Cycle 1
Health 2024-04-24 · Fire 2024-04-24
10 health deficiencies
Top issue: Quality of Life and Care (4 deficiencies)
3 fire-safety deficiencies
Top issue: Smoke (2 deficiencies)
Brooklyn, NY
Sheepshead Nursing & Rehabilitation Center
2-star overall rating with 2-star inspections with 10 recent health deficiencies with 3 fire-safety deficiencies in the latest cycle
2840 Knapp St, Brooklyn, NY
(718) 646-5700
Overall
2 / 5
CMS overall stars
Health inspections
2 / 5
Survey and complaint cycles
Staffing
3 / 5
RN + nurse staffing
Quality measures
4 / 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
1985-05-01
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
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
0.94
Registered nurse staffing · state 0.70 · national 0.68
LPN hours / resident day
0.61
Licensed practical nurse staffing · state 0.78 · national 0.87
Aide hours / resident day
2.25
Nurse aide staffing · state 2.20 · national 2.35
Total nurse hours
3.79
All reported nurse hours · state 3.65 · national 3.89
Licensed hours
1.54
RN + LPN hours · state 1.47 · national 1.54
Weekend hours
3.28
Weekend nurse staffing · state 3.16 · national 3.43
Weekend RN hours
0.57
Weekend registered nurse coverage · state 0.47 · national 0.47
Physical therapist
0.07
Reported PT staffing · state 0.11 · national 0.07
Adjusted RN hours
0.77
CMS adjusted RN staffing hours
Adjusted total hours
3.13
CMS adjusted total nurse staffing hours
Case-mix index
1.66
Higher values indicate more complex resident acuity
RN turnover
41%
Annual RN turnover · state 41% · national 45%
Total nurse turnover
29%
Annual nurse turnover · state 41% · national 46%
SNF VBP
Value-based purchasing
Program rank
11,673
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
15.75
Composite VBP score used to determine payment impact.
Payment multiplier
0.9815
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
1.85
Baseline 24.20% · Performance 22.51% · Measure score 1.85 · Achievement 0 · Improvement 1.85
Healthcare-associated infections
2.87
Baseline 10.58% · Performance 8.70% · Measure score 2.87 · Achievement 0 · Improvement 2.87
Total nurse turnover
Not reported
This facility did not meet this measure's case minimum policy requirement and therefore no measure data is publicly reported.
Adjusted total nurse staffing
0
Baseline 2.99 hours · Performance 3.08 hours · Measure score 0 · Achievement 0 · Improvement 0
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 9.8% |
10.72%
0.9 pts better
|
No Different than the National Rate · Eligible stays 598 · Observed rate 9.36% · Lower 95% interval 7.93% |
| Discharge to community | 53.64% |
50.57%
3.1 pts better
|
No Different than the National Rate · Eligible stays 714 · Observed rate 43.42% · Lower 95% interval 49.76% |
| Medicare spending per beneficiary | 1.25 |
1.02
0.2 pts worse
|
|
| Drug regimen review with follow-up | 99.81% |
95.27%
4.5 pts better
|
Numerator 530 · Denominator 531 |
| Falls with major injury | 0.38% |
0.77%
0.4 pts better
|
Numerator 2 · Denominator 531 |
| Discharge self-care score | 54.24% |
53.69%
0.6 pts better
|
Numerator 179 · Denominator 330 |
| Discharge mobility score | 60.61% |
50.94%
9.7 pts better
|
Numerator 200 · Denominator 330 |
| Pressure ulcers or injuries, new or worsened | 0.94% |
2.29%
1.4 pts better
|
Numerator 5 · Denominator 531 · Adjusted rate 0.75% |
| Healthcare-associated infections requiring hospitalization | 8.7% |
7.12%
1.6 pts worse
|
No Different than the National Rate · Eligible stays 485 · Observed rate 10.31% · Lower 95% interval 6.6% |
| Staff COVID-19 vaccination coverage | 2.06% |
8.2%
6.1 pts worse
|
Numerator 5 · Denominator 243 |
| Staff flu vaccination coverage | 70.4% |
42%
28.4 pts better
|
Numerator 195 · Denominator 277 |
| Discharge function score | 55.76% |
56.45%
0.7 pts worse
|
Numerator 184 · Denominator 330 |
| Transfer of health information to provider | 99.72% |
95.95%
3.8 pts better
|
Numerator 360 · Denominator 361 |
| Transfer of health information to patient | 97.22% |
96.28%
0.9 pts better
|
Numerator 35 · Denominator 36 |
| Resident COVID-19 vaccinations up to date | 27.8% |
25.2%
2.6 pts better
|
Numerator 77 · Denominator 277 |
Quality measures
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 3.5 |
1.7
1.8 pts worse
|
1.9
1.6 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 3.5 · Observed 3.8 · Expected 2.1 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 1.5 |
1.3
0.2 pts worse
|
1.8
0.3 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.5 · Observed 1.4 · Expected 1.6 · 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 | 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 | 2.0% |
3.0%
1 pts better
|
3.3%
1.3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 1.3% · Q2 2.5% · Q3 1.4% · Q4 2.7% · 4Q avg 2.0% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 100.0% |
18.5%
81.5 pts worse
|
11.4%
88.6 pts worse
|
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 who lose too much weight | 8.0% |
6.1%
1.9 pts worse
|
5.4%
2.6 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 4.4% · Q2 10.9% · Q3 9.3% · Q4 7.5% · 4Q avg 8.0% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 6.9% |
13.5%
6.6 pts better
|
19.6%
12.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 9.9% · Q2 8.1% · Q3 5.4% · Q4 4.1% · 4Q avg 6.9% |
| Percentage of long-stay residents who received an antipsychotic medication | 8.3% |
14.8%
6.5 pts better
|
16.7%
8.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 10.4% · Q2 9.9% · Q3 5.9% · Q4 6.6% · 4Q avg 8.3% · 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 | 13.7% |
15.1%
1.4 pts better
|
16.3%
2.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 22.2% · Q2 20.3% · Q3 6.1% · Q4 7.9% · 4Q avg 13.7% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 14.5% |
15.5%
1 pts better
|
14.9%
0.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 10.8% · Q2 20.4% · Q3 14.8% · Q4 11.7% · 4Q avg 14.5% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.8% |
0.6%
0.2 pts worse
|
1.0%
0.2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.4% · Q2 1.1% · Q3 1.2% · Q4 0.4% · 4Q avg 0.8% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 0.6% |
1.4%
0.8 pts better
|
1.7%
1.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.7% · Q2 0.0% · Q3 1.6% · Q4 0.0% · 4Q avg 0.6% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 21.8% |
20.8%
1 pts worse
|
19.8%
2 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 23.5% · Q2 24.1% · Q3 19.5% · Q4 19.8% · 4Q avg 21.8% |
| Percentage of long-stay residents with pressure ulcers | 29.8% |
6.9%
22.9 pts worse
|
5.1%
24.7 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 22.8% · Q2 31.0% · Q3 34.2% · Q4 31.3% · 4Q avg 29.8% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 98.5% |
76.7%
21.8 pts better
|
81.7%
16.8 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 98.5% · Q2 99.2% · Q3 98.1% · Q4 98.4% · 4Q avg 98.5% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 11.1% |
9.7%
1.4 pts worse
|
12.0%
0.9 pts better
|
Short Stay · 20240701-20250630 · Adjusted 11.1% · Observed 11.5% · Expected 11.5% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 1.5% |
1.2%
0.3 pts worse
|
1.6%
0.1 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 2.2% · Q2 1.8% · Q3 1.1% · Q4 1.1% · 4Q avg 1.5% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 98.4% |
78.8%
19.6 pts better
|
79.7%
18.7 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 98.4% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 22.3% |
20.6%
1.7 pts worse
|
23.9%
1.6 pts better
|
Short Stay · 20240701-20250630 · Adjusted 22.3% · Observed 25.8% · Expected 27.5% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2022-04-11 · Fire 2022-04-11
2 health deficiencies
Top issue: Nutrition and Dietary (1 deficiency)
4 fire-safety deficiencies
Top issue: Smoke (2 deficiencies)
Cycle 3
Health 2019-10-10 · Fire 2019-10-10
4 health deficiencies
Top issue: Pharmacy Service (2 deficiencies)
5 fire-safety deficiencies
Top issue: Smoke (3 deficiencies)
Fire safety
Fire-safety citations
E · Potential for more than minimal harm
2024-04-24
K363 · Smoke Deficiencies
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2024-06-03
E · Potential for more than minimal harm
2024-04-24
K915 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Have proper power supply for life support equipment.
Corrected 2024-06-03
D · Potential for more than minimal harm
2024-04-24
K353 · Smoke Deficiencies
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2024-06-03
E · Potential for more than minimal harm
2022-04-11
K351 · Smoke Deficiencies
Fire Safety
Install an approved automatic sprinkler system.
Corrected 2022-06-08
E · Potential for more than minimal harm
2022-04-11
K353 · Smoke Deficiencies
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2022-06-08
E · Potential for more than minimal harm
2022-04-11
K923 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Have proper medical gas storage and administration areas.
Corrected 2022-06-08
D · Potential for more than minimal harm
2022-04-11
K161 · Construction Deficiencies
Fire Safety
Use approved construction type or materials.
Corrected 2022-06-08
E · Potential for more than minimal harm
2019-10-10
K363 · Smoke Deficiencies
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2019-12-09
D · Potential for more than minimal harm
2019-10-10
K161 · Construction Deficiencies
Fire Safety
Use approved construction type or materials.
Corrected 2019-12-09
D · Potential for more than minimal harm
2019-10-10
K200 · Egress Deficiencies
Fire Safety
Meet other general requirements.
Corrected 2019-12-09
D · Potential for more than minimal harm
2019-10-10
K311 · Smoke Deficiencies
Fire Safety
Have an enclosure around a vertical opening shaft.
Corrected 2019-12-09
C · Minimal harm
2019-10-10
K374 · Smoke Deficiencies
Fire Safety
Install smoke barrier doors that can resist smoke for at least 20 minutes.
Corrected 2019-12-09
Inspection history
Recent health citations
E · Potential for more than minimal harm
2024-04-24
F553 · Resident Rights Deficiencies
Health
Allow resident to participate in the development and implementation of his or her person-centered plan of care.
Corrected 2024-06-21
E · Potential for more than minimal harm
2024-04-24
F575 · Resident Rights Deficiencies
Health
Post a list of names, addresses, and telephone numbers of all pertinent State agencies and advocacy groups and a statement that the resident may file a complaint with the State Survey Agency.
Corrected 2024-06-21
E · Potential for more than minimal harm
2024-04-24
F577 · Resident Rights Deficiencies
Health
Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.
Corrected 2024-06-21
D · Potential for more than minimal harm
2024-04-24
F677 · Quality of Life and Care Deficiencies
Health
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2024-06-21
D · Potential for more than minimal harm
2024-04-24
F685 · Quality of Life and Care Deficiencies
Health
Assist a resident in gaining access to vision and hearing services.
Corrected 2024-06-21
D · Potential for more than minimal harm
2024-04-24
F686 · Quality of Life and Care Deficiencies
Health
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2024-06-21
D · Potential for more than minimal harm
2024-04-24
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 2024-06-21
D · Potential for more than minimal harm
2024-04-24
F755 · Pharmacy Service Deficiencies
Health
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected 2024-06-21
D · Potential for more than minimal harm
2024-04-24
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2024-06-21
B · Minimal harm
2024-04-24
F842 · Resident Assessment and Care Planning Deficiencies
Health
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2024-06-21
E · Potential for more than minimal harm
2022-04-11
F812 · Nutrition and Dietary Deficiencies
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2022-06-06
D · Potential for more than minimal harm
2022-04-11
F582 · Resident Rights Deficiencies
Health
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Corrected 2022-06-06
E · Potential for more than minimal harm
2019-10-10
F758 · Pharmacy Service Deficiencies
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 2019-12-02
D · Potential for more than minimal harm
2019-10-10
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 2019-12-02
D · Potential for more than minimal harm
2019-10-10
F756 · Pharmacy Service Deficiencies
Health
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Corrected 2019-12-02
D · Potential for more than minimal harm
2019-10-10
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2019-12-02
Penalties and ownership
What sits behind the stars
Ownership
Estate Of Adolf Weider
5% Or Greater Direct Ownership Interest · Organization
Kahan, Pearl
5% Or Greater Direct Ownership Interest · Individual
Lipschitz, Chaim
5% Or Greater Direct Ownership Interest · Individual
Lipschitz, Elliot
5% Or Greater Direct Ownership Interest · Individual
Lipschitz, Samuel
5% Or Greater Direct Ownership Interest · Individual
Paneth, Morton
5% Or Greater Direct Ownership Interest · Individual
Kahan, Jerome
Operational/Managerial Control · Individual
Lipschitz, Olga
General Partnership Interest · Individual
Lipschitz, Olga
Corporate Officer · Individual
Tsantker, Mina
W-2 Managing Employee · Individual
Nearby options
Other facilities in reach
#1
Menorah Home & Hospital For Aged & Infirm
Brooklyn, NY
2-star overall rating with 1-star inspections with $8,018 in total fines with 9 recent health deficiencies with 4 fire-safety deficiencies in the latest cycle
#2
The Chateau At Brooklyn Rehab And Nursing Center
Brooklyn, NY
4-star overall rating with 4-star inspections with 2 recent health deficiencies with 6 fire-safety deficiencies in the latest cycle
#3
Shore View Nursing & Rehabilitation Center
Brooklyn, NY
5-star overall rating with 5-star inspections with 1 recent health deficiencies
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