Staten Island, NY

Silver Lake Specialized Rehab And Care Center

3-star overall rating with 3-star inspections with 8 recent health deficiencies with 24 fire-safety deficiencies in the latest cycle

275 Castleton Avenue, Staten Island, NY

(718) 447-7800

Compare this facility

Overall

3 / 5

CMS overall stars

Health inspections

3 / 5

Survey and complaint cycles

Staffing

3 / 5

RN + nurse staffing

Quality measures

2 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

278

Certified beds

Average residents

187

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

No chain reported

Operator or chain grouping

Approved since

1971-01-01

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

1.11

Registered nurse staffing · state 0.70 · national 0.68

LPN hours / resident day

0.30

Licensed practical nurse staffing · state 0.78 · national 0.87

Aide hours / resident day

2.54

Nurse aide staffing · state 2.20 · national 2.35

Total nurse hours

3.96

All reported nurse hours · state 3.65 · national 3.89

Licensed hours

1.41

RN + LPN hours · state 1.47 · national 1.54

Weekend hours

3.65

Weekend nurse staffing · state 3.16 · national 3.43

Weekend RN hours

0.93

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

0.83

CMS adjusted RN staffing hours

Adjusted total hours

2.95

CMS adjusted total nurse staffing hours

Case-mix index

1.83

Higher values indicate more complex resident acuity

RN turnover

36%

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

10,286

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

Performance score

20.88

Composite VBP score used to determine payment impact.

Payment multiplier

0.9825

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

0

Baseline 19.12% · Performance 25.51% · Measure score 0 · Achievement 0 · Improvement 0

Healthcare-associated infections

0

Baseline 8.12% · Performance 11.94% · Measure score 0 · Achievement 0 · Improvement 0

Total nurse turnover

8.35

Performance 29.54% · Measure score 8.35 · Achievement 8.35 · This facility did not have sufficient data to calculate a baseline period measure result.

Adjusted total nurse staffing

0

Baseline 2.93 hours · Performance 2.76 hours · Measure score 0 · Achievement 0 · Improvement 0

SNF QRP

Medicare quality reporting measures

Measure Facility National Note
Potentially preventable 30-day readmission 11.05%
10.72%
0.3 pts worse
No Different than the National Rate · Eligible stays 125 · Observed rate 13.6% · Lower 95% interval 7.19%
Discharge to community 30.96%
50.57%
19.6 pts worse
Worse than the National Rate · Eligible stays 144 · Observed rate 16.67% · Lower 95% interval 21.68%
Medicare spending per beneficiary 1.45
1.02
0.4 pts worse
Drug regimen review with follow-up 61.82%
95.27%
33.4 pts worse
Numerator 68 · Denominator 110
Falls with major injury 0%
0.77%
0.8 pts better
Numerator 0 · Denominator 110
Discharge self-care score 33.33%
53.69%
20.4 pts worse
Numerator 9 · Denominator 27
Discharge mobility score 51.85%
50.94%
0.9 pts better
Numerator 14 · Denominator 27
Pressure ulcers or injuries, new or worsened 6.36%
2.29%
4.1 pts worse
Numerator 7 · Denominator 110 · Adjusted rate 4.08%
Healthcare-associated infections requiring hospitalization 11.94%
7.12%
4.8 pts worse
Worse than the National Rate · Eligible stays 111 · Observed rate 24.32% · Lower 95% interval 8.51%
Staff COVID-19 vaccination coverage 1.73%
8.2%
6.5 pts worse
Numerator 6 · Denominator 346
Staff flu vaccination coverage 67.13%
42%
25.1 pts better
Numerator 243 · Denominator 362
Discharge function score 33.33%
56.45%
23.1 pts worse
Numerator 9 · Denominator 27
Transfer of health information to provider 28.57%
95.95%
67.4 pts worse
Numerator 20 · Denominator 70
Transfer of health information to patient Not Available
96.28%
Numerator Not Available · Denominator 11 · Too few residents or stays to report publicly.
Resident COVID-19 vaccinations up to date 0%
25.2%
25.2 pts worse
Numerator 0 · Denominator 65

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 4.9 · Expected 2.6 · Used in QM five-star
Number of outpatient emergency department visits per 1000 long-stay resident days 1.3
1.3
About the same
1.8
0.5 pts better
Long Stay · 20240701-20250630 · Adjusted 1.3 · Observed 1.4 · Expected 1.8 · Used in QM five-star
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine 94.3%
91.2%
3.1 pts better
93.4%
0.9 pts better
Long Stay · 2024Q4-2025Q3 · Q1 98.3% · Q2 95.1% · Q3 92.7% · Q4 91.1% · 4Q avg 94.3%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine 95.5%
95.3%
0.2 pts better
95.5%
About the same
Long Stay · 2024Q3-2025Q2 · 4Q avg 95.5%
Percentage of long-stay residents experiencing one or more falls with major injury 1.1%
3.0%
1.9 pts better
3.3%
2.2 pts better
Long Stay · 2024Q4-2025Q3 · Q1 1.7% · Q2 1.1% · Q3 1.1% · Q4 0.6% · 4Q avg 1.1% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms 39.5%
18.5%
21 pts worse
11.4%
28.1 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 39.7% · Q2 38.1% · Q3 38.6% · Q4 41.6% · 4Q avg 39.5%
Percentage of long-stay residents who lose too much weight 5.0%
6.1%
1.1 pts better
5.4%
0.4 pts better
Long Stay · 2024Q4-2025Q3 · Q1 2.4% · Q2 5.8% · Q3 6.4% · Q4 5.3% · 4Q avg 5.0%
Percentage of long-stay residents who received an antianxiety or hypnotic medication 26.6%
13.5%
13.1 pts worse
19.6%
7 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 27.2% · Q2 26.4% · Q3 25.8% · Q4 27.0% · 4Q avg 26.6%
Percentage of long-stay residents who received an antipsychotic medication 22.7%
14.8%
7.9 pts worse
16.7%
6 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 21.4% · Q2 23.0% · Q3 22.5% · Q4 23.8% · 4Q avg 22.7% · Used in QM five-star
Percentage of long-stay residents who were physically restrained 0.7%
0.2%
0.5 pts worse
0.1%
0.6 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 2.8% · 4Q avg 0.7%
Percentage of long-stay residents whose ability to walk independently worsened 8.8%
15.1%
6.3 pts better
16.3%
7.5 pts better
Long Stay · 2024Q4-2025Q3 · Q1 11.0% · Q2 5.6% · Q3 12.8% · Q4 5.6% · 4Q avg 8.8% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased 12.2%
15.5%
3.3 pts better
14.9%
2.7 pts better
Long Stay · 2024Q4-2025Q3 · Q1 11.6% · Q2 10.6% · Q3 15.8% · Q4 10.6% · 4Q avg 12.2% · Used in QM five-star
Percentage of long-stay residents with a catheter inserted and left in their bladder 2.0%
0.6%
1.4 pts worse
1.0%
1 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 1.3% · Q2 2.9% · Q3 2.0% · Q4 1.7% · 4Q avg 2.0% · Used in QM five-star
Percentage of long-stay residents with a urinary tract infection 0.0%
1.4%
1.4 pts better
1.7%
1.7 pts better
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence 3.5%
20.8%
17.3 pts better
19.8%
16.3 pts better
Long Stay · 2024Q4-2025Q3 · Q1 2.3% · Q2 2.4% · Q3 6.4% · Q4 3.0% · 4Q avg 3.5%
Percentage of long-stay residents with pressure ulcers 15.5%
6.9%
8.6 pts worse
5.1%
10.4 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 13.0% · Q2 19.1% · Q3 16.5% · Q4 13.5% · 4Q avg 15.5% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine 52.8%
76.7%
23.9 pts worse
81.7%
28.9 pts worse
Short Stay · 2024Q4-2025Q3 · Q1 51.0% · Q2 49.5% · Q3 47.9% · Q4 63.4% · 4Q avg 52.8%
Percentage of short-stay residents who had an outpatient emergency department visit 6.9%
9.7%
2.8 pts better
12.0%
5.1 pts better
Short Stay · 20240701-20250630 · Adjusted 6.9% · Observed 8.4% · Expected 13.5% · Used in QM five-star
Percentage of short-stay residents who newly received an antipsychotic medication 3.5%
1.2%
2.3 pts worse
1.6%
1.9 pts worse
Short Stay · 2024Q4-2025Q3 · Q1 4.9% · Q2 1.9% · Q3 3.5% · Q4 4.2% · 4Q avg 3.5% · Used in QM five-star
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine 67.6%
78.8%
11.2 pts worse
79.7%
12.1 pts worse
Short Stay · 2024Q3-2025Q2 · 4Q avg 67.6%
Percentage of short-stay residents who were rehospitalized after a nursing home admission 25.8%
20.6%
5.2 pts worse
23.9%
1.9 pts worse
Short Stay · 20240701-20250630 · Adjusted 25.8% · Observed 39.3% · Expected 36.3% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2023-12-13 · Fire 2023-12-13

8 health deficiencies

Top issue: Resident Rights (3 deficiencies)

24 fire-safety deficiencies

Top issue: Smoke (9 deficiencies)

Cycle 2 Health 2021-09-20 · Fire 2021-09-20

0 health deficiencies

No concentrated health issue counts in this cycle.

6 fire-safety deficiencies

Top issue: Smoke (5 deficiencies)

Cycle 3 Health 2019-09-13 · Fire 2019-09-13

5 health deficiencies

Top issue: Infection Control (1 deficiency)

17 fire-safety deficiencies

Top issue: Gas and Vacuum and Electrical Systems (5 deficiencies)

Fire safety

Fire-safety citations

F · Potential for more than minimal harm 2023-12-13

K241 · Egress Deficiencies

Fire Safety

Have correct number of accessible exits for each story.

Corrected 2024-02-13

F · Potential for more than minimal harm 2023-12-13

K351 · Smoke Deficiencies

Fire Safety

Install an approved automatic sprinkler system.

Corrected 2024-06-25

F · Potential for more than minimal harm 2023-12-13

K362 · Smoke Deficiencies

Fire Safety

Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke.

Corrected 2024-02-16

F · Potential for more than minimal harm 2023-12-13

K915 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have proper power supply for life support equipment.

Corrected 2024-06-25

E · Potential for more than minimal harm 2023-12-13

K211 · Egress Deficiencies

Fire Safety

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

Corrected 2024-01-03

E · Potential for more than minimal harm 2023-12-13

K222 · Egress Deficiencies

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 2024-01-04

E · Potential for more than minimal harm 2023-12-13

K225 · Egress Deficiencies

Fire Safety

Have stairways and smokeproof enclosures used as exits that meet safety requirements.

Corrected 2024-01-11

E · Potential for more than minimal harm 2023-12-13

K281 · Egress Deficiencies

Fire Safety

Install proper backup exit lighting.

Corrected 2024-02-01

E · Potential for more than minimal harm 2023-12-13

K293 · Egress Deficiencies

Fire Safety

Have properly located and lighted "Exit" signs.

Corrected 2024-01-31

E · Potential for more than minimal harm 2023-12-13

K311 · Smoke Deficiencies

Fire Safety

Have an enclosure around a vertical opening shaft.

Corrected 2024-01-31

E · Potential for more than minimal harm 2023-12-13

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 2024-01-31

E · Potential for more than minimal harm 2023-12-13

K345 · Smoke Deficiencies

Fire Safety

Have approved installation, maintenance and testing program for fire alarm systems.

Corrected 2024-01-03

E · Potential for more than minimal harm 2023-12-13

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2024-02-13

E · Potential for more than minimal harm 2023-12-13

K372 · Smoke Deficiencies

Fire Safety

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

Corrected 2024-02-13

E · Potential for more than minimal harm 2023-12-13

K911 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Meet requirements for the installation and maintenance of electrical systems.

Corrected 2024-01-03

D · Potential for more than minimal harm 2023-12-13

K324 · Smoke Deficiencies

Fire Safety

Provide properly protected cooking facilities.

Corrected 2024-01-03

D · Potential for more than minimal harm 2023-12-13

K355 · Smoke Deficiencies

Fire Safety

Properly select, install, inspect, or maintain portable fire extinguishes.

Corrected 2024-01-03

D · Potential for more than minimal harm 2023-12-13

K521 · Services Deficiencies

Fire Safety

Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

Corrected 2024-02-01

D · Potential for more than minimal harm 2023-12-13

K920 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure proper usage of power strips and extension cords.

Corrected 2024-01-03

C · Minimal harm 2023-12-13

K291 · Egress Deficiencies

Fire Safety

Install emergency lighting that can last at least 1 1/2 hours.

Corrected 2024-02-13

C · Minimal harm 2023-12-13

K531 · Services Deficiencies

Fire Safety

Have elevators that firefighters can control in the event of a fire.

Corrected 2024-02-13

C · Minimal harm 2023-12-13

K901 · Electrical Deficiencies

Fire Safety

Ensure that building systems meet requirements determined by risk assessment procedures performed by qualified personnel.

Corrected 2024-02-13

C · Minimal harm 2023-12-13

K914 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.

Corrected 2024-02-13

C · Minimal harm 2023-12-13

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have generator or other power source capable of supplying service within 10 seconds.

Corrected 2024-02-13

E · Potential for more than minimal harm 2021-09-20

K311 · Smoke Deficiencies

Fire Safety

Have an enclosure around a vertical opening shaft.

Corrected 2021-10-29

E · Potential for more than minimal harm 2021-09-20

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 2021-10-29

E · Potential for more than minimal harm 2021-09-20

K351 · Smoke Deficiencies

Fire Safety

Install an approved automatic sprinkler system.

Corrected 2021-10-29

E · Potential for more than minimal harm 2021-09-20

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2021-10-29

D · Potential for more than minimal harm 2021-09-20

K291 · Egress Deficiencies

Fire Safety

Install emergency lighting that can last at least 1 1/2 hours.

Corrected 2021-10-29

D · Potential for more than minimal harm 2021-09-20

K324 · Smoke Deficiencies

Fire Safety

Provide properly protected cooking facilities.

Corrected 2021-10-29

E · Potential for more than minimal harm 2019-09-13

K225 · Egress Deficiencies

Fire Safety

Have stairways and smokeproof enclosures used as exits that meet safety requirements.

Corrected 2019-12-13

E · Potential for more than minimal harm 2019-09-13

K351 · Smoke Deficiencies

Fire Safety

Install an approved automatic sprinkler system.

Corrected 2019-12-13

E · Potential for more than minimal harm 2019-09-13

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2019-12-13

E · Potential for more than minimal harm 2019-09-13

K521 · Services Deficiencies

Fire Safety

Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

Corrected 2019-11-11

E · Potential for more than minimal harm 2019-09-13

K915 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have proper power supply for life support equipment.

Corrected 2019-12-13

E · Potential for more than minimal harm 2019-09-13

K921 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure that testing and maintenance of electrical equipment is performed.

Corrected 2019-11-11

D · Potential for more than minimal harm 2019-09-13

K161 · Construction Deficiencies

Fire Safety

Use approved construction type or materials.

Corrected 2019-11-11

D · Potential for more than minimal harm 2019-09-13

K211 · Egress Deficiencies

Fire Safety

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

Corrected 2019-11-11

D · Potential for more than minimal harm 2019-09-13

K281 · Egress Deficiencies

Fire Safety

Install proper backup exit lighting.

Corrected 2019-11-11

D · Potential for more than minimal harm 2019-09-13

K291 · Egress Deficiencies

Fire Safety

Install emergency lighting that can last at least 1 1/2 hours.

Corrected 2019-11-11

D · Potential for more than minimal harm 2019-09-13

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 2019-11-11

D · Potential for more than minimal harm 2019-09-13

K355 · Smoke Deficiencies

Fire Safety

Properly select, install, inspect, or maintain portable fire extinguishes.

Corrected 2019-11-11

D · Potential for more than minimal harm 2019-09-13

K363 · Smoke Deficiencies

Fire Safety

Install corridor and hallway doors that block smoke.

Corrected 2019-11-11

D · Potential for more than minimal harm 2019-09-13

K911 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Meet requirements for the installation and maintenance of electrical systems.

Corrected 2019-11-11

D · Potential for more than minimal harm 2019-09-13

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have generator or other power source capable of supplying service within 10 seconds.

Corrected 2019-11-11

D · Potential for more than minimal harm 2019-09-13

K923 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have proper medical gas storage and administration areas.

Corrected 2019-11-11

C · Minimal harm 2019-09-13

K712 · Miscellaneous Deficiencies

Fire Safety

Have simulated fire drills held at unexpected times.

Corrected 2019-11-12

Inspection history

Recent health citations

D · Potential for more than minimal harm 2025-12-23

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 2026-01-29

D · Potential for more than minimal harm 2025-12-23

F609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Corrected 2026-01-29

E · Potential for more than minimal harm 2023-12-13

F584 · Resident Rights Deficiencies

Health

Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

Corrected 2024-01-20

E · Potential for more than minimal harm 2023-12-13

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 2024-01-20

E · Potential for more than minimal harm 2023-12-13

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2024-01-20

D · Potential for more than minimal harm 2023-12-13

F550 · Resident Rights Deficiencies

Health

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Corrected 2024-01-20

D · Potential for more than minimal harm 2023-12-13

F553 · Resident Rights Deficiencies

Health

Allow resident to participate in the development and implementation of his or her person-centered plan of care.

Corrected 2024-01-20

D · Potential for more than minimal harm 2023-12-13

F641 · Resident Assessment and Care Planning Deficiencies

Health

Ensure each resident receives an accurate assessment.

Corrected 2024-01-20

D · Potential for more than minimal harm 2023-04-27

F626 · Resident Rights Deficiencies

Health

Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy.

Corrected 2023-05-30

E · Potential for more than minimal harm 2019-09-13

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 2019-11-01

D · Potential for more than minimal harm 2019-09-13

F679 · Quality of Life and Care Deficiencies

Health

Provide activities to meet all resident's needs.

Corrected 2019-10-07

D · Potential for more than minimal harm 2019-09-13

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 2019-10-07

D · Potential for more than minimal harm 2019-09-13

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2019-10-07

Penalties and ownership

What sits behind the stars

Ownership

Kraus, Simone

5% Or Greater Direct Ownership Interest · Individual

50% 2 facilities 2008-06-01
Weingarten, Hershie

5% Or Greater Direct Ownership Interest · Individual

41% 2 facilities 2016-01-01
Weingarten, Rosemarie

5% Or Greater Direct Ownership Interest · Individual

9% 2 facilities 2015-05-31
Kraus, Michael

Corporate Director · Individual

0% 2 facilities 2018-03-01
Kraus, Michael

W-2 Managing Employee · Individual

0% 2 facilities 2018-03-01

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