Four Seasons Nursing and Rehabilitation Center

Nursing Home, Adult Day Care, Home Care & Skilled Nursing · Brooklyn, NY

CMS overall rating

1555 Rockaway Parkway, Brooklyn, NY 11236 View map

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Four Seasons Nursing and Rehabilitation Center accepts Medicaid, Medicare, and private pay.

Calculator: See prices in your area

Four Seasons Nursing and Rehabilitation Center accepts Medicaid, Medicare, and private pay.

Overview of Four Seasons Nursing and Rehabilitation Center

Four Seasons Nursing and Rehabilitation Center operates as a 270-bed skilled nursing community at 1555 Rockaway Parkway in the Canarsie neighborhood of Brooklyn, Kings County, under private ownership. The facility maintains comprehensive services, including on-site rehabilitation, dialysis, certified home health services, licensed home care, and an adult day health care center, accepting Medicaid, Medicare, and private-pay admission.

The 97% occupancy rate holds the top ranking across New York State’s nursing homes, an indicator of a strong reputation or consistent operational demand. Inspection history since 2019 shows manageable regulatory outcomes: five inspections resulted in nine total citations, trailing the state average by 31 percent.

Most citations carried moderate severity; no critical or serious health deficiencies were cited. A January 2022 enforcement action involved a fine and stipulation order related to quality-of-care findings. Complaint investigations substantiated concerns across dietary services, environmental conditions, and resident care protocols, though regulators noted no immediate jeopardy.

Registered nurse and aide hours combined deliver 2h 34m per resident per day, falling 27 percent below New York’s standard (3h 29m) and placing the facility in the lower quartile among state facilities for direct nursing coverage. Physical therapist investment diverges sharply upward: 24 minutes per resident daily towers 243 percent above the state average, suggesting an aggressive rehabilitation focus.

Long-stay residents demonstrate clinical gains in mobility and functional independence. Falls with major injury occurred in fewer than 1 percent of residents (69% below the state typical). Residents requiring increased daily assistance and those experiencing walking decline each tracked 55-61 percent better than state benchmarks. One clinical concern emerges in mental health: 47.4 percent of long-stay residents reported depressive symptoms, more than double the state average, signaling potential gaps in behavioral assessment or antidepressant management.

Four Seasons fits mixed-acuity admissions, balancing post-acute rehabilitation stays averaging 4-5 months with longer-term care placements. The facility’s high occupancy and strong rehabilitation staffing align it toward residents prioritizing therapy access and established demand capacity.

Facility Direct Line (718) 927-6300

Quality ratings

Measured by Centers for Medicare & Medicaid Services (CMS)

Staffing hours 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 vs New York averages

Total nursing care This home is ranked 382nd out of 395 homes we track in New York for nurse hours. 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 28m

31% below state avg

Staff type

Hours / day / resident

vs state avg

Registered Nurse (RN)

24m

LPN / LVN

32m

Nurse Aide

1h 32m

Weekend Total Nursing

2h 13m

Physical Therapist

21m

Weekend RN

22m

5 of 6 metrics below state avg

Capacity and availability

262

127 days

270-bed community

A large-scale community that may provide a wide range of amenities, services, and structured programs.

Walk Score: 89 / 100

Very walkable. Most errands can be accomplished on foot, and many essentials are within a short walk.

About this community

Occupancy

Occupancy rate

97%

Higher than the New York average: 88.3%

Occupied beds

262 / 270

Average occupied beds in New York homes 166 beds

Facility TypeNursing Home

StatusActive

CountyKings

License Number7001808N

CMS Certification Number335673

Four Seasons Nursing and Rehabilitation Center is legally operated by FSNR SNF, LLC (For Profit).

Owner NameFsnr Snf, LLC (For Profit)

Accept Medicaid

Rehabilitation Services

24-Hour Staffing

Pets not allowed

Enforcement Actions Enforcement actions are formal penalties or interventions imposed by New York regulators when a nursing home fails to meet state or federal care, safety, or regulatory standards. They may include directed plans of correction, civil monetary penalties, denial of payment, or appointment of temporary management.

1 enforcement action

This facility has 1 enforcement action. 33% of New York nursing homes have zero, and the statewide average is 1.6.

January 25, 2022 Quality of Care #NH-22-059

Inspection Scorecard This scorecard compares key inspection, citation, and complaint metrics at this facility against the New York state average. Metrics rated ≥15% worse than average are highlighted in red; those ≥15% better are highlighted in green.

Overall vs. NY average

Citations Citations are formal regulatory issues recorded during state inspections.	This Facility	NY Average	vs. NY Avg
Total citations Formal regulatory issues recorded by inspectors across all inspection types.	9	21	This facility has 57% fewer total citations than a typical New York nursing home (9 vs. NY avg 21).↓ 57% better
Health citations Citations related to resident care, clinical practices, and day-to-day operations.	5	20	This facility has 75% fewer health citations than a typical New York nursing home (5 vs. NY avg 20).↓ 75% better
Life safety citations Citations related to building safety — fire prevention, emergency egress, and similar.	4	4	This facility has life safety citations in line with the New York average (4 vs. NY avg 4).— At avg
Citations per inspection Average citations per inspection.	1.8	2.3	This facility has 22% fewer citations per inspection than a typical New York nursing home (1.8 vs. NY avg 2.3).↓ 22% better

Inspections State inspections evaluate whether the facility meets health and safety standards.	This Facility	NY Average	vs. NY Avg
Total inspections Combined count of all inspections conducted at this facility.	5	9	This facility has had 44% fewer total inspections than the New York average (5 vs. NY avg 9). More inspections can mean more regulatory scrutiny rather than worse care.↓ 44% fewer
Inspections with citations Inspections that resulted in at least one regulatory citation.	1	4	This facility has 75% fewer inspections with citations than a typical New York nursing home (1 vs. NY avg 4).↓ 75% better
Inspection citation rate Percentage of inspections that resulted in at least one citation.	20%	44%	This facility has 24 percentage points lower inspection citation rate than a typical New York nursing home (20% vs. NY avg 44%).↓ 24% better

Complaints & Investigations Complaints are formal concerns filed by residents, families, or staff. Investigations are on-site follow-ups.	This Facility	NY Average	vs. NY Avg
Total complaints Formal expressions of concern made by residents, families, or staff.	102	79	This facility has 29% more total complaints than a typical New York nursing home (102 vs. NY avg 79).↑ 29% worse
Complaints per year Average complaints per year since 2019.	14.6	11.3	This facility has 29% more complaints per year than a typical New York nursing home (14.6 vs. NY avg 11.3).↑ 29% worse
Complaints per bed Size-adjusted complaint rate based on occupied beds.	0.38	0.50	This facility has 24% fewer complaints per bed than a typical New York nursing home (0.38 vs. NY avg 0.5).↓ 24% better
Complaint investigations On-site investigations triggered by complaints filed with New York regulators.	4	15	This facility has had 73% fewer complaint investigations than the New York average (4 vs. NY avg 15). More inspections can mean more regulatory scrutiny rather than worse care.↓ 73% fewer

Show Inspection Reports

Inspections Since 2019 · 7 years of data

Total health inspections 3

New York average 3.6

Last Health inspection on Feb 2024

Total health citations

New York average 18.5

Citations per inspection

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 7 years)

Critical health citations

100% better than New York average

New York average: 0.2

Serious health citations

100% better than New York average

New York average: 0.2

0 critical citations New York average: 0.2

0 serious citations New York average: 0.2

12 moderate citations New York average: 17.4

0 minor citations New York average: 0.7

Citations history (last 7 years)

Abuse/Neglect moderate citation Feb 15, 2024

Corrected

Abuse/Neglect moderate citation Feb 15, 2024

Corrected

Nutrition moderate citation Feb 15, 2024

Corrected

Pharmacy moderate citation Feb 15, 2024

Corrected

Employee Flu Vaccination Rate: 77%

Percentage of facility employees vaccinated against influenza.

Total Cases 49

Active Cases 6

Closed 41

Since 2012

Most Recent 2026

Next Court Date Jul 23, 2026

View full lawsuit report

Total staff 298

Employees 140

Contractors 158

Staff to resident ratio 1.14 : 1

552% more staff per resident than New York average

Avg staff/day 148

Average shift 7.8 hours

0% compared with New York average

Total staff hours (quarter) 105,774

Nursing staff breakdown

8.2 hours

7.4 hours

129

7.6 hours

Contractor staffing

45,715 contractor hours this quarter

Certified Nursing Assistant: 51 Qualified Activities Professional: 24 Registered Nurse: 18 Respiratory Therapy Technician: 18 Licensed Practical Nurse: 15 Occupational Therapy Aide: 8 Physical Therapy Assistant: 7 Other Dietary Services Staff: 6 Mental Health Service Worker: 5 Clinical Nurse Specialist: 4 Respiratory Therapist: 1 Medical Director: 1

Staff by category


Certified Nursing Assistant	78	51	129	49,681	92	100%	7.6
Licensed Practical Nurse	30	15	45	17,089	92	100%	7.4
Respiratory Therapy Technician	1	18	19	8,807	90	98%	9.1
Registered Nurse	12	18	30	6,911	92	100%	8.2
Clinical Nurse Specialist	11	4	15	5,810	92	100%	7.5
Qualified Activities Professional	0	24	24	4,052	92	100%	8.3
Physical Therapy Assistant	0	7	7	3,723	79	86%	9.9
Other Dietary Services Staff	0	6	6	2,701	92	100%	7.9
Mental Health Service Worker	1	5	6	2,551	75	82%	7.6
Occupational Therapy Assistant	4	0	4	1,607	65	71%	7.7
Respiratory Therapist	0	1	1	656	65	71%	10.1
Nurse Practitioner	1	0	1	568	71	77%	8
Occupational Therapy Aide	0	8	8	556	50	54%	6.3
Administrator	1	0	1	450	60	65%	7.5
Dietitian	1	0	1	414	54	59%	7.7
Medical Director	0	1	1	198	66	72%	3

129 Certified Nursing Assistant

% of Days 100%

45 Licensed Practical Nurse

% of Days 100%

19 Respiratory Therapy Technician

% of Days 98%

30 Registered Nurse

% of Days 100%

View All Staffing Data in Brooklyn

No penalties in the past 3 years

No civil money penalties or payment denials were reported in the last 3 years.

High-risk clinical events score 5.6

43% better than New York average

New York average: 9.8

Functional decline score 5.5

69% better than New York average

New York average: 18.1

Long-stay resident measures

Significantly above average New York avg: 4.0

Need for Help with Daily Activities Increased 6.4%

61% better than New York average

New York average: 16.4%

Walking Ability Worsened 7.4%

55% better than New York average

New York average: 16.6%

Low Risk Residents with Bowel/Bladder Incontinence 2.8%

87% better than New York average

New York average: 21.4%

Falls with Major Injury 0.9%

69% better than New York average

New York average: 3.0%

High Risk Residents with Pressure Ulcers 8.1%

13% worse than New York average

New York average: 7.2%

Urinary Tract Infection 0.0%

100% better than New York average

New York average: 1.4%

Lost Too Much Weight 5.3%

13% better than New York average

New York average: 6.1%

Depressive Symptoms 47.4%

162% worse than New York average

New York average: 18.1%

Antipsychotic Use 5.9%

54% better than New York average

New York average: 12.6%

Pneumococcal Vaccine 100.0%

9% better than New York average

New York average: 91.4%

Influenza Vaccine 98.8%

In line with New York average

New York average: 95.2%

Hospitalizations per 1,000 days 1.62

5% better than New York average

New York average: 1.71

ED visits per 1,000 days 0.59

56% better than New York average

New York average: 1.35

Short-stay resident measures

Significantly above average New York avg: 3.5

Pneumococcal Vaccine 100.0%

30% better than New York average

New York average: 76.6%

Antipsychotic medication increase 1.5%

15% worse than New York average

New York average: 1.3%

Influenza Vaccine 93.8%

19% better than New York average

New York average: 78.8%

Re-hospitalized after SNF stay 16.5%

20% better than New York average

New York average: 20.6%

Emergency department visits 8.3%

14% better than New York average

New York average: 9.7%

Falls with major injury 0.0%

100% better than New York average

New York average: 0.8%

Ability to care for self at discharge 86.3%

61% better than New York average

New York average: 53.7%

Successful return to home or community 42.3%

16% worse than New York average

New York average: 50.6%

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

Total residents 261

Medicare

24.1% of residents

Medicaid

149

57.1% of residents

Private pay or other

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.

Financial Trends

Historical financial and operational data for Four Seasons Nursing and Rehabilitation Center from 2011–2023, based on CMS SNF Cost Reports.

Key figures below are for fiscal year ending in 12/2023.

Occupancy Rate 100.0% ↓ 5.3pp vs 2022

Net Patient Income -$3.8M ↓ ~$1.1M vs 2022

Payroll Costs $20.2M ↑ ~$506.8K vs 2022

Operating Margin -6.1% ↓ 1.4pp vs 2022

Metric	2011	2012	2013	2014	2015	2016	2019	2020	2021	2022	2023
Occupancy %	131.0%	134.1%	126.5%	109.7%	113.8%	110.7%	119.1%	78.8%	44.9%	105.3%	100.0%
Beds	270	270	270	270	270	270	270	270	270	270	270
Net Income	$2,013,508	$326,377	$1,420,210	-$2,106,799	$1,804,633	$1,781,615	$1,130,520	-$918,372	$6,403,606	-$2,486,852	-$3,608,569
Gross Revenue	$76,220,566	$74,313,371	$77,047,587	$69,508,051	$75,999,492	$75,053,638	$79,311,010	$57,129,941	$63,328,599	$65,004,427	$69,797,737
Operating Expenses	$66,706,519	$65,663,508	$66,400,375	$66,875,978	$66,797,162	$64,972,231	$68,987,905	$54,443,748	$54,967,243	$60,840,172	$66,406,827
Net Patient Income	-$617,857	-$2,500,735	$902,875	-$6,550,109	-$2,266,988	$1,707,407	$1,074,541	-$4,278,707	$1,997,421	-$2,697,264	-$3,801,755
Net Patient Revenue	$66,088,662	$63,162,773	$67,303,250	$60,325,869	$64,530,174	$66,679,638	$70,062,446	$50,165,041	$56,964,664	$58,142,908	$62,605,072
Payroll Costs	$3,795,034	$3,465,864	$3,056,392	$3,277,211	$2,640,022	$2,505,644	$2,381,146	$4,128,933	$4,520,974	$19,698,330	$20,205,081
Operating Margin %	-0.9%	-4.0%	1.3%	-10.9%	-3.5%	2.6%	1.5%	-8.5%	3.5%	-4.6%	-6.1%
Medicare %	12.6%	11.9%	11.6%	13.3%	23.0%	18.4%	26.0%	32.1%	59.7%	22.9%	28.8%
Medicaid %	78.7%	82.5%	76.7%	78.7%	70.2%	74.2%	41.9%	61.7%	28.5%	51.7%	44.8%
Private %	8.7%	5.6%	11.8%	8.0%	6.8%	7.4%	32.1%	6.2%	11.8%	25.4%	26.4%
Net Patient Revenue/Day	$512	$477	$540	$558	$575	$609	$597	$644	$1,287	$560	$635
Cost/Day	$517	$496	$533	$619	$596	$594	$588	$699	$1,242	$586	$674
Avg Length of Stay	110.9 days	93.5 days	95.8 days	92.4 days	106.4 days	102.8 days	127.4 days	102.7 days	47.6 days	122.1 days	126.7 days

Finances and operations

Based on CMS SNF Cost Report for fiscal year ending in 12/2023.

Net patient revenue

$62.6M

Net patient income

-$3.8M

For-profit Operated by a single business entity.

Net patient revenue

$62.6M

Net patient income

-$3.8M

Other income

$193.2K

Payroll costs

$20.2M 32.3% of net patient revenue

Other operating costs

$46.2M

Total costs

$66.4M

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.

Most new residents arrive under private pay (54% of admissions), and a typical private pay stay runs around 2 - 3 months.

Coverage residents most often arrive under.

Medicare 30%

Private pay 54%

Medicaid 15%

Coverage residents most often leave under.

Medicare 33%

Private pay 39%

Medicaid 28%

3.8 miles from city center 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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Info below is compiled from CMS reports & the NY State Dept. of Health (NYSDOH), senior community websites & trusted data sources such as Walk Score & BBB.

Communities are listed from highest to lowest based on our ranking methodology.


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Nursing Home Explorer

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

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

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.

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.

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.

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

What neighborhood is Four Seasons Nursing and Rehabilitation Center in?

Four Seasons Nursing and Rehabilitation Center is in the Canarsie neighborhood of Brooklyn.

Who is the owner of Four Seasons Nursing and Rehabilitation Center?

Four Seasons Nursing and Rehabilitation Center is legally operated by FSNR SNF, LLC (For Profit).

Is Four Seasons Nursing and Rehabilitation Center in a walkable area?

Four Seasons Nursing and Rehabilitation Center has a walk score of 89. Very walkable. Most errands can be accomplished on foot, and many essentials are within a short walk.

What is the license number of Four Seasons Nursing and Rehabilitation Center?

According to NY state health department records, Four Seasons Nursing and Rehabilitation Center's license number is 7001808N.

What is the occupancy rate at Four Seasons Nursing and Rehabilitation Center?

Four Seasons Nursing and Rehabilitation Center's occupancy is 97%.

Are pets allowed at Four Seasons Nursing and Rehabilitation Center?

No, Four Seasons Nursing and Rehabilitation Center has a no-pet policy.

Does Four Seasons Nursing and Rehabilitation Center operate as a for-profit or non-profit?

Four Seasons Nursing and Rehabilitation Center is registered as a for-profit in NY.

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Four Seasons Nursing and Rehabilitation Center

Overview of Four Seasons Nursing and Rehabilitation Center

Quality ratings

Capacity and availability

About this community

Occupancy

License Details

Ownership & Operating Entity

Payment & Insurance

Therapy & Rehabilitation

Staffing & Medical

Additional Policies & Features

Amenities & Lifestyle

Contact Four Seasons Nursing and Rehabilitation Center

Inspection History

Inspection Scorecard This scorecard compares key inspection, citation, and complaint metrics at this facility against the New York state average. Metrics rated ≥15% worse than average are highlighted in red; those ≥15% better are highlighted in green.

Citations Citations are formal regulatory issues recorded during state inspections.

Inspections State inspections evaluate whether the facility meets health and safety standards.

Complaints & Investigations Complaints are formal concerns filed by residents, families, or staff. Investigations are on-site follow-ups.

CMS Health Inspection History

Inspections Since 2019 · 7 years of data

Breakdown of citation severity (last 7 years)

Citations history (last 7 years)

Infection Prevention & Vaccination

Lawsuit overview for Four Seasons Nursing and Rehabilitation Center

Staffing Data

Nursing staff breakdown

Registered Nurse

Licensed Practical Nurse

Certified Nursing Assistant

Contractor staffing

Staff by category

129 Certified Nursing Assistant

45 Licensed Practical Nurse

19 Respiratory Therapy Technician

30 Registered Nurse

15 Clinical Nurse Specialist

24 Qualified Activities Professional

7 Physical Therapy Assistant

6 Other Dietary Services Staff

6 Mental Health Service Worker

4 Occupational Therapy Assistant

1 Respiratory Therapist

1 Nurse Practitioner

8 Occupational Therapy Aide

1 Administrator

1 Dietitian

1 Medical Director

Penalties and fines

Quality of care over time

Long-stay resident measures

Short-stay resident measures

Breakdown by payment type

Medicare

Private pay

Medicaid

Facility Characteristics

Programs & Services

Residents Group

Family Member Group

Active Family Council

Active Resident Council

Financial Trends

Financial Performance

Payroll & Labor Costs

Payer Mix (percentage)

Finances and operations

Who this home usually serves

Mix of rehab and long-term care

Admissions

Discharges

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Financial Assistance for Nursing Home in New York

Community First Choice Option

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

Senior Citizen Rent Increase Exemption (SCRIE)

Senior Citizen Homeowners’ Exemption (SCHE)

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

Financial Assistance for
Nursing Home in New York