Brooklyn, NY

Seagate Rehabilitation And Nursing Center

2-star overall rating with 1-star inspections with abuse icon flag with $222,897 in total fines with 5 recent health deficiencies with 6 fire-safety deficiencies in the latest cycle

3015 W 29 St, Brooklyn, NY

(718) 266-5700

Compare this facility

Overall

2 / 5

CMS overall stars

Health inspections

1 / 5

Survey and complaint cycles

Staffing

1 / 5

RN + nurse staffing

Quality measures

5 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

360

Certified beds

Average residents

351

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

Excelsior Care Group

Operator or chain grouping

Approved since

1976-01-01

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Chain footprint

33 facilities

Chain averages 3 overall / 2 health / 3 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

Hours and turnover

RN hours / resident day

0.34

Registered nurse staffing · state 0.70 · national 0.68

LPN hours / resident day

0.48

Licensed practical nurse staffing · state 0.78 · national 0.87

Aide hours / resident day

2.08

Nurse aide staffing · state 2.20 · national 2.35

Total nurse hours

2.90

All reported nurse hours · state 3.65 · national 3.89

Licensed hours

0.82

RN + LPN hours · state 1.47 · national 1.54

Weekend hours

2.74

Weekend nurse staffing · state 3.16 · national 3.43

Weekend RN hours

0.26

Weekend registered nurse coverage · state 0.47 · national 0.47

Physical therapist

0.11

Reported PT staffing · state 0.11 · national 0.07

Adjusted RN hours

0.29

CMS adjusted RN staffing hours

Adjusted total hours

2.44

CMS adjusted total nurse staffing hours

Case-mix index

1.62

Higher values indicate more complex resident acuity

RN turnover

45%

Annual RN turnover · state 41% · national 45%

Total nurse turnover

27%

Annual nurse turnover · state 41% · national 46%

SNF VBP

Value-based purchasing

Program rank

5,137

Lower is better among SNFs in the FY 2026 VBP program.

Performance score

37.29

Composite VBP score used to determine payment impact.

Payment multiplier

0.9905

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

4.66

Baseline 16.97% · Performance 19.27% · Measure score 4.66 · Achievement 4.66 · Improvement 0

Healthcare-associated infections

1.43

Baseline 6.77% · Performance 7.41% · Measure score 1.43 · Achievement 1.43 · Improvement 0

Total nurse turnover

8.83

Baseline 24.60% · Performance 27.60% · Measure score 8.83 · Achievement 8.83 · Improvement 0

Adjusted total nurse staffing

0

Baseline 2.51 hours · Performance 2.60 hours · Measure score 0 · Achievement 0 · Improvement 0

SNF QRP

Medicare quality reporting measures

Measure	Facility	National	Note
Potentially preventable 30-day readmission	9.32%	10.72% 1.4 pts better	No Different than the National Rate · Eligible stays 462 · Observed rate 8.01% · Lower 95% interval 7.29%
Discharge to community	59.13%	50.57% 8.6 pts better	Better than the National Rate · Eligible stays 445 · Observed rate 51.01% · Lower 95% interval 54.22%
Medicare spending per beneficiary	1.64	1.02 0.6 pts worse
Drug regimen review with follow-up	100%	95.27% 4.7 pts better	Numerator 417 · Denominator 417
Falls with major injury	1.2%	0.77% 0.4 pts worse	Numerator 5 · Denominator 417
Discharge self-care score	78.32%	53.69% 24.6 pts better	Numerator 224 · Denominator 286
Discharge mobility score	73.78%	50.94% 22.8 pts better	Numerator 211 · Denominator 286
Pressure ulcers or injuries, new or worsened	6.24%	2.29% 4 pts worse	Numerator 26 · Denominator 417 · Adjusted rate 4.49%
Healthcare-associated infections requiring hospitalization	7.41%	7.12% 0.3 pts worse	No Different than the National Rate · Eligible stays 330 · Observed rate 7.88% · Lower 95% interval 5.55%
Staff COVID-19 vaccination coverage	0%	8.2% 8.2 pts worse	Numerator 0 · Denominator 418
Staff flu vaccination coverage	14.22%	42% 27.8 pts worse	Numerator 60 · Denominator 422
Discharge function score	75.17%	56.45% 18.7 pts better	Numerator 215 · Denominator 286
Transfer of health information to provider	99.01%	95.95% 3.1 pts better	Numerator 100 · Denominator 101
Transfer of health information to patient	97.44%	96.28% 1.2 pts better	Numerator 190 · Denominator 195
Resident COVID-19 vaccinations up to date	6.76%	25.2% 18.4 pts worse	Numerator 15 · Denominator 222

Quality measures

Resident outcomes and process scores

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 1.5 · Expected 2.0 · 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 1.7 · Used in QM five-star
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine	63.4%	91.2% 27.8 pts worse	93.4% 30 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 59.5% · Q2 62.6% · Q3 64.8% · Q4 66.7% · 4Q avg 63.4%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine	83.7%	95.3% 11.6 pts worse	95.5% 11.8 pts worse	Long Stay · 2024Q3-2025Q2 · 4Q avg 83.7%
Percentage of long-stay residents experiencing one or more falls with major injury	2.0%	3.0% 1 pts better	3.3% 1.3 pts better	Long Stay · 2024Q4-2025Q3 · Q1 2.0% · Q2 3.3% · Q3 1.7% · Q4 1.0% · 4Q avg 2.0% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms	50.8%	18.5% 32.3 pts worse	11.4% 39.4 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 42.7% · Q2 51.9% · Q3 53.2% · Q4 53.8% · 4Q avg 50.8%
Percentage of long-stay residents who lose too much weight	8.3%	6.1% 2.2 pts worse	5.4% 2.9 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 6.4% · Q2 11.3% · Q3 10.2% · Q4 5.6% · 4Q avg 8.3%
Percentage of long-stay residents who received an antianxiety or hypnotic medication	10.4%	13.5% 3.1 pts better	19.6% 9.2 pts better	Long Stay · 2024Q4-2025Q3 · Q1 10.2% · Q2 9.8% · Q3 10.7% · Q4 10.7% · 4Q avg 10.4%
Percentage of long-stay residents who received an antipsychotic medication	20.9%	14.8% 6.1 pts worse	16.7% 4.2 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 20.8% · Q2 23.0% · Q3 20.4% · Q4 19.5% · 4Q avg 20.9% · 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	7.5%	15.1% 7.6 pts better	16.3% 8.8 pts better	Long Stay · 2024Q4-2025Q3 · Q1 7.1% · Q2 7.5% · Q3 7.0% · Q4 8.5% · 4Q avg 7.5% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased	10.4%	15.5% 5.1 pts better	14.9% 4.5 pts better	Long Stay · 2024Q4-2025Q3 · Q1 7.1% · Q2 12.1% · Q3 11.8% · Q4 10.7% · 4Q avg 10.4% · Used in QM five-star
Percentage of long-stay residents with a catheter inserted and left in their bladder	0.9%	0.6% 0.3 pts worse	1.0% 0.1 pts better	Long Stay · 2024Q4-2025Q3 · Q1 1.3% · Q2 1.1% · Q3 0.5% · Q4 0.7% · 4Q avg 0.9% · Used in QM five-star
Percentage of long-stay residents with a urinary tract infection	1.0%	1.4% 0.4 pts better	1.7% 0.7 pts better	Long Stay · 2024Q4-2025Q3 · Q1 2.0% · Q2 1.0% · Q3 0.3% · Q4 0.7% · 4Q avg 1.0% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence	17.4%	20.8% 3.4 pts better	19.8% 2.4 pts better	Long Stay · 2024Q4-2025Q3 · Q1 22.5% · Q2 16.2% · Q3 14.7% · Q4 16.0% · 4Q avg 17.4%
Percentage of long-stay residents with pressure ulcers	7.6%	6.9% 0.7 pts worse	5.1% 2.5 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 9.1% · Q2 7.5% · Q3 6.5% · Q4 7.2% · 4Q avg 7.6% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine	75.8%	76.7% 0.9 pts worse	81.7% 5.9 pts worse	Short Stay · 2024Q4-2025Q3 · Q1 73.1% · Q2 70.9% · Q3 79.0% · Q4 81.1% · 4Q avg 75.8%
Percentage of short-stay residents who had an outpatient emergency department visit	5.5%	9.7% 4.2 pts better	12.0% 6.5 pts better	Short Stay · 20240701-20250630 · Adjusted 5.5% · Observed 5.5% · Expected 11.0% · Used in QM five-star
Percentage of short-stay residents who newly received an antipsychotic medication	2.9%	1.2% 1.7 pts worse	1.6% 1.3 pts worse	Short Stay · 2024Q4-2025Q3 · Q1 2.4% · Q2 0.6% · Q3 3.9% · Q4 4.9% · 4Q avg 2.9% · Used in QM five-star
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine	79.8%	78.8% 1 pts better	79.7% 0.1 pts better	Short Stay · 2024Q3-2025Q2 · 4Q avg 79.8%
Percentage of short-stay residents who were rehospitalized after a nursing home admission	16.0%	20.6% 4.6 pts better	23.9% 7.9 pts better	Short Stay · 20240701-20250630 · Adjusted 16.0% · Observed 16.4% · Expected 24.4% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2024-10-28 · Fire 2024-10-28

5 health deficiencies

Top issue: Resident Assessment and Care Planning (2 deficiencies)

6 fire-safety deficiencies

Top issue: Egress (2 deficiencies)

Cycle 2 Health 2022-09-13 · Fire 2022-09-13

3 health deficiencies

Top issue: Quality of Life and Care (2 deficiencies)

2 fire-safety deficiencies

Top issue: Smoke (2 deficiencies)

Cycle 3 Health 2019-11-08 · Fire 2019-11-08

3 health deficiencies

Top issue: Resident Assessment and Care Planning (2 deficiencies)

4 fire-safety deficiencies

Top issue: Egress (2 deficiencies)

Fire safety

Fire-safety citations

D · Potential for more than minimal harm 2024-10-28

K211 · Egress Deficiencies

Fire Safety

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

Corrected 2024-11-24

D · Potential for more than minimal harm 2024-10-28

K281 · Egress Deficiencies

Fire Safety

Install proper backup exit lighting.

Corrected 2024-12-23

D · Potential for more than minimal harm 2024-10-28

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 2024-11-24

D · Potential for more than minimal harm 2024-10-28

K371 · Smoke Deficiencies

Fire Safety

Have properly sized and located compartments to protect residents from smoke.

Corrected 2024-11-24

D · Potential for more than minimal harm 2024-10-28

K761 · Miscellaneous Deficiencies

Fire Safety

To conduct inspection, testing and maintenance of fire doors by qualified individuals.

Corrected 2024-12-27

D · Potential for more than minimal harm 2024-10-28

K916 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have a battery powered remote alarm panel in a location accessible by operating personnel.

Corrected 2024-12-24

F · Potential for more than minimal harm 2022-09-13

K372 · Smoke Deficiencies

Fire Safety

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

Corrected 2022-11-02

D · Potential for more than minimal harm 2022-09-13

K341 · Smoke Deficiencies

Fire Safety

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

Corrected 2022-11-02

E · Potential for more than minimal harm 2019-11-08

K293 · Egress Deficiencies

Fire Safety

Have properly located and lighted "Exit" signs.

Corrected 2020-01-07

E · Potential for more than minimal harm 2019-11-08

K363 · Smoke Deficiencies

Fire Safety

Install corridor and hallway doors that block smoke.

Corrected 2020-01-07

D · Potential for more than minimal harm 2019-11-08

K211 · Egress Deficiencies

Fire Safety

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

Corrected 2020-01-07

D · Potential for more than minimal harm 2019-11-08

K351 · Smoke Deficiencies

Fire Safety

Install an approved automatic sprinkler system.

Corrected 2020-01-07

Inspection history

Recent health citations

K · Immediate jeopardy 2025-10-08

F600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Corrected 2025-11-26

D · Potential for more than minimal harm 2025-10-08

F655 · Resident Assessment and Care Planning Deficiencies

Health

Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

Corrected 2025-11-26

D · Potential for more than minimal harm 2025-10-08

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 2025-11-26

E · Potential for more than minimal harm 2024-10-28

F725 · Nursing and Physician Services Deficiencies

Health

Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

Corrected 2024-12-17

D · Potential for more than minimal harm 2024-10-28

F679 · Quality of Life and Care Deficiencies

Health

Provide activities to meet all resident's needs.

Corrected 2024-12-17

D · Potential for more than minimal harm 2022-09-13

F688 · Quality of Life and Care Deficiencies

Health

Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.

Corrected 2022-11-16

D · Potential for more than minimal harm 2022-09-13

F744 · Quality of Life and Care Deficiencies

Health

Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.

Corrected 2022-11-16

B · Minimal harm 2022-09-13

F641 · Resident Assessment and Care Planning Deficiencies

Health

Ensure each resident receives an accurate assessment.

Corrected 2022-11-16

E · Potential for more than minimal harm 2019-11-08

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 2019-11-19

D · Potential for more than minimal harm 2019-11-08

F604 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.

Corrected 2019-12-22

D · Potential for more than minimal harm 2019-11-08

F641 · Resident Assessment and Care Planning Deficiencies

Health

Ensure each resident receives an accurate assessment.

Corrected 2019-11-19

Penalties and ownership

What sits behind the stars

$103,685 2025-10-08

Fine

Fine · fine $103,685

Fine

$4,938 2024-02-20

Fine

Fine · fine $4,938

Fine

$4,938 2024-02-12

Fine

Fine · fine $4,938

Fine

$14,814 2024-01-22

Fine

Fine · fine $14,814

Fine

$4,938 2024-01-08

Fine

Fine · fine $4,938

Fine

$4,587 2024-01-02

Fine

Fine · fine $4,587

Fine

$13,762 2023-12-11

Fine

Fine · fine $13,762

Fine

$4,587 2023-11-20

Fine

Fine · fine $4,587

Fine

$4,587 2023-11-13

Fine

Fine · fine $4,587

Fine

$4,587 2023-11-06

Fine

Fine · fine $4,587

Fine

$4,587 2023-10-30

Fine

Fine · fine $4,587

Fine

$4,587 2023-10-23

Fine

Fine · fine $4,587

Fine

$4,587 2023-10-17

Fine

Fine · fine $4,587

Fine

$4,587 2023-10-10

Fine

Fine · fine $4,587

Fine

$4,587 2023-10-02

Fine

Fine · fine $4,587

Fine

$4,545 2023-09-25

Fine

Fine · fine $4,545

Fine

$4,587 2023-09-18

Fine

Fine · fine $4,587

Fine

$4,235 2023-09-11

Fine

Fine · fine $4,235

Fine

$3,882 2023-09-05

Fine

Fine · fine $3,882

Fine

$9,527 2023-08-14

Fine

Fine · fine $9,527

Fine

$2,470 2023-05-15

Fine

Fine · fine $2,470

Fine

$5,293 2023-04-24

Fine

Fine · fine $5,293

Fine