8 health deficiencies
Top issue: Resident Rights (3 deficiencies)
24 fire-safety deficiencies
Top issue: Smoke (9 deficiencies)
Staten Island, NY
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
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
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
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
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
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
| 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
| 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
Top issue: Resident Rights (3 deficiencies)
24 fire-safety deficiencies
Top issue: Smoke (9 deficiencies)
No concentrated health issue counts in this cycle.
6 fire-safety deficiencies
Top issue: Smoke (5 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
Have correct number of accessible exits for each story.
Corrected 2024-02-13
Fire Safety
Install an approved automatic sprinkler system.
Corrected 2024-06-25
Fire Safety
Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke.
Corrected 2024-02-16
Fire Safety
Have proper power supply for life support equipment.
Corrected 2024-06-25
Fire Safety
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Corrected 2024-01-03
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
Fire Safety
Have stairways and smokeproof enclosures used as exits that meet safety requirements.
Corrected 2024-01-11
Fire Safety
Install proper backup exit lighting.
Corrected 2024-02-01
Fire Safety
Have properly located and lighted "Exit" signs.
Corrected 2024-01-31
Fire Safety
Have an enclosure around a vertical opening shaft.
Corrected 2024-01-31
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
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2024-01-03
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2024-02-13
Fire Safety
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected 2024-02-13
Fire Safety
Meet requirements for the installation and maintenance of electrical systems.
Corrected 2024-01-03
Fire Safety
Provide properly protected cooking facilities.
Corrected 2024-01-03
Fire Safety
Properly select, install, inspect, or maintain portable fire extinguishes.
Corrected 2024-01-03
Fire Safety
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Corrected 2024-02-01
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2024-01-03
Fire Safety
Install emergency lighting that can last at least 1 1/2 hours.
Corrected 2024-02-13
Fire Safety
Have elevators that firefighters can control in the event of a fire.
Corrected 2024-02-13
Fire Safety
Ensure that building systems meet requirements determined by risk assessment procedures performed by qualified personnel.
Corrected 2024-02-13
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
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2024-02-13
Fire Safety
Have an enclosure around a vertical opening shaft.
Corrected 2021-10-29
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
Fire Safety
Install an approved automatic sprinkler system.
Corrected 2021-10-29
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2021-10-29
Fire Safety
Install emergency lighting that can last at least 1 1/2 hours.
Corrected 2021-10-29
Fire Safety
Provide properly protected cooking facilities.
Corrected 2021-10-29
Fire Safety
Have stairways and smokeproof enclosures used as exits that meet safety requirements.
Corrected 2019-12-13
Fire Safety
Install an approved automatic sprinkler system.
Corrected 2019-12-13
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2019-12-13
Fire Safety
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Corrected 2019-11-11
Fire Safety
Have proper power supply for life support equipment.
Corrected 2019-12-13
Fire Safety
Ensure that testing and maintenance of electrical equipment is performed.
Corrected 2019-11-11
Fire Safety
Use approved construction type or materials.
Corrected 2019-11-11
Fire Safety
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Corrected 2019-11-11
Fire Safety
Install proper backup exit lighting.
Corrected 2019-11-11
Fire Safety
Install emergency lighting that can last at least 1 1/2 hours.
Corrected 2019-11-11
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
Fire Safety
Properly select, install, inspect, or maintain portable fire extinguishes.
Corrected 2019-11-11
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2019-11-11
Fire Safety
Meet requirements for the installation and maintenance of electrical systems.
Corrected 2019-11-11
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2019-11-11
Fire Safety
Have proper medical gas storage and administration areas.
Corrected 2019-11-11
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2019-11-12
Inspection history
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
Health
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2026-01-29
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
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
Health
Provide and implement an infection prevention and control program.
Corrected 2024-01-20
Health
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2024-01-20
Health
Allow resident to participate in the development and implementation of his or her person-centered plan of care.
Corrected 2024-01-20
Health
Ensure each resident receives an accurate assessment.
Corrected 2024-01-20
Health
Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy.
Corrected 2023-05-30
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
Health
Provide activities to meet all resident's needs.
Corrected 2019-10-07
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
Health
Provide and implement an infection prevention and control program.
Corrected 2019-10-07
Penalties and ownership
5% Or Greater Direct Ownership Interest · Individual
5% Or Greater Direct Ownership Interest · Individual
5% Or Greater Direct Ownership Interest · Individual
Corporate Director · Individual
W-2 Managing Employee · Individual
Nearby options
Staten Island, NY
2-star overall rating with 3-star inspections with $130,902 in total fines with 4 recent health deficiencies with 3 fire-safety deficiencies in the latest cycle
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2-star overall rating with 2-star inspections with 11 recent health deficiencies with 7 fire-safety deficiencies in the latest cycle
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