Wyckoff Heights Medical Center
An acute care hospital in Brooklyn, New York 11237
374 Stockholm Street, Brooklyn, New York 11237. (718) 963-7272.
- Medicare payments cut under the HAC Reduction Program (fiscal year 2026)
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The short answer
Record last released by CMS on Oct 20, 2026.
- 2of 5 CMS’s overall rating
- 2of 5 patient survey rating
- 2 deficiencies cited in the last three years
- 324 beds
Each figure’s source sits beside it, in its section below.
What these words mean3
- Star ratings
- CMS rates some kinds of place from 1 to 5 stars, more stars meaning better on CMS’s own measures for that kind: for a nursing home, its health inspections, staffing and quality measures. A rating is CMS’s summary of those measures; it doesn’t promise good care. Source: CMS, Care Compare and the Five-Star Quality Rating System.
- Inspection (survey)
- A visit by state inspectors, often unannounced, who check a place against the rules it must meet. For nursing homes and other places Medicare pays, CMS calls these visits surveys: a standard survey of a nursing home comes at least every 15 months, and a complaint survey whenever a complaint calls for one. Source: CMS; 42 CFR 488.308.
- Deficiency, citation, violation
- What inspectors write up when a place didn’t meet a rule: the rule, what they saw, and when. CMS calls it a deficiency; states may say citation or violation. It is the inspectors’ finding, not a court’s, and the place is usually asked for a plan to correct it. Source: CMS, statement of deficiencies (Form CMS-2567); each state’s licensing agency.
What did inspectors find?
The last inspection on record was on May 22, 2026: a complaint inspection.
2 deficiencies cited in the last three years.
CMS, QCOR Hospital 2567 statements of deficiencies. Released Oct 20, 2026. Updated monthly.
When those deficiencies happened
2 deficiencies in 1 month of the last 36. Last cited May 2026. Most serious: Standard-level. The last 3 years, to Nov 5, 2026.
| Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov | Dec | |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2023 | Dec | |||||||||||
| 2024 | Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov | Dec |
| 2025 | Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov | Dec |
| 2026 | Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov |
Hover or focus a month to read it.
Hearth Record drew this from the dates and levels in the source’s own records.
Each deficiency, as cited
Rule titles as CMS’s inspectors cite them, set in sentence case.
CMS, QCOR Hospital 2567 statements of deficiencies. Released Oct 20, 2026. Updated monthly.
May 22, 2026: complaint inspection2 deficiencies
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Patient Safety
The inspectors’ words, 611 words
“PATIENT SAFETY CFR(s): 482.21(a), (c)(2), (e)(3) (a) Standard: Program Scope (1) The program must include, but not be limited to, an ongoing program that shows measurable improvement in indicators for which there is evidence that it will ... identify and reduce medical errors. (2) The hospital must measure, analyze, and track ...adverse patient events ... (c) Program Activities ..... (2) Performance improvement activities must track medical errors and adverse patient events, analyze their causes, and implement preventive actions and mechanisms that include feedback and learning throughout the hospital. (e) Executive Responsibilities, The hospital’s governing body (or organized group or individual who assumes full legal authority and responsibility for operations of the hospital), medical staff, and administrative officials are responsible and accountable for ensuring the following: ... (3) That clear expectations for safety are established. This Standard is not met as evidenced by: 52694 . Based on medical record (MR) review, document review, and interview, in two (2) of four (4) adverse events, the facility failed to: A) implement timely corrective action for a thermal injury that occurred during a Magnetic Resonance Imaging (MRI) exam; and B) provide re-education for a staff member involved in Patient #1 ’ s fall incident. Findings for (A): The policy and procedure (P&P) titled, “Incident Reports,” (Revised 01/2024), revealed, “An Incident Report is the primary mechanism for identifying actual and potential patient safety issues so that an investigation and evaluation can be done to mitigate risk and assist in minimizing patient harm ...The Risk Management Department will investigate all serious incidents in a timely fashion. This investigation will be done in conjunction with involved departments and personnel.” MR review of Patient #1 revealed that on 04/16/2026, they developed blisters on their inner thighs after undergoing a MRI exam. The Occurrence Report, dated 04/16/2026, revealed that Patient #1 felt hot during the MRI and the exam was stopped. On 04/17/2026, it was noted that the event was under investigation. During interview with Staff D on 05/21/2026 at 3:10 PM, Staff D stated that during the MRI on 04/16/2026, Patient #1 squeezed the emergency ball and stated they felt too hot. The technologist stopped the exam, lowered the temperature in the room, and provided the patient with an ice pack. Staff D stated that they notified their supervisor and entered a SafeQual (incident report) immediately following the event. During interview with Staff F on 05/22/2026 at 12:26 PM, Staff F confirmed the investigation was not completed and that no corrective actions had been implemented prior to the start of the survey. Staff F acknowledged the investigation into this event should have been completed sooner. Findings for (B): MR review of Patient #1 revealed that on 04/20/2026, they sustained a fall without injury while Staff E was independently assisting the patient with a transfer from a chair to the commode. Review of the facility’s document titled, “Attendance Sheet for Patient Falls and Incident Reporting,” dated 4/22/2026, revealed that Staff C provided re-education to several staff members including registered nurses and nurse technicians. Further review of the document failed to show Staff E had attended the meeting. During interview with Staff I on 05/22/2026 at 10:30 AM, Staff I stated that on 04/20/2026, while they were on a break, Patient #1 sustained an assisted fall in the presence of Staff E. Staff I stated they notified their supervisor and that Patient #1 ’ s physician and entered a SafeQual report following the event. During interview with Staff C on 5/22/2026 at 11:54 AM, Staff C stated that on 04/22/2026, an in-service education meeting was provided for staff. Staff C confirmed that Staff E was not in attendance for the in-service.”
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Supervision Of Contract Staff
The inspectors’ words, 371 words
“SUPERVISION OF CONTRACT STAFF CFR(s): 482.23(b)(6) All licensed nurses who provide services in the hospital must adhere to the policies and procedures of the hospital. The director of nursing service must provide for the adequate supervision and evaluation of all nursing personnel which occur within the responsibility of the nursing service, regardless of the mechanism through which those personnel are providing services (that is, hospital employee, contract, lease, other agreement, or volunteer). This Standard is not met as evidenced by: 52694 . Based on medical record (MR) review, document review, and interview, in one (1) of nine (9) MRs reviewed, facility staff failed to accurately perform a Morse Fall Risk Assessment (clinical assessment tool used to evaluate a person’s likelihood of falling), per facility policy (Patient #1). Findings: Review of the facility policy and procedure (P&P) titled, “Fall Prevention Protocols,” last revised on 02/2025, revealed, “All patients will be assessed upon admission and reassessed every shift or upon change in the patient’s condition...Patients requiring assistive device or require assistance are patients at risk for falls.” MR review for Patient #1 revealed that the Morse Fall Risk Assessment, dated from 04/07/2026 to 04/20/2026, documented Patient #1 was a low risk for falls, despite requiring two-person assistance and assistive devices during transfers. On 04/20/2026, Patient #1 sustained a fall during a one-person assisted transfer from a chair to a commode. The Morse Fall Risk Assessment was not completed, and Patient #1’s fall risk was not reassessed after their fall event. Between 04/21/2026 and 05/12/2026, staff failed to account for Patient #1’s recent fall in the Morse Fall Risk Assessments. During interview with Staff I on 05/21/2026 at 10:30 AM, Staff I confirmed Patient #1 sustained an assisted fall during transfer from chair to commode. During an interview with Staff P on 05/21/2026 at 1:45 PM, Staff P confirmed Patient #1 required two-person assistance and assistive devices during transfers. During interview with Staff C on 05/22/2026 at 11:54 AM, Staff C confirmed and acknowledged the findings. Staff C stated that a Morse Fall Risk Assessment should have been performed after Patient #1’s fall, and that the fall risk assessments documented after the fall were inaccurate and should have reflected Patient #1’s recent fall history.”
All 2 inspections in the last three years
| Date | Visit | What the record says |
|---|---|---|
| May 22, 2026 | Complaint inspection | 2 deficiencies cited |
| Aug 30, 2024 | Complaint inspection | No deficiencies cited |
How do patients fare?
- CMS’s overall CMS rates some kinds of place from 1 to 5 stars, more stars meaning better on CMS’s own measures for that kind: for a nursing home, its health inspections, staffing and quality measures. A rating is CMS’s summary of those measures; it doesn’t promise good care. Source: CMS, Care Compare and the Five-Star Quality Rating System. for it is 2 of 5.
- Of the measures behind its CMS rates some kinds of place from 1 to 5 stars, more stars meaning better on CMS’s own measures for that kind: for a nursing home, its health inspections, staffing and quality measures. A rating is CMS’s summary of those measures; it doesn’t promise good care. Source: CMS, Care Compare and the Five-Star Quality Rating System., CMS counts against the national value: mortality, 0 better and 0 worse of 6; safety of care, 1 better and 0 worse of 6; readmission, 0 better and 1 worse of 5.
- Patients rate it 2 of 5 in CMS’s patient survey (847 surveys completed, Oct 1, 2024 to Sep 30, 2025): 60% rated it 9 or 10 out of 10, and 62% would definitely recommend it.
- Infections, compared by CMS with the national benchmark (Oct 1, 2024 to Sep 30, 2025): central line bloodstream infections (CLABSI), no different than national benchmark; catheter urinary tract infections (CAUTI), no different than national benchmark; surgical site infections after colon surgery, no different than national benchmark; MRSA bloodstream infections, no different than national benchmark; C. diff infections, better than the national benchmark.
- CMS’s patient safety composite for serious complications, PSI 90, Jul 1, 2022 to Jun 30, 2024: no different than the national value.
- Deaths within 30 days, as CMS gives them (Jul 1, 2022 to Jun 30, 2025): heart attack 11.4%, heart failure 9.6%, pneumonia 16.9%, COPD 7.9%, stroke 11.9%. CMS gives no comparison with the national rate for them in this release.
- Readmissions within 30 days, as CMS gives them (Jul 1, 2023 to Jun 30, 2025): heart attack 14.7%, heart failure 24.3%, pneumonia 19.1%, COPD 20.9%, hip or knee replacement 5.2%. CMS gives no comparison with the national rate for them in this release.
- After outpatient care, compared by CMS: unplanned hospital visits after a colonoscopy, no different than the national rate.
- Emergency department patients spent a median of 218 minutes there before leaving (Oct 1, 2024 to Sep 30, 2025), and 2% left before being seen.
- 79% of patients with severe sepsis or septic shock got the care CMS measures, SEP-1 (Oct 1, 2024 to Sep 30, 2025).
- Medicare’s spending per patient here is 1.02 times the national median (Jan 1, 2024 to Dec 31, 2024).
CMS, Hospital General Information, Patient survey (HCAHPS) - Hospital, Healthcare Associated Infections - Hospital, Timely and Effective Care - Hospital and Medicare Spending Per Beneficiary - Hospital. Released Aug 13, 2026. Updated quarterly.
CMS, Complications and Deaths - Hospital and Unplanned Hospital Visits - Hospital. Released Sep 30, 2026. Updated quarterly.
| Measure | Rating |
|---|---|
| Overall ratingCMS’s overall hospital quality star rating, 1 to 5 | 2 of 5 |
| Patient survey ratingCMS star rating from its survey of the hospital’s patients (HCAHPS), 1 to 5 | 2 of 5 |
Is it certified, and in good standing?
- Medicare-certified acute care hospital since Jul 1, 1966.
- Ownership: voluntary non-profit - private.
- It is accredited by The Joint Commission, whose surveys stand in for the state’s routine inspections.
- No For hospices, home health agencies, hospitals and dialysis facilities, CMS writes deficiencies at two levels. Standard is the usual one; condition-level is the more serious, when a problem is serious enough that the provider doesn’t meet a whole condition of taking part in Medicare. Source: CMS, State Operations Manual. deficiency on record in the last three years.
- Voluntary non-profit - Private.
CMS, Provider of Services File - Hospital & Non-Hospital Facilities. Released Oct 14, 2026. Updated quarterly.
CMS, Hospital General Information. Released Aug 13, 2026. Updated quarterly.
CMS, QCOR Hospital 2567 statements of deficiencies. Released Oct 20, 2026. Updated monthly.
Has it been penalized?
- CMS doesn’t publish fines or other penalties for hospitals.
- CMS cut its Medicare payments by 1% for fiscal year 2026 under the Hospital-Acquired Condition Reduction Program, which does so for the quarter of hospitals that fare worst on conditions patients get in hospital.
- 2 deficiencies cited in the last three years came from inspections that included a complaint investigation.
CMS, Hospital-Acquired Condition (HAC) Reduction Program. Released Aug 13, 2026. Updated yearly.
CMS, Provider of Services File - Hospital & Non-Hospital Facilities. Released Oct 14, 2026. Updated quarterly.
CMS, QCOR Hospital 2567 statements of deficiencies. Released Oct 20, 2026. Updated monthly.
| Date | What | Detail |
|---|---|---|
| Medicare payment reduction (HAC Reduction Program) | Fiscal year 2026: 1% of Medicare payments |
What do patients say about their care?
- CMS doesn’t publish staffing levels for hospitals.
- In CMS’s patient survey, patients rate how well its nurses communicated 2 of 5.
- 56% of its health care workers got a flu shot (Oct 1, 2024 to Mar 31, 2025).
CMS, Patient survey (HCAHPS) - Hospital and Timely and Effective Care - Hospital. Released Aug 13, 2026. Updated quarterly.
Who owns it?
- 10 owners or officers are people: Vali Gache (corporate officer); Vali Gache (managing employee (on the payroll)); Frederick Haller (corporate director); Gary Goffner (corporate director); Mounzer Tchelebi (corporate director); Ramon J Rodriguez (corporate officer); Ramon J Rodriguez (corporate director); Ramon J Rodriguez (managing employee (on the payroll)); Vincent Arcuri (corporate director); Andrew Boisselle (corporate director).
- CMS’s Provider of Services file records 3 changes of ownership.
- No private-equity firm among the owners CMS lists.
- No real-estate investment trust among the owners CMS lists.
CMS, Hospital All Owners and Hospital Enrollments. Released Sep 29, 2026. Updated monthly.
CMS, Provider of Services File - Hospital & Non-Hospital Facilities. Released Oct 14, 2026. Updated quarterly.
How does it compare nearby?
- Of the 11 hospitals CMS lists in Kings County, 10 have an overall star rating from CMS: 1 rated 4 of 5, 5 rated 2 of 5, 4 rated 1 of 5.
- CMS rates this one 2 of 5.
CMS, Hospital General Information. Released Aug 13, 2026. Updated quarterly.
What the record doesn’t say
- CMS doesn’t publish fines or other penalties for hospitals, so none are shown. The one payment cut CMS publishes for each hospital, under its Hospital-Acquired Condition Reduction Program, is shown where it applies.
- Only complaints that led to a citation appear; complaints that didn’t aren’t published.
- Most hospitals are accredited by a private organisation (The Joint Commission, DNV and others) whose routine inspections stand in for the state’s; those reports aren’t public, and QCOR holds only the state’s surveys: no inspection on record here doesn’t mean none took place.
- QCOR says its hospital inspection data are complete only through September 17, 2026, while it moves to a new system.
- CMS doesn’t publish staffing levels for hospitals.
- In its September 2026 release CMS gives no comparison with the national rate for death and readmission rates, though it gives the rates.
Sources
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Centers for Medicare & Medicaid Services, Hospital General Information (xubh-q36u).
Released Aug 13, 2026 and checked Nov 5, 2026. Updated quarterly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Patient survey (HCAHPS) - Hospital.
Released Aug 13, 2026 and checked Nov 5, 2026. Updated quarterly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Healthcare Associated Infections - Hospital (77hc-ibv8).
Released Aug 13, 2026 and checked Nov 5, 2026. Updated quarterly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Complications and Deaths - Hospital (ynj2-r877).
Released Sep 30, 2026 and checked Nov 5, 2026. Updated quarterly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Unplanned Hospital Visits - Hospital (632h-zaca).
Released Sep 30, 2026 and checked Nov 5, 2026. Updated quarterly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Timely and Effective Care - Hospital (yv7e-xc69).
Released Aug 13, 2026 and checked Nov 5, 2026. Updated quarterly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Medicare Spending Per Beneficiary - Hospital (rrqw-56er).
Released Aug 13, 2026 and checked Nov 5, 2026. Updated quarterly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Hospital-Acquired Condition (HAC) Reduction Program (yq43-i98g).
Released Aug 13, 2026 and checked Nov 5, 2026. Updated yearly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Provider of Services File - Hospital & Non-Hospital Facilities (Hospital_and_other.DATA.Q3_2026.csv).
Released Oct 14, 2026 and checked Nov 5, 2026. Updated quarterly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, QCOR Hospital 2567 statements of deficiencies (Hospital_2567s_2010_to_2026YTD.xlsx).
Released Oct 20, 2026 and checked Oct 27, 2026. Updated monthly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Hospital All Owners (Hospital_All_Owners_2026.09.29.csv).
Released Sep 29, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Hospital Enrollments (Hospital_Enrollments_2026.09.29.csv).
Released Sep 29, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).
If you believe something here is wrong, a correction starts with the agency whose record this copies: CMS. CMS’s own record is on Care Compare. If Hearth Record copied something wrongly, it will fix it and log the correction publicly, with its date: how corrections work.
This copy of the record was made on Nov 5, 2026.
From the hospital
The public record above comes first. Anything the hospital adds will appear here, below it, and say who wrote it.
Replies
None. Replies aren’t open yet. When they open, the hospital will be able to answer any finding for free, and the reply will show beside that finding, unedited and dated.
Paid listing
None. Paid listings aren’t open yet. When they open, anything paid for will say “Paid by the hospital”, and paying will never change a finding, a rating or the order of results.