10 health deficiencies
Top issue: Quality of Life and Care (5 deficiencies)
11 fire-safety deficiencies
Top issue: Smoke (4 deficiencies)
Roslyn Heights, NY
2-star overall rating with 2-star inspections with 10 recent health deficiencies with 11 fire-safety deficiencies in the latest cycle
255 Warner Avenue, Roslyn Heights, NY
(516) 621-5400
Overall
2 / 5
CMS overall stars
Health inspections
2 / 5
Survey and complaint cycles
Staffing
3 / 5
RN + nurse staffing
Quality measures
3 / 5
Resident outcomes and process measures
Quick facts
Beds
266
Certified beds
Average residents
246
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
The Sherman Family
Operator or chain grouping
Approved since
1975-07-15
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Staffing
RN hours / resident day
0.54
Registered nurse staffing
LPN hours / resident day
0.91
Licensed practical nurse staffing
Aide hours / resident day
2.11
Nurse aide staffing
Weekend hours
3.16
Weekend nurse staffing
RN turnover
25%
Annual RN turnover
Total nurse turnover
31%
Annual nurse turnover
Quality measures
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 3.3 |
1.7
1.6 pts worse
|
1.9
1.4 pts worse
|
Long Stay · 20240701-20250630 |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 0.7 |
1.3
0.6 pts better
|
1.8
1.1 pts better
|
Long Stay · 20240701-20250630 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 98.6% |
91.2%
7.4 pts better
|
93.4%
5.2 pts better
|
Long Stay · 2024Q4-2025Q3 |
| 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 |
| Percentage of long-stay residents experiencing one or more falls with major injury | 3.0% |
3.0%
About the same
|
3.3%
0.3 pts better
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents who have depressive symptoms | 63.0% |
18.5%
44.5 pts worse
|
11.4%
51.6 pts worse
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents who lose too much weight | 4.6% |
6.1%
1.5 pts better
|
5.4%
0.8 pts better
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 9.6% |
13.5%
3.9 pts better
|
19.6%
10 pts better
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents who received an antipsychotic medication | 15.2% |
14.8%
0.4 pts worse
|
16.7%
1.5 pts better
|
Long Stay · 2024Q4-2025Q3 |
| 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 |
| Percentage of long-stay residents whose ability to walk independently worsened | 32.7% |
15.1%
17.6 pts worse
|
16.3%
16.4 pts worse
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents whose need for help with daily activities has increased | 28.5% |
15.5%
13 pts worse
|
14.9%
13.6 pts worse
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 1.1% |
0.6%
0.5 pts worse
|
1.0%
0.1 pts worse
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents with a urinary tract infection | 4.6% |
1.4%
3.2 pts worse
|
1.7%
2.9 pts worse
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 22.3% |
20.8%
1.5 pts worse
|
19.8%
2.5 pts worse
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents with pressure ulcers | 7.3% |
6.9%
0.4 pts worse
|
5.1%
2.2 pts worse
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 91.3% |
76.7%
14.6 pts better
|
81.7%
9.6 pts better
|
Short Stay · 2024Q4-2025Q3 |
| Percentage of short-stay residents who had an outpatient emergency department visit | 5.3% |
9.7%
4.4 pts better
|
12.0%
6.7 pts better
|
Short Stay · 20240701-20250630 |
| Percentage of short-stay residents who newly received an antipsychotic medication | 1.7% |
1.2%
0.5 pts worse
|
1.6%
0.1 pts worse
|
Short Stay · 2024Q4-2025Q3 |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 95.0% |
78.8%
16.2 pts better
|
79.7%
15.3 pts better
|
Short Stay · 2024Q3-2025Q2 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 29.1% |
20.6%
8.5 pts worse
|
23.9%
5.2 pts worse
|
Short Stay · 20240701-20250630 |
Survey summary
Top issue: Quality of Life and Care (5 deficiencies)
11 fire-safety deficiencies
Top issue: Smoke (4 deficiencies)
Top issue: Nursing and Physician Services (2 deficiencies)
4 fire-safety deficiencies
Top issue: Construction (1 deficiency)
Top issue: Resident Assessment and Care Planning (3 deficiencies)
6 fire-safety deficiencies
Top issue: Smoke (2 deficiencies)
Fire safety
Fire Safety
Use approved construction type or materials.
Corrected 2024-05-14
Fire Safety
Provide a written emergency evacuation plan.
Corrected 2024-05-14
Fire Safety
Have stairways and smokeproof enclosures used as exits that meet safety requirements.
Corrected 2024-05-14
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 2024-05-14
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2024-05-14
Fire Safety
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Corrected 2024-05-14
Fire Safety
Have exits that are accessible at all times.
Corrected 2024-05-14
Fire Safety
Provide properly protected cooking facilities.
Corrected 2024-05-14
Fire Safety
Construct fire resistant interior walls.
Corrected 2024-05-14
Fire Safety
Ensure that building systems meet requirements determined by risk assessment procedures performed by qualified personnel.
Corrected 2024-05-14
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2024-05-14
Fire Safety
Use approved construction type or materials.
Corrected 2022-10-28
Fire Safety
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Corrected 2022-06-14
Fire Safety
Install an approved automatic sprinkler system.
Corrected 2022-06-14
Fire Safety
Have elevators that firefighters can control in the event of a fire.
Corrected 2022-06-14
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2019-12-26
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2019-12-26
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2019-12-26
Fire Safety
Use approved construction type or materials.
Corrected 2019-12-26
Fire Safety
Have exits that are accessible at all times.
Corrected 2019-12-26
Fire Safety
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected 2019-12-26
Inspection history
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2024-05-07
Health
Plan the resident's discharge to meet the resident's goals and needs.
Corrected 2024-05-07
Health
Assist a resident in gaining access to vision and hearing services.
Corrected 2024-05-07
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2024-05-07
Health
Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
Corrected 2024-05-07
Health
Provide for the safe, appropriate administration of IV fluids for a resident when needed.
Corrected 2024-05-07
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 2024-05-07
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 2024-05-07
Health
Provide or obtain dental services for each resident.
Corrected 2024-05-07
Health
Provide and implement an infection prevention and control program.
Corrected 2024-05-07
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 2022-07-21
Health
Ensure staff are vaccinated for COVID-19
Corrected 2022-07-21
Health
Respond appropriately to all alleged violations.
Corrected 2022-07-21
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2022-07-21
Health
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2022-07-21
Health
Ensure medication error rates are not 5 percent or greater.
Corrected 2022-07-21
Health
Ensure that residents are free from significant medication errors.
Corrected 2022-07-21
Health
Post nurse staffing information every day.
Corrected 2022-07-21
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2019-12-19
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 2019-12-19
Health
Provide enough food/fluids to maintain a resident's health.
Corrected 2019-12-19
Health
Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit.
Corrected 2019-12-19
Health
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Corrected 2019-12-19
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 2019-12-19
Health
Provide and implement an infection prevention and control program.
Corrected 2019-12-19
Health
Have a policy regarding use and storage of foods brought to residents by family and other visitors.
Corrected 2019-12-19
Health
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
Corrected 2019-12-19
Penalties and ownership
5% Or Greater Direct Ownership Interest · Individual
5% Or Greater Direct Ownership Interest · Individual
W-2 Managing Employee · Individual
Operational/Managerial Control · Individual
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