Show Inspection Reports
Total health inspections
3
New York average 3.6
Last Health inspection on Jan 2025
Mostly short-term rehab stays
Most residents typically stay for a few weeks or months before returning home or moving on.
Luxor at Mills Pond Rehabilitation & Nursing Center
Care Home
Luxor at Mills Pond Rehabilitation & Nursing Center
Care Home
Luxor at Mills Pond Rehabilitation & Nursing Center is an outstanding community in St James, NY, dedicated to delivering top-notch rehabilitation and skilled nursing services. Residents here receive comprehensive care services in a cozy and intimate setting that fosters personalized care and one-on-one attention. As an award-winning community recognized by the U.S. News & World Report, Luxor at Mills Pond Rehabilitation & Nursing Center guarantees nothing but excellence when it comes to assisting residents with their daily living activities, recovery process, and well-being.
Dedicated to providing a luxurious living environment, the community assigns a Personal Concierge for every resident upon their admission. They are provided with a fine dining experience, room service, on-site salon services, and regular housekeeping services for their comfort and convenience. Tailored activities like gentle exercise classes, regular outings, and special celebrations are also available to ensure residents have countless opportunities for fun and social engagement while receiving the care and attention they deserve.
Quality ratings
Official CMS rating based on health inspections, staffing and quality measures.
Official CMS rating based on deficiencies found during state health inspections.
Official CMS rating based on nurse staffing hours per resident per day.
Official CMS rating based on clinical outcomes for residents.
Nursing care per resident
Average daily nursing hours per resident (adjusted for acuity). Higher values indicate more nursing time per resident.
Staffing hours breakdown
Hours of care per resident per day, broken down by staff type. Data from CMS Medicare.
Registered Nurse (RN)
Registered nurse hours per resident per day.
Registered nurse hours per resident per day.
LPN / LVN
Licensed Practical Nurse / Licensed Vocational Nurse hours per resident per day.
Licensed Practical Nurse / Licensed Vocational Nurse hours per resident per day.
Nurse Aide
Nurse aide hours per resident per day.
Nurse aide hours per resident per day.
Total Nursing (Weekend)
Total number of nurse staff hours per resident per day on weekends.
Total number of nurse staff hours per resident per day on weekends.
Physical Therapist
Physical therapist staff hours per resident per day.
Physical therapist staff hours per resident per day.
RN (Weekend)
Registered nurse hours per resident per day on weekends.
Registered nurse hours per resident per day on weekends.
Capacity and availability
High-capacity home
May provide extensive amenities, services and programs.
Total beds
250
This home usually has limited availability
Occupancy is moderate, suggesting balanced demand.
Occupancy rate
91.5%
Residents per day (avg)
237
Occupancy rate
91.5%
Residents per day (avg)
237
Who this home usually serves
Show admissions and discharges
TYPE OF STAY
Might be optimal for
Short stays
Recovery
Medicare-covered care
Breakdown by payment type
Medicare
61% of new residents, usually for short-term rehab.
Typical stay
1 - 2 months
Private pay
34% of new residents, often for short stays.
Typical stay
1 - 2 months
Medicaid
5% of new residents, often for long-term daily care.
Typical stay
3 years
Finances and operations
Proprietary home
Partnership
Home revenue
$47.1M
Operating loss
-$61.7K
Proprietary home
Partnership
Home revenue
$47,122,500.00
Operating loss
$-61,651.00
Payroll costs
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
$11.2M
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Other operating costs
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
$35.9M
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Total costs
$47.1M
250-bed community
A large-scale community that may provide a wide range of amenities, services, and structured programs.
Walk Score: 20 / 100
Car-dependent. Most errands require a car, with limited nearby walkable options.
About this community
Facility Type
Nursing Home
Additional licensing details
County:
Suffolk
Ownership & operating entity
Luxor at Mills Pond Rehabilitation & Nursing Center is legally operated by S&J Operational, LLC (For Profit).
What does this home offer?
Housing Options: Private / Semi-Private Rooms
Building Type: 3-story
Dining Services
Beauty Services
Housekeeping Services
Recreational Activities
Types of Care at Luxor at Mills Pond Rehabilitation & Nursing Center
Hospice Care
Respite Care
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.
15 inspections
2 with citations, 13 without citations
37 on-site complaint investigations
102 complaints
43 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.
Latest inspection
Date:January 14, 2025
Type:Complaint Investigation
43 total citations
39 health citations
4 life safety citations
Citations indicate regulatory violations. A higher number implies the facility had several areas requiring improvement.
17 deficiencies
Deficiencies indicate regulatory issues. A higher number implies the facility had several areas requiring improvement.
2 enforcement actions
Penalties or interventions imposed by state regulators when facilities do not comply with quality, safety or regulatory standards.
July 13, 2023: Stipulation & Order #NH-23-086
Infection Control
July 12, 2017: Stipulation & Order #NH-17-050
Multiple Deficiencies
Compare Care Homes around Suffolk County
The information below is reported by the New York State Department of Health.
Luxor at Mills Pond Rehabilitation & Nursing Center
-40%
-21%
+4%
SNF
Nursing Home 24/7 care needed
HC
Hospice Care
RC
Respite Care
St James
240
No
20
BERNATH, SHAYA
91.5%
$47,079,731.00
$11,182,644.00
23.8%
237.00
2.8276
-
11
-
-40%-21%+4%Private / Semi-Private Rooms
Brookhaven Health Care Facility
-4%
+18%
-3%
AL
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
CH
Care Homes
HC
Hospice Care
MC
Memory Care Specialized care for those with Memory Loss, Alzheimer's, or dementia, ensuring safety and support.
East Patchogue
162
No
12
Brookhaven Health Care Facility LLC (For Profit)
85.8%
$45,392,533.00
$13,574,171.00
29.9%
150.30
4.2349
1
14
1
-4%+18%-3%Private / Semi-Private Rooms
Luxor at Mills Pond Rehabilitation & Nursing Center
Type of care:
SNF
HC
RC
Community:
St James
Bed Count:
240
Pets Allowed:
No
Operator:
BERNATH, SHAYA
CCN:
335739
Occupancy:
91.5%
Home Revenue:
$47,079,731.00
Payroll Costs:
$11,182,644.00
Payroll %:
23.8%
Avg Residents/Day:
237.00
Overall Rating:
Adj Nurse Hours:
2.8276
Health Insp Rating:
Staffing Rating:
QM Rating:
Citations:
11
RN share vs State Avg:
-40%
-40%
Staffing vs State Avg:
-21%
-21%
Occupancy vs State Avg:
+4%
+4%
Bed Options:
Private / Semi-Private Rooms
Brookhaven Health Care Facility
Type of care:
AL
CH
HC
MC
Community:
East Patchogue
Bed Count:
162
Pets Allowed:
No
Operator:
Brookhaven Health Care Facility LLC (For Profit)
CCN:
335694
Occupancy:
85.8%
Home Revenue:
$45,392,533.00
Payroll Costs:
$13,574,171.00
Payroll %:
29.9%
Avg Residents/Day:
150.30
Overall Rating:
Adj Nurse Hours:
4.2349
Health Insp Rating:
Staffing Rating:
QM Rating:
Number of Fines:
1
Citations:
14
Severe Citations:
1
RN share vs State Avg:
-4%
-4%
Staffing vs State Avg:
+18%
+18%
Occupancy vs State Avg:
-3%
-3%
Bed Options:
Private / Semi-Private Rooms
Places of interest near Luxor at Mills Pond Rehabilitation & Nursing Center
0.9 miles from city center
273 Moriches Rd, St James, NY 11780
Calculate Travel Distance to Luxor at Mills Pond Rehabilitation & Nursing Center
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Staffing Data
Source: CMS Payroll-Based Journal (Q2 2025)
271
Total Staff
203
Employees
68
Contractors
92,528
Total Hours (Quarter)
130
Avg Staff/Day
7.8
Avg Shift (hrs)
Nursing Staff Breakdown
| Role ⓘ | Count ⓘ | Avg Shift (hrs) ⓘ | Uses Contractors? ⓘ |
|---|---|---|---|
| Registered Nurse | 20 | 7.4 | No |
| Licensed Practical Nurse | 48 | 8.4 | Yes |
| Certified Nursing Assistant | 117 | 7.9 | No |
Staff by Category
Administration ⓘ
1 staff
8hs shift avg
Nursing Staff ⓘ
185 staff
8hs shift avg
Physicians & Practitioners ⓘ
5 staff
8.2hs shift avg
Therapy Services ⓘ
51 staff
7.2hs shift avg
Activities & Recreation ⓘ
2 staff
3.9hs shift avg
Social Services ⓘ
9 staff
6.4hs shift avg
Dietary Services ⓘ
13 staff
7hs shift avg
Other Services ⓘ
5 staff
7.9hs shift avg
Contractor Analysis
18.8%
of total hours from contractors
17,439 contractor hours this quarter
Physical Therapy Aide: 9
Speech Language Pathologist: 12
Qualified Social Worker: 8
Licensed Practical Nurse: 6
Other Dietary Services Staff: 7
Respiratory Therapy Technician: 14
Physical Therapy Assistant: 12
| Role ⓘ | Employees ⓘ | Contractors ⓘ | Total Staff ⓘ | Total Hours ⓘ | Days Worked ⓘ | % of Days ⓘ | Avg Shift (hrs) ⓘ |
|---|---|---|---|---|---|---|---|
| Certified Nursing Assistant | 117 | 0 | 117 | 46,099 | 91 | 100% | 7.9 |
| Licensed Practical Nurse | 42 | 6 | 48 | 19,502 | 91 | 100% | 8.4 |
| Registered Nurse | 20 | 0 | 20 | 4,251 | 91 | 100% | 7.4 |
| Respiratory Therapy Technician | 0 | 14 | 14 | 3,648 | 91 | 100% | 7.5 |
| Physical Therapy Aide | 0 | 9 | 9 | 3,066 | 82 | 90% | 6.9 |
| Other Dietary Services Staff | 6 | 7 | 13 | 2,726 | 91 | 100% | 7 |
| Physical Therapy Assistant | 0 | 12 | 12 | 2,610 | 81 | 89% | 7.3 |
| Speech Language Pathologist | 0 | 12 | 12 | 2,474 | 78 | 86% | 6.7 |
| Clinical Nurse Specialist | 4 | 0 | 4 | 2,208 | 91 | 100% | 8.3 |
| Dental Services Staff | 4 | 0 | 4 | 1,441 | 69 | 76% | 7.8 |
| Occupational Therapy Aide | 4 | 0 | 4 | 1,346 | 83 | 91% | 7.4 |
| Qualified Social Worker | 0 | 8 | 8 | 1,292 | 67 | 74% | 5.9 |
| Other Social Services Staff | 1 | 0 | 1 | 504 | 63 | 69% | 8 |
| Administrator | 1 | 0 | 1 | 480 | 60 | 66% | 8 |
| Mental Health Service Worker | 1 | 0 | 1 | 448 | 55 | 60% | 8.1 |
| Nurse Practitioner | 1 | 0 | 1 | 424 | 53 | 58% | 8 |
| Qualified Activities Professional | 2 | 0 | 2 | 8 | 2 | 2% | 3.9 |
Health Inspection History
Inspections
Total health citations
11
Citations per inspection
3.67
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
All 11 citations resulted from standard inspections.
Breakdown of citation severity (last 3 years)
Critical Health citations
0
0
100% better than New York averageNew York average: 0.2
Serious Health citations
0
0
100% better than New York averageNew York average: 0.2
0 critical citations
0 serious citations
11 moderate citations
0 minor citations
Citations history (last 3 years)
Infection Control moderate citation
Jan 14, 2025
Corrected
Nutrition moderate citation
Jan 14, 2025
Corrected
Nutrition moderate citation
Jan 14, 2025
Corrected
Infection Control moderate citation
Jul 13, 2023
Corrected
Data sourced from CMS Health Deficiencies reports. Citation severity codes range from A (least serious) to L (most serious). Immediate Jeopardy (J-L) citations indicate situations where the facility's noncompliance has placed residents at risk of death or serious harm.
Facility Characteristics
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Ownership: For-Profit LLC
Resident Census by Payment Source
231
Total Residents
Medicare
60
(26%)
ⓘ
Medicaid
99
(42.9%)
ⓘ
Private Pay/Other
72
(31.2%)
ⓘ
Programs & Services
Residents' Group
ⓘ
Family Member Group
ⓘ
Nurse Aide Training
ⓘ
Family Engagement
Active councils help families stay involved in care decisions and facility operations.
Active
Family Council
ⓘ
Active
Resident Council
ⓘ
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
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
7.5
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
7.5
24% better than New York averageNew York average: 9.8
Functional decline score
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
15.4
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
15.4
15% better than New York averageNew York average: 18.1
Long-stay resident measures
Need for Help with Daily Activities Increased
Percent of long-stay residents whose need for help with daily activities has increased
15.0%
Percent of long-stay residents whose need for help with daily activities has increased
15.0%
9% better than New York averageNew York average: 16.4%
Walking Ability Worsened
Percent of long-stay residents whose ability to move independently worsened
10.3%
Percent of long-stay residents whose ability to move independently worsened
10.3%
38% better than New York averageNew York average: 16.6%
Low Risk Residents with Bowel/Bladder Incontinence
Percent of low risk long-stay residents who lose control of their bowels or bladder
20.9%
Percent of low risk long-stay residents who lose control of their bowels or bladder
20.9%
In line with New York averageNew York average: 21.4%
Falls with Major Injury
Percent of long-stay residents experiencing one or more falls with major injury
3.8%
Percent of long-stay residents experiencing one or more falls with major injury
3.8%
27% worse than New York averageNew York average: 3.0%
High Risk Residents with Pressure Ulcers
Percent of long-stay high risk residents with pressure ulcers
3.8%
Percent of long-stay high risk residents with pressure ulcers
3.8%
47% better than New York averageNew York average: 7.2%
Urinary Tract Infection
Percent of long-stay residents with a urinary tract infection
0.0%
Percent of long-stay residents with a urinary tract infection
0.0%
100% better than New York averageNew York average: 1.4%
Lost Too Much Weight
Percent of long-stay residents who lose too much weight
4.5%
Percent of long-stay residents who lose too much weight
4.5%
27% better than New York averageNew York average: 6.1%
Depressive Symptoms
Percent of long-stay residents who have depressive symptoms
44.8%
Percent of long-stay residents who have depressive symptoms
44.8%
147% worse than New York averageNew York average: 18.1%
Antipsychotic Use
Percent of long-stay residents who received an antipsychotic medication
6.8%
Percent of long-stay residents who received an antipsychotic medication
6.8%
46% better than New York averageNew York average: 12.6%
Pneumococcal Vaccine
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
99.9%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
99.9%
9% better than New York averageNew York average: 91.4%
Influenza Vaccine
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
93.1%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
93.1%
In line with New York averageNew York average: 95.2%
Hospitalizations per 1,000 days
Number of hospitalizations per 1,000 long-stay resident days.
2.09
Number of hospitalizations per 1,000 long-stay resident days.
2.09
22% worse than New York averageNew York average: 1.71
ED visits per 1,000 days
Number of outpatient emergency department visits per 1,000 long-stay resident days.
0.97
Number of outpatient emergency department visits per 1,000 long-stay resident days.
0.97
28% better than New York averageNew York average: 1.35
Short-stay resident measures
Pneumococcal Vaccine
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
99.6%
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
99.6%
30% better than New York averageNew York average: 76.6%
Antipsychotic medication increase
Percent of short-stay residents who newly received an antipsychotic medication
0.4%
Percent of short-stay residents who newly received an antipsychotic medication
0.4%
72% better than New York averageNew York average: 1.3%
Influenza Vaccine
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
87.9%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
87.9%
12% better than New York averageNew York average: 78.8%
Re-hospitalized after SNF stay
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
22.4%
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
22.4%
9% worse than New York averageNew York average: 20.6%
Emergency department visits
Percentage of short-stay residents who had an outpatient emergency department visit.
4.6%
Percentage of short-stay residents who had an outpatient emergency department visit.
4.6%
53% better than New York averageNew York average: 9.7%
Falls with major injury
Percentage of SNF residents who experience falls with major injury during their stay.
0.7%
Percentage of SNF residents who experience falls with major injury during their stay.
0.7%
16% better than New York averageNew York average: 0.8%
Ability to care for self at discharge
Percentage of residents at or above expected ability to care for themselves at discharge.
55.1%
Percentage of residents at or above expected ability to care for themselves at discharge.
55.1%
In line with New York averageNew York average: 53.7%
Successful return to home or community
Rate of successful return to home or community from a skilled nursing facility.
58.1%
Rate of successful return to home or community from a skilled nursing facility.
58.1%
15% better than New York averageNew York average: 50.6%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
Financial Trends
Historical financial and operational data for Luxor at Mills Pond Rehabilitation & Nursing Center based on CMS SNF Cost Reports.
Occupancy Rate
91.5%
↓ 2.2pp vs 2022
Net Income
-$61,651
↓ ~$4.9M vs 2022
Total Payroll
$22,438,484
↑ ~$1.5M vs 2022
Profit Margin
-0.1%
↓ 10.0pp vs 2022
Loading trend charts...
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