Four Seasons Nursing and Rehabilitation Center

Nursing Home in Brooklyn

CMS overall rating Info The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Four Seasons Nursing and Rehabilitation Center

Nursing Home in Brooklyn

CMS overall rating Info The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.

Overview of Four Seasons Nursing and Rehabilitation Center

Four Seasons Nursing and Rehabilitation Center is a local healthcare provider in Brooklyn, NY. It offers a wide range of services including skilled nursing, rehabilitation, home health care, dialysis services, pharmacy services, and adult day health care. The facility is committed to delivering personalized, high-quality care tailored to meet the unique needs of each individual.
(718) 927-6300

Quality ratings

Measured by Centers for Medicare & Medicaid Services (CMS)

Overall rating Info The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
4/5 ▲ 0.9 New York average: 3.1/5
Health Inspection Info Based on the results of the facility's three most recent standard inspections and any complaint investigations. CMS reviews the number, scope, and severity of deficiencies, with more recent findings weighted more heavily.
3/5 ▲ 0.2 New York average: 2.8/5
Staffing Info Measures average nursing staff hours per resident per day, including Registered Nurses (RNs) and total nursing staff. Ratings are adjusted based on the level of care residents require and are compared to state and national benchmarks.
2/5 ▼ 0.7 New York average: 2.7/5
Quality Measures Info Based on clinical and physical health indicators reported to CMS, such as hospital readmissions, falls, pressure ulcers, and improvements in mobility. These measures reflect how well residents' health needs are being managed.
5/5 ▲ 1.1 New York average: 4.0/5

Staffing hours breakdown

Info Daily nursing hours per resident by staff type, reported to CMS. Higher is generally better — compare this facility to state and national averages to see where staffing stands.

Hours per resident per day — compared to New York state averages

Total nursing care / resident Info This home is ranked 336th out of 362 homes in New York.

Total adjusted nursing hours per resident per day, combining RN, LPN, and aide time. CMS adjusts this for case-mix so facilities can be fairly compared.
2h 34m per day
This facility New York avg (3h 29m per day)
vs New York avg
-27%

Capacity and availability

High-capacity home

May provide extensive amenities, services and programs.

Total beds 270

This home is often near full

That suggests steady demand, but availability may be limited.

Higher demand than most homes in New York: 88.3%
Occupancy rate 100%
Avg. Length of Stay 127 days
Occupancy rate
100%
Avg. Length of Stay
127 days

Who this home usually serves

TYPE OF STAY

Mix of rehab and long-term care

This home supports both short-term rehab and long-term care, with residents staying for a wide range of durations.

Breakdown by payment type

Medicare

30% of new residents, usually for short-term rehab.

Typical stay 4 - 5 months

Private pay

54% of new residents, often for short stays.

Typical stay 2 - 3 months

Medicaid

15% of new residents, often for long-term daily care.

Typical stay 1 years

Finances and operations

Privately-owned community
Operated by a single business entity.
Home revenue
$70.0M
Operating loss
-$3.6M
Privately-owned community Operated by a single business entity.
Home revenue
$70.0M
Operating loss
-$3.6M
Payroll costs Info The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
$15.3M
21.9% of revenue
Other operating costs Info All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
$58.3M
Total costs $73.6M
Bed community size
270-bed community
A large-scale community that may provide a wide range of amenities, services, and structured programs.

About this community

License Details

Facility TypeNursing Home
StatusActive
CountyKings
License Number7001808N
CMS Certification Number335673

Ownership & Operating Entity

Owner NameFSNR SNF, LLC (For Profit)

Payment & Insurance

1 service
Accept Medicaid

Therapy & Rehabilitation

1 service
Rehabilitation Services

Staffing & Medical

2 services
Skilled Nursing
24-Hour Staffing

Amenities & Lifestyle

0 amenities
Specific ProgramsNursing and Rehabilitation, Certified Home Health Agency, Licensed Home Care Services, Dialysis Center, Adult Day Health Care Center

Contact Four Seasons Nursing and Rehabilitation Center

Access & Eligibility

Ways to qualify for care at this community, including accepted programs and payment options.

Medicaid Accepted

This facility is certified for eligible Medicaid services.

Payment & Funding Options

Medicaid

Inspection History

In New York, the Department of Health, Office of Aging and Long Term Care performs unannounced onsite inspections to monitor compliance with state and federal healthcare regulations.

2 inspections Info Inspections are mandatory, regular evaluations conducted by state health departments or regulatory agencies. They ensure the community provides safe, compliant care, covering areas like resident health, staff and management.

2 with citations, 0 without citations

New York average: 9 inspections (5 with citations)

99 complaints

36.7 complaints per 100 occupied beds

New York average: 49.9 complaints per 100 occupied beds

Formal expressions of dissatisfaction or concern made by residents, or their families regarding various aspects of the care, services, and environment provided.

New York average: 79 complaints

Latest inspection

Date January 25, 2022
Complaint Investigation

16 total citations

Citations indicate regulatory violations. A higher number implies the facility had several areas requiring improvement.

New York average: 29 citations

9 deficiencies

Deficiencies indicate regulatory issues. A higher number implies the facility had several areas requiring improvement.

New York average: 22 deficiencies

Inspection Report Summary for Four Seasons Nursing and Rehabilitation Center

The most recent inspection on January 25, 2022, identified multiple deficiencies related to quality of care, dietary services, physical environment, and life safety code requirements. Earlier inspections also noted similar issues, including problems with infection control, medication labeling, and facility maintenance, and a stipulation and order was issued along with a fine related to quality of care. Complaint investigations included several substantiated citations across various areas such as resident rights and environmental conditions, with no immediate jeopardy or actual harm reported. Enforcement actions included a fine, but license suspensions or revocations were not listed in the available reports. The inspection history shows recurring themes in care quality and facility conditions, with no clear pattern of improvement or worsening over time.

Health Inspection History

Inspections
Total health inspections 3

New York average 3.6


Last Health inspection on Feb 2024

Total health citations 12

New York average 18.5

Citations per inspection
4

New York average 5.05


Health citations are formal notices following inspections when they fail to comply with safety and care standards.

10 of 12 citations resulted from standard inspections; 1 of 12 resulted from complaint investigations; and 1 of 12 came from combined inspections (standard and complaint).

Breakdown of citation severity (last 3 years)
Critical Health citations More info 0
100% better than New York average

New York average: 0.2


Serious Health citations More info 0
100% better than New York average

New York average: 0.2

0 critical citations More info New York average: 0.2

0 serious citations More info New York average: 0.2

12 moderate citations More info New York average: 17.4

0 minor citations More info New York average: 0.7
Citations history (last 3 years)
Abuse/Neglect moderate citation Info Issues related to protecting resident's from harm, including abuse, neglect, or mistreatment. Feb 15, 2024
Corrected

Abuse/Neglect moderate citation Info Issues related to protecting resident's from harm, including abuse, neglect, or mistreatment. Feb 15, 2024
Corrected

Nutrition moderate citation Info Issues related to food quality, meal service, and resident's nutritional needs. Feb 15, 2024
Corrected

Pharmacy moderate citation Info Issues related to medication management, including how drugs are stored, administered, and monitored. Feb 15, 2024
Corrected

Compare Nursing Homes around Brooklyn The information below is reported by the New York State Department of Health.

5 facilities compared · CMS & NY Dept. of Health data · Updated Apr 2026

Filter by care type
Bedford Center for Nursing and Rehabilitation
NH

Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).

AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

Brooklyn200 96.0% +9%3.34 -3%-7%0103.30194--Tyberg, Abraham$41.0M$11.4M27.7%335626
Four Seasons Nursing and Rehabilitation Center
NH

Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).

AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

Brooklyn (Canarsie)270 100.0% +13%2.56 +15%-28%0124.00246--Frankl, Sheryl$69.8M$15.3M22%335673
Boro Park Center for Rehabilitation and Healthcare
NH

Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).

AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

Brooklyn (Borough Park)504 95.4% +8%3.17 +17%-11%0186.00489---$125.9M$29.0M23%335470
Brooklyn United Methodist Church Home
NH

Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).

AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

Brooklyn (East New York)120 94.3% +7%3.24 +10%-10%7369.00116--Barnett, Edna$14.0M$5.8M41.4%335604
Brooklyn-Queens Nursing Home -
NH

Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).

AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

Brooklyn140--------000.00--------

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Community First Choice Option

NY Medicaid CFCO

Age 65+ or disabled
General New York resident, Medicaid- eligible, care need (not necessarily nursing home level).
Income Limits (2025) ~$2,829/month 300% FBR, individual
Asset Limits $30,182 individual, higher due to NY Medicaid expansion
NY

Higher asset limit; urban density increases demand.

Benefits
Personal care (5-7 hours/day) Respite care (240 hours/year) Home modifications ($1,500 avg.) Assistive technology ($500 avg.)

Expanded In-Home Services for the Elderly Program (EISEP)

NY EISEP

Age 60+
General New York resident, at risk of decline but not nursing home level.
Income Limits ~$2,500/month individual, varies
Asset Limits $15,000 individual
NY

Cost-sharing required above certain income; urban/rural balance.

Benefits
In-home care (3-5 hours/week) Respite (up to 10 days/year) Case management Transportation (~5 trips/month)

Senior Citizen Rent Increase Exemption (SCRIE)

NY SCRIE

Age 62+
General NYC resident, live in rent-controlled/stabilized apartment, spend >1/3 of income on rent.
Income Limits (2025) $50,000/year household
Asset Limits No strict asset cap, but income-focused eligibility.
NY

Limited to NYC’s rent-regulated units; high demand in urban areas.

Benefits
Rent freeze (e.g., covers increases of $50-$200+/month); tax credit for landlord

Senior Citizen Homeowners’ Exemption (SCHE)

NY SCHE

Age 65+
General NYC resident, own and live in a 1-3 family home, co-op, or condo.
Income Limits (2025) $58,399/year household
Asset Limits No strict asset cap, income-driven eligibility.
NY

Applies only in NYC; excludes large apartment buildings.

Benefits
Property tax reduction (5-50%, e.g., $500-$5,000/year based on income and property value)

New York Foundation for Senior Citizens (NYFSC) Home Sharing Program

NYFSC Home Sharing

Age One participant must be 60+ (host or guest)
General NYC resident, able to share living space.
Income Limits No strict limit, but targets those needing cost relief.
Asset Limits Not applicable; focus on housing need.
NY

Primarily NYC-focused; limited slots due to demand.

Benefits
Shared housing (reduces rent/living costs by 30-50%, e.g., $500-$1,000/month savings); optional light assistance between housemates

Places of interest near Four Seasons Nursing and Rehabilitation Center

Address 3.8 miles from city center Info Estimated distance in miles from Brooklyn's city center to Four Seasons Nursing and Rehabilitation Center's address, calculated via Google Maps.

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Address

Staffing Data (Q2 2025)

This data corresponds to Q2 2025 and is based on CMS Payroll-Based Journal.

Total staff 287
Employees 152
Contractors 135
Staff to resident ratio 1.10:1
527% better than New York average

New York average ratio: 0.18:1

Avg staff/day 140
Average shift 8 hours
0% compared with New York average

New York average: 7.7 hours

Total staff hours (quarter) 101,764
Nursing staff breakdown
Registered Nurse

Manages medical care and health needs.

Total count 41
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 8.1 hours

This role is partially covered by contractors.

Licensed Practical Nurse

Assists with medical care and medications.

Total count 41
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 7.7 hours

This role is partially covered by contractors.

Certified Nursing Assistant

Helps with daily care and mobility.

Total count 112
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 7.9 hours

This role is partially covered by contractors.

Contractor staffing

Total hours from contractors

38.2%

38,853 contractor hours this quarter

Certified Nursing Assistant: 39 Qualified Activities Professional: 23 Respiratory Therapy Technician: 18 Registered Nurse: 16 Licensed Practical Nurse: 12 Physical Therapy Assistant: 7 Occupational Therapy Aide: 7 Other Dietary Services Staff: 5 Mental Health Service Worker: 5 Clinical Nurse Specialist: 1 Respiratory Therapist: 1 Medical Director: 1
Staff by category
Certified Nursing Assistant733911247,12691100%7.9
Licensed Practical Nurse29124116,19791100%7.7
Respiratory Therapy Technician118198,8158492%9.4
Registered Nurse2516417,38191100%8.1
Clinical Nurse Specialist151164,86391100%7.5
Qualified Activities Professional023234,10791100%8.1
Physical Therapy Assistant0773,6088088%10.7
Mental Health Service Worker1562,3597785%7.6
Other Dietary Services Staff0552,23191100%7.8
Occupational Therapy Assistant4041,7946673%7.5
Occupational Therapy Aide0779706774%7.1
Respiratory Therapist0116636066%11.1
Nurse Practitioner2025266673%8
Administrator1014656268%7.5
Dietitian1014656268%7.5
Medical Director0111956571%3
112 Certified Nursing Assistant
% of Days 100%
41 Licensed Practical Nurse
% of Days 100%
19 Respiratory Therapy Technician
% of Days 92%
41 Registered Nurse
% of Days 100%
16 Clinical Nurse Specialist
% of Days 100%
23 Qualified Activities Professional
% of Days 100%
7 Physical Therapy Assistant
% of Days 88%
6 Mental Health Service Worker
% of Days 85%
5 Other Dietary Services Staff
% of Days 100%
4 Occupational Therapy Assistant
% of Days 73%
7 Occupational Therapy Aide
% of Days 74%
1 Respiratory Therapist
% of Days 66%
2 Nurse Practitioner
% of Days 73%
1 Administrator
% of Days 68%
1 Dietitian
% of Days 68%
1 Medical Director
% of Days 71%

Facility Characteristics

Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)

Total residents 261
Medicare
63
24.1% of residents
Medicaid
149
57.1% of residents
Private pay or other
49
18.8% of residents
Programs & Services
Residents Group

Residents meet regularly to discuss policies, care quality, and activities

Family Member Group

Family members meet regularly to discuss policies, care quality, and activities

Active Family Council

Organized group of family members that meets regularly to discuss facility policies, resident care, and activities.

Active Resident Council

Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.

Quality of care over time

These measures show how residents usually do over time at this home, based on health outcomes and preventive care.

High-risk clinical events score Info A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline. 5.6
43% better than New York average

New York average: 9.8

Functional decline score Info A composite score based on activities of daily living decline, walking ability decline, and incontinence. 5.5
69% better than New York average

New York average: 18.1

Long-stay resident measures
Need for Help with Daily Activities Increased Info Percent of long-stay residents whose need for help with daily activities has increased 6.4%
61% better than New York average

New York average: 16.4%

Walking Ability Worsened Info Percent of long-stay residents whose ability to move independently worsened 7.4%
55% better than New York average

New York average: 16.6%

Low Risk Residents with Bowel/Bladder Incontinence Info Percent of low risk long-stay residents who lose control of their bowels or bladder 2.8%
87% better than New York average

New York average: 21.4%

Falls with Major Injury Info Percent of long-stay residents experiencing one or more falls with major injury 0.9%
69% better than New York average

New York average: 3.0%

High Risk Residents with Pressure Ulcers Info Percent of long-stay high risk residents with pressure ulcers 8.1%
13% worse than New York average

New York average: 7.2%

Urinary Tract Infection Info Percent of long-stay residents with a urinary tract infection 0.0%
100% better than New York average

New York average: 1.4%

Lost Too Much Weight Info Percent of long-stay residents who lose too much weight 5.3%
13% better than New York average

New York average: 6.1%

Depressive Symptoms Info Percent of long-stay residents who have depressive symptoms 47.4%
162% worse than New York average

New York average: 18.1%

Antipsychotic Use Info Percent of long-stay residents who received an antipsychotic medication 5.9%
54% better than New York average

New York average: 12.6%

Pneumococcal Vaccine Info Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine 100.0%
9% better than New York average

New York average: 91.4%

Influenza Vaccine Info Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine 98.8%
In line with New York average

New York average: 95.2%

Short-stay resident measures
Pneumococcal Vaccine Info Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine 100.0%
30% better than New York average

New York average: 76.6%

Antipsychotic medication increase Info Percent of short-stay residents who newly received an antipsychotic medication 1.5%
15% worse than New York average

New York average: 1.3%

Influenza Vaccine Info Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine 93.8%
19% better than New York average

New York average: 78.8%

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