9 health deficiencies
Top issue: Resident Rights (5 deficiencies)
2 fire-safety deficiencies
Top issue: Egress (1 deficiency)
Jamaica, NY
2-star overall rating with 2-star inspections with $24,850 in total fines with 9 recent health deficiencies with 2 fire-safety deficiencies in the latest cycle
144 45 87th Avenue, Jamaica, NY
(718) 480-4026
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
Beds
320
Certified beds
Average residents
300
Average occupied residents
Ownership
Non-Profit
Publicly displayed owner type
Chain
No chain reported
Operator or chain grouping
Approved since
1990-12-26
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
1.15
Registered nurse staffing · state 0.70 · national 0.68
LPN hours / resident day
0.28
Licensed practical nurse staffing · state 0.78 · national 0.87
Aide hours / resident day
2.45
Nurse aide staffing · state 2.20 · national 2.35
Total nurse hours
3.88
All reported nurse hours · state 3.65 · national 3.89
Licensed hours
1.43
RN + LPN hours · state 1.47 · national 1.54
Weekend hours
3.63
Weekend nurse staffing · state 3.16 · national 3.43
Weekend RN hours
0.94
Weekend registered nurse coverage · state 0.47 · national 0.47
Physical therapist
0.00
Reported PT staffing
Adjusted RN hours
0.82
CMS adjusted RN staffing hours
Adjusted total hours
2.77
CMS adjusted total nurse staffing hours
Case-mix index
1.92
Higher values indicate more complex resident acuity
RN turnover
21%
Annual RN turnover · state 41% · national 45%
Total nurse turnover
22%
Annual nurse turnover · state 41% · national 46%
SNF VBP
Program rank
8,678
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
26.01
Composite VBP score used to determine payment impact.
Payment multiplier
0.9840
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
Readmission
0
Baseline 20.93% · Performance 22.88% · Measure score 0 · Achievement 0 · Improvement 0
Healthcare-associated infections
0
Baseline 7.31% · Performance 9.20% · Measure score 0 · Achievement 0 · Improvement 0
Total nurse turnover
10
Baseline 30.19% · Performance 21.54% · Measure score 10 · Achievement 10 · Improvement 9
Adjusted total nurse staffing
0.41
Baseline 2.62 hours · Performance 2.91 hours · Measure score 0.41 · Achievement 0 · Improvement 0.41
SNF QRP
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 10.18% |
10.72%
0.5 pts better
|
No Different than the National Rate · Eligible stays 187 · Observed rate 12.83% · Lower 95% interval 7.67% |
| Discharge to community | 46.09% |
50.57%
4.5 pts worse
|
No Different than the National Rate · Eligible stays 249 · Observed rate 27.31% · Lower 95% interval 36.57% |
| Medicare spending per beneficiary | 1.17 |
1.02
0.1 pts worse
|
|
| Drug regimen review with follow-up | 93.71% |
95.27%
1.6 pts worse
|
Numerator 268 · Denominator 286 |
| Falls with major injury | 0.35% |
0.77%
0.4 pts better
|
Numerator 1 · Denominator 286 |
| Discharge self-care score | 58.21% |
53.69%
4.5 pts better
|
Numerator 78 · Denominator 134 |
| Discharge mobility score | 55.22% |
50.94%
4.3 pts better
|
Numerator 74 · Denominator 134 |
| Pressure ulcers or injuries, new or worsened | 4.55% |
2.29%
2.3 pts worse
|
Numerator 13 · Denominator 286 · Adjusted rate 3.07% |
| Healthcare-associated infections requiring hospitalization | 9.2% |
7.12%
2.1 pts worse
|
No Different than the National Rate · Eligible stays 198 · Observed rate 18.18% · Lower 95% interval 7.05% |
| Staff COVID-19 vaccination coverage | 2.81% |
8.2%
5.4 pts worse
|
Numerator 11 · Denominator 391 |
| Staff flu vaccination coverage | 50% |
42%
8 pts better
|
Numerator 205 · Denominator 410 |
| Discharge function score | 58.96% |
56.45%
2.5 pts better
|
Numerator 79 · Denominator 134 |
| Transfer of health information to provider | 95% |
95.95%
1 pts worse
|
Numerator 152 · Denominator 160 |
| Transfer of health information to patient | 90.32% |
96.28%
6 pts worse
|
Numerator 28 · Denominator 31 |
| Resident COVID-19 vaccinations up to date | 18.71% |
25.2%
6.5 pts worse
|
Numerator 26 · Denominator 139 |
Quality measures
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 1.4 |
1.7
0.3 pts better
|
1.9
0.5 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.4 · Observed 2.7 · Expected 3.7 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 1.1 |
1.3
0.2 pts better
|
1.8
0.7 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.1 · Observed 1.4 · Expected 2.1 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 95.5% |
91.2%
4.3 pts better
|
93.4%
2.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 93.3% · Q2 96.0% · Q3 96.6% · Q4 96.0% · 4Q avg 95.5% |
| 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 | 1.1% |
3.0%
1.9 pts better
|
3.3%
2.2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 1.1% · Q2 1.1% · Q3 1.1% · Q4 1.1% · 4Q avg 1.1% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 2.5% |
18.5%
16 pts better
|
11.4%
8.9 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 3.1% · Q2 3.0% · Q3 1.2% · Q4 2.8% · 4Q avg 2.5% |
| Percentage of long-stay residents who lose too much weight | 6.9% |
6.1%
0.8 pts worse
|
5.4%
1.5 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 7.5% · Q2 8.8% · Q3 6.3% · Q4 4.8% · 4Q avg 6.9% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 6.1% |
13.5%
7.4 pts better
|
19.6%
13.5 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 7.5% · Q2 5.5% · Q3 4.9% · Q4 6.7% · 4Q avg 6.1% |
| Percentage of long-stay residents who received an antipsychotic medication | 14.7% |
14.8%
0.1 pts better
|
16.7%
2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 14.5% · Q2 13.1% · Q3 16.5% · Q4 14.4% · 4Q avg 14.7% · Used in QM five-star |
| Percentage of long-stay residents who were physically restrained | 0.6% |
0.2%
0.4 pts worse
|
0.1%
0.5 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 1.8% · Q3 0.7% · Q4 0.0% · 4Q avg 0.6% |
| Percentage of long-stay residents whose ability to walk independently worsened | 7.3% |
15.1%
7.8 pts better
|
16.3%
9 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 9.0% · Q2 6.2% · Q3 6.6% · Q4 7.6% · 4Q avg 7.3% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 9.4% |
15.5%
6.1 pts better
|
14.9%
5.5 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 7.3% · Q2 10.4% · Q3 10.2% · Q4 9.8% · 4Q avg 9.4% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.3% |
0.6%
0.3 pts better
|
1.0%
0.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.2% · Q3 0.4% · Q4 0.4% · 4Q avg 0.3% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 2.0% |
1.4%
0.6 pts worse
|
1.7%
0.3 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 2.3% · Q2 1.1% · Q3 1.9% · Q4 2.6% · 4Q avg 2.0% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 10.9% |
20.8%
9.9 pts better
|
19.8%
8.9 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 16.7% · Q2 10.2% · Q3 9.2% · Q4 7.7% · 4Q avg 10.9% |
| Percentage of long-stay residents with pressure ulcers | 13.7% |
6.9%
6.8 pts worse
|
5.1%
8.6 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 14.8% · Q2 15.7% · Q3 11.2% · Q4 13.3% · 4Q avg 13.7% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 86.3% |
76.7%
9.6 pts better
|
81.7%
4.6 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 85.3% · Q2 87.0% · Q3 86.3% · Q4 86.4% · 4Q avg 86.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 8.2% |
9.7%
1.5 pts better
|
12.0%
3.8 pts better
|
Short Stay · 20240701-20250630 · Adjusted 8.2% · Observed 9.4% · Expected 12.8% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 1.8% |
1.2%
0.6 pts worse
|
1.6%
0.2 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 1.8% · Q2 1.4% · Q3 2.0% · Q4 2.0% · 4Q avg 1.8% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 95.7% |
78.8%
16.9 pts better
|
79.7%
16 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 95.7% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 22.8% |
20.6%
2.2 pts worse
|
23.9%
1.1 pts better
|
Short Stay · 20240701-20250630 · Adjusted 22.8% · Observed 33.3% · Expected 34.8% · Used in QM five-star |
Survey summary
Top issue: Resident Rights (5 deficiencies)
2 fire-safety deficiencies
Top issue: Egress (1 deficiency)
Top issue: Quality of Life and Care (2 deficiencies)
3 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (2 deficiencies)
Top issue: Infection Control (1 deficiency)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Fire safety
Fire Safety
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Corrected 2025-01-08
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2025-01-08
Fire Safety
Install smoke barrier doors that can resist smoke for at least 20 minutes.
Corrected 2023-02-01
Fire Safety
Have proper power supply for life support equipment.
Corrected 2023-02-01
Fire Safety
Meet requirements for the use and maintenance of medical gas equipment.
Corrected 2023-02-01
Inspection history
Health
Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.
Corrected 2025-02-14
Health
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Corrected 2025-02-16
Health
Assure the security of all personal funds of residents deposited with the facility.
Corrected 2025-02-16
Health
Ensure residents have reasonable access to and privacy in their use of communication methods.
Corrected 2025-02-16
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 2025-02-16
Health
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Corrected 2025-02-16
Health
Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.
Corrected 2025-02-16
Health
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2025-02-16
Health
Post nurse staffing information every day.
Corrected 2025-02-16
Health
Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
Corrected 2025-02-16
Health
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected 2025-02-16
Health
Allow resident to participate in the development and implementation of his or her person-centered plan of care.
Corrected 2024-09-27
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 2023-02-06
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2023-02-06
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2023-02-06
Health
Provide and implement an infection prevention and control program.
Corrected 2020-10-20
Penalties and ownership
Fine · fine $24,850
Fine
Corporate Director · Individual
Corporate Director · Individual
Corporate Director · Individual
Corporate Director · Individual
Corporate Director · Individual
Corporate Director · Individual
Corporate Officer · Individual
W-2 Managing Employee · Individual
Corporate Director · Individual
Corporate Officer · Individual
Corporate Director · Individual
Corporate Director · Individual
Corporate Officer · Individual
Corporate Officer · Individual
W-2 Managing Employee · Individual
Corporate Director · Individual
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