Far Rockaway, NY

West Lawrence Care Center, L L C

1-star overall rating with 1-star inspections with $45,864 in total fines with 16 recent health deficiencies with 1 fire-safety deficiencies in the latest cycle

1410 Seagirt Blvd, Far Rockaway, NY

(718) 471-7000

Compare this facility

Overall

1 / 5

CMS overall stars

Health inspections

1 / 5

Survey and complaint cycles

Staffing

1 / 5

RN + nurse staffing

Quality measures

3 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

215

Certified beds

Average residents

160

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

No chain reported

Operator or chain grouping

Approved since

1992-05-13

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

Hours and turnover

RN hours / resident day

0.33

Registered nurse staffing · state 0.70 · national 0.68

LPN hours / resident day

0.55

Licensed practical nurse staffing · state 0.78 · national 0.87

Aide hours / resident day

1.74

Nurse aide staffing · state 2.20 · national 2.35

Total nurse hours

2.63

All reported nurse hours · state 3.65 · national 3.89

Licensed hours

0.89

RN + LPN hours · state 1.47 · national 1.54

Weekend hours

2.35

Weekend nurse staffing · state 3.16 · national 3.43

Weekend RN hours

0.20

Weekend registered nurse coverage · state 0.47 · national 0.47

Physical therapist

0.07

Reported PT staffing · state 0.11 · national 0.07

Adjusted RN hours

0.30

CMS adjusted RN staffing hours

Adjusted total hours

2.34

CMS adjusted total nurse staffing hours

Case-mix index

1.54

Higher values indicate more complex resident acuity

RN turnover

86%

Annual RN turnover · state 41% · national 45%

Total nurse turnover

53%

Annual nurse turnover · state 41% · national 46%

SNF VBP

Value-based purchasing

Program rank

9,481

Lower is better among SNFs in the FY 2026 VBP program.

Performance score

23.54

Composite VBP score used to determine payment impact.

Payment multiplier

0.9832

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

5.24

Baseline 18.68% · Performance 19.00% · Measure score 5.24 · Achievement 5.24 · Improvement 0

Healthcare-associated infections

0

Baseline 8.60% · Performance 8.98% · Measure score 0 · Achievement 0 · Improvement 0

Total nurse turnover

4.18

Baseline 47.37% · Performance 46.59% · Measure score 4.18 · Achievement 4.18 · Improvement 0

Adjusted total nurse staffing

0

Baseline 2.59 hours · Performance 2.12 hours · Measure score 0 · Achievement 0 · Improvement 0

SNF QRP

Medicare quality reporting measures

Measure Facility National Note
Potentially preventable 30-day readmission 11.62%
10.72%
0.9 pts worse
No Different than the National Rate · Eligible stays 125 · Observed rate 13.6% · Lower 95% interval 8.79%
Discharge to community 38.19%
50.57%
12.4 pts worse
Worse than the National Rate · Eligible stays 78 · Observed rate 28.21% · Lower 95% interval 27.76%
Medicare spending per beneficiary 1.42
1.02
0.4 pts worse
Drug regimen review with follow-up 92.5%
95.27%
2.8 pts worse
Numerator 74 · Denominator 80
Falls with major injury 1.25%
0.77%
0.5 pts worse
Numerator 1 · Denominator 80
Discharge self-care score 20.37%
53.69%
33.3 pts worse
Numerator 11 · Denominator 54
Discharge mobility score 51.85%
50.94%
0.9 pts better
Numerator 28 · Denominator 54
Pressure ulcers or injuries, new or worsened 3.75%
2.29%
1.5 pts worse
Numerator 3 · Denominator 80 · Adjusted rate 2.28%
Healthcare-associated infections requiring hospitalization 8.98%
7.12%
1.9 pts worse
No Different than the National Rate · Eligible stays 95 · Observed rate 12.63% · Lower 95% interval 5.95%
Staff COVID-19 vaccination coverage 0%
8.2%
8.2 pts worse
Numerator 0 · Denominator 172
Staff flu vaccination coverage 24.73%
42%
17.3 pts worse
Numerator 46 · Denominator 186
Discharge function score 42.59%
56.45%
13.9 pts worse
Numerator 23 · Denominator 54
Transfer of health information to provider 90.91%
95.95%
5 pts worse
Numerator 20 · Denominator 22
Transfer of health information to patient Not Available
96.28%
Numerator Not Available · Denominator 9 · Too few residents or stays to report publicly.
Resident COVID-19 vaccinations up to date 47.06%
25.2%
21.9 pts better
Numerator 16 · Denominator 34

Quality measures

Resident outcomes and process scores

Measure Facility State National Note
Number of hospitalizations per 1000 long-stay resident days 2.5
1.7
0.8 pts worse
1.9
0.6 pts worse
Long Stay · 20240701-20250630 · Adjusted 2.5 · Observed 2.2 · Expected 1.6 · Used in QM five-star
Number of outpatient emergency department visits per 1000 long-stay resident days 1.7
1.3
0.4 pts worse
1.8
0.1 pts better
Long Stay · 20240701-20250630 · Adjusted 1.7 · Observed 1.5 · Expected 1.5 · Used in QM five-star
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine 86.6%
91.2%
4.6 pts worse
93.4%
6.8 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 89.9% · Q2 86.4% · Q3 82.9% · Q4 87.3% · 4Q avg 86.6%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine 93.0%
95.3%
2.3 pts worse
95.5%
2.5 pts worse
Long Stay · 2024Q3-2025Q2 · 4Q avg 93.0%
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 4.7% · Q2 2.0% · Q3 0.7% · Q4 1.3% · 4Q avg 2.2% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms 83.5%
18.5%
65 pts worse
11.4%
72.1 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 89.9% · Q2 85.2% · Q3 82.6% · Q4 76.6% · 4Q avg 83.5%
Percentage of long-stay residents who lose too much weight 1.4%
6.1%
4.7 pts better
5.4%
4 pts better
Long Stay · 2024Q4-2025Q3 · Q1 2.1% · Q2 1.4% · Q3 1.5% · Q4 0.7% · 4Q avg 1.4%
Percentage of long-stay residents who received an antianxiety or hypnotic medication 18.5%
13.5%
5 pts worse
19.6%
1.1 pts better
Long Stay · 2024Q4-2025Q3 · Q1 17.7% · Q2 18.4% · Q3 18.5% · Q4 19.3% · 4Q avg 18.5%
Percentage of long-stay residents who received an antipsychotic medication 30.9%
14.8%
16.1 pts worse
16.7%
14.2 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 37.0% · Q2 33.3% · Q3 31.8% · Q4 22.2% · 4Q avg 30.9% · 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 24.3%
15.1%
9.2 pts worse
16.3%
8 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 21.0% · Q2 25.4% · Q3 27.6% · Q4 23.1% · 4Q avg 24.3% · 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 17.7% · Q2 16.9% · Q3 14.4% · Q4 21.3% · 4Q avg 17.6% · Used in QM five-star
Percentage of long-stay residents with a catheter inserted and left in their bladder 1.3%
0.6%
0.7 pts worse
1.0%
0.3 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 2.0% · Q2 1.3% · Q3 0.6% · Q4 1.1% · 4Q avg 1.3% · Used in QM five-star
Percentage of long-stay residents with a urinary tract infection 2.9%
1.4%
1.5 pts worse
1.7%
1.2 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 3.4% · Q2 2.8% · Q3 2.2% · Q4 2.9% · 4Q avg 2.9% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence 13.2%
20.8%
7.6 pts better
19.8%
6.6 pts better
Long Stay · 2024Q4-2025Q3 · Q1 4.3% · Q2 20.0% · Q3 10.0% · Q4 18.8% · 4Q avg 13.2%
Percentage of long-stay residents with pressure ulcers 3.7%
6.9%
3.2 pts better
5.1%
1.4 pts better
Long Stay · 2024Q4-2025Q3 · Q1 3.0% · Q2 4.0% · Q3 3.9% · Q4 4.0% · 4Q avg 3.7% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine 29.3%
76.7%
47.4 pts worse
81.7%
52.4 pts worse
Short Stay · 2024Q4-2025Q3 · Q1 36.5% · Q2 20.6% · Q3 29.9% · Q4 31.7% · 4Q avg 29.3%
Percentage of short-stay residents who had an outpatient emergency department visit 5.0%
9.7%
4.7 pts better
12.0%
7 pts better
Short Stay · 20240701-20250630 · Adjusted 5.0% · Observed 5.5% · Expected 12.2% · Used in QM five-star
Percentage of short-stay residents who newly received an antipsychotic medication 2.1%
1.2%
0.9 pts worse
1.6%
0.5 pts worse
Short Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 4.0% · Q4 3.7% · 4Q avg 2.1% · Used in QM five-star
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine 55.6%
78.8%
23.2 pts worse
79.7%
24.1 pts worse
Short Stay · 2024Q3-2025Q2 · 4Q avg 55.6%
Percentage of short-stay residents who were rehospitalized after a nursing home admission 15.4%
20.6%
5.2 pts better
23.9%
8.5 pts better
Short Stay · 20240701-20250630 · Adjusted 15.4% · Observed 17.8% · Expected 27.6% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-08-04 · Fire 2025-08-04

16 health deficiencies

Top issue: Resident Rights (6 deficiencies)

1 fire-safety deficiencies

Top issue: Smoke (1 deficiency)

Cycle 2 Health 2023-07-14 · Fire 2023-07-14

12 health deficiencies

Top issue: Resident Assessment and Care Planning (5 deficiencies)

4 fire-safety deficiencies

Top issue: Smoke (2 deficiencies)

Cycle 3 Health 2021-06-09 · Fire 2021-06-09

4 health deficiencies

Top issue: Freedom from Abuse and Neglect and Exploitation (2 deficiencies)

5 fire-safety deficiencies

Top issue: Gas and Vacuum and Electrical Systems (2 deficiencies)

Fire safety

Fire-safety citations

E · Potential for more than minimal harm 2025-08-04

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2025-12-19

E · Potential for more than minimal harm 2023-07-14

K225 · Egress Deficiencies

Fire Safety

Have stairways and smokeproof enclosures used as exits that meet safety requirements.

Corrected 2023-08-30

D · Potential for more than minimal harm 2023-07-14

K311 · Smoke Deficiencies

Fire Safety

Have an enclosure around a vertical opening shaft.

Corrected 2023-08-30

D · Potential for more than minimal harm 2023-07-14

K321 · Smoke Deficiencies

Fire Safety

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

Corrected 2023-08-31

D · Potential for more than minimal harm 2023-07-14

K521 · Services Deficiencies

Fire Safety

Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

Corrected 2023-08-30

E · Potential for more than minimal harm 2021-06-09

K921 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure that testing and maintenance of electrical equipment is performed.

Corrected 2021-07-15

D · Potential for more than minimal harm 2021-06-09

K321 · Smoke Deficiencies

Fire Safety

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

Corrected 2021-07-15

D · Potential for more than minimal harm 2021-06-09

K324 · Smoke Deficiencies

Fire Safety

Provide properly protected cooking facilities.

Corrected 2021-07-15

D · Potential for more than minimal harm 2021-06-09

K741 · Miscellaneous Deficiencies

Fire Safety

Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.

Corrected 2021-07-15

D · Potential for more than minimal harm 2021-06-09

K911 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Meet requirements for the installation and maintenance of electrical systems.

Corrected 2021-07-15

Inspection history

Recent health citations

F · Potential for more than minimal harm 2025-08-04

F835 · Administration Deficiencies

Health

Administer the facility in a manner that enables it to use its resources effectively and efficiently.

Corrected 2025-10-02

E · Potential for more than minimal harm 2025-08-04

F675 · Quality of Life and Care Deficiencies

Health

Honor each resident's preferences, choices, values and beliefs.

Corrected 2025-12-23

E · Potential for more than minimal harm 2025-08-04

F725 · Nursing and Physician Services Deficiencies

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 2025-10-02

E · Potential for more than minimal harm 2025-08-04

F813 · Nutrition and Dietary Deficiencies

Health

Have a policy regarding use and storage of foods brought to residents by family and other visitors.

Corrected 2025-10-02

D · Potential for more than minimal harm 2025-08-04

F550 · Resident Rights Deficiencies

Health

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Corrected 2025-10-02

D · Potential for more than minimal harm 2025-08-04

F553 · Resident Rights Deficiencies

Health

Allow resident to participate in the development and implementation of his or her person-centered plan of care.

Corrected 2025-12-02

D · Potential for more than minimal harm 2025-08-04

F558 · Resident Rights Deficiencies

Health

Reasonably accommodate the needs and preferences of each resident.

Corrected 2025-10-02

D · Potential for more than minimal harm 2025-08-04

F582 · Resident Rights Deficiencies

Health

Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

Corrected 2025-10-02

D · Potential for more than minimal harm 2025-08-04

F600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Corrected 2025-10-02

D · Potential for more than minimal harm 2025-08-04

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 2025-10-02

D · Potential for more than minimal harm 2025-08-04

F627 · Resident Rights Deficiencies

Health

Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.

Corrected 2025-10-02

D · Potential for more than minimal harm 2025-08-04

F657 · Resident Assessment and Care Planning Deficiencies

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 2025-10-02

D · Potential for more than minimal harm 2025-08-04

F692 · Quality of Life and Care Deficiencies

Health

Provide enough food/fluids to maintain a resident's health.

Corrected 2025-10-02

D · Potential for more than minimal harm 2025-08-04

F921 · Environmental Deficiencies

Health

Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

Corrected 2025-10-02

C · Minimal harm 2025-08-04

F577 · Resident Rights Deficiencies

Health

Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.

Corrected 2025-10-02

B · Minimal harm 2025-08-04

F641 · Resident Assessment and Care Planning Deficiencies

Health

Ensure each resident receives an accurate assessment.

Corrected 2025-10-02

D · Potential for more than minimal harm 2025-02-05

F604 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.

Corrected 2025-03-31

D · Potential for more than minimal harm 2025-02-05

F677 · Quality of Life and Care Deficiencies

Health

Provide care and assistance to perform activities of daily living for any resident who is unable.

Corrected 2025-03-31

D · Potential for more than minimal harm 2023-07-26

F600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Corrected 2023-10-02

D · Potential for more than minimal harm 2023-07-26

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 2023-10-02

E · Potential for more than minimal harm 2023-07-14

F657 · Resident Assessment and Care Planning Deficiencies

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 2023-09-08

E · Potential for more than minimal harm 2023-07-14

F756 · Pharmacy Service Deficiencies

Health

Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

Corrected 2023-09-08

E · Potential for more than minimal harm 2023-07-14

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 2023-09-08

D · Potential for more than minimal harm 2023-07-14

F584 · Resident Rights Deficiencies

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 2023-09-08

D · Potential for more than minimal harm 2023-07-14

F638 · Resident Assessment and Care Planning Deficiencies

Health

Assure that each resident’s assessment is updated at least once every 3 months.

Corrected 2023-09-08

D · Potential for more than minimal harm 2023-07-14

F640 · Resident Assessment and Care Planning Deficiencies

Health

Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.

Corrected 2023-09-08

D · Potential for more than minimal harm 2023-07-14

F655 · Resident Assessment and Care Planning Deficiencies

Health

Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

Corrected 2023-09-08

D · Potential for more than minimal harm 2023-07-14

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 2023-09-08

D · Potential for more than minimal harm 2023-07-14

F685 · Quality of Life and Care Deficiencies

Health

Assist a resident in gaining access to vision and hearing services.

Corrected 2023-09-08

D · Potential for more than minimal harm 2023-07-14

F758 · Pharmacy Service Deficiencies

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 2023-09-08

D · Potential for more than minimal harm 2021-06-09

F563 · Resident Rights Deficiencies

Health

Honor the resident's right to receive visitors of his or her choosing, at the time of his or her choosing.

Corrected 2021-07-14

D · Potential for more than minimal harm 2021-06-09

F641 · Resident Assessment and Care Planning Deficiencies

Health

Ensure each resident receives an accurate assessment.

Corrected 2021-07-14

Penalties and ownership

What sits behind the stars

$4,587 2023-06-12

Fine

Fine · fine $4,587

Fine

$4,587 2023-06-05

Fine

Fine · fine $4,587

Fine

$4,587 2023-05-30

Fine

Fine · fine $4,587

Fine

$4,587 2023-05-23

Fine

Fine · fine $4,587

Fine

$4,587 2023-05-15

Fine

Fine · fine $4,587

Fine

$4,587 2023-05-08

Fine

Fine · fine $4,587

Fine

$13,762 2023-04-17

Fine

Fine · fine $13,762

Fine

$4,580 2023-03-20

Fine

Fine · fine $4,580

Fine

Ownership

Cytryn, Aron

5% Or Greater Direct Ownership Interest · Individual

46% 2 facilities 2015-03-01
Landa, Judy

5% Or Greater Direct Ownership Interest · Individual

39% 9 facilities 2015-03-01
Cytryn, David

5% Or Greater Direct Ownership Interest · Individual

12% 1 facilities 2015-03-01
Cytryn, Aron

Operational/Managerial Control · Individual

0% 2 facilities 2003-10-01
Cytryn, David

Operational/Managerial Control · Individual

0% 1 facilities 2014-05-31
Landa, Benjamin

Operational/Managerial Control · Individual

0% 103 facilities 2003-10-01

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