The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited January 2023 — limited pattern, potential for harm.
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F-Tag 689 — 42 CFR §483.25(d) — S/S: E
Nursing home report
COLER REHABILITATION AND NURSING CARE CENTER
ROOSEVELT ISLAND, NY · Medicare-certified · 815 beds
In good standing
Government-runChain member
5 of 5 overall
5 of 5 stars overall. COLER REHABILITATION AND NURSING CARE CENTER has strong staffing and no fines in the last 24 months; its nurse staffing is above the federal benchmark (4.48 vs 4.1 hours per resident per day), while health inspections are 4 of 5 stars and quality measures are 3 of 5 stars.
Facility ratings
Health inspections
Staffing
4.4765 hrs/resident/day
Quality measures
Last inspection: December 1, 2025Penalties, last 24 months: $0
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 4.4765.
Staffing detail
- Registered nurses
- 1.34
- Licensed practical nurses
- 0.44
- Nurse aides
- 2.70
- Weekend nursing
- 3.94
Hours per resident per day.
Total staff turnover: 19%
Registered nurse turnover: 26%
Resident outcomes
How often residents experience these outcomes, with the direction over the past year.
Long-stay residents on antipsychotic medication
11.9%Improving
Residents with a fall causing major injury
1.4%Worsening
Residents with pressure ulcers (bedsores)
7.3%Worsening
Residents with a urinary tract infection
0.8%Improving
Residents who lost too much weight
2.2%Steady
Residents who were physically restrained
0.5%Steady
Residents needing more help with daily activities
5.5%Worsening
Residents whose ability to walk got worse
4.3%Worsening
Show all measures
Long-stay residents on antianxiety or sleep medication
4.7%Improving
Short-stay residents newly given an antipsychotic
0%Steady
Residents with a long-term catheter
0.4%Steady
Residents with new or worsening incontinence
12.4%Improving
Residents with depressive symptoms
0.2%Steady
Long-stay residents given the seasonal flu vaccine
98.5%Steady
Long-stay residents given the pneumonia vaccine
93.9%Worsening
Short-stay residents given the seasonal flu vaccine
62%Steady
Short-stay residents given the pneumonia vaccine
46.7%Worsening
What the inspectors found
The home failed to ensure residents were free from physical restraints unless they were needed for medical treatment. Cited January 2023 — limited pattern, potential for harm.
View the original federal record
F-Tag 604 — 42 CFR §483.12 — S/S: E
The nursing home failed to encode each resident’s assessment data and send it to the state on time. Cited November 2019 — limited pattern, potential for harm.
View the original federal record
F-Tag 640 — 42 CFR §483.20 — S/S: E
The home failed to promptly report suspected abuse, neglect, or theft and share the investigation results with the proper authorities. Cited December 2025 — isolated incident, potential for harm.
View the original federal record
F-Tag 609 — 42 CFR §483.12 — S/S: D
The home failed to complete and keep the resident’s care plan properly prepared, reviewed, and updated by the right health professionals. Cited January 2024 — isolated incident, potential for harm.
View the original federal record
F-Tag 657 — 42 CFR §483.21(b)(2) — S/S: D
Recent history
- STAFFING
Reported nurse staffing met or exceeded the federal recommendation.
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
- INSPECTION
Health inspection found 2 health deficiencies.
See what inspectors found
Operator & ownership
- Ownership
- Government - City
- Chain
- Part of NEW YORK CITY HEALTH + HOSPITALS · 5 homes · 4.6 stars avg
- Occupancy
- 501.2 residents on an average day (61% of 815 beds)
- Resident voice
- Resident & family councils
- Medicare history
- Certified for 55 years
Things at a nursing home change — inspections, staffing, ownership, news.
Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.