Cycle 1
Health 2024-03-11 · Fire 2024-03-11
4 health deficiencies
Top issue: Quality of Life and Care (2 deficiencies)
2 fire-safety deficiencies
Top issue: Egress (1 deficiency)
Rhinebeck, NY
The Baptist Home At Brookmeade
5-star overall rating with 4-star inspections with 4 recent health deficiencies with 2 fire-safety deficiencies in the latest cycle
46 Brookmeade Drive, Rhinebeck, NY
(845) 876-2071
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
120
Certified beds
Average residents
112
Average occupied residents
Ownership
Non-Profit
Publicly displayed owner type
Chain
No chain reported
Operator or chain grouping
Approved since
1977-12-01
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
Hours and turnover
RN hours / resident day
0.46
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
1.75
Nurse aide staffing · state 2.20 · national 2.35
Total nurse hours
2.89
All reported nurse hours · state 3.65 · national 3.89
Licensed hours
1.14
RN + LPN hours · state 1.47 · national 1.54
Weekend hours
2.60
Weekend nurse staffing · state 3.16 · national 3.43
Weekend RN hours
0.27
Weekend registered nurse coverage · state 0.47 · national 0.47
Physical therapist
0.09
Reported PT staffing · state 0.11 · national 0.07
Adjusted RN hours
0.48
CMS adjusted RN staffing hours
Adjusted total hours
3.01
CMS adjusted total nurse staffing hours
Case-mix index
1.32
Higher values indicate more complex resident acuity
RN turnover
18%
Annual RN turnover · state 41% · national 45%
Total nurse turnover
34%
Annual nurse turnover · state 41% · national 46%
SNF VBP
Value-based purchasing
Program rank
1,815
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
53.84
Composite VBP score used to determine payment impact.
Payment multiplier
1.0086
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
4.56
Baseline 18.39% · Performance 19.32% · Measure score 4.56 · Achievement 4.56 · Improvement 0
Healthcare-associated infections
8.20
Baseline 8.89% · Performance 5.50% · Measure score 8.20 · Achievement 7.8 · Improvement 8.20
Total nurse turnover
8.78
Baseline 32.53% · Performance 27.78% · Measure score 8.78 · Achievement 8.78 · Improvement 5.69
Adjusted total nurse staffing
0
Baseline 3.14 hours · Performance 2.68 hours · Measure score 0 · Achievement 0 · Improvement 0
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 8.19% |
10.72%
2.5 pts better
|
No Different than the National Rate · Eligible stays 202 · Observed rate 3.96% · Lower 95% interval 5.68% |
| Discharge to community | 61.2% |
50.57%
10.6 pts better
|
Better than the National Rate · Eligible stays 208 · Observed rate 60.1% · Lower 95% interval 55.36% |
| Medicare spending per beneficiary | 0.86 |
1.02
0.2 pts better
|
|
| Drug regimen review with follow-up | 97.98% |
95.27%
2.7 pts better
|
Numerator 194 · Denominator 198 |
| Falls with major injury | 0.51% |
0.77%
0.3 pts better
|
Numerator 1 · Denominator 198 |
| Discharge self-care score | 68.69% |
53.69%
15 pts better
|
Numerator 68 · Denominator 99 |
| Discharge mobility score | 73.74% |
50.94%
22.8 pts better
|
Numerator 73 · Denominator 99 |
| Pressure ulcers or injuries, new or worsened | 0% |
2.29%
2.3 pts better
|
Numerator 0 · Denominator 198 · Adjusted rate 0% |
| Healthcare-associated infections requiring hospitalization | 5.5% |
7.12%
1.6 pts better
|
No Different than the National Rate · Eligible stays 149 · Observed rate 2.68% · Lower 95% interval 3.46% |
| Staff COVID-19 vaccination coverage | 19.77% |
8.2%
11.6 pts better
|
Numerator 34 · Denominator 172 |
| Staff flu vaccination coverage | 38.67% |
42%
3.3 pts worse
|
Numerator 99 · Denominator 256 |
| Discharge function score | 71.72% |
56.45%
15.3 pts better
|
Numerator 71 · Denominator 99 |
| Transfer of health information to provider | 86.67% |
95.95%
9.3 pts worse
|
Numerator 26 · Denominator 30 |
| Transfer of health information to patient | 100% |
96.28%
3.7 pts better
|
Numerator 136 · Denominator 136 |
| Resident COVID-19 vaccinations up to date | 29.55% |
25.2%
4.4 pts better
|
Numerator 39 · Denominator 132 |
Quality measures
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 3.1 |
1.7
1.4 pts worse
|
1.9
1.2 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 3.1 · Observed 1.7 · Expected 1.0 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 2.4 |
1.3
1.1 pts worse
|
1.8
0.6 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 2.4 · Observed 1.5 · Expected 1.0 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 100.0% |
91.2%
8.8 pts better
|
93.4%
6.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 100.0% · Q3 100.0% · Q4 100.0% · 4Q avg 100.0% |
| 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 | 7.5% |
3.0%
4.5 pts worse
|
3.3%
4.2 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 5.9% · Q2 6.0% · Q3 10.3% · Q4 7.7% · 4Q avg 7.5% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 1.3% |
18.5%
17.2 pts better
|
11.4%
10.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 1.3% · Q3 4.1% · Q4 0.0% · 4Q avg 1.3% |
| 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 · 4Q avg 6.9% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 6.2% |
13.5%
7.3 pts better
|
19.6%
13.4 pts better
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 6.2% |
| Percentage of long-stay residents who received an antipsychotic medication | 5.4% |
14.8%
9.4 pts better
|
16.7%
11.3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 3.1% · Q2 5.9% · Q3 2.8% · Q4 9.5% · 4Q avg 5.4% · 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 | 0.0% |
15.1%
15.1 pts better
|
16.3%
16.3 pts better
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 0.0% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 0.0% |
15.5%
15.5 pts better
|
14.9%
14.9 pts better
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 0.0% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.0% |
0.6%
0.6 pts better
|
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% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 2.1% |
1.4%
0.7 pts worse
|
1.7%
0.4 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 1.2% · Q2 1.2% · Q3 4.8% · Q4 1.1% · 4Q avg 2.1% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 2.3% |
20.8%
18.5 pts better
|
19.8%
17.5 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 7.6% · Q2 1.3% · Q3 0.0% · Q4 0.0% · 4Q avg 2.3% |
| Percentage of long-stay residents with pressure ulcers | 5.0% |
6.9%
1.9 pts better
|
5.1%
0.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 2.2% · Q2 2.5% · Q3 8.0% · Q4 7.3% · 4Q avg 5.0% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 99.2% |
76.7%
22.5 pts better
|
81.7%
17.5 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 99.4% · Q2 98.3% · Q3 100.0% · Q4 99.3% · 4Q avg 99.2% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 8.3% |
9.7%
1.4 pts better
|
12.0%
3.7 pts better
|
Short Stay · 20240701-20250630 · Adjusted 8.3% · Observed 6.7% · Expected 9.0% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 1.2% |
1.2%
About the same
|
1.6%
0.4 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 1.9% · Q2 1.9% · Q3 0.9% · Q4 0.0% · 4Q avg 1.2% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 95.5% |
78.8%
16.7 pts better
|
79.7%
15.8 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 95.5% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 22.7% |
20.6%
2.1 pts worse
|
23.9%
1.2 pts better
|
Short Stay · 20240701-20250630 · Adjusted 22.7% · Observed 17.4% · Expected 18.3% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2021-09-14 · Fire 2021-09-14
0 health deficiencies
No concentrated health issue counts in this cycle.
3 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (2 deficiencies)
Cycle 3
Health 2019-04-05 · Fire 2019-04-05
3 health deficiencies
Top issue: Infection Control (1 deficiency)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Fire safety
Fire-safety citations
D · Potential for more than minimal harm
2024-03-11
K271 · Egress Deficiencies
Fire Safety
Have exits that are accessible at all times.
Corrected 2024-04-16
D · Potential for more than minimal harm
2024-03-11
K761 · Miscellaneous Deficiencies
Fire Safety
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Corrected 2024-04-16
E · Potential for more than minimal harm
2021-09-14
K918 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2021-10-06
E · Potential for more than minimal harm
2021-09-14
K923 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Have proper medical gas storage and administration areas.
Corrected 2021-10-06
D · Potential for more than minimal harm
2021-09-14
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 2021-10-06
Inspection history
Recent health citations
D · Potential for more than minimal harm
2024-03-11
F558 · Resident Rights Deficiencies
Health
Reasonably accommodate the needs and preferences of each resident.
Corrected 2024-04-16
D · Potential for more than minimal harm
2024-03-11
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 2024-04-16
D · Potential for more than minimal harm
2024-03-11
F677 · Quality of Life and Care Deficiencies
Health
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2024-04-16
D · Potential for more than minimal harm
2024-03-11
F684 · Quality of Life and Care Deficiencies
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2024-04-16
E · Potential for more than minimal harm
2019-04-05
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 2019-05-25
D · Potential for more than minimal harm
2019-04-05
F554 · Resident Rights Deficiencies
Health
Allow residents to self-administer drugs if determined clinically appropriate.
Corrected 2019-05-25
D · Potential for more than minimal harm
2019-04-05
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2019-05-25
Penalties and ownership
What sits behind the stars
Ownership
Chisholm, Antoine
W-2 Managing Employee · Individual
Jaeger, Michael
W-2 Managing Employee · Individual
Stritt, Karen
Corporate Officer · Individual
Stritt, Karen
W-2 Managing Employee · Individual
Zeidan, Brian
Corporate Officer · Individual
Zeidan, Brian
W-2 Managing Employee · Individual
Nearby options
Other facilities in reach
#1
Ferncliff Nursing Home Co Inc
Rhinebeck, NY
2-star overall rating with 1-star inspections with abuse icon flag with 10 recent health deficiencies with 3 fire-safety deficiencies in the latest cycle
#2
Northeast Ctr For Rehabilitation And Brain Injury
Lake Katrine, NY
1-star overall rating with 1-star inspections with $25,435 in total fines with 14 recent health deficiencies with 12 fire-safety deficiencies in the latest cycle
#3
Renaissance Rehabilitation And Nursing Care Center
Staatsburg, NY
1-star overall rating with 1-star inspections with 39 recent health deficiencies with 8 fire-safety deficiencies in the latest cycle
Jump out