9 health deficiencies
Top issue: Resident Assessment and Care Planning (3 deficiencies)
2 fire-safety deficiencies
Top issue: Egress (1 deficiency)
Flushing, NY
2-star overall rating with 2-star inspections with 9 recent health deficiencies with 2 fire-safety deficiencies in the latest cycle
119 15 27th Avenue, Flushing, NY
(718) 461-5000
Overall
2 / 5
CMS overall stars
Health inspections
2 / 5
Survey and complaint cycles
Staffing
2 / 5
RN + nurse staffing
Quality measures
2 / 5
Resident outcomes and process measures
Quick facts
Beds
200
Certified beds
Average residents
177
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
603 Healthcare
Operator or chain grouping
Approved since
1968-07-13
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Chain footprint
7 facilities
Chain averages 2 overall / 3 health / 2 staffing / 2 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
0.51
Registered nurse staffing · state 0.70 · national 0.68
LPN hours / resident day
0.46
Licensed practical nurse staffing · state 0.78 · national 0.87
Aide hours / resident day
1.87
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
0.97
RN + LPN hours · state 1.47 · national 1.54
Weekend hours
2.44
Weekend nurse staffing · state 3.16 · national 3.43
Weekend RN hours
0.32
Weekend registered nurse coverage · state 0.47 · national 0.47
Physical therapist
0.05
Reported PT staffing · state 0.11 · national 0.07
Adjusted RN hours
0.38
CMS adjusted RN staffing hours
Adjusted total hours
2.11
CMS adjusted total nurse staffing hours
Case-mix index
1.84
Higher values indicate more complex resident acuity
RN turnover
39%
Annual RN turnover · state 41% · national 45%
Total nurse turnover
36%
Annual nurse turnover · state 41% · national 46%
SNF VBP
Program rank
5,533
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
35.88
Composite VBP score used to determine payment impact.
Payment multiplier
0.9894
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
Readmission
4.74
Baseline 17.38% · Performance 19.23% · Measure score 4.74 · Achievement 4.74 · Improvement 0
Healthcare-associated infections
1.72
Baseline 10.12% · Performance 8.98% · Measure score 1.72 · Achievement 0 · Improvement 1.72
Total nurse turnover
7.89
Baseline 17.28% · Performance 31.43% · Measure score 7.89 · Achievement 7.89 · Improvement 0
Adjusted total nurse staffing
0
Baseline 3.20 hours · Performance 2.66 hours · Measure score 0 · Achievement 0 · Improvement 0
SNF QRP
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 10.35% |
10.72%
0.4 pts better
|
No Different than the National Rate · Eligible stays 84 · Observed rate 8.33% · Lower 95% interval 7.1% |
| Discharge to community | 37.24% |
50.57%
13.3 pts worse
|
Worse than the National Rate · Eligible stays 76 · Observed rate 26.32% · Lower 95% interval 27.33% |
| Medicare spending per beneficiary | 1.49 |
1.02
0.5 pts worse
|
|
| Drug regimen review with follow-up | 99.01% |
95.27%
3.7 pts better
|
Numerator 201 · Denominator 203 |
| Falls with major injury | 1.48% |
0.77%
0.7 pts worse
|
Numerator 3 · Denominator 203 |
| Discharge self-care score | 28.91% |
53.69%
24.8 pts worse
|
Numerator 37 · Denominator 128 |
| Discharge mobility score | 46.09% |
50.94%
4.8 pts worse
|
Numerator 59 · Denominator 128 |
| Pressure ulcers or injuries, new or worsened | 3.94% |
2.29%
1.6 pts worse
|
Numerator 8 · Denominator 203 · Adjusted rate 3.04% |
| Healthcare-associated infections requiring hospitalization | 8.98% |
7.12%
1.9 pts worse
|
No Different than the National Rate · Eligible stays 83 · Observed rate 12.05% · Lower 95% interval 5.55% |
| Staff COVID-19 vaccination coverage | 0% |
8.2%
8.2 pts worse
|
Numerator 0 · Denominator 197 |
| Staff flu vaccination coverage | 62.12% |
42%
20.1 pts better
|
Numerator 123 · Denominator 198 |
| Discharge function score | 34.38% |
56.45%
22.1 pts worse
|
Numerator 44 · Denominator 128 |
| Transfer of health information to provider | 74.29% |
95.95%
21.7 pts worse
|
Numerator 52 · Denominator 70 |
| Transfer of health information to patient | 80.77% |
96.28%
15.5 pts worse
|
Numerator 42 · Denominator 52 |
| Resident COVID-19 vaccinations up to date | 21.78% |
25.2%
3.4 pts worse
|
Numerator 22 · Denominator 101 |
Quality measures
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 1.9 |
1.7
0.2 pts worse
|
1.9
About the same
|
Long Stay · 20240701-20250630 · Adjusted 1.9 · Observed 1.7 · Expected 1.7 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 2.3 |
1.3
1 pts worse
|
1.8
0.5 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 2.3 · Observed 1.9 · Expected 1.4 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 100.0% |
91.2%
8.8 pts better
|
93.4%
6.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 100.0% · Q3 100.0% · Q4 100.0% · 4Q avg 100.0% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 99.4% |
95.3%
4.1 pts better
|
95.5%
3.9 pts better
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 99.4% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 2.7% |
3.0%
0.3 pts better
|
3.3%
0.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 4.3% · Q2 3.8% · Q3 2.6% · Q4 0.0% · 4Q avg 2.7% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 67.1% |
18.5%
48.6 pts worse
|
11.4%
55.7 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 59.6% · Q2 57.8% · Q3 72.5% · Q4 79.3% · 4Q avg 67.1% |
| Percentage of long-stay residents who lose too much weight | 9.0% |
6.1%
2.9 pts worse
|
5.4%
3.6 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 3.1% · Q2 15.1% · Q3 8.7% · Q4 9.5% · 4Q avg 9.0% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 5.7% |
13.5%
7.8 pts better
|
19.6%
13.9 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 4.9% · Q2 5.1% · Q3 6.4% · Q4 6.3% · 4Q avg 5.7% |
| Percentage of long-stay residents who received an antipsychotic medication | 14.5% |
14.8%
0.3 pts better
|
16.7%
2.2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 15.3% · Q2 14.5% · Q3 15.5% · Q4 12.9% · 4Q avg 14.5% · 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 | 5.9% |
15.1%
9.2 pts better
|
16.3%
10.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 7.2% · Q2 8.6% · Q3 3.7% · Q4 3.8% · 4Q avg 5.9% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 9.1% |
15.5%
6.4 pts better
|
14.9%
5.8 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 8.1% · Q2 13.5% · Q3 5.2% · Q4 9.7% · 4Q avg 9.1% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.2% |
0.6%
0.4 pts better
|
1.0%
0.8 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.5% · Q4 0.5% · 4Q avg 0.2% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 0.2% |
1.4%
1.2 pts better
|
1.7%
1.5 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.7% · Q3 0.0% · Q4 0.0% · 4Q avg 0.2% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 5.2% |
20.8%
15.6 pts better
|
19.8%
14.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 7.1% · Q2 5.6% · Q3 4.0% · Q4 3.7% · 4Q avg 5.2% |
| Percentage of long-stay residents with pressure ulcers | 8.1% |
6.9%
1.2 pts worse
|
5.1%
3 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 8.7% · Q2 11.6% · Q3 7.2% · Q4 4.6% · 4Q avg 8.1% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 99.4% |
76.7%
22.7 pts better
|
81.7%
17.7 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 98.8% · Q2 100.0% · Q3 99.2% · Q4 99.4% · 4Q avg 99.4% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 12.3% |
9.7%
2.6 pts worse
|
12.0%
0.3 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 12.3% · Observed 12.8% · Expected 11.6% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 2.0% |
1.2%
0.8 pts worse
|
1.6%
0.4 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 2.4% · Q2 4.1% · Q3 1.9% · Q4 0.0% · 4Q avg 2.0% · 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 | 23.1% |
20.6%
2.5 pts worse
|
23.9%
0.8 pts better
|
Short Stay · 20240701-20250630 · Adjusted 23.1% · Observed 22.3% · Expected 23.1% · Used in QM five-star |
Survey summary
Top issue: Resident Assessment and Care Planning (3 deficiencies)
2 fire-safety deficiencies
Top issue: Egress (1 deficiency)
Top issue: Freedom from Abuse and Neglect and Exploitation (2 deficiencies)
3 fire-safety deficiencies
Top issue: Smoke (3 deficiencies)
Top issue: Quality of Life and Care (1 deficiency)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Fire safety
Fire Safety
Install proper backup exit lighting.
Corrected 2025-01-03
Fire Safety
Provide properly protected cooking facilities.
Corrected 2025-01-03
Fire Safety
Install an approved automatic sprinkler system.
Corrected 2023-03-02
Fire Safety
Have an enclosure around a vertical opening shaft.
Corrected 2023-03-02
Fire Safety
Provide properly protected cooking facilities.
Corrected 2023-03-02
Inspection history
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 2025-01-30
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 2025-01-30
Health
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2025-01-30
Health
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Corrected 2025-01-30
Health
Allow resident to participate in the development and implementation of his or her person-centered plan of care.
Corrected 2025-01-30
Health
Ensure each resident receives an accurate assessment.
Corrected 2025-01-30
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2025-01-30
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 2025-01-16
Health
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
Corrected 2024-12-30
Health
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2024-10-15
Health
Ensure that residents are free from significant medication errors.
Corrected 2024-10-15
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2023-12-04
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2023-02-15
Health
Post nurse staffing information every day.
Corrected 2023-02-15
Health
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2023-02-15
Health
Ensure each resident receives an accurate assessment.
Corrected 2023-02-15
Health
Provide and implement an infection prevention and control program.
Corrected 2023-02-15
Penalties and ownership
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
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