Disclosure

NOTICE TO RESIDENTS AND THEIR FAMILIES

This notice provides you with important information regarding how you may look up complaints, citations, inspections, enforcement actions, and penalties taken against the facility.

There are two ways to access this information:

1. Go to the state website maintained by the New York State Department of Health:
   https://profiles.health.ny.gov/nursing_home/#5.79/42.868/-76.809
   Enter the name of the facility in the search box.  Once you have located the facility, you may click on the “Inspections” tab to access information regarding complaints, citations and enforcement.

2. Go to the Nursing Home Compare Website maintained by the U.S. Department of Health and Human Services:
   https://www.medicare.gov/carecompare/?providerType=NursingHome&redirect=true
   Enter the name of the facility in the search box and click on “search.”  Once you have located the facility, you may click on the “Details” tab and scroll down to view inspection results, penalties and other information about the facility.

If you have any questions, please contact our Admissions Office for further information, at (718) 221-2600

ADDITIONAL DISCLOSURES

1. Disclosure in accordance with Section 2829(1) of the New York State Public Health Law Maximum Rates for Residency and Services effective January 1, 2021:
   Medicare: $581-37 – $1604.97
   Private: $400
   Managed Care: $225 – $530
   Medicaid: $285.83- $283.36

2. Disclosure in accordance with Section 2829(2)(a) of the New York State Public Health Ownership of the facility:
   Michael Melnicke

3. Disclosure in accordance with Section 2829(2)(b) of the New York State Public Health Law Name and Business address of the Landlord of the facility’s Premises:
   N/A
   835 Herkimer St,
   Brooklyn, NY 11233

4. Disclosure in accordance with Section 2829(2) (c) of the New York State Public Health Law Summary of Contracts for Goods and Services paid for with Medicaid or Medicare Funds:

1199 CREDIT UNION
1199 SEIU CHILD CARE FUND
1199 SEIU DUES
1199 SEIU HOSPITAL LEAGUE
1199 SEIU JOB SECURITY FUND
1199 SEIU NATIONAL BENEFIT
1199 SEIU NATIONAL PENSION
1199 SEIU POLITICAL A
A & L CESSPOOL SERVIC
A AND L CESSPOOL AND RECYCLIN
A TO Z DOORS INC.
AATRIX EFILE
ABRAMS, FENSTERMAN
ACCESS RN
ACS PRO GLOBAL SOLUTIONS
ADM ENVIRONMENTAL GROUP, LLC
ADVANCED CARE *
AEGIS ENERGY SERVICE
AFLAC
AIRITE
AIRWAVE STRATEGIES
AJAX SEWER CLEANING
ALLSTATE
ALPHA GAS & ELECTRIC
AMA JANITORIAL SUPPLIES, INC.
AMAZON
AMERICAN CLASSIC
AMERICAN FRIENDS OF SHOFAR
AMERICAN PLAN ADMINISTRATORS
AMEX
ANTHONY MATESE
APPROVED ADMISSIONS LLC
APPROVED STORAGE & WASTE HAUL
ATLANTIC WELDING
B & B MECHANICAL PLUMBING & H
BETTER LIFE LASER 1
BIODIAGNOSTIC LAB
BLAKEMAN 2021
CABLEVISION
CABLEVISION LIGHTPATH
CBORD GROUP,INC
CHANGE HEALTHCARE
CMS
COLINA REGALARIO
COLONIAL LIFE & ACCID
COMMISSIONER OF TAX &
CON EDISON
COURT STREET
CUSHMAN & WAKEFIELD REGIONAL
DAILY NEWS
DE LAGE LANDEN
DENTSERV
DERMARITE
DOB EXPERT
DOME INT`L, INC.
DUDDY`S ELECTRONICS
DYNAMIC RESPIRATORY SERVICES
DYNAMIC SPEECH THERAPY PLLC
EAGLE LEASING COMPANY
EFTPS
EITZ HAGAN LANDSCAPING
ESPERANZA ENERGY PARTNERS LLC
EXCLUSIVE NURSING STA
EZDIAL COMMUNICATIONS
FAO PRINTING
FAZIO-TRAINA LAWN
FEDEX
FLAG STAR ASSOCIATES
FLAG STAR STAFFING
FRANCZOZ BAKERY
G & G DUCT CLEANING
GARFUNKEL WILD P.C.
GDC MEDICAL ELECTRONI
GERIMEDIX
GO MINIS OF LONG ISLAND
GOLDENBERG & HIRSCH CPA
GREATER NEW YORK NURSING HOME
GREATER NY HEALTH CAR
H & R HEALTHCARE
HEALTH FACILITY
HUB INTERNATIONAL NORTHEAST
HUDSON VIEW NETWORK
IDENTOGO
IRON MOUNTAIN INC
ISSM PROTECTIVE SERVICE *
IV NATIONAL LLC
J.M.B. FOOD SERVICE DISTRIBUT
JAMMA CONSULTING INC.
JB PEST CONTROL
JET WAVE CORP
JINTRONIX INC.
JOHNSON CONTROLS
JONAS MEDICAL INC.
JONATHAN GEWIRTZ
KCI USA
KRAVTSOVA PREMIUM CARE INC.
L.B. KITCHEN EQUIP
L.E.&S. FOOD PRODUCTS
LANGUAGE LINE SERVICE
LATIA V. SPENCER
LI SCRIPT, LLC
LIFE REHAB PT PC.
LILLIAN RHODES C/O BROOKLYN G
LUND FIRE PRODUCTS
M2 MANAGEMENT *
MASS MUTUAL
MATRIXCARE BIN #32
MBS LTD.
MEDPART EQUIPMENT
MICHAEL THOMPSON
MORRIS TUCHMAN
N D LABS
NATASHA CLARKE
NATIONAL GRID
NATIONWIDE
NOUVEAU ELEVATORS
NOVA HEALTHCARE SOLUTIONS
NUSSI JOSEPHY
NY HEALTHCARE *
NYC COMM OF FINANCE
NYC DEPT OF FINANCE
NYC WATER BOARD
NYS CHILD SUPPORT
NYS DEPT OF TAX & FIN
NYS EMPLOYMENT INSURANCE
NYS OMIG/RAC
NYS TAX DEPT
NYSHFA-NYS HEALTH FACILITIES
OLIVE GARDEN
P AND C COFFEE SHOP
PATIENT CARE ASSOC.
PERFECT CHOICE STAFFING
PHARMQUEST
PITNEY BOWES GLOB FIN
PITNEY BOWES PURCHASE POWER
PLASERTEK LLC
PLYMOUTH ROCK FUEL CO
POWER HOUSE GENERATORS
PRINCESS MENDIOLA
PRO BENEFITS ADMINISTRATORS
PROPUMP INC.
PROVIDENCE CARE INC.
QUALITY CARPET & FLOORING
QUALMAX SUPPLIES
R.L.R. SUPPLIES
RELIABLE HEALTH
ROCK A WASH
ROCKLAND BAKERY
RONALD MOSES
RONBAR LABORATORIES
ROYAL BUILDERS INC.
S. BERTRAM INC.
SAFETY COMPLIANCE SERVICES &
SBV WORKFORCE MANAGEMENT
SECURE 360 INC.
SECURITY MUTUAL LIFE
SELECT NY THERAPY LLC
SENIORCARE EMS INC.
SKYWIRE NETWORKS
SOUTHERN NY ASSOCIATI
STANDARD SECURITY LIF
STEELWORK FINANCIAL SOLUTIONS
STEPHANIE TIMBERLAKE
THE HOME DEPOT
THERADYNAMICS
TRIPLE A SUPPLIES
TRISTATE SURGICAL
TWIN MEDICS
TWO LIGHTS COMMUNICATION INC.
UPSTATE DAIRY FARMS
VENTURE RESPIRATORY
VERIFY COMPLY
VERIZON
VERIZON WIRELESS
WELLSKY
WHITE GLOVE PLACEMENT INC.
WILTON RE
WOUND HEALING
YORKVILLE COFFEE
ZIMMET HEALTHCARE SERVICES
*DENOTES RELATED PARTY