3 health deficiencies
Top issue: Nursing and Physician Services (1 deficiency)
2 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (1 deficiency)
Brooklyn, NY
4-star overall rating with 4-star inspections with 3 recent health deficiencies with 2 fire-safety deficiencies in the latest cycle
3035 West 24th St, Brooklyn, NY
(718) 372-4500
Overall
4 / 5
CMS overall stars
Health inspections
4 / 5
Survey and complaint cycles
Staffing
3 / 5
RN + nurse staffing
Quality measures
4 / 5
Resident outcomes and process measures
Quick facts
Beds
320
Certified beds
Average residents
287
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
Cassena Care
Operator or chain grouping
Approved since
1973-11-01
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
RN hours / resident day
1.11
Registered nurse staffing · state 0.70 · national 0.68
LPN hours / resident day
0.12
Licensed practical nurse staffing · state 0.78 · national 0.87
Aide hours / resident day
2.17
Nurse aide staffing · state 2.20 · national 2.35
Total nurse hours
3.40
All reported nurse hours · state 3.65 · national 3.89
Licensed hours
1.23
RN + LPN hours · state 1.47 · national 1.54
Weekend hours
2.87
Weekend nurse staffing · state 3.16 · national 3.43
Weekend RN hours
0.94
Weekend registered nurse coverage · state 0.47 · national 0.47
Physical therapist
0.06
Reported PT staffing · state 0.11 · national 0.07
Adjusted RN hours
0.94
CMS adjusted RN staffing hours
Adjusted total hours
2.89
CMS adjusted total nurse staffing hours
Case-mix index
1.61
Higher values indicate more complex resident acuity
RN turnover
26%
Annual RN turnover · state 41% · national 45%
Total nurse turnover
29%
Annual nurse turnover · state 41% · national 46%
SNF VBP
Program rank
6,547
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
32.52
Composite VBP score used to determine payment impact.
Payment multiplier
0.9871
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
Readmission
1.92
Baseline 23.60% · Performance 22.01% · Measure score 1.92 · Achievement 0 · Improvement 1.92
Healthcare-associated infections
2.92
Baseline 8.88% · Performance 7.56% · Measure score 2.92 · Achievement 0.94 · Improvement 2.92
Total nurse turnover
8.16
Baseline 33.33% · Performance 30.32% · Measure score 8.16 · Achievement 8.16 · Improvement 3.06
Adjusted total nurse staffing
0.01
Baseline 2.68 hours · Performance 2.84 hours · Measure score 0.01 · Achievement 0 · Improvement 0.01
SNF QRP
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 9.42% |
10.72%
1.3 pts better
|
No Different than the National Rate · Eligible stays 404 · Observed rate 11.63% · Lower 95% interval 7.53% |
| Discharge to community | 42.79% |
50.57%
7.8 pts worse
|
Worse than the National Rate · Eligible stays 421 · Observed rate 30.64% · Lower 95% interval 36.99% |
| Medicare spending per beneficiary | 1.32 |
1.02
0.3 pts worse
|
|
| Drug regimen review with follow-up | 100% |
95.27%
4.7 pts better
|
Numerator 315 · Denominator 315 |
| Falls with major injury | 0.32% |
0.77%
0.5 pts better
|
Numerator 1 · Denominator 315 |
| Discharge self-care score | 84.24% |
53.69%
30.5 pts better
|
Numerator 139 · Denominator 165 |
| Discharge mobility score | 73.94% |
50.94%
23 pts better
|
Numerator 122 · Denominator 165 |
| Pressure ulcers or injuries, new or worsened | 0.32% |
2.29%
2 pts better
|
Numerator 1 · Denominator 315 · Adjusted rate 0.17% |
| Healthcare-associated infections requiring hospitalization | 7.55% |
7.12%
0.4 pts worse
|
No Different than the National Rate · Eligible stays 276 · Observed rate 11.23% · Lower 95% interval 5.34% |
| Staff COVID-19 vaccination coverage | 0.5% |
8.2%
7.7 pts worse
|
Numerator 2 · Denominator 399 |
| Staff flu vaccination coverage | 80.9% |
42%
38.9 pts better
|
Numerator 271 · Denominator 335 |
| Discharge function score | 84.24% |
56.45%
27.8 pts better
|
Numerator 139 · Denominator 165 |
| Transfer of health information to provider | 97.62% |
95.95%
1.7 pts better
|
Numerator 123 · Denominator 126 |
| Transfer of health information to patient | 98.55% |
96.28%
2.3 pts better
|
Numerator 68 · Denominator 69 |
| Resident COVID-19 vaccinations up to date | 14.29% |
25.2%
10.9 pts worse
|
Numerator 23 · Denominator 161 |
Quality measures
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 2.4 |
1.7
0.7 pts worse
|
1.9
0.5 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 2.4 · Observed 3.0 · Expected 2.4 · 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 1.8 · Expected 1.7 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 99.8% |
91.2%
8.6 pts better
|
93.4%
6.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 99.6% · Q3 100.0% · Q4 99.6% · 4Q avg 99.8% |
| 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 | 2.9% |
3.0%
0.1 pts better
|
3.3%
0.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 2.2% · Q2 3.5% · Q3 4.0% · Q4 2.1% · 4Q avg 2.9% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 26.0% |
18.5%
7.5 pts worse
|
11.4%
14.6 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 9.4% · Q2 16.1% · Q3 34.0% · Q4 42.7% · 4Q avg 26.0% |
| Percentage of long-stay residents who lose too much weight | 8.6% |
6.1%
2.5 pts worse
|
5.4%
3.2 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 8.9% · Q2 8.3% · Q3 9.1% · Q4 8.3% · 4Q avg 8.6% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 10.5% |
13.5%
3 pts better
|
19.6%
9.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 9.0% · Q2 10.2% · Q3 11.1% · Q4 11.6% · 4Q avg 10.5% |
| Percentage of long-stay residents who received an antipsychotic medication | 12.3% |
14.8%
2.5 pts better
|
16.7%
4.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 14.7% · Q2 13.1% · Q3 10.4% · Q4 11.0% · 4Q avg 12.3% · 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 | 9.2% |
15.1%
5.9 pts better
|
16.3%
7.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 8.1% · Q2 13.2% · Q3 7.7% · Q4 7.3% · 4Q avg 9.2% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 10.3% |
15.5%
5.2 pts better
|
14.9%
4.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 8.4% · Q2 14.9% · Q3 9.9% · Q4 7.9% · 4Q avg 10.3% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 1.4% |
0.6%
0.8 pts worse
|
1.0%
0.4 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 1.2% · Q2 1.6% · Q3 1.1% · Q4 1.5% · 4Q avg 1.4% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 1.6% |
1.4%
0.2 pts worse
|
1.7%
0.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 1.8% · Q3 2.3% · Q4 2.1% · 4Q avg 1.6% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 24.6% |
20.8%
3.8 pts worse
|
19.8%
4.8 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 19.2% · Q2 27.2% · Q3 29.8% · Q4 22.2% · 4Q avg 24.6% |
| Percentage of long-stay residents with pressure ulcers | 8.6% |
6.9%
1.7 pts worse
|
5.1%
3.5 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 7.9% · Q2 11.6% · Q3 8.3% · Q4 6.5% · 4Q avg 8.6% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 98.7% |
76.7%
22 pts better
|
81.7%
17 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 99.2% · Q2 99.3% · Q3 98.5% · Q4 98.0% · 4Q avg 98.7% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 8.6% |
9.7%
1.1 pts better
|
12.0%
3.4 pts better
|
Short Stay · 20240701-20250630 · Adjusted 8.6% · Observed 10.2% · Expected 13.2% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 2.0% |
1.2%
0.8 pts worse
|
1.6%
0.4 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 1.9% · Q2 0.6% · Q3 2.2% · Q4 2.9% · 4Q avg 2.0% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 94.0% |
78.8%
15.2 pts better
|
79.7%
14.3 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 94.0% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 19.5% |
20.6%
1.1 pts better
|
23.9%
4.4 pts better
|
Short Stay · 20240701-20250630 · Adjusted 19.5% · Observed 29.0% · Expected 35.5% · Used in QM five-star |
Survey summary
Top issue: Nursing and Physician Services (1 deficiency)
2 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (1 deficiency)
Top issue: Freedom from Abuse and Neglect and Exploitation (2 deficiencies)
1 fire-safety deficiencies
Top issue: Smoke (1 deficiency)
No concentrated health issue counts in this cycle.
5 fire-safety deficiencies
Top issue: Egress (2 deficiencies)
Fire safety
Fire Safety
Have proper power supply for life support equipment.
Corrected 2025-10-28
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2025-10-28
Fire Safety
Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke.
Corrected 2023-11-22
Fire Safety
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
Corrected 2021-09-17
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2021-09-17
Fire Safety
Have restrictions on the use of portable space heaters.
Corrected 2021-09-17
Fire Safety
Meet requirements for the installation and maintenance of electrical systems.
Corrected 2021-09-17
Fire Safety
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Corrected 2021-09-17
Inspection history
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 2025-10-23
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2025-10-23
Health
Post nurse staffing information every day.
Corrected 2025-10-23
Health
Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.
Corrected 2023-12-04
Health
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2023-12-04
Health
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
Corrected 2023-12-04
Health
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2023-12-04
Health
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
Corrected 2023-12-04
Health
Provide and implement an infection prevention and control program.
Corrected 2023-12-04
Health
Post nurse staffing information every day.
Corrected 2023-12-04
Penalties and ownership
5% Or Greater Direct Ownership Interest · Individual
5% Or Greater Direct Ownership Interest · Individual
5% Or Greater Direct Ownership Interest · Individual
5% Or Greater Direct Ownership Interest · Individual
Operational/Managerial Control · Individual
Corporate Officer · Individual
Operational/Managerial Control · Individual
Corporate Officer · Individual
Corporate Officer · Individual
Corporate Officer · Individual
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