Skilled nursing facility · CMS certification number 335673
Four Seasons Nursing and Rehabilitation Center
Brooklyn, New York · Medicare and Medicaid · 270 certified beds in Care Compare
Four Seasons Nursing and Rehabilitation Center: its citable report, full history — $295 · an email when it changes — $99/month
What stands out
- Its latest cost report on file is for fiscal year 2024, covering January 1, 2024 to December 31, 2024 (365 days), and CMS processed it on December 12, 2025.
- Net patient revenue rose from $62.6M in fiscal year 2023 to $65.1M in fiscal year 2024.
- Its result from service to patients: −$2.7M (2022), −$3.8M (2023), −$5.1M (2024).
- Its cost reports on file run from fiscal year 1996 to fiscal year 2024.
- Since its cost report for fiscal year 2024 was filed on December 12, 2025, no other change appears in the CMS files.
- Its net patient revenue of $65.1M ranks 28th of the 539 nursing facilities in New York whose latest cost report on file is fiscal year 2024.
- 3 of the 5 nursing facilities in New York closest in size to it, whose latest cost report on file is fiscal year 2024, also report a loss on service to patients.
Four Seasons Nursing and Rehabilitation Center: Medicare cost reports
| Form CMS-2540-10 | 2024 · report 1444453 | 2023 · report 1402668 | 2022 · report 1374792 | 2021 · report 1381553 | 2020 · report 1313973 | 2019 · report 1282997 | 2018 · report 1248311 | 2016 · report 1188880 | 2015 · report 1152229 | 2014 · report 1125066 | 2013 · report 1088913 | 2012 · report 1058940 | 2011 · report 1024467 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Period began | January 1, 2024 | January 1, 2023 | January 1, 2022 | January 1, 2021 | January 1, 2020 | January 1, 2019 | January 16, 2018 | January 1, 2016 | January 1, 2015 | January 1, 2014 | January 1, 2013 | January 1, 2012 | January 1, 2011 |
| Period ended | December 31, 2024 | December 31, 2023 | December 31, 2022 | December 31, 2021 | December 31, 2020 | December 31, 2019 | December 31, 2018 | December 31, 2016 | December 31, 2015 | December 31, 2014 | December 31, 2013 | December 31, 2012 | December 31, 2011 |
| Report status | settled | settled | settled | reopened | settled | settled | settled | settled | settled | settled | settled | settled | settled |
| Processed by CMS | December 12, 2025 | January 24, 2025 | March 12, 2024 | June 6, 2024 | April 21, 2022 | April 28, 2021 | December 19, 2019 | May 2, 2018 | February 1, 2017 | May 31, 2016 | April 21, 2015 | April 28, 2014 | February 5, 2013 |
| Total patient revenue | $73,530,678 | $69,797,737 | $65,004,427 | $63,328,599 | $57,129,941 | $79,311,010 | $76,216,042 | $75,053,638 | $75,999,492 | $69,508,051 | $77,047,587 | $74,313,371 | $76,220,566 |
| Contractual allowances and discounts | $8,388,757 | $7,192,665 | $6,861,519 | $6,363,935 | $6,964,900 | $9,248,564 | $8,766,692 | $8,374,000 | $11,469,318 | $9,182,182 | $9,744,337 | $11,150,598 | $10,131,904 |
| Net patient revenue | $65,141,921 | $62,605,072 | $58,142,908 | $56,964,664 | $50,165,041 | $70,062,446 | $67,449,350 | $66,679,638 | $64,530,174 | $60,325,869 | $67,303,250 | $63,162,773 | $66,088,662 |
| Total operating expenses | $70,265,507 | $66,406,827 | $60,840,172 | $54,967,243 | $54,443,748 | $68,987,905 | $65,641,546 | $64,972,231 | $66,797,162 | $66,875,978 | $66,400,375 | $65,663,508 | $66,706,519 |
| Net income from service to patients | −$5,123,586 | −$3,801,755 | −$2,697,264 | $1,997,421 | −$4,278,707 | $1,074,541 | $1,807,804 | $1,707,407 | −$2,266,988 | −$6,550,109 | $902,875 | −$2,500,735 | −$617,857 |
| Total other income | $2,560,538 | $193,186 | $210,412 | $4,418,185 | $3,360,335 | $55,979 | $110,082 | $131,626 | $4,071,621 | $4,443,310 | $2,880,982 | $2,827,112 | $2,631,365 |
| Net income after other income | −$2,563,048 | −$3,608,569 | −$2,486,852 | $6,415,606 | −$918,372 | $1,130,520 | $1,917,886 | $1,839,033 | $1,804,633 | −$2,106,799 | $3,783,857 | $326,377 | $2,013,508 |
| Net income | −$2,563,048 | −$3,608,569 | −$2,486,852 | $6,403,606 | −$918,372 | $1,130,520 | $1,917,886 | $1,781,615 | $1,804,633 | −$2,106,799 | $1,420,210 | $326,377 | $2,013,508 |
| Total facility beds, all components | 270 | 270 | 270 | 270 | 270 | 270 | 270 | 270 | 270 | 270 | 270 | 270 | 270 |
| Bed days available, all components | 98,820 | — | — | — | — | — | — | — | — | — | — | — | — |
| Medicare (Title XVIII) patient days | 29,756 | — | — | — | — | — | — | — | — | — | — | — | — |
| Medicaid (Title XIX) patient days | 42,795 | — | — | — | — | — | — | — | — | — | — | — | — |
| Other-payer patient days | 21,225 | — | — | — | — | — | — | — | — | — | — | — | — |
| Total patient days, all components | 93,776 | 98,583 | 103,765 | 44,262 | 77,911 | 117,396 | 108,525 | 109,423 | 112,167 | 108,075 | 124,691 | 132,495 | 129,052 |
| Medicare discharges | 236 | — | — | — | — | — | — | — | — | — | — | — | — |
| Medicaid discharges | 201 | — | — | — | — | — | — | — | — | — | — | — | — |
| Other-payer discharges | 240 | — | — | — | — | — | — | — | — | — | — | — | — |
| Total discharges, all components | 677 | 661 | 686 | 513 | 564 | 744 | 816 | 930 | 906 | 1,020 | 999 | 1,050 | 874 |
| Average length of stay, Medicare, in days | — | — | — | — | — | — | — | — | — | — | 39.37 | 40.02 | 40.63 |
| Average length of stay, Medicaid, in days | 212.91 | 234.79 | — | — | — | — | — | — | — | — | — | — | — |
Net income, fiscal years 2024, 2023, 2022, 2021, 2020, 2019, 2018, 2016, 2015, 2014, 2013, 2012, 2011. Checked against the form’s own arithmetic: what that check shows.
Form CMS-2540-96: each report covers January 1 to December 31 of its year.
| Form CMS-2540-96 | 2010 · report 430484 | 2009 · report 398175 | 2008 · report 354920 | 2007 · report 338437 | 2006 · report 310949 | 2005 · report 263309 | 2004 · report 232094 | 2003 · report 194340 | 2002 · report 166198 | 2001 · report 146631 | 2000 · report 38849 | 1999 · report 38848 | 1998 · report 38846 | 1997 · report 78515 | 1996 · report 78512 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Report status | settled | settled | settled | settled | settled | settled | settled | settled | settled | settled | settled | settled | reopened | reopened | reopened |
| Processed by CMS | June 15, 2012 | April 29, 2011 | August 18, 2009 | May 1, 2009 | June 2, 2008 | September 18, 2006 | August 31, 2005 | September 21, 2004 | December 29, 2003 | May 30, 2003 | February 20, 2002 | July 12, 2001 | September 24, 2001 | December 12, 2000 | October 13, 1999 |
| Net patient revenue | $63,793,883 | $62,131,869 | $61,460,131 | $57,561,163 | $55,879,348 | $53,375,908 | $52,545,022 | $47,886,881 | $45,377,460 | $39,329,189 | $34,770,891 | $56,073,785 | $47,667,624 | $25,389,399 | $19,697,761 |
| Total operating expenses | $66,276,315 | $63,301,919 | $63,373,863 | $58,000,692 | $56,123,414 | $54,099,157 | $51,801,062 | $47,618,726 | $44,275,297 | $44,038,957 | $50,206,282 | $56,948,335 | $41,906,419 | $22,206,140 | $17,224,246 |
| Net income from service to patients | −$2,482,432 | −$1,170,050 | −$1,913,732 | −$439,529 | −$244,066 | −$723,249 | $743,960 | $268,155 | $1,102,163 | −$4,709,768 | −$15,435,391 | −$874,550 | $5,761,205 | $3,183,259 | $2,473,515 |
| Total other income | $2,540,856 | $1,818,217 | $1,617,027 | $1,794,069 | $695,005 | $435,352 | $239,657 | $89,731 | $561,935 | $185,398 | $1,182,876 | $1,410,903 | $68,085 | $2,163,388 | $32,097 |
| Net income | $58,424 | $648,167 | −$296,705 | $1,354,540 | $450,939 | −$287,897 | $983,617 | $357,886 | $1,664,098 | −$4,524,370 | −$14,252,515 | $536,353 | $5,829,290 | $5,346,647 | $2,505,612 |
| Total facility beds, all components | 270 | 270 | 270 | 270 | 270 | 270 | 270 | 270 | 270 | 270 | 270 | 270 | 270 | 270 | 270 |
| Total patient days, all components | 92,499 | 97,074 | 97,678 | 96,840 | 97,435 | 97,205 | 97,490 | 94,200 | 93,509 | 93,772 | 93,528 | 93,723 | 94,311 | 94,164 | 93,725 |
| Total discharges, all components | 1,227 | 929 | 985 | 892 | 788 | 852 | 670 | 573 | 625 | 429 | 380 | 422 | 359 | 513 | 539 |
| Average length of stay, Medicare, in days | 37.33 | 41.87 | 41.17 | 52.52 | 38.2 | 36.07 | 44.33 | 80.32 | 64.4 | 85.14 | 78.92 | 74.66 | 101.59 | 44.57 | 51.41 |
| Average length of stay, Medicaid, in days | 145.51 | 212.82 | 254.15 | 277.19 | 276.85 | 311.63 | 277.86 | 289.77 | 294.8 | 386.69 | 417.15 | 389.13 | 458.05 | 446.2 | 463.96 |
| Average length of stay, all patients, in days | 75.39 | 104.49 | 99.17 | 108.57 | 123.65 | 114.09 | 145.51 | 164.4 | 149.61 | 218.58 | 246.13 | 222.09 | 262.7 | 183.56 | 173.89 |
Net income, fiscal years 2010, 2009, 2008, 2007, 2006, 2005, 2004, 2003, 2002, 2001, 2000, 1999, 1998, 1997, 1996. Checked against the form’s own arithmetic: what that check shows.
Four Seasons Nursing and Rehabilitation Center: nurse staffing hours by quarter →
Who owns Four Seasons Nursing and Rehabilitation Center, as filed with CMS
Care Compare
- 5% OR GREATER DIRECT OWNERSHIP INTEREST: AMSEL, HINDY (individual), NO PERCENTAGE PROVIDED, since 01/16/2018; FRANKL, SHERYL (individual), 8%%, since 01/16/2018; GOLDSTEIN, JEFFERY (individual), 10%%, since 01/16/2018; MANELA, MICHAEL (individual), 20%%, since 01/16/2018; POMERAWTZ, CHAWAWIA (individual), 5%%, since 01/16/2018; SHERMAN, ALEXANDER (individual), 15%%, since 01/16/2018; SHERMAN, LEA (individual), 40%%, since 01/16/2018
- W-2 MANAGING EMPLOYEE: GALLEN, CAROLINE (individual), NOT APPLICABLE, since 01/07/1996
Medicare enrollment
As filed in the CMS file dated October 1, 2026 (Medicare enrollment ownership), under the enrollment of FSNR SNF LLC (enrollment ID O20180208000120).
- 5% OR GREATER DIRECT OWNERSHIP INTEREST: ALEXANDER SHERMAN (individual), 15.00%, since 01/16/2018; CHAWAWIA POMERAWTZ (individual), 5.00%, since 01/16/2018; HINDY AMSEL (individual), 2.00%, since 01/16/2018; JEFFERY GOLDSTEIN (individual), 10.00%, since 01/16/2018; LEA SHERMAN (individual), 40.00%, since 01/16/2018; MICHAEL MANELA (individual), 20.00%, since 01/16/2018; SHERYL FRANKL (individual), 8.00%, since 01/16/2018
- W-2 MANAGING EMPLOYEE: CAROLINE GALLEN (individual), 0.00%, since 01/07/1996
Private equity company, real estate investment trust and holding company: “Paused by CMS” for every owner listed here. Paused by CMS: Form CMS-855A, December 11, 2025.
Inspections of Four Seasons Nursing and Rehabilitation Center
- Cycle 1: health March 3, 2026 (5 deficiencies), fire safety March 3, 2026 (6)
- Cycle 2: health February 15, 2024 (4 deficiencies), fire safety February 15, 2024 (3)
- Cycle 3: health January 25, 2022 (7 deficiencies), fire safety January 25, 2022 (3)
Deficiencies cited at Four Seasons Nursing and Rehabilitation Center
16 deficiencies on file, by tag, newest citation first
every one from a health inspection; 3 cited from a complaint, marked below. Letter after a date: scope and severity grade.
- F 0604, freedom from abuse, neglect, and exploitation: March 6, 2026 (D, from a complaint, Past Non-Compliance, corrected February 26, 2024).
- F 0677, quality of life and care: March 3, 2026 (D, Deficient, Provider has date of correction, corrected April 16, 2026).
- F 0725, nursing and physician services: March 3, 2026 (F, Deficient, Provider has date of correction, corrected April 30, 2026).
- F 0761, pharmacy service: March 3, 2026 (D, Deficient, Provider has date of correction, corrected April 30, 2026); February 15, 2024 (D, Deficient, Provider has date of correction, corrected March 12, 2024); January 25, 2022 (D, Deficient, Provider has date of correction, corrected February 20, 2022).
- F 0880, infection control: March 3, 2026 (D, Deficient, Provider has date of correction, corrected April 17, 2026); January 25, 2022 (E, Deficient, Provider has date of correction, corrected February 23, 2022).
- F 0609, freedom from abuse, neglect, and exploitation: February 15, 2024 (E, from a complaint, Deficient, Provider has date of correction, corrected March 12, 2024).
- F 0610, freedom from abuse, neglect, and exploitation: February 15, 2024 (D, from a complaint, Deficient, Provider has date of correction, corrected March 12, 2024).
- F 0658, resident assessment and care planning: February 15, 2024 (D, Deficient, Provider has date of correction, corrected March 12, 2024).
- F 0812, nutrition and dietary: February 15, 2024 (E, Deficient, Provider has date of correction, corrected March 12, 2024); January 25, 2022 (F, Deficient, Provider has date of correction, corrected February 20, 2022).
- F 0584, resident rights: January 25, 2022 (D, Deficient, Provider has date of correction, corrected February 20, 2022).
- F 0641, resident assessment and care planning: January 25, 2022 (D, Deficient, Provider has date of correction, corrected February 20, 2022).
- F 0925, environmental: January 25, 2022 (F, Deficient, Provider has date of correction, corrected February 23, 2022).
Four Seasons Nursing and Rehabilitation Center in Care Compare
- Ownership Type: For profit - Limited Liability company
- Legal Business Name: FSNR SNF LLC
- Date First Approved to Provide Medicare and Medicaid Services: 1984-06-01
- Provider Resides in Hospital: N
- Continuing Care Retirement Community: N
- Urban: Y
- County/Parish: Kings
- Telephone Number: 7189276300
- Chain Name: THE SHERMAN FAMILY
- Chain ID: 781
- Provider Changed Ownership in Last 12 Months: N
- With a Resident and Family Council: Both
- Automatic Sprinkler Systems in All Required Areas: Yes
- Average Number of Residents per Day: 253.1
- Overall Rating: 4
- Health Inspection Rating: 3
- QM Rating: 5
- Long-Stay QM Rating: 5
- Short-Stay QM Rating: 5
Care Compare, October 1, 2026: provider information NH_ProviderInfo_Oct2026.csv · inspections NH_SurveySummary_Oct2026.csv · citations NH_HealthCitations_Oct2026.csv · ownership NH_Ownership_Oct2026.csv.
Nothing on file for Four Seasons Nursing and Rehabilitation Center: no penalty in Care Compare; no change in ownership since September 20, 2022.
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Report a figure on Four Seasons Nursing and Rehabilitation Center’s record that differs from its CMS file, quoting 335673.