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

Staffing

Hours and turnover

RN hours / resident day

1.11

Registered nurse staffing

LPN hours / resident day

0.30

Licensed practical nurse staffing

Aide hours / resident day

2.54

Nurse aide staffing

Weekend hours

3.65

Weekend nurse staffing

RN turnover

36%

Annual RN turnover

Total nurse turnover

29%

Annual nurse turnover

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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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

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

Nearby options

Other facilities in reach

Verrazano Nursing And Post-Acute Center

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

Overall: 2 / 5
Health: 3 / 5
Staffing: 1 / 5
Fines: $130,902