Show Inspection Reports
Total health inspections
3
State average N/A
Last Health inspection on Aug 2024
Mostly short-term rehab stays
Most residents typically stay for a few weeks or months before returning home or moving on.
Surge Rehabilitation and Nursing LLC
Assisted Living in USA
CMS overall rating
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Surge Rehabilitation and Nursing LLC
Assisted Living in USA
CMS overall rating
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Surge Rehabilitation and Nursing LLC is a premier destination for rehabilitation therapy in Middle Island, NY. The facility offers physical, occupational, and speech therapy, as well as pulmonary rehabilitation services. Surge focuses on individualized care plans to meet the medical, social, and emotional needs of each patient.
Quality ratings
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Based on the results of the facility's three most recent standard inspections and any complaint investigations. CMS reviews the number, scope, and severity of deficiencies, with more recent findings weighted more heavily.
Measures average nursing staff hours per resident per day, including Registered Nurses (RNs) and total nursing staff. Ratings are adjusted based on the level of care residents require and are compared to state and national benchmarks.
Based on clinical and physical health indicators reported to CMS, such as hospital readmissions, falls, pressure ulcers, and improvements in mobility. These measures reflect how well residents' health needs are being managed.
Staffing hours breakdown
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.
Total nursing care / resident
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.
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.
3h 22m per day
vs avg
Capacity and availability
Medium-capacity home
Offers a balance of services and community atmosphere.
Total beds
149
This home usually has limited availability
Occupancy is moderate, suggesting balanced demand.
Occupancy rate
91.9%
Avg. Length of Stay
101 days
Occupancy rate
91.9%
Avg. Length of Stay
101 days
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
55% of new residents, usually for short-term rehab.
Typical stay
1 - 2 months
Private pay
23% of new residents, often for short stays.
Typical stay
2 - 3 months
Medicaid
23% of new residents, often for long-term daily care.
Typical stay
8 - 9 months
Finances and operations
Privately-owned community
Operated by a partnership between two or more business owners.
Home revenue
$24.4M
Operating loss
-$2.5M
Privately-owned community
Operated by a partnership between two or more business owners.
Home revenue
$24.4M
Operating loss
-$2.5M
Payroll costs
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
$11.9M
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.
$15.0M
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Total costs
$26.9M
149-bed community
A larger shared setting that may offer more common spaces and organized community services.
About this community
Facility TypeNursing Home
StatusActive
CountySuffolk
License Number5151325N
CMS Certification Number335390
Owner NameSurge Rehabilitation and Nursing, LLC (For Profit)
Rehabilitation Services
Nursing Services
24-Hour Staffing
Specific ProgramsRehabilitation, Pulmonary, Amenities, Success Stories, Gallery, Blog, Contact
Operating HoursOpen 24 hours
Food DescriptionGourmet cuisine available.
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.
4 inspections
Inspections are mandatory, regular evaluations conducted by state health departments or regulatory agencies. They ensure the community provides safe, compliant care, covering areas like resident health, staff and management.
4 with citations, 0 without citations
New York average: 9 inspections (5 with citations)
52 complaints
34.9 complaints per 100 occupied beds
New York average: 49.9 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.
New York average: 79 complaints
Latest inspection
Date
August 13, 2025
Complaint Investigation11 total citations
Citations indicate regulatory violations. A higher number implies the facility had several areas requiring improvement.
New York average: 29 citations
12 deficiencies
Deficiencies indicate regulatory issues. A higher number implies the facility had several areas requiring improvement.
New York average: 22 deficiencies
0
enforcement actions
No actions on recordPenalties or interventions imposed by state regulators when facilities do not comply with quality, safety, or regulatory standards.
Inspection Report Summary for Surge Rehabilitation and Nursing LLC
The most recent inspection on August 13, 2025, identified one deficiency related to misappropriation/exploitation with level 2 severity. Earlier inspections showed a pattern of deficiencies involving care plan development, life safety code issues such as exit signage and building construction, infection preventionist qualifications, and reporting to the national health safety network. No fines, immediate jeopardy findings, or license actions were listed in the available reports. Complaint investigations were not noted as substantiated in these reports. The facility’s inspection history shows recurring issues primarily with care planning and safety code compliance, with some corrections noted over time but no clear trend of overall improvement or worsening.
Health Inspection History
Inspections
Total health citations
5
State average N/A
Citations per inspection
1.67
State average N/A
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
All 5 citations resulted from standard inspections.
Breakdown of citation severity (last 3 years)
Critical Health citations
0
0
In line with State averageState average: N/A
Serious Health citations
0
0
In line with State averageState average: N/A
0 critical citations
0 serious citations
5 moderate citations
0 minor citations
Citations history (last 3 years)
Care Planning moderate citation
Issues related to creating and updating personalized care plans for residents based on their needs and conditions.
Aug 09, 2024
Issues related to creating and updating personalized care plans for residents based on their needs and conditions.
Aug 09, 2024
Corrected
Infection Control moderate citation
Issues related to preventing and controlling infections, including hygiene practices and safety protocols.
Dec 06, 2022
Issues related to preventing and controlling infections, including hygiene practices and safety protocols.
Dec 06, 2022
Corrected
Care Planning moderate citation
Issues related to creating and updating personalized care plans for residents based on their needs and conditions.
Dec 06, 2022
Issues related to creating and updating personalized care plans for residents based on their needs and conditions.
Dec 06, 2022
Corrected
Abuse/Neglect moderate citation
Issues related to protecting resident's from harm, including abuse, neglect, or mistreatment.
Nov 25, 2019
Issues related to protecting resident's from harm, including abuse, neglect, or mistreatment.
Nov 25, 2019
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.
Compare Assisted Living around Usa The information below is reported by the New York State Department of Health.
Filter by care type
| Surge Rehabilitation and Nursing LLC |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence. | Middle Island | 149 | No | - | - | - |
| Job Haines Home |
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
HC Home Care Professional care delivered in the person's own home — from companionship and errands to skilled nursing and therapy. Allows seniors to age in place. Medicare covers skilled home health when medically necessary.
HC Home Care Professional care delivered in the person's own home — from companionship and errands to skilled nursing and therapy. Allows seniors to age in place. Medicare covers skilled home health when medically necessary.
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
RC Respite Care Short-term temporary care — days to weeks — to give family caregivers a break. Full care provided during the stay. Often used after hospitalization or to trial a facility before a permanent placement decision. | Bloomfield (Bloomfield Avenue) | 40 | No | - | 85 | Studio / 1 Bed / Private / Semi-Private Rooms |
| Village Care Homes Assisted Living – Stephen F Austin |
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence. | Conroe (Alden Bridge) | 16 | No | - | 27 | Private / Semi-Private Suite |
| Anton’s Assisted Living |
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence. | Boerne | 10 | No | - | - | - |
| Fenwick Landing Senior Care Community |
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence. | Waldorf | - | No | - | - | - |
Places of interest near Surge Rehabilitation and Nursing LLC
53.4 miles from city center
Estimated distance in miles from Middle Island's city center to Surge Rehabilitation and Nursing LLC's address, calculated via Google Maps.
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Staffing Data (Q2 2025)
This data corresponds to Q2 2025 and is based on CMS Payroll-Based Journal.
Total staff
268
Employees
259
Contractors
9
Staff to resident ratio
2.05:1
0% compared with State averageState average ratio: 0:0
Avg staff/day
94
Average shift
7.4 hours
0% compared with State averageState average: 0 hours
Total staff hours (quarter)
62,920
Nursing staff breakdown
Registered Nurse
Manages medical care and health needs.
Total count
24
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.3 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.3 hoursThis role is partially covered by contractors.
Licensed Practical Nurse
Assists with medical care and medications.
Total count
51
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.6 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.6 hoursNo contractors work on this role.
Certified Nursing Assistant
Helps with daily care and mobility.
Total count
122
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.4 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.4 hoursNo contractors work on this role.
Contractor staffing
Total hours from contractors
3.3%
2,086 contractor hours this quarter
Physical Therapy Aide: 2
Speech Language Pathologist: 2
Respiratory Therapy Technician: 2
Registered Nurse: 2
Medical Director: 1
Staff by category
| Certified Nursing Assistant | 122 | 0 | 122 | 30,235 | 91 | 100% | 7.4 |
| Licensed Practical Nurse | 51 | 0 | 51 | 13,669 | 91 | 100% | 7.6 |
| Registered Nurse | 22 | 2 | 24 | 6,187 | 91 | 100% | 7.3 |
| Other Dietary Services Staff | 16 | 0 | 16 | 4,066 | 91 | 100% | 7.2 |
| Mental Health Service Worker | 3 | 0 | 3 | 1,351 | 64 | 70% | 7.5 |
| Speech Language Pathologist | 9 | 2 | 11 | 1,171 | 43 | 47% | 7.2 |
| Respiratory Therapy Technician | 8 | 2 | 10 | 933 | 52 | 57% | 6.7 |
| Administrator | 2 | 0 | 2 | 923 | 65 | 71% | 7.5 |
| Physical Therapy Aide | 4 | 2 | 6 | 808 | 60 | 66% | 7.1 |
| Clinical Nurse Specialist | 4 | 0 | 4 | 735 | 64 | 70% | 7.5 |
| Physical Therapy Assistant | 10 | 0 | 10 | 647 | 45 | 49% | 6 |
| Occupational Therapy Aide | 2 | 0 | 2 | 632 | 73 | 80% | 6.5 |
| Nurse Practitioner | 1 | 0 | 1 | 450 | 60 | 66% | 7.5 |
| Qualified Activities Professional | 1 | 0 | 1 | 400 | 54 | 59% | 7.4 |
| Dietitian | 1 | 0 | 1 | 390 | 50 | 55% | 7.8 |
| Qualified Social Worker | 3 | 0 | 3 | 163 | 20 | 22% | 6.3 |
| Medical Director | 0 | 1 | 1 | 162 | 42 | 46% | 3.9 |
122 Certified Nursing Assistant
% of Days
100%
51 Licensed Practical Nurse
% of Days
100%
24 Registered Nurse
% of Days
100%
16 Other Dietary Services Staff
% of Days
100%
3 Mental Health Service Worker
% of Days
70%
11 Speech Language Pathologist
% of Days
47%
10 Respiratory Therapy Technician
% of Days
57%
2 Administrator
% of Days
71%
6 Physical Therapy Aide
% of Days
66%
4 Clinical Nurse Specialist
% of Days
70%
10 Physical Therapy Assistant
% of Days
49%
2 Occupational Therapy Aide
% of Days
80%
1 Nurse Practitioner
% of Days
66%
1 Qualified Activities Professional
% of Days
59%
1 Dietitian
% of Days
55%
3 Qualified Social Worker
% of Days
22%
1 Medical Director
% of Days
46%
Facility Characteristics
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
131
Medicare
40
30.5% of residents
Medicaid
79
60.3% of residents
Private pay or other
12
9.2% of residents
Programs & Services
Residents Group
Residents meet regularly to discuss policies, care quality, and activities
Nurse Aide Training
State-approved Nurse Aide Training and Competency Evaluation Program on-site
Active Resident Council
Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.
Data sourced from CMS Long-Term Care Facility Characteristics quarterly report. Payer mix reflects the current resident census by primary payment source.
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.
9.9
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
9.9
In line with State averageState average: 9.8
Functional decline score
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
15.3
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
15.3
16% better than State averageState 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
15.7%
Percent of long-stay residents whose need for help with daily activities has increased
15.7%
5% better than State averageState average: 16.4%
Walking Ability Worsened
Percent of long-stay residents whose ability to move independently worsened
15.6%
Percent of long-stay residents whose ability to move independently worsened
15.6%
6% better than State averageState 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
14.5%
Percent of low risk long-stay residents who lose control of their bowels or bladder
14.5%
32% better than State averageState average: 21.4%
Falls with Major Injury
Percent of long-stay residents experiencing one or more falls with major injury
4.2%
Percent of long-stay residents experiencing one or more falls with major injury
4.2%
40% worse than State averageState average: 3.0%
High Risk Residents with Pressure Ulcers
Percent of long-stay high risk residents with pressure ulcers
4.7%
Percent of long-stay high risk residents with pressure ulcers
4.7%
35% better than State averageState 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 State averageState average: 1.4%
Lost Too Much Weight
Percent of long-stay residents who lose too much weight
9.3%
Percent of long-stay residents who lose too much weight
9.3%
52% worse than State averageState average: 6.1%
Depressive Symptoms
Percent of long-stay residents who have depressive symptoms
19.7%
Percent of long-stay residents who have depressive symptoms
19.7%
9% worse than State averageState average: 18.1%
Antipsychotic Use
Percent of long-stay residents who received an antipsychotic medication
16.1%
Percent of long-stay residents who received an antipsychotic medication
16.1%
28% worse than State averageState average: 12.6%
Pneumococcal Vaccine
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
99.5%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
99.5%
9% better than State averageState average: 91.4%
Influenza Vaccine
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
95.7%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
95.7%
In line with State averageState average: 95.2%
Short-stay resident measures
Pneumococcal Vaccine
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
87.0%
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
87.0%
14% better than State averageState average: 76.6%
Antipsychotic medication increase
Percent of short-stay residents who newly received an antipsychotic medication
1.4%
Percent of short-stay residents who newly received an antipsychotic medication
1.4%
7% worse than State averageState average: 1.3%
Influenza Vaccine
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
77.6%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
77.6%
In line with State averageState average: 78.8%
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 Surge Rehabilitation and Nursing LLC based on CMS SNF Cost Reports.
Occupancy Rate
91.9%
↑ 0.3pp vs 2022
Net Income
-$2.5M
↓ ~$2.9M vs 2022
Total Payroll
$14.1M
↑ ~$1.4M vs 2022
Profit Margin
-10.3%
↓ 11.9pp vs 2022
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