3 health deficiencies
Top issue: Freedom from Abuse and Neglect and Exploitation (1 deficiency)
11 fire-safety deficiencies
Top issue: Smoke (4 deficiencies)
Whitestone, NY
5-star overall rating with 4-star inspections with 3 recent health deficiencies with 11 fire-safety deficiencies in the latest cycle
157 15 19th Avenue, Whitestone, NY
(718) 746-0400
Overall
5 / 5
CMS overall stars
Health inspections
4 / 5
Survey and complaint cycles
Staffing
3 / 5
RN + nurse staffing
Quality measures
5 / 5
Resident outcomes and process measures
Quick facts
Beds
179
Certified beds
Average residents
175
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
The Grand Healthcare
Operator or chain grouping
Approved since
1967-01-01
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Chain footprint
16 facilities
Chain averages 2 overall / 2 health / 2 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
RN hours / resident day
0.76
Registered nurse staffing · state 0.70 · national 0.68
LPN hours / resident day
0.53
Licensed practical nurse staffing · state 0.78 · national 0.87
Aide hours / resident day
1.86
Nurse aide staffing · state 2.20 · national 2.35
Total nurse hours
3.14
All reported nurse hours · state 3.65 · national 3.89
Licensed hours
1.29
RN + LPN hours · state 1.47 · national 1.54
Weekend hours
2.80
Weekend nurse staffing · state 3.16 · national 3.43
Weekend RN hours
0.51
Weekend registered nurse coverage · state 0.47 · national 0.47
Physical therapist
0.12
Reported PT staffing · state 0.11 · national 0.07
Adjusted RN hours
0.67
CMS adjusted RN staffing hours
Adjusted total hours
2.77
CMS adjusted total nurse staffing hours
Case-mix index
1.55
Higher values indicate more complex resident acuity
RN turnover
27%
Annual RN turnover · state 41% · national 45%
Total nurse turnover
19%
Annual nurse turnover · state 41% · national 46%
SNF VBP
Program rank
9,010
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
25
Composite VBP score used to determine payment impact.
Payment multiplier
0.9836
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
Readmission
0
Baseline 19.87% · Performance 23.58% · Measure score 0 · Achievement 0 · Improvement 0
Healthcare-associated infections
0
Baseline 7.74% · Performance 10.25% · Measure score 0 · Achievement 0 · Improvement 0
Total nurse turnover
10
Baseline 18.58% · Performance 24.43% · Measure score 10 · Achievement 10 · Improvement 0
Adjusted total nurse staffing
0
Baseline 2.95 hours · Performance 2.71 hours · Measure score 0 · Achievement 0 · Improvement 0
SNF QRP
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 9.46% |
10.72%
1.3 pts better
|
No Different than the National Rate · Eligible stays 278 · Observed rate 7.55% · Lower 95% interval 7.08% |
| Discharge to community | 50.76% |
50.57%
0.2 pts better
|
No Different than the National Rate · Eligible stays 314 · Observed rate 45.22% · Lower 95% interval 45.69% |
| Medicare spending per beneficiary | 1.56 |
1.02
0.5 pts worse
|
|
| Drug regimen review with follow-up | 100% |
95.27%
4.7 pts better
|
Numerator 278 · Denominator 278 |
| Falls with major injury | 0.72% |
0.77%
0.1 pts better
|
Numerator 2 · Denominator 278 |
| Discharge self-care score | 50% |
53.69%
3.7 pts worse
|
Numerator 104 · Denominator 208 |
| Discharge mobility score | 55.77% |
50.94%
4.8 pts better
|
Numerator 116 · Denominator 208 |
| Pressure ulcers or injuries, new or worsened | 0% |
2.29%
2.3 pts better
|
Numerator 0 · Denominator 278 · Adjusted rate 0% |
| Healthcare-associated infections requiring hospitalization | 10.25% |
7.12%
3.1 pts worse
|
No Different than the National Rate · Eligible stays 217 · Observed rate 11.98% · Lower 95% interval 7.03% |
| Staff COVID-19 vaccination coverage | 15.23% |
8.2%
7 pts better
|
Numerator 30 · Denominator 197 |
| Staff flu vaccination coverage | 90.83% |
42%
48.8 pts better
|
Numerator 198 · Denominator 218 |
| Discharge function score | 47.12% |
56.45%
9.3 pts worse
|
Numerator 98 · Denominator 208 |
| Transfer of health information to provider | 100% |
95.95%
4 pts better
|
Numerator 204 · Denominator 204 |
| Transfer of health information to patient | Not Available |
96.28%
|
Numerator Not Available · Denominator 8 · Too few residents or stays to report publicly. |
| Resident COVID-19 vaccinations up to date | 23.61% |
25.2%
1.6 pts worse
|
Numerator 34 · Denominator 144 |
Quality measures
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 0.6 |
1.7
1.1 pts better
|
1.9
1.3 pts better
|
Long Stay · 20240701-20250630 · Adjusted 0.6 · Observed 0.6 · Expected 1.9 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 0.6 |
1.3
0.7 pts better
|
1.8
1.2 pts better
|
Long Stay · 20240701-20250630 · Adjusted 0.6 · Observed 0.5 · Expected 1.5 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 93.4% |
91.2%
2.2 pts better
|
93.4%
About the same
|
Long Stay · 2024Q4-2025Q3 · Q1 97.8% · Q2 88.8% · Q3 94.0% · Q4 92.8% · 4Q avg 93.4% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 97.4% |
95.3%
2.1 pts better
|
95.5%
1.9 pts better
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 97.4% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 2.2% |
3.0%
0.8 pts better
|
3.3%
1.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 1.5% · Q2 1.5% · Q3 3.0% · Q4 2.9% · 4Q avg 2.2% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 4.4% |
18.5%
14.1 pts better
|
11.4%
7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 1.5% · Q3 9.4% · Q4 6.8% · 4Q avg 4.4% |
| Percentage of long-stay residents who lose too much weight | 4.0% |
6.1%
2.1 pts better
|
5.4%
1.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 3.8% · Q2 4.5% · Q3 3.1% · Q4 4.5% · 4Q avg 4.0% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 7.2% |
13.5%
6.3 pts better
|
19.6%
12.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 8.8% · Q2 8.2% · Q3 6.0% · Q4 5.8% · 4Q avg 7.2% |
| Percentage of long-stay residents who received an antipsychotic medication | 5.0% |
14.8%
9.8 pts better
|
16.7%
11.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 5.9% · Q2 5.0% · Q3 4.5% · Q4 4.5% · 4Q avg 5.0% · 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 | 16.1% |
15.1%
1 pts worse
|
16.3%
0.2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 24.0% · Q2 14.6% · Q3 13.8% · Q4 12.9% · 4Q avg 16.1% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 15.9% |
15.5%
0.4 pts worse
|
14.9%
1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 18.3% · Q2 12.8% · Q3 17.2% · Q4 15.5% · 4Q avg 15.9% · 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 0.6% · Q2 0.0% · Q3 0.0% · Q4 1.0% · 4Q avg 0.4% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 2.3% |
1.4%
0.9 pts worse
|
1.7%
0.6 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 0.8% · Q2 0.8% · Q3 2.4% · Q4 5.2% · 4Q avg 2.3% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 18.1% |
20.8%
2.7 pts better
|
19.8%
1.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 23.6% · Q2 21.5% · Q3 9.4% · Q4 18.0% · 4Q avg 18.1% |
| Percentage of long-stay residents with pressure ulcers | 7.1% |
6.9%
0.2 pts worse
|
5.1%
2 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 7.4% · Q2 6.0% · Q3 7.9% · Q4 7.2% · 4Q avg 7.1% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 67.4% |
76.7%
9.3 pts worse
|
81.7%
14.3 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 72.1% · Q2 65.5% · Q3 65.3% · Q4 66.8% · 4Q avg 67.4% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 9.2% |
9.7%
0.5 pts better
|
12.0%
2.8 pts better
|
Short Stay · 20240701-20250630 · Adjusted 9.2% · Observed 8.9% · Expected 10.8% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 0.0% |
1.2%
1.2 pts better
|
1.6%
1.6 pts better
|
Short 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 short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 74.2% |
78.8%
4.6 pts worse
|
79.7%
5.5 pts worse
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 74.2% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 21.3% |
20.6%
0.7 pts worse
|
23.9%
2.6 pts better
|
Short Stay · 20240701-20250630 · Adjusted 21.3% · Observed 22.5% · Expected 25.2% · Used in QM five-star |
Survey summary
Top issue: Freedom from Abuse and Neglect and Exploitation (1 deficiency)
11 fire-safety deficiencies
Top issue: Smoke (4 deficiencies)
Top issue: Resident Assessment and Care Planning (3 deficiencies)
7 fire-safety deficiencies
Top issue: Smoke (3 deficiencies)
Top issue: Resident Assessment and Care Planning (2 deficiencies)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Fire safety
Fire Safety
Conduct testing and exercise requirements.
Corrected 2025-02-12
Fire Safety
Develop and maintain an Emergency Preparedness Program (EP).
Corrected 2025-02-12
Fire Safety
Conduct risk assessment and an All-Hazards approach.
Corrected 2025-02-12
Fire Safety
Install a fire alarm system that can be heard throughout the facility.
Corrected 2025-04-18
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2025-02-12
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2025-02-12
Fire Safety
Have proper medical gas storage and administration areas.
Corrected 2025-02-12
Fire Safety
Install emergency lighting that can last at least 1 1/2 hours.
Corrected 2025-02-12
Fire Safety
Install an approved automatic sprinkler system.
Corrected 2025-02-12
Fire Safety
Install smoke barrier doors that can resist smoke for at least 20 minutes.
Corrected 2025-02-12
Fire Safety
Meet requirements for the installation and maintenance of electrical systems.
Corrected 2025-02-12
Fire Safety
Develop and maintain an Emergency Preparedness Program (EP).
Corrected 2023-04-30
Fire Safety
Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.
Corrected 2023-04-30
Fire Safety
Have stairways and smokeproof enclosures used as exits that meet safety requirements.
Corrected 2023-04-30
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2023-04-30
Fire Safety
Install an approved automatic sprinkler system.
Corrected 2023-04-30
Fire Safety
Install smoke barrier doors that can resist smoke for at least 20 minutes.
Corrected 2023-04-30
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2023-04-30
Inspection history
Health
Provide and implement an infection prevention and control program.
Corrected 2025-03-07
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 2025-03-07
Health
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2025-03-07
Health
Ensure each resident receives an accurate assessment.
Corrected 2023-04-05
Health
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Corrected 2023-04-05
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2023-04-05
Health
Ensure each resident receives an accurate assessment.
Corrected 2020-06-30
Health
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
Corrected 2020-06-30
Penalties and ownership
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
Corporate Officer · Individual
Nearby options
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