.7% 20.7 pts better	81.7% 15.7 pts better	Short Stay · 2024Q4-2025Q3
Percentage of short-stay residents who had an outpatient emergency department visit	4.6%	9.7% 5.1 pts better	12.0% 7.4 pts better	Short Stay · 20240701-20250630
Percentage of short-stay residents who newly received an antipsychotic medication	2.2%	1.2% 1 pts worse	1.6% 0.6 pts worse	Short Stay · 2024Q4-2025Q3
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine	96.1%	78.8% 17.3 pts better	79.7% 16.4 pts better	Short Stay · 2024Q3-2025Q2
Percentage of short-stay residents who were rehospitalized after a nursing home admission	16.7%	20.6% 3.9 pts better	23.9% 7.2 pts better	Short Stay · 20240701-20250630

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-04-22 · Fire 2025-04-22

3 health deficiencies

Top issue: Resident Rights (2 deficiencies)

1 fire-safety deficiencies

Top issue: Smoke (1 deficiency)

Cycle 2 Health 2023-04-24 · Fire 2023-04-24

6 health deficiencies

Top issue: Nutrition and Dietary (2 deficiencies)

15 fire-safety deficiencies

Top issue: Emergency Preparedness (5 deficiencies)

Cycle 3 Health 2020-09-15 · Fire 2020-09-15

1 health deficiencies

Top issue: Resident Assessment and Care Planning (1 deficiency)

8 fire-safety deficiencies

Top issue: Egress (4 deficiencies)

Fire safety

Fire-safety citations

D · Potential for more than minimal harm 2025-04-22

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 2025-04-27

F · Potential for more than minimal harm 2023-04-24

E20 · Emergency Preparedness Deficiencies

Fire Safety

Establish policies and procedures including evacuation.

Corrected 2023-07-05

F · Potential for more than minimal harm 2023-04-24

E4 · Emergency Preparedness Deficiencies

Fire Safety

Develop and maintain an Emergency Preparedness Program (EP).

Corrected 2023-07-03

F · Potential for more than minimal harm 2023-04-24

E7 · Emergency Preparedness Deficiencies

Fire Safety

Address patient/client population and determine types of services needed.

Corrected 2023-07-05

F · Potential for more than minimal harm 2023-04-24

K225 · Egress Deficiencies

Fire Safety

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

Corrected 2023-06-24

F · Potential for more than minimal harm 2023-04-24

K374 · Smoke Deficiencies

Fire Safety

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

Corrected 2023-07-24

F · Potential for more than minimal harm 2023-04-24

K531 · Services Deficiencies

Fire Safety

Have elevators that firefighters can control in the event of a fire.

Corrected 2023-07-03

F · Potential for more than minimal harm 2023-04-24

K915 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have proper power supply for life support equipment.

Corrected 2023-07-20

E · Potential for more than minimal harm 2023-04-24

K293 · Egress Deficiencies

Fire Safety

Have properly located and lighted "Exit" signs.

Corrected 2023-07-05

E · Potential for more than minimal harm 2023-04-24

K355 · Smoke Deficiencies

Fire Safety

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

Corrected 2023-07-03

D · Potential for more than minimal harm 2023-04-24

K255 · Egress Deficiencies

Fire Safety

Ensure that suites are correctly sub-divided by noncombustible or limited-combustible construction.

Corrected 2023-07-03

D · Potential for more than minimal harm 2023-04-24

K341 · Smoke Deficiencies

Fire Safety

Install a fire alarm system that can be heard throughout the facility.

Corrected 2023-07-03

D · Potential for more than minimal harm 2023-04-24

K351 · Smoke Deficiencies

Fire Safety

Install an approved automatic sprinkler system.

Corrected 2023-07-03

D · Potential for more than minimal harm 2023-04-24

K911 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Meet requirements for the installation and maintenance of electrical systems.

Corrected 2023-07-03

C · Minimal harm 2023-04-24

E15 · Emergency Preparedness Deficiencies

Fire Safety

Address subsistence needs for staff and patients.

Corrected 2023-07-05

C · Minimal harm 2023-04-24

E35 · Emergency Preparedness Deficiencies

Fire Safety

Provide family notifications of emergency plan.

Corrected 2023-07-05

E · Potential for more than minimal harm 2020-09-15

K281 · Egress Deficiencies

Fire Safety

Install proper backup exit lighting.

Corrected 2020-10-28

E · Potential for more than minimal harm 2020-09-15

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 2020-10-28

E · Potential for more than minimal harm 2020-09-15

K355 · Smoke Deficiencies

Fire Safety

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

Corrected 2020-10-28

E · Potential for more than minimal harm 2020-09-15

K372 · Smoke Deficiencies

Fire Safety

Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

Corrected 2020-10-28

D · Potential for more than minimal harm 2020-09-15

K211 · Egress Deficiencies

Fire Safety

Keep aisles, corridors, and exits free of obstruction in case of emergency.

Corrected 2020-10-28

D · Potential for more than minimal harm 2020-09-15

K223 · Egress Deficiencies

Fire Safety

Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.

Corrected 2020-10-28

D · Potential for more than minimal harm 2020-09-15

K923 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have proper medical gas storage and administration areas.

Corrected 2020-10-28

B · Minimal harm 2020-09-15

K225 · Egress Deficiencies

Fire Safety

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

Not marked corrected

Inspection history

Recent health citations

D · Potential for more than minimal harm 2025-04-22

F553 · Resident Rights Deficiencies

Health

Allow resident to participate in the development and implementation of his or her person-centered plan of care.

Corrected 2025-06-17

D · Potential for more than minimal harm 2025-04-22

F582 · Resident Rights Deficiencies

Health

Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

Corrected 2025-06-17

B · Minimal harm 2025-04-22

F641 · Resident Assessment and Care Planning Deficiencies

Health

Ensure each resident receives an accurate assessment.

Corrected 2025-06-17

F · Potential for more than minimal harm 2023-04-24

F803 · Nutrition and Dietary Deficiencies

Health

Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.

Corrected 2023-06-15

D · Potential for more than minimal harm 2023-04-24

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 2023-06-28

D · Potential for more than minimal harm 2023-04-24

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 2023-06-16

D · Potential for more than minimal harm 2023-04-24

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 2023-06-16

D · Potential for more than minimal harm 2023-04-24

F770 · Administration Deficiencies

Health

Provide timely, quality laboratory services/tests to meet the needs of residents.

Corrected 2023-06-16

D · Potential for more than minimal harm 2023-04-24

F806 · Nutrition and Dietary Deficiencies

Health

Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.

Corrected 2023-06-15

D · Potential for more than minimal harm 2020-09-15

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 2020-09-23

Penalties and ownership