1 health deficiencies
Top issue: Freedom from Abuse and Neglect and Exploitation (1 deficiency)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Brooklyn, NY
5-star overall rating with 5-star inspections with 1 recent health deficiencies
2865 Brighton 3rd Street, Brooklyn, NY
(718) 891-4400
Overall
5 / 5
CMS overall stars
Health inspections
5 / 5
Survey and complaint cycles
Staffing
3 / 5
RN + nurse staffing
Quality measures
5 / 5
Resident outcomes and process measures
Quick facts
Beds
320
Certified beds
Average residents
284
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
Cassena Care
Operator or chain grouping
Approved since
1978-01-01
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
1.39
Registered nurse staffing · state 0.70 · national 0.68
LPN hours / resident day
0.06
Licensed practical nurse staffing · state 0.78 · national 0.87
Aide hours / resident day
2.13
Nurse aide staffing · state 2.20 · national 2.35
Total nurse hours
3.58
All reported nurse hours · state 3.65 · national 3.89
Licensed hours
1.45
RN + LPN hours · state 1.47 · national 1.54
Weekend hours
3.25
Weekend nurse staffing · state 3.16 · national 3.43
Weekend RN hours
1.16
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
1.11
CMS adjusted RN staffing hours
Adjusted total hours
2.86
CMS adjusted total nurse staffing hours
Case-mix index
1.71
Higher values indicate more complex resident acuity
RN turnover
34%
Annual RN turnover · state 41% · national 45%
Total nurse turnover
32%
Annual nurse turnover · state 41% · national 46%
SNF VBP
Program rank
4,059
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
41.47
Composite VBP score used to determine payment impact.
Payment multiplier
0.9944
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
Readmission
5.78
Baseline 25.48% · Performance 20.17% · Measure score 5.78 · Achievement 2.72 · Improvement 5.78
Healthcare-associated infections
2.92
Baseline 11.37% · Performance 9.19% · Measure score 2.92 · Achievement 0 · Improvement 2.92
Total nurse turnover
7.89
Baseline 40.32% · Performance 31.42% · Measure score 7.89 · Achievement 7.89 · Improvement 5.26
Adjusted total nurse staffing
0
Baseline 3.07 hours · Performance 3.17 hours · Measure score 0 · Achievement 0 · Improvement 0
SNF QRP
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 9.3% |
10.72%
1.4 pts better
|
No Different than the National Rate · Eligible stays 869 · Observed rate 7.94% · Lower 95% interval 7.66% |
| Discharge to community | 60.57% |
50.57%
10 pts better
|
Better than the National Rate · Eligible stays 1014 · Observed rate 52.17% · Lower 95% interval 56.59% |
| Medicare spending per beneficiary | 1.35 |
1.02
0.3 pts worse
|
|
| Drug regimen review with follow-up | 99.85% |
95.27%
4.6 pts better
|
Numerator 650 · Denominator 651 |
| Falls with major injury | 1.08% |
0.77%
0.3 pts worse
|
Numerator 7 · Denominator 651 |
| Discharge self-care score | 79.33% |
53.69%
25.6 pts better
|
Numerator 307 · Denominator 387 |
| Discharge mobility score | 78.55% |
50.94%
27.6 pts better
|
Numerator 304 · Denominator 387 |
| Pressure ulcers or injuries, new or worsened | 0% |
2.29%
2.3 pts better
|
Numerator 0 · Denominator 651 · Adjusted rate 0% |
| Healthcare-associated infections requiring hospitalization | 9.19% |
7.12%
2.1 pts worse
|
Worse than the National Rate · Eligible stays 617 · Observed rate 9.56% · Lower 95% interval 7.19% |
| Staff COVID-19 vaccination coverage | 2.43% |
8.2%
5.8 pts worse
|
Numerator 10 · Denominator 412 |
| Staff flu vaccination coverage | 81.2% |
42%
39.2 pts better
|
Numerator 311 · Denominator 383 |
| Discharge function score | 83.46% |
56.45%
27 pts better
|
Numerator 323 · Denominator 387 |
| Transfer of health information to provider | 99.03% |
95.95%
3.1 pts better
|
Numerator 306 · Denominator 309 |
| Transfer of health information to patient | 95.75% |
96.28%
0.5 pts worse
|
Numerator 203 · Denominator 212 |
| Resident COVID-19 vaccinations up to date | 6.46% |
25.2%
18.7 pts worse
|
Numerator 23 · Denominator 356 |
Quality measures
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 1.9 |
1.7
0.2 pts worse
|
1.9
About the same
|
Long Stay · 20240701-20250630 · Adjusted 1.9 · Observed 1.6 · Expected 1.6 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 1.2 |
1.3
0.1 pts better
|
1.8
0.6 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.2 · Observed 1.0 · Expected 1.4 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 99.9% |
91.2%
8.7 pts better
|
93.4%
6.5 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 99.5% · Q2 100.0% · Q3 100.0% · Q4 100.0% · 4Q avg 99.9% |
| 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 | 2.8% |
3.0%
0.2 pts better
|
3.3%
0.5 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 2.3% · Q2 3.2% · Q3 2.9% · Q4 2.9% · 4Q avg 2.8% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 33.2% |
18.5%
14.7 pts worse
|
11.4%
21.8 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 20.1% · Q2 26.2% · Q3 36.4% · Q4 51.0% · 4Q avg 33.2% |
| Percentage of long-stay residents who lose too much weight | 6.4% |
6.1%
0.3 pts worse
|
5.4%
1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 6.0% · Q2 4.5% · Q3 7.1% · Q4 8.2% · 4Q avg 6.4% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 10.7% |
13.5%
2.8 pts better
|
19.6%
8.9 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 10.0% · Q2 10.0% · Q3 11.2% · Q4 11.6% · 4Q avg 10.7% |
| Percentage of long-stay residents who received an antipsychotic medication | 7.3% |
14.8%
7.5 pts better
|
16.7%
9.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 7.5% · Q2 6.8% · Q3 6.4% · Q4 8.6% · 4Q avg 7.3% · 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 | 4.8% |
15.1%
10.3 pts better
|
16.3%
11.5 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 5.0% · Q2 2.1% · Q3 7.5% · Q4 4.8% · 4Q avg 4.8% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 10.2% |
15.5%
5.3 pts better
|
14.9%
4.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 7.6% · Q2 11.2% · Q3 9.6% · Q4 12.4% · 4Q avg 10.2% · 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 0.9% · Q2 0.8% · Q3 0.3% · Q4 1.2% · 4Q avg 0.8% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 0.4% |
1.4%
1 pts better
|
1.7%
1.3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 1.0% · Q2 0.0% · Q3 0.0% · Q4 0.5% · 4Q avg 0.4% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 15.9% |
20.8%
4.9 pts better
|
19.8%
3.9 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 17.7% · Q2 25.8% · Q3 11.1% · Q4 8.6% · 4Q avg 15.9% |
| Percentage of long-stay residents with pressure ulcers | 3.8% |
6.9%
3.1 pts better
|
5.1%
1.3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 4.8% · Q2 3.9% · Q3 3.1% · Q4 3.3% · 4Q avg 3.8% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 99.9% |
76.7%
23.2 pts better
|
81.7%
18.2 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 100.0% · Q3 100.0% · Q4 99.8% · 4Q avg 99.9% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 7.7% |
9.7%
2 pts better
|
12.0%
4.3 pts better
|
Short Stay · 20240701-20250630 · Adjusted 7.7% · Observed 7.0% · Expected 10.2% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 0.8% |
1.2%
0.4 pts better
|
1.6%
0.8 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 1.5% · Q2 1.1% · Q3 0.0% · Q4 0.7% · 4Q avg 0.8% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 99.1% |
78.8%
20.3 pts better
|
79.7%
19.4 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 99.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 19.3% |
20.6%
1.3 pts better
|
23.9%
4.6 pts better
|
Short Stay · 20240701-20250630 · Adjusted 19.3% · Observed 19.1% · Expected 23.6% · Used in QM five-star |
Survey summary
Top issue: Freedom from Abuse and Neglect and Exploitation (1 deficiency)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
No concentrated health issue counts in this cycle.
1 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (1 deficiency)
Top issue: Resident Assessment and Care Planning (1 deficiency)
3 fire-safety deficiencies
Top issue: Egress (1 deficiency)
Fire safety
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2024-04-16
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2022-03-22
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2022-03-22
Fire Safety
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Corrected 2022-03-22
Inspection history
Health
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2025-09-23
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 2022-01-24
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
Nearby options
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
Brooklyn, NY
4-star overall rating with 4-star inspections with 3 recent health deficiencies with 2 fire-safety deficiencies in the latest cycle
Brooklyn, NY
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
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