6 health deficiencies
Top issue: Freedom from Abuse and Neglect and Exploitation (3 deficiencies)
1 fire-safety deficiencies
Top issue: Egress (1 deficiency)
Staten Island, NY
5-star overall rating with 4-star inspections with 6 recent health deficiencies with 1 fire-safety deficiencies in the latest cycle
460 Brielle Ave, Staten Island, NY
(718) 317-3000
Overall
5 / 5
CMS overall stars
Health inspections
4 / 5
Survey and complaint cycles
Staffing
5 / 5
RN + nurse staffing
Quality measures
5 / 5
Resident outcomes and process measures
Quick facts
Beds
304
Certified beds
Average residents
299
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
New York City Health + Hospitals
Operator or chain grouping
Approved since
1970-07-01
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Chain footprint
5 facilities
Chain averages 5 overall / 4 health / 5 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
1.38
Registered nurse staffing · state 0.70 · national 0.68
LPN hours / resident day
0.42
Licensed practical nurse staffing · state 0.78 · national 0.87
Aide hours / resident day
2.65
Nurse aide staffing · state 2.20 · national 2.35
Total nurse hours
4.45
All reported nurse hours · state 3.65 · national 3.89
Licensed hours
1.80
RN + LPN hours · state 1.47 · national 1.54
Weekend hours
3.85
Weekend nurse staffing · state 3.16 · national 3.43
Weekend RN hours
1.06
Weekend registered nurse coverage · state 0.47 · national 0.47
Physical therapist
0.09
Reported PT staffing · state 0.11 · national 0.07
Adjusted RN hours
1.42
CMS adjusted RN staffing hours
Adjusted total hours
4.58
CMS adjusted total nurse staffing hours
Case-mix index
1.33
Higher values indicate more complex resident acuity
RN turnover
15%
Annual RN turnover · state 41% · national 45%
Total nurse turnover
19%
Annual nurse turnover · state 41% · national 46%
SNF VBP
Program rank
1,626
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
55.20
Composite VBP score used to determine payment impact.
Payment multiplier
1.0102
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
Readmission
6.78
Baseline 18.96% · Performance 18.29% · Measure score 6.78 · Achievement 6.78 · Improvement 2.98
Healthcare-associated infections
0
Baseline 6.85% · Performance 7.85% · Measure score 0 · Achievement 0 · Improvement 0
Total nurse turnover
10
Baseline 28.86% · Performance 21.70% · Measure score 10 · Achievement 10 · Improvement 9
Adjusted total nurse staffing
5.30
Baseline 4.73 hours · Performance 4.59 hours · Measure score 5.30 · Achievement 5.30 · Improvement 0
SNF QRP
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 9.95% |
10.72%
0.8 pts better
|
No Different than the National Rate · Eligible stays 296 · Observed rate 8.45% · Lower 95% interval 7.34% |
| Discharge to community | 48.32% |
50.57%
2.2 pts worse
|
No Different than the National Rate · Eligible stays 325 · Observed rate 43.08% · Lower 95% interval 42.73% |
| Medicare spending per beneficiary | 1.13 |
1.02
0.1 pts worse
|
|
| Drug regimen review with follow-up | 24.55% |
95.27%
70.7 pts worse
|
Numerator 54 · Denominator 220 |
| Falls with major injury | 0% |
0.77%
0.8 pts better
|
Numerator 0 · Denominator 220 |
| Discharge self-care score | 45.45% |
53.69%
8.2 pts worse
|
Numerator 75 · Denominator 165 |
| Discharge mobility score | 54.55% |
50.94%
3.6 pts better
|
Numerator 90 · Denominator 165 |
| Pressure ulcers or injuries, new or worsened | 1.83% |
2.29%
0.5 pts better
|
Numerator 4 · Denominator 219 · Adjusted rate 1.58% |
| Healthcare-associated infections requiring hospitalization | 7.85% |
7.12%
0.7 pts worse
|
No Different than the National Rate · Eligible stays 205 · Observed rate 8.78% · Lower 95% interval 5.59% |
| Staff COVID-19 vaccination coverage | 4.2% |
8.2%
4 pts worse
|
Numerator 23 · Denominator 547 |
| Staff flu vaccination coverage | 44.21% |
42%
2.2 pts better
|
Numerator 294 · Denominator 665 |
| Discharge function score | 40.61% |
56.45%
15.8 pts worse
|
Numerator 67 · Denominator 165 |
| Transfer of health information to provider | 94% |
95.95%
2 pts worse
|
Numerator 47 · Denominator 50 |
| Transfer of health information to patient | 99.06% |
96.28%
2.8 pts better
|
Numerator 105 · Denominator 106 |
| Resident COVID-19 vaccinations up to date | 13.59% |
25.2%
11.6 pts worse
|
Numerator 14 · Denominator 103 |
Quality measures
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 1.4 |
1.7
0.3 pts better
|
1.9
0.5 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.4 · Observed 1.3 · Expected 1.8 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 0.6 |
1.3
0.7 pts better
|
1.8
1.2 pts better
|
Long Stay · 20240701-20250630 · Adjusted 0.6 · Observed 0.6 · Expected 1.6 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 89.7% |
91.2%
1.5 pts worse
|
93.4%
3.7 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 93.3% · Q2 86.5% · Q3 86.1% · Q4 92.7% · 4Q avg 89.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 97.6% |
95.3%
2.3 pts better
|
95.5%
2.1 pts better
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 97.6% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 2.5% |
3.0%
0.5 pts better
|
3.3%
0.8 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 3.7% · Q2 3.3% · Q3 1.5% · Q4 1.5% · 4Q avg 2.5% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 0.0% |
18.5%
18.5 pts better
|
11.4%
11.4 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 who lose too much weight | 6.1% |
6.1%
About the same
|
5.4%
0.7 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 5.3% · Q2 6.6% · Q3 6.8% · Q4 5.9% · 4Q avg 6.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 11.8% |
13.5%
1.7 pts better
|
19.6%
7.8 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 11.9% · Q2 12.4% · Q3 12.0% · Q4 11.0% · 4Q avg 11.8% |
| Percentage of long-stay residents who received an antipsychotic medication | 8.9% |
14.8%
5.9 pts better
|
16.7%
7.8 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 13.3% · Q2 4.9% · Q3 9.0% · Q4 8.4% · 4Q avg 8.9% · 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 | 19.1% |
15.1%
4 pts worse
|
16.3%
2.8 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 18.8% · Q2 21.0% · Q3 17.9% · Q4 18.9% · 4Q avg 19.1% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 18.0% |
15.5%
2.5 pts worse
|
14.9%
3.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 17.9% · Q2 20.3% · Q3 17.1% · Q4 16.7% · 4Q avg 18.0% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.2% |
0.6%
0.4 pts better
|
1.0%
0.8 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.3% · Q2 0.5% · Q3 0.0% · Q4 0.0% · 4Q avg 0.2% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 1.2% |
1.4%
0.2 pts better
|
1.7%
0.5 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 1.5% · Q2 0.7% · Q3 0.8% · Q4 1.8% · 4Q avg 1.2% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 11.4% |
20.8%
9.4 pts better
|
19.8%
8.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 14.5% · Q2 9.9% · Q3 11.5% · Q4 9.9% · 4Q avg 11.4% |
| Percentage of long-stay residents with pressure ulcers | 7.9% |
6.9%
1 pts worse
|
5.1%
2.8 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 6.8% · Q2 9.8% · Q3 8.3% · Q4 6.6% · 4Q avg 7.9% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 78.9% |
76.7%
2.2 pts better
|
81.7%
2.8 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 73.0% · Q2 79.5% · Q3 80.6% · Q4 83.1% · 4Q avg 78.9% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 5.8% |
9.7%
3.9 pts better
|
12.0%
6.2 pts better
|
Short Stay · 20240701-20250630 · Adjusted 5.8% · Observed 5.5% · Expected 10.6% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 0.9% |
1.2%
0.3 pts better
|
1.6%
0.7 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 1.4% · Q2 0.8% · Q3 0.8% · Q4 0.7% · 4Q avg 0.9% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 84.6% |
78.8%
5.8 pts better
|
79.7%
4.9 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 84.6% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 13.3% |
20.6%
7.3 pts better
|
23.9%
10.6 pts better
|
Short Stay · 20240701-20250630 · Adjusted 13.3% · Observed 13.1% · Expected 23.6% · Used in QM five-star |
Survey summary
Top issue: Freedom from Abuse and Neglect and Exploitation (3 deficiencies)
1 fire-safety deficiencies
Top issue: Egress (1 deficiency)
Top issue: Quality of Life and Care (1 deficiency)
4 fire-safety deficiencies
Top issue: Smoke (3 deficiencies)
Top issue: Nutrition and Dietary (1 deficiency)
5 fire-safety deficiencies
Top issue: Smoke (4 deficiencies)
Fire safety
Fire Safety
Have stairways and smokeproof enclosures used as exits that meet safety requirements.
Corrected 2025-06-20
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2023-03-28
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2023-03-15
Fire Safety
Provide properly protected cooking facilities.
Corrected 2023-03-15
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2023-03-15
Fire Safety
Have stairways and smokeproof enclosures used as exits that meet safety requirements.
Corrected 2020-03-31
Fire Safety
Install an approved automatic sprinkler system.
Corrected 2020-03-31
Fire Safety
Install smoke barrier doors that can resist smoke for at least 20 minutes.
Corrected 2020-03-31
Fire Safety
Install a fire alarm system that can be heard throughout the facility.
Corrected 2020-03-31
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2020-03-31
Inspection history
Health
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
Corrected 2025-06-20
Health
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2025-06-20
Health
Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
Corrected 2025-06-20
Health
Dispose of garbage and refuse properly.
Corrected 2025-06-20
Health
Ensure residents have reasonable access to and privacy in their use of communication methods.
Corrected 2025-06-20
Health
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
Corrected 2025-03-24
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2023-04-12
Health
Provide or obtain dental services for each resident.
Corrected 2023-04-12
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2020-03-27
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2020-03-27
Penalties and ownership
Operational/Managerial Control · Individual
Corporate Director · Individual
Operational/Managerial Control · Individual
Operational/Managerial Control · Individual
Corporate Director · Individual
Operational/Managerial Control · Individual
Corporate Director · Individual
Corporate Director · Individual
Corporate Director · Individual
Operational/Managerial Control · Individual
Operational/Managerial Control · Individual
Corporate Director · Individual
Corporate Director · Individual
Corporate Director · Individual
Operational/Managerial Control · Organization
Corporate Director · Individual
Corporate Director · Individual
Corporate Director · Individual
Corporate Director · Individual
Corporate Director · Individual
Nearby options
Staten Island, NY
1-star overall rating with 1-star inspections with 5 recent health deficiencies with 2 fire-safety deficiencies in the latest cycle
Staten Island, NY
3-star overall rating with 2-star inspections with 8 recent health deficiencies with 3 fire-safety deficiencies in the latest cycle
Staten Island, NY
4-star overall rating with 3-star inspections with 5 recent health deficiencies with 1 fire-safety deficiencies in the latest cycle
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