Cycle 1
Health 2024-03-21 · Fire 2024-03-21
4 health deficiencies
Top issue: Quality of Life and Care (2 deficiencies)
2 fire-safety deficiencies
Top issue: Egress (1 deficiency)
Staten Island, NY
Staten Island Care Center
5-star overall rating with 4-star inspections with 4 recent health deficiencies with 2 fire-safety deficiencies in the latest cycle
200 Lafayette Avenue, Staten Island, NY
(718) 448-9000
Overall
5 / 5
CMS overall stars
Health inspections
4 / 5
Survey and complaint cycles
Staffing
2 / 5
RN + nurse staffing
Quality measures
5 / 5
Resident outcomes and process measures
Quick facts
Facility snapshot
Beds
300
Certified beds
Average residents
287
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
Excelsior Care Group
Operator or chain grouping
Approved since
1976-11-01
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Chain footprint
33 facilities
Chain averages 3 overall / 2 health / 3 staffing / 4 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
0.31
Registered nurse staffing · state 0.70 · national 0.68
LPN hours / resident day
0.68
Licensed practical nurse staffing · state 0.78 · national 0.87
Aide hours / resident day
1.76
Nurse aide staffing · state 2.20 · national 2.35
Total nurse hours
2.75
All reported nurse hours · state 3.65 · national 3.89
Licensed hours
0.99
RN + LPN hours · state 1.47 · national 1.54
Weekend hours
2.57
Weekend nurse staffing · state 3.16 · national 3.43
Weekend RN hours
0.19
Weekend registered nurse coverage · state 0.47 · national 0.47
Physical therapist
0.05
Reported PT staffing · state 0.11 · national 0.07
Adjusted RN hours
0.27
CMS adjusted RN staffing hours
Adjusted total hours
2.37
CMS adjusted total nurse staffing hours
Case-mix index
1.58
Higher values indicate more complex resident acuity
RN turnover
15%
Annual RN turnover · state 41% · national 45%
Total nurse turnover
28%
Annual nurse turnover · state 41% · national 46%
SNF VBP
Value-based purchasing
Program rank
688
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
65.35
Composite VBP score used to determine payment impact.
Payment multiplier
1.0196
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
8.99
Baseline 19.84% · Performance 17.27% · Measure score 8.99 · Achievement 8.99 · Improvement 8.66
Healthcare-associated infections
7.15
Baseline 10.02% · Performance 6.18% · Measure score 7.15 · Achievement 5.54 · Improvement 7.15
Total nurse turnover
10
Baseline 28.34% · Performance 24.32% · Measure score 10 · Achievement 10 · Improvement 9
Adjusted total nurse staffing
0
Baseline 2.83 hours · Performance 2.38 hours · Measure score 0 · Achievement 0 · Improvement 0
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 10.42% |
10.72%
0.3 pts better
|
No Different than the National Rate · Eligible stays 336 · Observed rate 9.52% · Lower 95% interval 8.1% |
| Discharge to community | 30.34% |
50.57%
20.2 pts worse
|
Worse than the National Rate · Eligible stays 346 · Observed rate 26.01% · Lower 95% interval 25.69% |
| Medicare spending per beneficiary | 1.88 |
1.02
0.9 pts worse
|
|
| Drug regimen review with follow-up | 93.65% |
95.27%
1.6 pts worse
|
Numerator 295 · Denominator 315 |
| Falls with major injury | 0% |
0.77%
0.8 pts better
|
Numerator 0 · Denominator 315 |
| Discharge self-care score | 58.12% |
53.69%
4.4 pts better
|
Numerator 136 · Denominator 234 |
| Discharge mobility score | 72.65% |
50.94%
21.7 pts better
|
Numerator 170 · Denominator 234 |
| Pressure ulcers or injuries, new or worsened | 0.32% |
2.29%
2 pts better
|
Numerator 1 · Denominator 315 · Adjusted rate 0.32% |
| Healthcare-associated infections requiring hospitalization | 6.18% |
7.12%
0.9 pts better
|
No Different than the National Rate · Eligible stays 215 · Observed rate 5.12% · Lower 95% interval 4.03% |
| Staff COVID-19 vaccination coverage | 0% |
8.2%
8.2 pts worse
|
Numerator 0 · Denominator 344 |
| Staff flu vaccination coverage | 53.78% |
42%
11.8 pts better
|
Numerator 185 · Denominator 344 |
| Discharge function score | 66.24% |
56.45%
9.8 pts better
|
Numerator 155 · Denominator 234 |
| Transfer of health information to provider | 92.42% |
95.95%
3.5 pts worse
|
Numerator 61 · Denominator 66 |
| Transfer of health information to patient | 96.21% |
96.28%
0.1 pts worse
|
Numerator 127 · Denominator 132 |
| Resident COVID-19 vaccinations up to date | 6.17% |
25.2%
19 pts worse
|
Numerator 10 · Denominator 162 |
Quality measures
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 1.5 |
1.7
0.2 pts better
|
1.9
0.4 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.5 · Observed 2.0 · Expected 2.6 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 0.5 |
1.3
0.8 pts better
|
1.8
1.3 pts better
|
Long Stay · 20240701-20250630 · Adjusted 0.5 · Observed 0.6 · Expected 2.0 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 98.1% |
91.2%
6.9 pts better
|
93.4%
4.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 97.0% · Q2 99.2% · Q3 97.6% · Q4 98.3% · 4Q avg 98.1% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 98.2% |
95.3%
2.9 pts better
|
95.5%
2.7 pts better
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 98.2% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 1.7% |
3.0%
1.3 pts better
|
3.3%
1.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.8% · Q2 1.6% · Q3 2.0% · Q4 2.5% · 4Q avg 1.7% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 93.3% |
18.5%
74.8 pts worse
|
11.4%
81.9 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 83.6% · Q2 96.3% · Q3 96.7% · Q4 96.1% · 4Q avg 93.3% |
| Percentage of long-stay residents who lose too much weight | 7.3% |
6.1%
1.2 pts worse
|
5.4%
1.9 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 6.1% · Q2 5.3% · Q3 10.8% · Q4 6.6% · 4Q avg 7.3% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 21.4% |
13.5%
7.9 pts worse
|
19.6%
1.8 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 21.9% · Q2 21.5% · Q3 21.7% · Q4 20.6% · 4Q avg 21.4% |
| Percentage of long-stay residents who received an antipsychotic medication | 30.9% |
14.8%
16.1 pts worse
|
16.7%
14.2 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 32.5% · Q2 30.4% · Q3 29.6% · Q4 31.1% · 4Q avg 30.9% · 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 | 18.8% |
15.1%
3.7 pts worse
|
16.3%
2.5 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 11.1% · Q2 13.8% · Q3 30.5% · Q4 19.1% · 4Q avg 18.8% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 15.4% |
15.5%
0.1 pts better
|
14.9%
0.5 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 8.8% · Q2 14.7% · Q3 23.7% · Q4 13.6% · 4Q avg 15.4% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.4% |
0.6%
0.2 pts better
|
1.0%
0.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 1.1% · Q2 0.3% · Q3 0.3% · Q4 0.0% · 4Q avg 0.4% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 0.5% |
1.4%
0.9 pts better
|
1.7%
1.2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.4% · Q2 1.2% · Q3 0.4% · Q4 0.0% · 4Q avg 0.5% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 7.2% |
20.8%
13.6 pts better
|
19.8%
12.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 7.6% · Q2 7.7% · Q3 5.9% · Q4 7.9% · 4Q avg 7.2% |
| Percentage of long-stay residents with pressure ulcers | 4.7% |
6.9%
2.2 pts better
|
5.1%
0.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 5.1% · Q2 7.7% · Q3 3.8% · Q4 2.1% · 4Q avg 4.7% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 74.5% |
76.7%
2.2 pts worse
|
81.7%
7.2 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 66.3% · Q2 69.9% · Q3 79.8% · Q4 82.6% · 4Q avg 74.5% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 4.6% |
9.7%
5.1 pts better
|
12.0%
7.4 pts better
|
Short Stay · 20240701-20250630 · Adjusted 4.6% · Observed 5.0% · Expected 12.2% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 1.3% |
1.2%
0.1 pts worse
|
1.6%
0.3 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 1.4% · Q2 0.7% · Q3 1.5% · Q4 1.4% · 4Q avg 1.3% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 77.4% |
78.8%
1.4 pts worse
|
79.7%
2.3 pts worse
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 77.4% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 17.4% |
20.6%
3.2 pts better
|
23.9%
6.5 pts better
|
Short Stay · 20240701-20250630 · Adjusted 17.4% · Observed 18.2% · Expected 25.0% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2022-02-04 · Fire 2022-02-04
4 health deficiencies
Top issue: Freedom from Abuse and Neglect and Exploitation (1 deficiency)
2 fire-safety deficiencies
Top issue: Miscellaneous (2 deficiencies)
Cycle 3
Health 2019-06-27 · Fire 2019-06-27
2 health deficiencies
Top issue: Infection Control (1 deficiency)
2 fire-safety deficiencies
Top issue: Egress (1 deficiency)
Fire safety
Fire-safety citations
E · Potential for more than minimal harm
2024-03-21
K225 · Egress Deficiencies
Fire Safety
Have stairways and smokeproof enclosures used as exits that meet safety requirements.
Corrected 2024-04-25
C · Minimal harm
2024-03-21
K918 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2024-04-25
D · Potential for more than minimal harm
2022-02-04
K741 · Miscellaneous Deficiencies
Fire Safety
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Corrected 2022-03-28
C · Minimal harm
2022-02-04
K712 · Miscellaneous Deficiencies
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2022-03-28
D · Potential for more than minimal harm
2019-06-27
K271 · Egress Deficiencies
Fire Safety
Have exits that are accessible at all times.
Corrected 2019-08-20
C · Minimal harm
2019-06-27
K353 · Smoke Deficiencies
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2019-08-20
Inspection history
Recent health citations
E · Potential for more than minimal harm
2024-03-21
F577 · Resident Rights Deficiencies
Health
Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.
Corrected 2024-05-10
D · Potential for more than minimal harm
2024-03-21
F645 · Resident Assessment and Care Planning Deficiencies
Health
PASARR screening for Mental disorders or Intellectual Disabilities
Corrected 2024-05-10
D · Potential for more than minimal harm
2024-03-21
F679 · Quality of Life and Care Deficiencies
Health
Provide activities to meet all resident's needs.
Corrected 2024-05-10
D · Potential for more than minimal harm
2024-03-21
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 2024-05-10
E · Potential for more than minimal harm
2022-02-04
F583 · Resident Rights Deficiencies
Health
Keep residents' personal and medical records private and confidential.
Corrected 2022-03-27
E · Potential for more than minimal harm
2022-02-04
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2022-03-27
D · Potential for more than minimal harm
2022-02-04
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 2022-03-27
D · Potential for more than minimal harm
2022-02-04
F814 · Nutrition and Dietary Deficiencies
Health
Dispose of garbage and refuse properly.
Corrected 2022-03-27
D · Potential for more than minimal harm
2019-06-27
F641 · Resident Assessment and Care Planning Deficiencies
Health
Ensure each resident receives an accurate assessment.
Corrected 2019-08-20
D · Potential for more than minimal harm
2019-06-27
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2019-08-20
Penalties and ownership
What sits behind the stars
Ownership
Leifer, Constance
5% Or Greater Direct Ownership Interest · Individual
Leifer, Joel
5% Or Greater Direct Ownership Interest · Individual
Bergman, Akiva
Operational/Managerial Control · Individual
Excelsior Care Group
Operational/Managerial Control · Organization
Garcia, Angela Rose Marie
Operational/Managerial Control · Individual
Gordon, Nissan
Operational/Managerial Control · Individual
Steinberg, Moshe
Operational/Managerial Control · Individual
Stern, Samuel
Corporate Officer · Individual
Nearby options
Other facilities in reach
#1
Silver Lake Specialized Rehab And Care Center
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
#2
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
#3
Richmond Ctr For Rehab And Specialty Healthcare
Staten Island, NY
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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