4 health deficiencies
Top issue: Infection Control (2 deficiencies)
3 fire-safety deficiencies
Top issue: Smoke (2 deficiencies)
Staten Island, NY
2-star overall rating with 3-star inspections with $130,902 in total fines with 4 recent health deficiencies with 3 fire-safety deficiencies in the latest cycle
100 Castleton Avenue, Staten Island, NY
(718) 273-1300
Overall
2 / 5
CMS overall stars
Health inspections
3 / 5
Survey and complaint cycles
Staffing
1 / 5
RN + nurse staffing
Quality measures
3 / 5
Resident outcomes and process measures
Quick facts
Beds
120
Certified beds
Average residents
112
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
No chain reported
Operator or chain grouping
Approved since
1970-01-01
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
RN hours / resident day
0.41
Registered nurse staffing · state 0.70 · national 0.68
LPN hours / resident day
0.58
Licensed practical nurse staffing · state 0.78 · national 0.87
Aide hours / resident day
1.73
Nurse aide staffing · state 2.20 · national 2.35
Total nurse hours
2.72
All reported nurse hours · state 3.65 · national 3.89
Licensed hours
0.99
RN + LPN hours · state 1.47 · national 1.54
Weekend hours
2.48
Weekend nurse staffing · state 3.16 · national 3.43
Weekend RN hours
0.22
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
0.48
CMS adjusted RN staffing hours
Adjusted total hours
3.20
CMS adjusted total nurse staffing hours
Case-mix index
1.16
Higher values indicate more complex resident acuity
RN turnover
87%
Annual RN turnover · state 41% · national 45%
Total nurse turnover
74%
Annual nurse turnover · state 41% · national 46%
SNF VBP
Program rank
9,716
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
22.74
Composite VBP score used to determine payment impact.
Payment multiplier
0.9830
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
Readmission
0
Baseline 22.32% · Performance 22.45% · Measure score 0 · Achievement 0 · Improvement 0
Healthcare-associated infections
5.99
Baseline 10.54% · Performance 6.94% · Measure score 5.99 · Achievement 2.98 · Improvement 5.99
Total nurse turnover
0
Baseline 48.72% · Performance 65.15% · Measure score 0 · Achievement 0 · Improvement 0
Adjusted total nurse staffing
3.11
Baseline 2.31 hours · Performance 3.56 hours · Measure score 3.11 · Achievement 1.70 · Improvement 3.11
SNF QRP
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 8.84% |
10.72%
1.9 pts better
|
No Different than the National Rate · Eligible stays 79 · Observed rate 3.8% · Lower 95% interval 5.74% |
| Discharge to community | 35.16% |
50.57%
15.4 pts worse
|
Worse than the National Rate · Eligible stays 56 · Observed rate 23.21% · Lower 95% interval 24.41% |
| Medicare spending per beneficiary | 1.66 |
1.02
0.6 pts worse
|
|
| Drug regimen review with follow-up | 54.55% |
95.27%
40.7 pts worse
|
Numerator 30 · Denominator 55 |
| Falls with major injury | 0% |
0.77%
0.8 pts better
|
Numerator 0 · Denominator 55 |
| Discharge self-care score | 67.74% |
53.69%
14 pts better
|
Numerator 21 · Denominator 31 |
| Discharge mobility score | 83.87% |
50.94%
32.9 pts better
|
Numerator 26 · Denominator 31 |
| Pressure ulcers or injuries, new or worsened | 0% |
2.29%
2.3 pts better
|
Numerator 0 · Denominator 55 · Adjusted rate 0% |
| Healthcare-associated infections requiring hospitalization | 6.94% |
7.12%
0.2 pts better
|
No Different than the National Rate · Eligible stays 46 · Observed rate 6.52% · Lower 95% interval 2.92% |
| Staff COVID-19 vaccination coverage | 0% |
8.2%
8.2 pts worse
|
Numerator 0 · Denominator 127 |
| Staff flu vaccination coverage | 40% |
42%
2 pts worse
|
Numerator 42 · Denominator 105 |
| Discharge function score | 67.74% |
56.45%
11.3 pts better
|
Numerator 21 · Denominator 31 |
| Transfer of health information to provider | 65.22% |
95.95%
30.7 pts worse
|
Numerator 15 · Denominator 23 |
| Transfer of health information to patient | Not Available |
96.28%
|
Numerator Not Available · Denominator 4 · Too few residents or stays to report publicly. |
| Resident COVID-19 vaccinations up to date | 91.3% |
25.2%
66.1 pts better
|
Numerator 21 · Denominator 23 |
Quality measures
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 3.3 |
1.7
1.6 pts worse
|
1.9
1.4 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 3.3 · Observed 3.8 · Expected 2.2 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 2.1 |
1.3
0.8 pts worse
|
1.8
0.3 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 2.1 · Observed 2.3 · Expected 1.8 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 99.2% |
91.2%
8 pts better
|
93.4%
5.8 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 100.0% · Q3 98.1% · Q4 99.0% · 4Q avg 99.2% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 94.3% |
95.3%
1 pts worse
|
95.5%
1.2 pts worse
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 94.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 2.1% |
3.0%
0.9 pts better
|
3.3%
1.2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 2.9% · Q2 2.0% · Q3 2.9% · Q4 1.0% · 4Q avg 2.1% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 4.7% |
18.5%
13.8 pts better
|
11.4%
6.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 14.8% · Q2 6.5% · Q3 1.1% · Q4 0.0% · 4Q avg 4.7% |
| Percentage of long-stay residents who lose too much weight | 7.5% |
6.1%
1.4 pts worse
|
5.4%
2.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 8.5% · Q2 14.6% · Q3 3.3% · Q4 4.2% · 4Q avg 7.5% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 18.8% |
13.5%
5.3 pts worse
|
19.6%
0.8 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 26.1% · Q2 24.2% · Q3 17.5% · Q4 9.9% · 4Q avg 18.8% |
| Percentage of long-stay residents who received an antipsychotic medication | 16.4% |
14.8%
1.6 pts worse
|
16.7%
0.3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 14.6% · Q2 22.2% · Q3 14.0% · Q4 14.1% · 4Q avg 16.4% · 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 | 27.4% |
15.1%
12.3 pts worse
|
16.3%
11.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 30.5% · Q2 32.9% · Q3 26.5% · Q4 23.6% · 4Q avg 27.4% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 26.8% |
15.5%
11.3 pts worse
|
14.9%
11.9 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 26.2% · Q2 32.4% · Q3 24.7% · Q4 25.3% · 4Q avg 26.8% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 2.2% |
0.6%
1.6 pts worse
|
1.0%
1.2 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 2.9% · Q2 2.9% · Q3 2.3% · Q4 0.8% · 4Q avg 2.2% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 1.1% |
1.4%
0.3 pts better
|
1.7%
0.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 3.0% · Q2 2.1% · Q3 0.0% · Q4 0.0% · 4Q avg 1.1% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 25.4% |
20.8%
4.6 pts worse
|
19.8%
5.6 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 36.1% · Q2 26.4% · Q3 24.1% · Q4 18.8% · 4Q avg 25.4% |
| Percentage of long-stay residents with pressure ulcers | 10.1% |
6.9%
3.2 pts worse
|
5.1%
5 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 14.8% · Q2 14.6% · Q3 9.2% · Q4 3.6% · 4Q avg 10.1% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 100.0% |
76.7%
23.3 pts better
|
81.7%
18.3 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 100.0% · Q3 100.0% · Q4 100.0% · 4Q avg 100.0% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 14.2% |
9.7%
4.5 pts worse
|
12.0%
2.2 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 14.2% · Observed 15.8% · Expected 12.4% · 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 | 71.0% |
78.8%
7.8 pts worse
|
79.7%
8.7 pts worse
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 71.0% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 19.7% |
20.6%
0.9 pts better
|
23.9%
4.2 pts better
|
Short Stay · 20240701-20250630 · Adjusted 19.7% · Observed 24.6% · Expected 29.7% · Used in QM five-star |
Survey summary
Top issue: Infection Control (2 deficiencies)
3 fire-safety deficiencies
Top issue: Smoke (2 deficiencies)
Top issue: Resident Assessment and Care Planning (4 deficiencies)
7 fire-safety deficiencies
Top issue: Smoke (5 deficiencies)
No concentrated health issue counts in this cycle.
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Fire safety
Fire Safety
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Corrected 2025-04-25
Fire Safety
Have properly installed hallway dispensers for alcohol-based hand rub.
Corrected 2025-04-25
Fire Safety
Install an approved automatic sprinkler system.
Corrected 2025-04-25
Fire Safety
Establish an Emergency Preparedness Program (EP).
Corrected 2023-04-02
Fire Safety
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected 2023-04-02
Fire Safety
Install smoke barrier doors that can resist smoke for at least 20 minutes.
Corrected 2023-04-02
Fire Safety
Install an approved automatic sprinkler system.
Corrected 2023-04-02
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2023-04-02
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2023-04-02
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2023-04-02
Inspection history
Health
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2025-06-09
Health
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Corrected 2025-04-25
Health
Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.
Corrected 2025-04-25
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2025-04-25
Health
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2024-07-29
Health
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2024-06-12
Health
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2024-06-12
Health
Respond appropriately to all alleged violations.
Corrected 2024-06-12
Health
PASARR screening for Mental disorders or Intellectual Disabilities
Corrected 2024-06-12
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2024-06-12
Health
Plan the resident's discharge to meet the resident's goals and needs.
Corrected 2024-06-12
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2023-03-20
Health
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Corrected 2023-03-20
Health
Ensure that residents are free from significant medication errors.
Corrected 2023-03-20
Health
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected 2023-03-20
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 2023-03-20
Health
Provide safe, appropriate pain management for a resident who requires such services.
Corrected 2023-03-20
Penalties and ownership
Fine · fine $69,518
Fine
Fine · fine $4,938
Fine
Fine · fine $4,938
Fine
Fine · fine $14,814
Fine
Fine · fine $4,938
Fine
Fine · fine $4,587
Fine
Fine · fine $11,645
Fine
Fine · fine $3,176
Fine
Fine · fine $2,823
Fine
Fine · fine $2,470
Fine
Fine · fine $2,117
Fine
Fine · fine $1,764
Fine
Fine · fine $3,174
Fine
5% Or Greater Direct Ownership Interest · Individual
5% Or Greater Direct Ownership Interest · Individual
5% Or Greater Direct Ownership Interest · Individual
Corporate Officer · Individual
W-2 Managing Employee · Individual
Corporate Officer · Individual
Corporate Officer · Individual
Nearby options
Staten Island, NY
3-star overall rating with 3-star inspections with 8 recent health deficiencies with 24 fire-safety deficiencies in the latest cycle
Staten Island, NY
5-star overall rating with 4-star inspections with 4 recent health deficiencies with 2 fire-safety deficiencies in the latest cycle
Staten Island, NY
2-star overall rating with 2-star inspections with 11 recent health deficiencies with 7 fire-safety deficiencies in the latest cycle
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