Federal nursing home survey record · CMS-certified nursing home· Not a state assisted-living licensing record

Brooklyn United Methodist Church Home

Brooklyn, NY · 120 certified beds · Last Life Safety survey January 10, 2025

CMS Certification Number 335604 · first certified August 1977

Ownership

Independently operated (no chain recorded by CMS) · Non profit - Corporation

No change of ownership on CMS record since January 1, 2016, when the records begin.

14
Citations on file
Rolling three-year window
3
Life Safety surveys
In the same window
3
Tags cited more than once
Across separate surveys
4
Inspection & testing records
Of the citations on file

Position within NY

14 citations — more than 52% of the 593 certified nursing homes in NY. Compared within NY rather than nationally because which state a facility is in explains about 30% of the variation in citation counts between facilities, while bed count explains under 1%. State survey agencies differ far more than the buildings do. How this is calculated

Slippingmore citations at the latest survey than at its earlier surveys in the window.

The latest survey found 6 citations; the earlier surveys in the window averaged 4. With 3 surveys on file this is a direction of travel, not a conclusion.

When is the next survey likely?

The window is open now: July 2026 to February 2027. This facility’s last Life Safety survey was January 2025. Facilities in NY are typically surveyed 18–25 months after the last one (median 22), measured over 523 consecutive surveys in the last two years of CMS records.

A range the record supports, not a prediction of a date. State agencies vary widely — from about 11 months in Pennsylvania to three years in Maryland. How the window is measured

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Which alerts

1 inspection-and-testing tag has been cited here at more than one survey. Nationally, that pattern is common: about three quarters of cited facilities have at least one repeated tag, and half of the facilities ever cited for sprinkler inspection and testing are cited for it again. A repeat is usually a recordkeeping gap rather than a new hazard.

Physical environment (health survey)

10 physical-environment citations on the health survey. Cited by the health surveyors under Appendix PP, not the Life Safety Code surveyor: equipment in safe operating condition, the call system, bed rails, pest control, hazards, the environment. Counted separately from the 14 Life Safety citations above. The Physical Environment Index

  • F-0584 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.
  • F-0880 Provide and implement an infection prevention and control program.
  • F-0921 Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
  • F-0689 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

How that compares

Citations on file over three years

Compared with the median facility in NY, and nationally. Surveyors differ markedly between states, so the NY figure is the meaningful one.

This facility14NY median13National median11
Citations on file over three years, compared
MeasureCitations
This facility14
Median facility in NY13
Median facility nationally11

Survey history

Citations at each Life Safety survey
22022-0162023-0962025-01
Citations at each Life Safety survey
Survey dateCitations
January 25, 20222
September 18, 20236
January 10, 20256

Most-cited tags

Most-cited tags at this facility
K-01613K-09202K-03532K-09151K-03241K-01311K-09181K-02251
Most-cited tags at this facility
TagWhat the surveyor checksTimes citedLast cited
K-0161Use approved construction type or materials.32025-01-10
K-0920Ensure proper usage of power strips and extension cords.22025-01-10
K-0353Inspect, test, and maintain automatic sprinkler systems.22023-09-18
K-0915Have proper power supply for life support equipment.12023-09-18
K-0324Provide properly protected cooking facilities.12025-01-10
K-0131Meet requirements for sections of health care facilities separated by fire resistive construction.12023-09-18
K-0918Have generator or other power source capable of supplying service within 10 seconds.12025-01-10
K-0225Have stairways and smokeproof enclosures used as exits that meet safety requirements.12025-01-10

What the citations cover

Citations by CMS category
  • Smoke Deficiencies 5
  • Construction Deficiencies 4
  • Gas, Vacuum, and Electrical Systems Deficiencies 4
  • Egress Deficiencies 1
Citations by CMS category
CategoryCitations
Smoke Deficiencies5
Construction Deficiencies4
Gas, Vacuum, and Electrical Systems Deficiencies4
Egress Deficiencies1

Every citation on file

As published by CMS, newest survey first. Descriptions are CMS’s own wording.

January 10, 2025 — 6 citations

Citations issued on January 10, 2025
TagWhat the surveyor checksStatus
K-0161Use approved construction type or materials.Waiver has been granted (March 18, 2025)
K-0225Have stairways and smokeproof enclosures used as exits that meet safety requirements.Deficient, Provider has date of correction (March 8, 2025)
K-0321Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.Deficient, Provider has date of correction (March 8, 2025)
K-0324Provide properly protected cooking facilities.Deficient, Provider has date of correction (March 8, 2025)
K-0918Have generator or other power source capable of supplying service within 10 seconds.Deficient, Provider has date of correction (March 8, 2025)
K-0920Ensure proper usage of power strips and extension cords.Deficient, Provider has date of correction (March 8, 2025)

September 18, 2023 — 6 citations

Citations issued on September 18, 2023
TagWhat the surveyor checksStatus
K-0131Meet requirements for sections of health care facilities separated by fire resistive construction.Deficient, Provider has date of correction (November 23, 2023)
K-0161Use approved construction type or materials.Waiver has been granted (November 23, 2023)
K-0353Inspect, test, and maintain automatic sprinkler systems.Deficient, Provider has date of correction (November 23, 2023)
K-0374Install smoke barrier doors that can resist smoke for at least 20 minutes.Deficient, Provider has date of correction (November 23, 2023)
K-0915Have proper power supply for life support equipment.Deficient, Provider has date of correction (November 23, 2023)
K-0920Ensure proper usage of power strips and extension cords.Deficient, Provider has date of correction (November 23, 2023)

January 25, 2022 — 2 citations

Citations issued on January 25, 2022
TagWhat the surveyor checksStatus
K-0161Use approved construction type or materials.Waiver has been granted (March 25, 2022)
K-0353Inspect, test, and maintain automatic sprinkler systems.Deficient, Provider has date of correction (March 25, 2022)

Reflects the CMS posting of August 1, 2026. Surveys conducted in the last few months may not appear yet.