2 health deficiencies
Top issue: Resident Assessment and Care Planning (1 deficiency)
6 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (3 deficiencies)
Brooklyn, NY
4-star overall rating with 4-star inspections with 2 recent health deficiencies with 6 fire-safety deficiencies in the latest cycle
3457 Nostrand Avenue, Brooklyn, NY
(718) 535-5100
Overall
4 / 5
CMS overall stars
Health inspections
4 / 5
Survey and complaint cycles
Staffing
1 / 5
RN + nurse staffing
Quality measures
5 / 5
Resident outcomes and process measures
Quick facts
Beds
189
Certified beds
Average residents
181
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
Carerite Centers
Operator or chain grouping
Approved since
1969-08-01
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Chain footprint
34 facilities
Chain averages 3 overall / 3 health / 2 staffing / 5 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
RN hours / resident day
0.58
Registered nurse staffing · state 0.70 · national 0.68
LPN hours / resident day
0.48
Licensed practical nurse staffing · state 0.78 · national 0.87
Aide hours / resident day
1.90
Nurse aide staffing · state 2.20 · national 2.35
Total nurse hours
2.96
All reported nurse hours · state 3.65 · national 3.89
Licensed hours
1.06
RN + LPN hours · state 1.47 · national 1.54
Weekend hours
2.69
Weekend nurse staffing · state 3.16 · national 3.43
Weekend RN hours
0.38
Weekend registered nurse coverage · state 0.47 · national 0.47
Physical therapist
0.11
Reported PT staffing · state 0.11 · national 0.07
Adjusted RN hours
0.48
CMS adjusted RN staffing hours
Adjusted total hours
2.46
CMS adjusted total nurse staffing hours
Case-mix index
1.65
Higher values indicate more complex resident acuity
RN turnover
56%
Annual RN turnover · state 41% · national 45%
Total nurse turnover
38%
Annual nurse turnover · state 41% · national 46%
SNF VBP
Program rank
8,150
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
27.67
Composite VBP score used to determine payment impact.
Payment multiplier
0.9847
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
Readmission
1.86
Baseline 18.20% · Performance 20.57% · Measure score 1.86 · Achievement 1.86 · Improvement 0
Healthcare-associated infections
4.60
Baseline 8.32% · Performance 6.63% · Measure score 4.60 · Achievement 4.04 · Improvement 4.60
Total nurse turnover
4.61
Baseline 42.86% · Performance 44.85% · Measure score 4.61 · Achievement 4.61 · Improvement 0
Adjusted total nurse staffing
0
Baseline 2.94 hours · Performance 2.54 hours · Measure score 0 · Achievement 0 · Improvement 0
SNF QRP
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 8.54% |
10.72%
2.2 pts better
|
No Different than the National Rate · Eligible stays 202 · Observed rate 5.45% · Lower 95% interval 5.94% |
| Discharge to community | 51.51% |
50.57%
0.9 pts better
|
No Different than the National Rate · Eligible stays 273 · Observed rate 44.32% · Lower 95% interval 45.23% |
| Medicare spending per beneficiary | 1.68 |
1.02
0.7 pts worse
|
|
| Drug regimen review with follow-up | 99.09% |
95.27%
3.8 pts better
|
Numerator 328 · Denominator 331 |
| Falls with major injury | 1.21% |
0.77%
0.4 pts worse
|
Numerator 4 · Denominator 331 |
| Discharge self-care score | 52.84% |
53.69%
0.8 pts worse
|
Numerator 121 · Denominator 229 |
| Discharge mobility score | 47.6% |
50.94%
3.3 pts worse
|
Numerator 109 · Denominator 229 |
| Pressure ulcers or injuries, new or worsened | 1.81% |
2.29%
0.5 pts better
|
Numerator 6 · Denominator 331 · Adjusted rate 1.25% |
| Healthcare-associated infections requiring hospitalization | 6.63% |
7.12%
0.5 pts better
|
No Different than the National Rate · Eligible stays 192 · Observed rate 6.25% · Lower 95% interval 4.32% |
| Staff COVID-19 vaccination coverage | 2.82% |
8.2%
5.4 pts worse
|
Numerator 7 · Denominator 248 |
| Staff flu vaccination coverage | 30.4% |
42%
11.6 pts worse
|
Numerator 76 · Denominator 250 |
| Discharge function score | 53.28% |
56.45%
3.2 pts worse
|
Numerator 122 · Denominator 229 |
| Transfer of health information to provider | 98.86% |
95.95%
2.9 pts better
|
Numerator 87 · Denominator 88 |
| Transfer of health information to patient | 97.26% |
96.28%
1 pts better
|
Numerator 142 · Denominator 146 |
| Resident COVID-19 vaccinations up to date | 15.34% |
25.2%
9.9 pts worse
|
Numerator 27 · Denominator 176 |
Quality measures
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 0.9 |
1.7
0.8 pts better
|
1.9
1 pts better
|
Long Stay · 20240701-20250630 · Adjusted 0.9 · Observed 0.9 · Expected 1.9 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 1.3 |
1.3
About the same
|
1.8
0.5 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.3 · Observed 1.1 · Expected 1.4 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 69.5% |
91.2%
21.7 pts worse
|
93.4%
23.9 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 60.0% · Q2 64.6% · Q3 68.3% · Q4 86.1% · 4Q avg 69.5% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 71.8% |
95.3%
23.5 pts worse
|
95.5%
23.7 pts worse
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 71.8% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 1.8% |
3.0%
1.2 pts better
|
3.3%
1.5 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 1.5% · Q2 3.1% · Q3 1.6% · Q4 0.8% · 4Q avg 1.8% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 11.8% |
18.5%
6.7 pts better
|
11.4%
0.4 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 10.7% · Q2 12.1% · Q3 11.7% · Q4 12.8% · 4Q avg 11.8% |
| Percentage of long-stay residents who lose too much weight | 3.3% |
6.1%
2.8 pts better
|
5.4%
2.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 2.4% · Q2 4.8% · Q3 2.5% · Q4 3.4% · 4Q avg 3.3% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 7.8% |
13.5%
5.7 pts better
|
19.6%
11.8 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 6.2% · Q2 8.5% · Q3 8.1% · Q4 8.3% · 4Q avg 7.8% |
| Percentage of long-stay residents who received an antipsychotic medication | 5.8% |
14.8%
9 pts better
|
16.7%
10.9 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 5.9% · Q2 7.0% · Q3 7.1% · Q4 3.2% · 4Q avg 5.8% · 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 | 11.7% |
15.1%
3.4 pts better
|
16.3%
4.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 23.7% · Q2 5.8% · Q3 12.6% · Q4 3.8% · 4Q avg 11.7% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 11.6% |
15.5%
3.9 pts better
|
14.9%
3.3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 19.6% · Q2 8.8% · Q3 7.5% · Q4 10.2% · 4Q avg 11.6% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.1% |
0.6%
0.5 pts better
|
1.0%
0.9 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.5% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.1% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 0.0% |
1.4%
1.4 pts better
|
1.7%
1.7 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 new or worsened bowel or bladder incontinence | 27.3% |
20.8%
6.5 pts worse
|
19.8%
7.5 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 27.9% · Q2 30.6% · Q3 30.4% · Q4 20.2% · 4Q avg 27.3% |
| Percentage of long-stay residents with pressure ulcers | 10.3% |
6.9%
3.4 pts worse
|
5.1%
5.2 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 8.4% · Q2 10.7% · Q3 11.7% · Q4 10.5% · 4Q avg 10.3% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 57.8% |
76.7%
18.9 pts worse
|
81.7%
23.9 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 36.5% · Q2 38.6% · Q3 68.3% · Q4 85.6% · 4Q avg 57.8% |
| 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 4.2% · Expected 10.2% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 0.3% |
1.2%
0.9 pts better
|
1.6%
1.3 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 1.1% · 4Q avg 0.3% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 52.4% |
78.8%
26.4 pts worse
|
79.7%
27.3 pts worse
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 52.4% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 16.2% |
20.6%
4.4 pts better
|
23.9%
7.7 pts better
|
Short Stay · 20240701-20250630 · Adjusted 16.2% · Observed 16.9% · Expected 24.8% · Used in QM five-star |
Survey summary
Top issue: Resident Assessment and Care Planning (1 deficiency)
6 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (3 deficiencies)
Top issue: Freedom from Abuse and Neglect and Exploitation (2 deficiencies)
4 fire-safety deficiencies
Top issue: Egress (2 deficiencies)
Top issue: Resident Rights (3 deficiencies)
3 fire-safety deficiencies
Top issue: Smoke (2 deficiencies)
Fire safety
Fire Safety
Develop and maintain an Emergency Preparedness Program (EP).
Corrected 2024-08-14
Fire Safety
Meet requirements for the installation and maintenance of electrical systems.
Corrected 2024-08-14
Fire Safety
Have power receptacles that are properly grounded.
Corrected 2024-08-14
Fire Safety
Ensure equipment listed for use in oxygen-enriched atmospheres are correctly labeled.
Corrected 2024-08-14
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 2024-08-14
Fire Safety
Properly select, install, inspect, or maintain portable fire extinguishes.
Corrected 2024-08-14
Fire Safety
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Corrected 2022-06-18
Fire Safety
Have an enclosure around a vertical opening shaft.
Corrected 2022-06-18
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2022-06-18
Fire Safety
Install emergency lighting that can last at least 1 1/2 hours.
Corrected 2022-06-18
Fire Safety
Properly select, install, inspect, or maintain portable fire extinguishes.
Corrected 2019-08-16
Fire Safety
Install an approved automatic sprinkler system.
Corrected 2019-08-16
Fire Safety
Provide at least two remote exits on each floor or fire section of the building.
Corrected 2019-08-16
Inspection history
Health
Honor the resident's right to manage his or her financial affairs.
Corrected 2024-08-20
Health
Protect each resident from the wrongful use of the resident's belongings or money.
Corrected 2024-08-20
Health
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2024-08-20
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2024-08-20
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2024-08-20
Health
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected 2024-08-20
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2022-06-20
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2022-06-20
Health
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2019-07-11
Health
Keep residents' personal and medical records private and confidential.
Corrected 2019-07-10
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 2019-08-16
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2019-07-11
Health
Provide and implement an infection prevention and control program.
Corrected 2019-07-11
Penalties and ownership
5% Or Greater Direct Ownership Interest · Individual
5% Or Greater Direct Ownership Interest · Individual
5% Or Greater Direct Ownership Interest · Individual
5% Or Greater Direct Ownership Interest · Individual
Operational/Managerial Control · Individual
Operational/Managerial Control · Individual
Operational/Managerial Control · Individual
Nearby options
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