Deficiency Index

Brooklyn United Methodist Church Home

Brooklyn, New York · CCN 335604

15 surveys since 2011. The first finding at harm level was recorded in 2024.

Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.

Citations on record
65
Surveys
15
Harm or worse
1
Immediate jeopardyall corrected before survey
1
The record, 2011–2025
’11’15’20’25
No harm recordedHarm or worseNot surveyed
Immediate jeopardy1

Findings at the most serious level CMS records. All were recorded as past non-compliance — corrected before the survey.

Beyond CMS’s monthly file10/15

Older surveys no longer in CMS’s monthly file or on Care Compare. They are shown here.

The facility

Certified beds
120
Ownership
Non profit - Corporation
Chain
Independent
County
Kings
Medicare-certified since
1977

CMS ratings

Overall
1
Health inspection
2
Staffing
3
Quality measures
1

CMS’s own Five-Star ratings.

Compared with similar facilities

Since 2021, this facility recorded more weighted findings than most of its peer group.

Weighted by harm level, against 28 not-for-profit facilities of 100–127 beds in New York.

Last survey on record

Mar 14, 2025

605 days ago.

Counts surveys with at least one finding. A clean survey leaves no record here, so the real gap may be shorter.

Staffing

MeasureThis facilityPeer median
Nurse hours per resident day3.333.84
Registered-nurse hours per resident day0.74—
Annual nurse turnover35.2%41.3%

As reported by the facility to CMS, beside the peer-group median.

Enforcement

Fines
$10,039 across 1 penalty

Federal civil money penalties and remedies as CMS currently publishes them. Amounts may still be under appeal.

Severity of recent findings

Citations by CMS scope and severity. Rows are harm level, columns are how widespread the finding was.
SeverityIsolatedPatternWidespread
Immediate jeopardyJ12.7%K—L—
Actual harmG—H—I—
No harm, potential for more than minimalD1745.9%E1643.2%F12.7%
No harm, potential for minimalA—B—C25.4%
CMS’s current file: 37 of the 65 citations on record.

Most frequently cited here

In CMS’s current monthly file.

  • F5843×

    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.

  • F6093×

    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

  • F6893×

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

  • F6562×

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

  • F6572×

    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

In the surveyor’s words

From the most serious findings on record at Brooklyn United Methodist Church Home, in the surveyor’s own words.

  • Immediate jeopardy, isolatedF689Mar 6, 2024

    Based on observation, record review, and interviews during an abbreviated survey (Case # NY00334732), the facility failed to ensure that a resident, identified as an elopement risk received adequate supervision to prevent elopement from the facility. This was evident in 1 out of 3 residents sampled (Resident #1). Specifically, on 03/01/2024, Resident #1, who had severely impaired cognition and had a wander alert device in place since 02/29/2024 at 10:01 pm, left the building undetected at 11:49 am. Facility staff became aware that Resident #1 was missing from the unit on 03/01/2024 at approximately 12:20 pm. Resident #1 was located by Resident #1's relative on 03/01/2024 and notified the facility at 5:30 pm that Resident #1 was at the hospital and would be returning to the facility. […]

  • No harm, potential for more than minimal, widespreadF732Sep 18, 2023

    Based on observations and staff interviews conducted during the recertification survey from 9/10/23 to 9/18/23, the facility did not ensure the daily nurse staffing information was posted in a prominent place readily accessible to residents and visitors. This was evident for the total census of 113 residents. Specifically, the daily staffing information was observed posted on the wall near the staff time clock, not in a prominent place readily accessible to residents and visitors. The findings are: The facility policy and procedure titled Posting Direct Care Daily Staffing Numbers reviewed 4/20/23 documented the facility will post daily for each shift, the number of nursing personnel responsible for providing direct care to residents. […]

  • No harm, potential for more than minimal, patternF582Jan 10, 2025

    Based on record review and interviews conducted during a Recertification Survey from 01/02/2025 to 01/10/2025, the facility did not ensure a resident, or their designated representative was provided appropriate notification at the termination of Medicare Part A benefits. This was evident for 3 (Residents #47, #51, and #99) of 3 residents reviewed for Beneficiary Notification. Specifically, the facility did not provide appropriate notification at least two calendar days before Medicare covered services ended as required and did not provide the designated form for notification in the nursing home setting. […]

  • No harm, potential for more than minimal, patternF584Jan 10, 2025

    Based on observations and staff interviews during the Recertification survey from 01/02/2025 to 01/10/2025, the facility did not ensure that the residents' environment was maintained in a safe, sanitary, and comfortable manner. Specifically multiple observations were made of ceiling tiles and resident equipment and found to be unsanitary and in disrepair. This was evident for 1 of 3 resident units (Unit 3). The findings are: The facility policy titled Homelike Environment dated 10/02/24 state that residents are provided with a safe clean and comfortable and homelike environment. During multiple observations on the 3rd floor unit from 01/02/2025 to 01/10/2025 the following was observed: 1. […]

  • No harm, potential for more than minimal, patternF921Jan 10, 2025

    Based on observations and interviews conducted during the Recertification survey from 01/02/2025 to 01/10/2025 the facility did not ensure a safe functional environment for residents, staff, and public. This was evident for the staff bathroom and nursing station on 1 (Unit 3) of 3 Units. The finding is: The facility policy titled Homelike Environment dated 10/02/24 stated that residents are provided with a safe, sanitary and orderly environment. During multiple observations on the 3rd floor unit from 01/02/2025 to 01/10/2025 the following was observed: 1. The Staff bathroom adjacent to the Tub Room had a loose and wobbly toilet seat. 2. in the Nurse's Station: a. the Plexi glass was covered with dust, dirt and streaks. b. two swivel chairs were layered with dirt and dust. c. […]

Read 20 findings in full →The most serious and the most recent: 20 of 65 on record.

Every survey on record

FindingsAt actual harm or above

  • Mar 14, 2025Complaint3 findings
  • Jan 10, 2025Standard6 findings
  • Mar 6, 2024Complaint1 finding · 1 harm
  • Sep 18, 2023Standard and complaint21 findings
  • Jan 25, 2022Standard and complaint6 findings
  • May 13, 2020Complaint1 finding
  • Jun 13, 2019Standard2 findings
  • Jan 10, 2019Complaint2 findings
Show the 7 earlier surveys
  • Jul 28, 2017Standard1 finding
  • Mar 31, 2015Standard3 findings
  • Mar 12, 2014Standard3 findings
  • Feb 28, 2013—3 findings
  • Jan 17, 2013—1 finding
  • Apr 27, 2012—1 finding
  • Apr 12, 2011—11 findings

Surveys that found no deficiencies are not in CMS’s files and do not appear here.

Comparable facilities

The nearest facilities to this one in the same peer group, by weighted findings.

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