Cycle 1
Health 2024-01-23 · Fire 2024-01-23
4 health deficiencies
Top issue: Nutrition and Dietary (2 deficiencies)
5 fire-safety deficiencies
Top issue: Egress (2 deficiencies)
New York City, NY
Upper East Side Rehabilitation And Nursing Center
5-star overall rating with 4-star inspections with 4 recent health deficiencies with 5 fire-safety deficiencies in the latest cycle
211 East 79 St, New York City, NY
(212) 879-1600
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
Facility snapshot
Beds
499
Certified beds
Average residents
454
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
Cassena Care
Operator or chain grouping
Approved since
1967-07-01
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Chain footprint
15 facilities
Chain averages 4 overall / 3 health / 3 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
1.19
Registered nurse staffing · state 0.70 · national 0.68
LPN hours / resident day
0.00
Licensed practical nurse staffing
Aide hours / resident day
2.23
Nurse aide staffing · state 2.20 · national 2.35
Total nurse hours
3.41
All reported nurse hours · state 3.65 · national 3.89
Licensed hours
1.19
RN + LPN hours · state 1.47 · national 1.54
Weekend hours
2.89
Weekend nurse staffing · state 3.16 · national 3.43
Weekend RN hours
0.95
Weekend registered nurse coverage · state 0.47 · national 0.47
Physical therapist
0.08
Reported PT staffing · state 0.11 · national 0.07
Adjusted RN hours
0.96
CMS adjusted RN staffing hours
Adjusted total hours
2.75
CMS adjusted total nurse staffing hours
Case-mix index
1.70
Higher values indicate more complex resident acuity
RN turnover
50%
Annual RN turnover · state 41% · national 45%
Total nurse turnover
38%
Annual nurse turnover · state 41% · national 46%
SNF VBP
Value-based purchasing
Program rank
8,065
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
27.92
Composite VBP score used to determine payment impact.
Payment multiplier
0.9848
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
5.18
Baseline 19.24% · Performance 19.03% · Measure score 5.18 · Achievement 5.18 · Improvement 0.44
Healthcare-associated infections
0
Baseline 9.51% · Performance 10.13% · Measure score 0 · Achievement 0 · Improvement 0
Total nurse turnover
5.51
Baseline 46.97% · Performance 41.15% · Measure score 5.51 · Achievement 5.51 · Improvement 2.13
Adjusted total nurse staffing
0.48
Baseline 2.66 hours · Performance 2.97 hours · Measure score 0.48 · Achievement 0 · Improvement 0.48
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 8.02% |
10.72%
2.7 pts better
|
Better than the National Rate · Eligible stays 2101 · Observed rate 6.33% · Lower 95% interval 6.84% |
| Discharge to community | 64.72% |
50.57%
14.1 pts better
|
Better than the National Rate · Eligible stays 2438 · Observed rate 58.04% · Lower 95% interval 62.51% |
| Medicare spending per beneficiary | 1.42 |
1.02
0.4 pts worse
|
|
| Drug regimen review with follow-up | 100% |
95.27%
4.7 pts better
|
Numerator 1389 · Denominator 1389 |
| Falls with major injury | 0.65% |
0.77%
0.1 pts better
|
Numerator 9 · Denominator 1389 |
| Discharge self-care score | 79.58% |
53.69%
25.9 pts better
|
Numerator 713 · Denominator 896 |
| Discharge mobility score | 78.24% |
50.94%
27.3 pts better
|
Numerator 701 · Denominator 896 |
| Pressure ulcers or injuries, new or worsened | 0.07% |
2.29%
2.2 pts better
|
Numerator 1 · Denominator 1389 · Adjusted rate 0.04% |
| Healthcare-associated infections requiring hospitalization | 10.13% |
7.12%
3 pts worse
|
Worse than the National Rate · Eligible stays 1421 · Observed rate 9.71% · Lower 95% interval 8.54% |
| Staff COVID-19 vaccination coverage | 0% |
8.2%
8.2 pts worse
|
Numerator 0 · Denominator 597 |
| Staff flu vaccination coverage | 84.55% |
42%
42.5 pts better
|
Numerator 323 · Denominator 382 |
| Discharge function score | 79.69% |
56.45%
23.2 pts better
|
Numerator 714 · Denominator 896 |
| Transfer of health information to provider | 98.47% |
95.95%
2.5 pts better
|
Numerator 322 · Denominator 327 |
| Transfer of health information to patient | 94.99% |
96.28%
1.3 pts worse
|
Numerator 834 · Denominator 878 |
| Resident COVID-19 vaccinations up to date | 30.82% |
25.2%
5.6 pts better
|
Numerator 225 · Denominator 730 |
Quality measures
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 1.6 |
1.7
0.1 pts better
|
1.9
0.3 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.6 · Observed 1.5 · Expected 1.8 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 0.9 |
1.3
0.4 pts better
|
1.8
0.9 pts better
|
Long Stay · 20240701-20250630 · Adjusted 0.9 · Observed 0.8 · Expected 1.5 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 98.7% |
91.2%
7.5 pts better
|
93.4%
5.3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 96.8% · Q2 98.6% · Q3 99.6% · Q4 99.7% · 4Q avg 98.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 99.7% |
95.3%
4.4 pts better
|
95.5%
4.2 pts better
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 99.7% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 2.5% |
3.0%
0.5 pts better
|
3.3%
0.8 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 2.8% · Q2 2.4% · Q3 1.8% · Q4 3.0% · 4Q avg 2.5% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 96.2% |
18.5%
77.7 pts worse
|
11.4%
84.8 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 92.5% · Q2 98.9% · Q3 98.5% · Q4 95.1% · 4Q avg 96.2% |
| Percentage of long-stay residents who lose too much weight | 5.6% |
6.1%
0.5 pts better
|
5.4%
0.2 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 7.4% · Q2 5.6% · Q3 4.7% · Q4 4.6% · 4Q avg 5.6% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 4.1% |
13.5%
9.4 pts better
|
19.6%
15.5 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 3.2% · Q2 4.4% · Q3 4.1% · Q4 4.5% · 4Q avg 4.1% |
| Percentage of long-stay residents who received an antipsychotic medication | 5.5% |
14.8%
9.3 pts better
|
16.7%
11.2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 4.4% · Q2 4.4% · Q3 6.1% · Q4 6.9% · 4Q avg 5.5% · 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 | 5.3% |
15.1%
9.8 pts better
|
16.3%
11 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 2.5% · Q2 3.9% · Q3 9.2% · Q4 5.4% · 4Q avg 5.3% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 7.2% |
15.5%
8.3 pts better
|
14.9%
7.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 5.5% · Q2 5.6% · Q3 9.6% · Q4 8.2% · 4Q avg 7.2% · 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 | 0.4% |
1.4%
1 pts better
|
1.7%
1.3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.7% · Q2 0.0% · Q3 0.4% · Q4 0.7% · 4Q avg 0.4% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 15.7% |
20.8%
5.1 pts better
|
19.8%
4.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 25.7% · Q2 17.1% · Q3 8.9% · Q4 11.1% · 4Q avg 15.7% |
| Percentage of long-stay residents with pressure ulcers | 1.9% |
6.9%
5 pts better
|
5.1%
3.2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 1.9% · Q2 2.2% · Q3 2.1% · Q4 1.5% · 4Q avg 1.9% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 96.7% |
76.7%
20 pts better
|
81.7%
15 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 96.6% · Q2 97.3% · Q3 96.7% · Q4 96.1% · 4Q avg 96.7% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 8.9% |
9.7%
0.8 pts better
|
12.0%
3.1 pts better
|
Short Stay · 20240701-20250630 · Adjusted 8.9% · Observed 7.9% · Expected 9.9% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 0.8% |
1.2%
0.4 pts better
|
1.6%
0.8 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 1.2% · Q2 0.7% · Q3 0.7% · Q4 0.7% · 4Q avg 0.8% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 95.4% |
78.8%
16.6 pts better
|
79.7%
15.7 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 95.4% |
| 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 21.5% · Expected 22.5% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2021-08-30 · Fire 2021-08-30
4 health deficiencies
Top issue: Quality of Life and Care (2 deficiencies)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Cycle 3
Health 2019-03-05 · Fire 2019-03-05
1 health deficiencies
Top issue: Infection Control (1 deficiency)
4 fire-safety deficiencies
Top issue: Smoke (3 deficiencies)
Fire safety
Fire-safety citations
E · Potential for more than minimal harm
2024-01-23
K761 · Miscellaneous Deficiencies
Fire Safety
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Corrected 2024-02-19
D · Potential for more than minimal harm
2024-01-23
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 2024-02-19
D · Potential for more than minimal harm
2024-01-23
K281 · Egress Deficiencies
Fire Safety
Install proper backup exit lighting.
Corrected 2024-02-19
D · Potential for more than minimal harm
2024-01-23
K920 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2024-02-19
D · Potential for more than minimal harm
2024-01-23
K923 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Have proper medical gas storage and administration areas.
Corrected 2024-02-19
D · Potential for more than minimal harm
2019-03-05
K311 · Smoke Deficiencies
Fire Safety
Have an enclosure around a vertical opening shaft.
Corrected 2019-04-19
D · Potential for more than minimal harm
2019-03-05
K351 · Smoke Deficiencies
Fire Safety
Install an approved automatic sprinkler system.
Corrected 2019-04-19
C · Minimal harm
2019-03-05
K353 · Smoke Deficiencies
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2019-04-19
C · Minimal harm
2019-03-05
K712 · Miscellaneous Deficiencies
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2019-04-19
Inspection history
Recent health citations
D · Potential for more than minimal harm
2024-01-23
F553 · Resident Rights Deficiencies
Health
Allow resident to participate in the development and implementation of his or her person-centered plan of care.
Corrected 2024-03-20
D · Potential for more than minimal harm
2024-01-23
F803 · Nutrition and Dietary Deficiencies
Health
Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
Corrected 2024-03-20
D · Potential for more than minimal harm
2024-01-23
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 2024-03-20
D · Potential for more than minimal harm
2024-01-23
F925 · Environmental Deficiencies
Health
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Corrected 2024-03-20
D · Potential for more than minimal harm
2021-08-30
F609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Health
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2021-10-18
D · Potential for more than minimal harm
2021-08-30
F688 · Quality of Life and Care Deficiencies
Health
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
Corrected 2021-10-18
D · Potential for more than minimal harm
2021-08-30
F745 · Quality of Life and Care Deficiencies
Health
Provide medically-related social services to help each resident achieve the highest possible quality of life.
Corrected 2021-10-18
D · Potential for more than minimal harm
2021-08-30
F755 · Pharmacy Service Deficiencies
Health
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected 2021-10-18
D · Potential for more than minimal harm
2019-03-05
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2019-03-22
Penalties and ownership
What sits behind the stars
Ownership
Debenedictis, Pasquale
5% Or Greater Direct Ownership Interest · Individual
Solovey, Alex
5% Or Greater Direct Ownership Interest · Individual
Carillo, Joseph
5% Or Greater Direct Ownership Interest · Individual
Friedman, Leopold
5% Or Greater Direct Ownership Interest · Individual
Debenedictis, Pasquale
Corporate Officer · Individual
Derosa, Anthony
Operational/Managerial Control · Individual
Dumaguing, Celma
W-2 Managing Employee · Individual
Mair, Scott
W-2 Managing Employee · Individual
Solovey, Alex
Corporate Officer · Individual
Nearby options
Other facilities in reach
#1
Mary Manning Walsh Nursing Home Co Inc
New York, NY
5-star overall rating with 4-star inspections with 5 recent health deficiencies with 4 fire-safety deficiencies in the latest cycle
#2
The Riverside
New York, NY
5-star overall rating with 4-star inspections with 3 recent health deficiencies with 4 fire-safety deficiencies in the latest cycle
#3
Terence Cardinal Cooke Health Care Center
New York, NY
4-star overall rating with 3-star inspections with 5 recent health deficiencies with 4 fire-safety deficiencies in the latest cycle
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