Cycle 1
Health 2024-09-23 · Fire 2024-09-23
3 health deficiencies
Top issue: Infection Control (1 deficiency)
4 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (2 deficiencies)
Brooklyn, NY
The Phoenix Rehabilitation And Nursing Center
5-star overall rating with 4-star inspections with 3 recent health deficiencies with 4 fire-safety deficiencies in the latest cycle
140 St Edwards Street, Brooklyn, NY
(718) 858-6400
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
400
Certified beds
Average residents
391
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
Carerite Centers
Operator or chain grouping
Approved since
1976-06-01
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
Hours and turnover
RN hours / resident day
0.48
Registered nurse staffing · state 0.70 · national 0.68
LPN hours / resident day
0.43
Licensed practical nurse staffing · state 0.78 · national 0.87
Aide hours / resident day
1.93
Nurse aide staffing · state 2.20 · national 2.35
Total nurse hours
2.84
All reported nurse hours · state 3.65 · national 3.89
Licensed hours
0.91
RN + LPN hours · state 1.47 · national 1.54
Weekend hours
2.63
Weekend nurse staffing · state 3.16 · national 3.43
Weekend RN hours
0.30
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
0.44
CMS adjusted RN staffing hours
Adjusted total hours
2.60
CMS adjusted total nurse staffing hours
Case-mix index
1.49
Higher values indicate more complex resident acuity
RN turnover
40%
Annual RN turnover · state 41% · national 45%
Total nurse turnover
29%
Annual nurse turnover · state 41% · national 46%
SNF VBP
Value-based purchasing
Program rank
2,775
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
47.82
Composite VBP score used to determine payment impact.
Payment multiplier
1.0015
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
10
Baseline 18.88% · Performance 15.54% · Measure score 10 · Achievement 10 · Improvement 9
Healthcare-associated infections
1.18
Baseline 8.15% · Performance 7.62% · Measure score 1.18 · Achievement 0.72 · Improvement 1.18
Total nurse turnover
7.95
Baseline 37.22% · Performance 31.18% · Measure score 7.95 · Achievement 7.95 · Improvement 4.38
Adjusted total nurse staffing
0
Baseline 2.80 hours · Performance 2.66 hours · Measure score 0 · Achievement 0 · Improvement 0
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 9.63% |
10.72%
1.1 pts better
|
No Different than the National Rate · Eligible stays 200 · Observed rate 7.5% · Lower 95% interval 7.18% |
| Discharge to community | 59.77% |
50.57%
9.2 pts better
|
Better than the National Rate · Eligible stays 247 · Observed rate 53.44% · Lower 95% interval 52.52% |
| Medicare spending per beneficiary | 1.49 |
1.02
0.5 pts worse
|
|
| Drug regimen review with follow-up | 90.65% |
95.27%
4.6 pts worse
|
Numerator 349 · Denominator 385 |
| Falls with major injury | 0.52% |
0.77%
0.2 pts better
|
Numerator 2 · Denominator 385 |
| Discharge self-care score | 47.65% |
53.69%
6 pts worse
|
Numerator 132 · Denominator 277 |
| Discharge mobility score | 43.32% |
50.94%
7.6 pts worse
|
Numerator 120 · Denominator 277 |
| Pressure ulcers or injuries, new or worsened | 1.04% |
2.29%
1.2 pts better
|
Numerator 4 · Denominator 385 · Adjusted rate 0.8% |
| Healthcare-associated infections requiring hospitalization | 7.62% |
7.12%
0.5 pts worse
|
No Different than the National Rate · Eligible stays 198 · Observed rate 9.09% · Lower 95% interval 5.5% |
| Staff COVID-19 vaccination coverage | 18.5% |
8.2%
10.3 pts better
|
Numerator 89 · Denominator 481 |
| Staff flu vaccination coverage | 62.57% |
42%
20.6 pts better
|
Numerator 356 · Denominator 569 |
| Discharge function score | 45.49% |
56.45%
11 pts worse
|
Numerator 126 · Denominator 277 |
| Transfer of health information to provider | 85.15% |
95.95%
10.8 pts worse
|
Numerator 86 · Denominator 101 |
| Transfer of health information to patient | 88.28% |
96.28%
8 pts worse
|
Numerator 128 · Denominator 145 |
| Resident COVID-19 vaccinations up to date | 13.66% |
25.2%
11.5 pts worse
|
Numerator 28 · Denominator 205 |
Quality measures
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 1.4 |
1.7
0.3 pts better
|
1.9
0.5 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.4 · Observed 1.7 · Expected 2.4 · 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 0.5 · Expected 1.6 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 84.2% |
91.2%
7 pts worse
|
93.4%
9.2 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 85.6% · Q2 83.7% · Q3 84.9% · Q4 82.5% · 4Q avg 84.2% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 84.7% |
95.3%
10.6 pts worse
|
95.5%
10.8 pts worse
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 84.7% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 0.9% |
3.0%
2.1 pts better
|
3.3%
2.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.7% · Q2 1.0% · Q3 1.3% · Q4 0.6% · 4Q avg 0.9% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 15.1% |
18.5%
3.4 pts better
|
11.4%
3.7 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 8.1% · Q2 16.4% · Q3 22.1% · Q4 13.4% · 4Q avg 15.1% |
| Percentage of long-stay residents who lose too much weight | 2.9% |
6.1%
3.2 pts better
|
5.4%
2.5 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 3.1% · Q2 2.9% · Q3 2.3% · Q4 3.4% · 4Q avg 2.9% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 3.7% |
13.5%
9.8 pts better
|
19.6%
15.9 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 1.7% · Q2 3.9% · Q3 4.1% · Q4 5.1% · 4Q avg 3.7% |
| Percentage of long-stay residents who received an antipsychotic medication | 2.6% |
14.8%
12.2 pts better
|
16.7%
14.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 2.7% · Q2 1.8% · Q3 2.5% · Q4 3.6% · 4Q avg 2.6% · 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 | 25.0% |
15.1%
9.9 pts worse
|
16.3%
8.7 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 31.9% · Q2 39.5% · Q3 14.6% · Q4 15.2% · 4Q avg 25.0% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 17.6% |
15.5%
2.1 pts worse
|
14.9%
2.7 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 22.7% · Q2 24.8% · Q3 9.9% · Q4 13.5% · 4Q avg 17.6% · 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 | 0.1% |
1.4%
1.3 pts better
|
1.7%
1.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.3% · 4Q avg 0.1% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 30.1% |
20.8%
9.3 pts worse
|
19.8%
10.3 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 30.9% · Q2 30.1% · Q3 30.7% · Q4 28.6% · 4Q avg 30.1% |
| Percentage of long-stay residents with pressure ulcers | 6.9% |
6.9%
About the same
|
5.1%
1.8 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 5.5% · Q2 5.3% · Q3 7.1% · Q4 9.6% · 4Q avg 6.9% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 70.2% |
76.7%
6.5 pts worse
|
81.7%
11.5 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 66.7% · Q2 67.8% · Q3 72.5% · Q4 74.4% · 4Q avg 70.2% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 6.8% |
9.7%
2.9 pts better
|
12.0%
5.2 pts better
|
Short Stay · 20240701-20250630 · Adjusted 6.8% · Observed 7.5% · Expected 12.2% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 0.6% |
1.2%
0.6 pts better
|
1.6%
1 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 0.4% · Q2 0.7% · Q3 0.4% · Q4 0.8% · 4Q avg 0.6% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 67.5% |
78.8%
11.3 pts worse
|
79.7%
12.2 pts worse
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 67.5% |
| 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 19.5% · Expected 28.7% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2022-08-19 · Fire 2022-08-19
1 health deficiencies
Top issue: Nutrition and Dietary (1 deficiency)
7 fire-safety deficiencies
Top issue: Smoke (4 deficiencies)
Cycle 3
Health 2019-10-30 · Fire 2019-10-30
4 health deficiencies
Top issue: Infection Control (1 deficiency)
1 fire-safety deficiencies
Top issue: Smoke (1 deficiency)
Fire safety
Fire-safety citations
E · Potential for more than minimal harm
2024-09-23
K353 · Smoke Deficiencies
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2024-10-29
E · Potential for more than minimal harm
2024-09-23
K372 · Smoke Deficiencies
Fire Safety
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected 2024-10-17
E · Potential for more than minimal harm
2024-09-23
K921 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Ensure that testing and maintenance of electrical equipment is performed.
Corrected 2024-10-21
D · Potential for more than minimal harm
2024-09-23
K911 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Meet requirements for the installation and maintenance of electrical systems.
Corrected 2024-10-21
F · Potential for more than minimal harm
2022-08-19
K915 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Have proper power supply for life support equipment.
Corrected 2022-12-01
D · Potential for more than minimal harm
2022-08-19
K111 · Construction Deficiencies
Fire Safety
Satisfy building requirements after a repair, renovation, modification, or change of user/occupancy.
Corrected 2022-10-18
D · Potential for more than minimal harm
2022-08-19
K211 · Egress Deficiencies
Fire Safety
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Corrected 2022-10-18
D · Potential for more than minimal harm
2022-08-19
K353 · Smoke Deficiencies
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2022-10-18
D · Potential for more than minimal harm
2022-08-19
K355 · Smoke Deficiencies
Fire Safety
Properly select, install, inspect, or maintain portable fire extinguishes.
Corrected 2022-10-18
D · Potential for more than minimal harm
2022-08-19
K372 · Smoke Deficiencies
Fire Safety
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected 2022-10-18
D · Potential for more than minimal harm
2022-08-19
K374 · Smoke Deficiencies
Fire Safety
Install smoke barrier doors that can resist smoke for at least 20 minutes.
Corrected 2022-10-18
D · Potential for more than minimal harm
2019-10-30
K355 · Smoke Deficiencies
Fire Safety
Properly select, install, inspect, or maintain portable fire extinguishes.
Corrected 2019-12-23
Inspection history
Recent health citations
D · Potential for more than minimal harm
2024-09-23
F695 · Quality of Life and Care Deficiencies
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2024-11-22
D · Potential for more than minimal harm
2024-09-23
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 2024-11-22
D · Potential for more than minimal harm
2024-09-23
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2024-11-22
E · Potential for more than minimal harm
2022-08-19
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 2022-08-25
F · Potential for more than minimal harm
2019-10-30
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 2019-12-20
E · Potential for more than minimal harm
2019-10-30
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2019-12-22
D · Potential for more than minimal harm
2019-10-30
F558 · Resident Rights Deficiencies
Health
Reasonably accommodate the needs and preferences of each resident.
Corrected 2019-12-15
D · Potential for more than minimal harm
2019-10-30
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 2019-12-15
Penalties and ownership
What sits behind the stars
Ownership
Einhorn, Sharon
5% Or Greater Direct Ownership Interest · Individual
Friedman, Devorah
5% Or Greater Direct Ownership Interest · Individual
Ahuja, Sanjay
5% Or Greater Direct Ownership Interest · Individual
Minzer, Israel
5% Or Greater Direct Ownership Interest · Individual
Friedman, Devorah
Corporate Officer · Individual
Ogunfowora, Olusegun
Operational/Managerial Control · Individual
Roll, David
Operational/Managerial Control · Individual
Nearby options
Other facilities in reach
#1
Oxford Nursing Home
Brooklyn, NY
4-star overall rating with 4-star inspections with 3 recent health deficiencies with 1 fire-safety deficiencies in the latest cycle
#2
New Carlton Rehab And Nursing Center, L L C
Brooklyn, NY
4-star overall rating with 3-star inspections with 6 recent health deficiencies with 5 fire-safety deficiencies in the latest cycle
#3
Hopkins Center For Rehabilitation And Healthcare
Brooklyn, NY
5-star overall rating with 5-star inspections with 2 recent health deficiencies with 3 fire-safety deficiencies in the latest cycle
Jump out