Brooklyn, NY

Spring Creek Rehabilitation & Nursing Care Center

3-star overall rating with 3-star inspections with 7 recent health deficiencies with 4 fire-safety deficiencies in the latest cycle

660 Louisiana Ave, Brooklyn, NY

(718) 669-7100

Compare this facility

Overall

3 / 5

CMS overall stars

Health inspections

3 / 5

Survey and complaint cycles

Staffing

2 / 5

RN + nurse staffing

Quality measures

4 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

180

Certified beds

Average residents

186

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

Benjamin Landa

Operator or chain grouping

Approved since

1967-01-01

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Chain footprint

54 facilities

Chain averages 3 overall / 3 health / 3 staffing / 3 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

Hours and turnover

RN hours / resident day

0.49

Registered nurse staffing · state 0.70 · national 0.68

LPN hours / resident day

0.64

Licensed practical nurse staffing · state 0.78 · national 0.87

Aide hours / resident day

1.96

Nurse aide staffing · state 2.20 · national 2.35

Total nurse hours

3.09

All reported nurse hours · state 3.65 · national 3.89

Licensed hours

1.13

RN + LPN hours · state 1.47 · national 1.54

Weekend hours

2.82

Weekend nurse staffing · state 3.16 · national 3.43

Weekend RN hours

0.45

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

0.44

CMS adjusted RN staffing hours

Adjusted total hours

2.80

CMS adjusted total nurse staffing hours

Case-mix index

1.51

Higher values indicate more complex resident acuity

RN turnover

52%

Annual RN turnover · state 41% · national 45%

Total nurse turnover

35%

Annual nurse turnover · state 41% · national 46%

SNF VBP

Value-based purchasing

Program rank

5,465

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

Performance score

36.08

Composite VBP score used to determine payment impact.

Payment multiplier

0.9896

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

4.09

Baseline 18.02% · Performance 19.54% · Measure score 4.09 · Achievement 4.09 · Improvement 0

Healthcare-associated infections

1.74

Baseline 6.30% · Performance 7.31% · Measure score 1.74 · Achievement 1.74 · Improvement 0

Total nurse turnover

7.33

Baseline 35.81% · Performance 33.73% · Measure score 7.33 · Achievement 7.33 · Improvement 1.39

Adjusted total nurse staffing

1.28

Baseline 2.62 hours · Performance 3.18 hours · Measure score 1.28 · Achievement 0 · Improvement 1.28

SNF QRP

Medicare quality reporting measures

Measure	Facility	National	Note
Potentially preventable 30-day readmission	9.54%	10.72% 1.2 pts better	No Different than the National Rate · Eligible stays 119 · Observed rate 6.72% · Lower 95% interval 6.66%
Discharge to community	49.13%	50.57% 1.4 pts worse	No Different than the National Rate · Eligible stays 131 · Observed rate 41.98% · Lower 95% interval 40.33%
Medicare spending per beneficiary	1.8	1.02 0.8 pts worse
Drug regimen review with follow-up	88.83%	95.27% 6.4 pts worse	Numerator 183 · Denominator 206
Falls with major injury	0%	0.77% 0.8 pts better	Numerator 0 · Denominator 206
Discharge self-care score	70.39%	53.69% 16.7 pts better	Numerator 107 · Denominator 152
Discharge mobility score	61.18%	50.94% 10.2 pts better	Numerator 93 · Denominator 152
Pressure ulcers or injuries, new or worsened	2.91%	2.29% 0.6 pts worse	Numerator 6 · Denominator 206 · Adjusted rate 2.08%
Healthcare-associated infections requiring hospitalization	7.31%	7.12% 0.2 pts worse	No Different than the National Rate · Eligible stays 123 · Observed rate 7.32% · Lower 95% interval 5.3%
Staff COVID-19 vaccination coverage	1.97%	8.2% 6.2 pts worse	Numerator 3 · Denominator 152
Staff flu vaccination coverage	50%	42% 8 pts better	Numerator 76 · Denominator 152
Discharge function score	71.05%	56.45% 14.6 pts better	Numerator 108 · Denominator 152
Transfer of health information to provider	100%	95.95% 4 pts better	Numerator 51 · Denominator 51
Transfer of health information to patient	98.46%	96.28% 2.2 pts better	Numerator 64 · Denominator 65
Resident COVID-19 vaccinations up to date	54.72%	25.2% 29.5 pts better	Numerator 58 · Denominator 106

Quality measures

Resident outcomes and process scores

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 2.0 · Expected 2.1 · 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 1.0 · Expected 1.6 · Used in QM five-star
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine	89.1%	91.2% 2.1 pts worse	93.4% 4.3 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 89.1% · Q2 86.5% · Q3 88.5% · Q4 92.5% · 4Q avg 89.1%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine	92.7%	95.3% 2.6 pts worse	95.5% 2.8 pts worse	Long Stay · 2024Q3-2025Q2 · 4Q avg 92.7%
Percentage of long-stay residents experiencing one or more falls with major injury	0.5%	3.0% 2.5 pts better	3.3% 2.8 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.6% · Q3 0.6% · Q4 0.6% · 4Q avg 0.5% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms	3.2%	18.5% 15.3 pts better	11.4% 8.2 pts better	Long Stay · 2024Q4-2025Q3 · Q1 3.2% · Q2 4.9% · Q3 1.9% · Q4 2.9% · 4Q avg 3.2%
Percentage of long-stay residents who lose too much weight	8.4%	6.1% 2.3 pts worse	5.4% 3 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 8.3% · Q2 6.5% · Q3 7.8% · Q4 11.0% · 4Q avg 8.4%
Percentage of long-stay residents who received an antianxiety or hypnotic medication	4.0%	13.5% 9.5 pts better	19.6% 15.6 pts better	Long Stay · 2024Q4-2025Q3 · Q1 3.4% · Q2 3.2% · Q3 6.3% · Q4 3.3% · 4Q avg 4.0%
Percentage of long-stay residents who received an antipsychotic medication	6.1%	14.8% 8.7 pts better	16.7% 10.6 pts better	Long Stay · 2024Q4-2025Q3 · Q1 7.4% · Q2 7.0% · Q3 4.4% · Q4 5.6% · 4Q avg 6.1% · 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	21.0%	15.1% 5.9 pts worse	16.3% 4.7 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 18.9% · Q2 18.4% · Q3 22.8% · Q4 23.4% · 4Q avg 21.0% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased	15.6%	15.5% 0.1 pts worse	14.9% 0.7 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 14.1% · Q2 14.1% · Q3 16.3% · Q4 18.0% · 4Q avg 15.6% · Used in QM five-star
Percentage of long-stay residents with a catheter inserted and left in their bladder	0.5%	0.6% 0.1 pts better	1.0% 0.5 pts better	Long Stay · 2024Q4-2025Q3 · Q1 1.2% · Q2 0.3% · Q3 0.3% · Q4 0.3% · 4Q avg 0.5% · Used in QM five-star
Percentage of long-stay residents with a urinary tract infection	0.2%	1.4% 1.2 pts better	1.7% 1.5 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.6% · 4Q avg 0.2% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence	22.6%	20.8% 1.8 pts worse	19.8% 2.8 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 35.3% · Q2 22.3% · Q3 17.5% · Q4 15.9% · 4Q avg 22.6%
Percentage of long-stay residents with pressure ulcers	12.2%	6.9% 5.3 pts worse	5.1% 7.1 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 9.7% · Q2 14.4% · Q3 13.1% · Q4 11.2% · 4Q avg 12.2% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine	58.6%	76.7% 18.1 pts worse	81.7% 23.1 pts worse	Short Stay · 2024Q4-2025Q3 · Q1 55.7% · Q2 70.2% · Q3 58.4% · Q4 52.9% · 4Q avg 58.6%
Percentage of short-stay residents who had an outpatient emergency department visit	11.1%	9.7% 1.4 pts worse	12.0% 0.9 pts better	Short Stay · 20240701-20250630 · Adjusted 11.1% · Observed 9.9% · Expected 10.0% · Used in QM five-star
Percentage of short-stay residents who newly received an antipsychotic medication	1.6%	1.2% 0.4 pts worse	1.6% About the same	Short Stay · 2024Q4-2025Q3 · Q1 2.5% · Q2 3.1% · Q3 1.3% · Q4 0.0% · 4Q avg 1.6% · Used in QM five-star
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine	76.1%	78.8% 2.7 pts worse	79.7% 3.6 pts worse	Short Stay · 2024Q3-2025Q2 · 4Q avg 76.1%
Percentage of short-stay residents who were rehospitalized after a nursing home admission	20.6%	20.6% About the same	23.9% 3.3 pts better	Short Stay · 20240701-20250630 · Adjusted 20.6% · Observed 20.7% · Expected 23.9% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-02-12 · Fire 2025-02-12

7 health deficiencies

Top issue: Resident Rights (4 deficiencies)

4 fire-safety deficiencies

Top issue: Smoke (3 deficiencies)

Cycle 2 Health 2023-01-26 · Fire 2023-01-26

6 health deficiencies

Top issue: Infection Control (2 deficiencies)

4 fire-safety deficiencies

Top issue: Smoke (2 deficiencies)

Cycle 3 Health 2019-12-16 · Fire 2019-12-16

3 health deficiencies

Top issue: Quality of Life and Care (1 deficiency)

6 fire-safety deficiencies

Top issue: Gas and Vacuum and Electrical Systems (2 deficiencies)

Fire safety

Fire-safety citations

E · Potential for more than minimal harm 2025-02-12

K351 · Smoke Deficiencies

Fire Safety

Install an approved automatic sprinkler system.

Corrected 2025-03-31

E · Potential for more than minimal harm 2025-02-12

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2025-03-31

E · Potential for more than minimal harm 2025-02-12

K363 · Smoke Deficiencies

Fire Safety

Install corridor and hallway doors that block smoke.

Corrected 2025-03-31

D · Potential for more than minimal harm 2025-02-12

K521 · Services Deficiencies

Fire Safety

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

Corrected 2025-03-31

E · Potential for more than minimal harm 2023-01-26

K161 · Construction Deficiencies

Fire Safety

Use approved construction type or materials.

Corrected 2023-03-03

E · Potential for more than minimal harm 2023-01-26

K372 · Smoke Deficiencies

Fire Safety

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

Corrected 2023-03-03

D · Potential for more than minimal harm 2023-01-26

K291 · Egress Deficiencies

Fire Safety

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

Corrected 2023-03-03

C · Minimal harm 2023-01-26

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2023-03-03

E · Potential for more than minimal harm 2019-12-16

K351 · Smoke Deficiencies

Fire Safety

Install an approved automatic sprinkler system.

Corrected 2020-02-11

E · Potential for more than minimal harm 2019-12-16

K541 · Services Deficiencies

Fire Safety

Install properly constructed and protected linen or trash chutes.

Corrected 2020-02-11

E · Potential for more than minimal harm 2019-12-16

K923 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have proper medical gas storage and administration areas.

Corrected 2020-02-11

D · Potential for more than minimal harm 2019-12-16

K225 · Egress Deficiencies

Fire Safety

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

Corrected 2020-02-11

D · Potential for more than minimal harm 2019-12-16

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 2020-02-11

D · Potential for more than minimal harm 2019-12-16

K921 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure that testing and maintenance of electrical equipment is performed.

Corrected 2020-02-11

Inspection history

Recent health citations

D · Potential for more than minimal harm 2025-03-11

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 2025-03-31

F · Potential for more than minimal harm 2025-02-12

F725 · Nursing and Physician Services Deficiencies

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 2025-04-07

D · Potential for more than minimal harm 2025-02-12

F553 · Resident Rights Deficiencies

Health

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

Corrected 2025-04-07

D · Potential for more than minimal harm 2025-02-12

F561 · Resident Rights Deficiencies

Health

Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.

Corrected 2025-04-07

D · Potential for more than minimal harm 2025-02-12

F568 · Resident Rights Deficiencies

Health

Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.

Corrected 2025-04-07

D · Potential for more than minimal harm 2025-02-12

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 2025-04-07

D · Potential for more than minimal harm 2025-02-12

F684 · Quality of Life and Care Deficiencies

Health

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Corrected 2025-04-07

D · Potential for more than minimal harm 2025-02-12

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2025-04-07

E · Potential for more than minimal harm 2023-01-26

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 2023-03-14

E · Potential for more than minimal harm 2023-01-26

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2023-03-14

D · Potential for more than minimal harm 2023-01-26

F675 · Quality of Life and Care Deficiencies

Health

Honor each resident's preferences, choices, values and beliefs.

Corrected 2023-03-14

D · Potential for more than minimal harm 2023-01-26

F761 · Pharmacy Service Deficiencies

Health

Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

Corrected 2023-03-14

D · Potential for more than minimal harm 2023-01-26

F888 · Infection Control Deficiencies

Health

Ensure staff are vaccinated for COVID-19

Corrected 2023-03-14

D · Potential for more than minimal harm 2019-12-16

F623 · Resident Rights Deficiencies

Health

Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

Corrected 2020-01-10

D · Potential for more than minimal harm 2019-12-16

F656 · Resident Assessment and Care Planning Deficiencies

Health

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Corrected 2020-01-10

D · Potential for more than minimal harm 2019-12-16

F688 · Quality of Life and Care Deficiencies

Health

Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.

Corrected 2020-01-08

Penalties and ownership