Astoria Health And Rehabilitation Center

Location & what’s nearby

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Nearest of each type, straight-line distance. Hospitals come from the CMS Hospital General Information registry; everything else from Overture Maps (public data). Hospital and park hours are typical — call ahead to confirm.

Quality measures — how residents actually fare

Quality-measure stars summarize outcomes CMS tracks from the assessments each home submits — avoidable hospitalizations and ER visits, falls with injury, pressure ulcers, unplanned weight loss, and long-term antipsychotic use. Because the underlying data is self-reported, weigh a high score against the independent inspection record. Long-stay = permanent residents; short-stay = rehab and post-hospital stays.

Short-stay rehab — if you are coming here from a hospital

Arriving from a hospital right now? Read the discharge guide → — your appeal rights, how to slow a rushed discharge, and what to ask about the numbers below.

67.1% of the Medicare patients who left this home got back to the community and stayed there for at least 31 days — CMS rates that better than the national rate. This is CMS’s risk-adjusted rate over 437 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

Met the expected recovery: 85.9% of this home’s Medicare short-stay residents left it at or above the ability to care for themselves and move around that CMS predicted for them, across 255 stays in Oct 2024–Sep 2025. The median of the 11,061 homes CMS publishes this for is 56.6%. Read it beside the getting-home figure, not instead of it: unlike the two measures above, CMS makes no better-or-worse call on this one and publishes no confidence interval for it, so this is a comparison and not a verdict — but it is the short-stay measure that separates homes most, and the one to ask about.

Therapy staffing: this home’s payroll records show 0.42 therapist hours per resident per day in 2026Q1 — more than 71% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 17% of this home’s weekday level — it runs some therapy at the weekend, at a lower level than on weekdays. The median home that reports therapy runs 13% — weekday-focused therapy is the industry norm, not a shortfall. But recovery does not pause on a Saturday: ask what the weekend actually looks like here.

This section is about rehab stays, not living here. Most of this page — the stars, the quality measures, the inspection record — describes the home the way a permanent resident experiences it. These figures describe the short Medicare stay after a hospital discharge: a hip, a stroke, a bad infection, six weeks and home. They are different residents, different staff, often a different wing. Therapy hours are per resident in the building, not per rehab patient — the count includes every long-stay resident, and they mostly get no therapy at all. So a home with a small rehab wing inside a large nursing population reads low here even if its rehab patients get plenty of therapy, and a mostly-rehab home reads high. Use it to compare homes doing similar work, ask what a rehab resident actually gets in a day, and remember that CMS does not publish therapy minutes per patient — nobody does.

Staffing

How full it usually is: this home is certified for 132 beds and averages 125.9 residents a day — about 95% occupied, or roughly 6 beds typically open. It runs essentially full — expect a waiting list. This is a CMS average, not live availability — no public source publishes real-time vacancies, and a home can be full the day you call. Confirm with the home, and if you need a Medicaid bed specifically, ask about that separately: a home with open beds may still not have an open Medicaid bed.

Against a benchmark — not a legal minimum. In May 2024 CMS finalized the first federal staffing floor for nursing homes: 3.48 total nurse hours per resident per day, including 0.55 RN hours and 2.45 nurse-aide hours. Its hour requirements never took effect and are no longer on the books. Homes had until 2026 (2027 if rural) to comply, and that deadline never arrived: a federal court vacated the hour requirements in April 2025 (CMS has appealed), Congress then barred enforcement until 2034, and CMS formally repealed them by rule effective February 2026. This home is not required to meet these numbers, and is not violating anything by missing them. We still show the comparison because the figures are CMS’s own published estimate of adequate staffing, which makes them a useful yardstick — but they are our benchmark, not federal law: this home’s total nurse staffing of 4.20 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 0.57 is at or above the 0.55-hour RN benchmark and nurse-aide staffing of 2.49 is at or above the 2.45-hour aide benchmark. What federal law does require today is unchanged: “sufficient” nursing staff for residents’ needs and an RN on duty at least 8 consecutive hours a day, 7 days a week (42 CFR 483.35). Those are judged by inspectors on site, not by these averages, so read this comparison alongside the inspection record rather than as a pass/fail.

Weekend coverage: total nurse staffing is 3.86 hrs/resident/day on weekends vs 4.34 on weekdays — 11% thinner on weekends. RN hours go from 0.67 to 0.34 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 41% is about the same as the national median of 45%. 1 administrator has left in the past year.

Payroll-based (PBJ) staffing hours, as reported for Jan–Mar 2026 (CMS PBJ CY2026Q1) — the most recent quarter CMS has published, so they can lag a change of operator or staffing agency. Higher is generally better. Registered-nurse coverage and weekend staffing are the numbers families most often overlook — an RN on site matters most when something goes wrong, and coverage usually thins on weekends. High turnover means residents rarely see the same caregiver twice. One caveat: these are hours as reported, not adjusted for how sick or heavy-care this home’s residents are. CMS separately publishes a case-mix-adjusted view; we show the reported hours. A home caring for higher-acuity residents needs more hours to deliver the same care, so compare these figures against homes doing similar work, and read them next to the inspection record rather than alone.

Inspection trend

Deficiencies are more than at the previous inspection — worsening. Fewer citations over time suggests a home is fixing problems; a rising count is a warning sign — though two surveys are a short record, and survey teams differ. These counts are from the standard annual health survey only; the full citation list below may also include findings from complaint investigations, so the two won’t always add up.

This trend is not current. The most recent of these two inspections was over 2 years ago; the arrow describes what inspectors found then, not what the home is like now.

Inspection deficiencies

State health-inspection citations, most serious first. Each carries an F-code (the federal rule it cites, e.g. F-684 = quality of care) and a letter A–L marking how serious and how widespread the problem was — we translate that grid into the plain tiers shown here. Wording is the official federal description.

Each letter is a CMS scope-severity level; highlighted ones are where this home has citations. A–C = no harm found; D–F = potential for harm; G–I = actual harm; J–L = immediate jeopardy. Within each band the later letter is the more widespread finding (an isolated G is one resident; a widespread I is a pattern), so rightward and downward is worse.

26 citations, most serious first. The 10 most serious are shown; the remaining 16 are one tap away and print in full.

• Potential for harm · E2024-03-26 · tag F0644 — pattern
  Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview and record review, the facility failed to revise the Level I Pre-admission Screening and Resident Review (PASARR) with a newly identified diagnosis and failed to resubmit for a PASARR Level II review for four residents (#54, #20, #70, and #61) of 37 residents reviewed. Findings included: 1. Review of the admission Record revealed Resident #54 was originally admitted to the facility on [DATE] and readmitted on [DATE] with diagnoses to include unspecified dementia, cognitive communication deficit, and unspecified psychosis not due to a substance or known physiological condition. On 1/29/24 the diagnosis of adjustment disorder with mixed anxiety and depressed mood was added. Review of the Quarterly Minimum Data Set (MDS), dated [DATE], revealed: -Section C - Cognitive Patterns: Brief Interview for Mental Status (BIMS) score 07, indicating severe cognitive impairment. -Section I Active Diagnosis - non-Alzheimer's Dementia, psychotic disorder and adjustment disorder with mixed anxiety and depressed…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
• Potential for harm · E2024-03-26 · tag F0656 — failed to write and follow a full care plan — pattern
  Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observations, interviews and record review the facility failed to develop comprehensive care plans for three residents (#71, #75 and #77) related to advanced directives out of forty four residents sampled, and one resident (#59) related to identifying the target behaviors exhibited out of five residents sampled for unnecessary medications. Findings included: 1. Review of Resident #71's admission Record revealed an admission date of 3/29/22 and that she was a hospice patient. Resident #71's medical diagnoses included encephalopathy, multiple myeloma in remission, and anxiety disorder. The admission Record showed Resident #71's Advance Directive was Do Not Resuscitate (DNR). Review of Resident #71's current comprehensive care plan, revised as of 12/2023, was silent of a Focus, goal or interventions related to Advance Directives. On 3/26/24 during an interview that started at 6:17 p.m., Staff J, Minimum Data Set Coordinator/Licensed Practical Nurse (MDS/LPN) stated we (facility) should have an Advance…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Ecited before2024-03-26 · tag F0759 — failed to keep medication error rate low — pattern
  Ensure medication error rates are not 5 percent or greater.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observations, record reviews, and interviews the facility failed to ensure the medication error rate was less than 5.00%. Thirty-two medication administration opportunities were observed and seven errors were identified for three residents (#500, #88, and #41) of five residents observed. These errors constituted a 21.88% medication error rate. Findings included: 1. On 3/24/24 at 4:46 p.m. an observation of medication administration with Staff G, Licensed Practical Nurse (LPN), was conducted with Resident #500. Staff G dispensed the following oral medications: - Ferrous Sulfate 325 milligram (mg) over-the-counter (OTC) tablet - Metformin 500 mg tablet - Oyster Shell Calcium 500 mg plus Vitamin D 5 microgram (mcg) OTC tablet. Staff G confirmed dispensing three oral tablets. Staff G administered the medications and obtained a blood glucose reading of 169 from the resident's left index finger. Staff G returned to the medication cart and removed the resident's Novolog FlexPen. - Novolog insulin aspart Flexpen, Staff G dialed the pen to 2 units, applied a needle, uncapped the…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Pharmacy Service Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Ecited before2024-03-26 · tag F0761 — failed to label and store drugs safely — pattern
  Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observations, record reviews, and interviews the facility failed to ensure one of one treatment cart on the 600 unit was locked while unattended, failed to ensure medications on one medication cart (600) of five medication carts were not accessible to unauthorized personnel, failed to ensure one medication room (400) out of three medication rooms contained a locked permanently affixed controlled substance refrigerator box, and failed to ensure medications with a limited life were dated when opened on two of three sampled medication carts. Findings included: On 3/23/24 at 9:43 a.m. an observation revealed an unlocked and unattended treatment cart parked in an alcove next to the 600-unit shower room. Staff K, Certified Nursing Assistant (CNA) arrived at the area during the observation and stated the process was when a cart was observed unlocked to go tell the nurse. (Photographic Evidence Obtained) On 3/23/24 at 9:46 a.m. Staff F, Licensed Practical Nurse (LPN) reported not looking at the treatment cart…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Pharmacy Service Deficiencies · Deficient, Provider has date of correction
• Potential for harm · E2024-03-26 · tag F0880 — failed to prevent and control infections — pattern
  Provide and implement an infection prevention and control program.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observations, interviews, and record reviews, the facility failed to develop and maintain an effective infection prevention and control program to control the spread of infection by failing to ensure staff members (A, B and H) donned appropriate personal protective equipment (PPE) before entering the rooms of residents under transmission based precautions for three residents (#319, #320, and #220) of four residents in the facility under transmission based precautions and failed to clean the nebulizer after use for one resident (#500) of three residents observed for medication administration. Findings included: 1. A review of Resident #319's physician's orders revealed Resident #319 was admitted to the facility on [DATE] with diagnoses of sepsis and pneumonia. A diagnosis of resistance to multiple antimicrobial drugs was added on 3/18/2024. A review of Resident #319's physician's orders revealed the following orders: - An order, dated 3/21/2024, for gentamicin in saline 1 milligram (mg)/1 milliliter (ml)…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Infection Control Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2024-03-26 · tag F0645 — isolated
  PASARR screening for Mental disorders or Intellectual Disabilities
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observations, record reviews, and interviews, the facility failed to ensure the accuracy of the Preadmission Screening and Resident Review (PASARR) for two residents (#101, and #77) out of 37 residents sampled. Findings included: 1. On 3/23/24 at 1:48 p.m. Resident #101 was overheard from the hallway yelling out non-sensical words. Staff D, Certified Nursing Assistant (CNA) and Staff E, CNA were observed leaving the resident's room. Staff D stated the yelling was a behavior and asked this writer to shut the door as the screaming out affects other residents. The resident quieted during the observation then began yelling out non-sensical words, which continued after this writer left the room. Review of Resident #101's admission Record showed the resident was admitted on [DATE] and included the diagnoses with an onset date of 9/21/23 of unspecified severity unspecified dementia without behavioral disturbance, psychotic disturbance, mood disturbance, and anxiety, mild recurrent major depressive disorder,…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2024-03-26 · tag F0755 — failed to provide safe pharmacy services — isolated
  Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observations, interviews, and record reviews, the facility failed to ensure physician ordered medications were available for two residents (#63 and #35) of forty four sampled residents. Findings included: 1. A review of Resident #63's admission Record revealed Resident #63 was admitted to the facility on [DATE] with diagnoses of monoplegia of lower limb affecting the left side, postpolio syndrome, and muscle weakness. A review of Resident #63's physician's orders revealed the following orders: - An order, dated 3/21/2024 for diclofenac sodium 1% gel apply topically to both knees every 8 hours as needed for pain. - An order, dated 1/8/2024 for testosterone cypionate injection 200 milligrams (mg)/milliliter (ml), inject one application intramuscularly (IM) one time every 2 weeks on Monday for low testosterone. An interview was conducted on 3/23/2024 at 10:40 a.m. with Resident #63 in the resident's room. Resident #63 stated he recently had pain relief cream (diclofenac sodium 1% gel) ordered for knee…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Pharmacy Service Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2024-03-26 · tag F0757 — failed to avoid unnecessary drugs — isolated
  Ensure each resident’s drug regimen must be free from unnecessary drugs.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview and record review the facility failed to prevent the administration of a medication listed as an allergy and failed to notify the physician of the administration the medication for one resident (#55) of seven sampled residents,. Findings included: A review of the admission Record revealed Resident #55 was admitted to the facility on [DATE] with diagnoses to included metabolic encephalopathy, generalized anxiety, pressure ulcer of sacral region, stage 4 and heart failure. Review of the Minimum Data Set assessment, dated 2/2/24, revealed in Section C - Cognitive Patterns a Brief Interview for Mental Status (BIMS) score of 14, indicating cognitively intact. Section N - Medications showed opioids were administered. Review of the electronic medical record showed the allergies listed for Resident #55 as Morphine, Lasix, Lyrica and shellfish. Review of the Order Summary Report for 3/1/24 - 3/31/24 showed the allergies listed as Morphine, Lasix, Lyrica and shellfish. Review of the Medication…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Pharmacy Service Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2024-03-26 · tag F0758 — failed to limit and justify psychotropic drugs — isolated
  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.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observations, record reviews, and interviews the facility failed to monitor the behaviors of two residents (#59 and #55) out of five residents sampled for the use of psychotropic medications. Findings included: 1. On 3/24/24 at 9:41 a.m. Resident #59 was observed lying in bed complaining of seeing a physician in six weeks and had not been out of bed for nine weekends. Review of Resident #59's admission Record revealed the resident was admitted on [DATE] and included diagnoses of adjustment disorder with mixed anxiety and depressed mood, unspecified anxiety disorder, and mild recurrent major depressive disorder. Review of Resident #59's Order Summary Report, which included active physician orders, showed the resident was ordered the following: - Observed for side effects (antipsychotic, antidepressant, antianxiety, (and) hypnotic), Y=yes side effects were noted - see progress notes. N= No side effects noted, every shift for see above. - Buspirone 5 milligram (mg) - Give 1 tablet by mouth two times a day…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Pharmacy Service Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2024-03-26 · tag F0812 — failed to store, cook, and serve food safely — isolated
  Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, interview and record review the facility failed to maintain one ice machine (400 hall) of three facility ice machines in a sanitary manner. Findings included: An observation on 3/26/24 at 12:13 p.m. of the ice machine located in the locked nourishment room on the 400 hall revealed multiple spots of black bio growth on the top of the inside of the ice bin when the cover was lifted. During an interview, at this time, Staff M, Licensed Practical Nurse stated the ice was used by CNAs (certified nursing assistants) to put in the cups for residents. The ice machine was observed to be full of ice. He confirmed maintenance was responsible for cleaning the ice machines. On 3/26/24 at 12:20 p.m. the Maintenance Director stated the ice machine (400 hall) was last cleaned in the November/December 2023 timeframe. He observed and confirmed the black bio growth located inside the ice machine. He stated the staff should have let him know, and they should have entered a work order in the electronic work order system. He said if he would have seen it, he would have cleaned it.…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction

“Cited before” means this same F-tag appears on at least one other survey date in the record we hold — counting complaint investigations as well as standard surveys, with no time limit. It is our own read of the data, not CMS’s: CMS uses repeat deficiency as a formal term tied to consecutive standard surveys, and that is a narrower test than this one. A tag marked here may or may not meet it.

Fines & penalties

No federal fines in the current CMS record.

Part of a chain

This home belongs to TLC MANAGEMENT — 20 facilities. Here is how its ratings compare with the chain’s average across all its homes: See the whole chain — ratings, flags, fines and finances →

A home rated well below its chain’s average can signal local problems; a chain with a low average across the board is a bigger pattern worth researching. CMS chain data under-reports private-equity and REIT ownership, so treat this as a floor, not the full picture.

Who owns this facility

CMS files one row per role, so the 14 rows in the source record cover these 7 parties — each is shown once here with every role it holds. Nothing is omitted.

1 organizational owner listed — a facility can be part of a larger chain. CMS ownership data is known to under-report private-equity and REIT ties; treat as a starting point.

Follow the money — this home’s finances

Where a nursing home’s revenue comes from and where it goes — including money paid to companies under the same ownership. Most consumer sites never show this; we reproduce it straight from the Medicare cost report.

This home reported $608K paid to related parties (affiliated landlords or management companies) in its most recent cost report. A reported operating loss is common in this industry and is not by itself a sign of trouble — but paired with large related-party payments it can mean profit is being taken elsewhere in the ownership structure.

Source: CMS Healthcare Provider Cost Reporting Information System (HCRIS), Medicare cost report Form CMS-2540 · fiscal year 2023. Facilities self-file these reports; figures are unaudited and a year or two behind. A home with no Medicare cost report on file shows no figures here.

Cost & finances

Straight from this home’s Medicare cost report (CMS, FY2023). These are its operating economics — what it costs to run per resident-day and what it collects on average across Medicare, Medicaid, and private pay — not a private-pay quote. Your out-of-pocket cost depends on payer and room type, so ask the facility directly; a higher operating cost can reflect richer staffing or a sicker population. The cost-of-care planner shows regional benchmarks by care type.

What families pay in FL