Best Assisted Living in USA

San Simeon by the Sound Center for Nursing and Rehabilitation is a 120-bed skilled nursing facility at 61700 Route 48 in Greenport, New York, in Suffolk County, operated as a not-for-profit corporation. The facility has provided care since November 1968. CMS rates the facility 1 star overall, with 1-star health inspection, 2-star staffing, and 4-star quality measures. U.S. News rates it High Performing for short-term rehabilitation and Average for long-term care. Average daily census is approximately 115 residents. The facility accepts Medicare and Medicaid.

Three enforcement actions appear in the public record from the New York State Department of Health within a two-year period: Stipulation and Order NH-23-048 (November 23, 2022), NH-25-005 (December 26, 2023), and NH-25-017 (September 5, 2024). Twenty-three inspections have been conducted across the available record, producing 38 deficiencies and 46 total citations. The most recent, on September 5, 2024, identified multiple deficiencies including immediate jeopardy Level 4 findings related to accident hazards and abuse reporting, all corrected by late 2024. Earlier inspections cited recurring issues with reporting alleged violations, accident hazard prevention, infection control, and medication labeling. Some prior inspection cycles also reached immediate jeopardy level. Sixty-three complaints have been filed, at a rate of 52.5 per 100 occupied beds, above the New York state average of 49.9. No fines appear in the public record.

Total nurse staffing hours per resident per day are 3.41. Confirmed programs include short-term post-acute rehabilitation, medical services, dementia and Alzheimer’s care, palliative care, hospice care, and a Medical Model Adult Day Health Care program operating on campus. A volunteer program is confirmed.

Eastern Long Island Hospital is approximately one mile away.

Families must ask directly about the three enforcement actions issued in a two-year period and the pattern of immediate jeopardy findings before admission.

Momentum at South Bay for Rehabilitation and Nursing is a 160-bed skilled nursing facility at 340 East Montauk Highway in East Islip, New York, in Suffolk County, owned and operated by Suffolk Restorative Therapy and Nursing, LLC, a for-profit limited liability company. The facility holds a 4-star CMS overall rating and is rated High Performing by U.S. News for both short-term rehabilitation and long-term care. It accepts Medicare and Medicaid, operates at approximately 94 percent occupancy with an average daily census of 149.6 residents, and maintains total nurse staffing hours per resident per day of 3 hours 49 minutes, above both the New York state average of 3 hours 34 minutes and the national average.

Named programs include a Diabetes Management and Education Program, an Amputee Rehabilitation Program, Telemetry Monitoring, Clinical Services, and a 30 Day Medicare Program. Additional confirmed clinical services include cardiology and vascular monitoring, wound care, and post-COVID-19 rehabilitation. Six confirmed amenities are on record: rooms, spa-like care, a bakery and cafe, outdoor gardens, a gym, and dining options.

Eight inspections have been conducted by the New York State Department of Health, producing 16 deficiencies and 12 total citations. The most recent, a complaint investigation on September 9, 2025, identified Level 2 deficiencies in care planning, infection control, pain management, and physician supervision, described as isolated without severe systemic patterns. Earlier inspections cited recurring issues in infection prevention and control, health safety network reporting, and some medication management and food safety matters, corrected in a timely manner. Sixty complaints have been filed, at a rate of 37.5 per 100 occupied beds, below the New York state average of 49.9. Two enforcement actions are on record from the New York State Department of Health: Stipulation and Order NH-16-168 (September 15, 2015) and Stipulation and Order NH-23-029 (September 9, 2022). No fines, immediate jeopardy findings, or license actions appear in the public record.

Northwell Health facilities are accessible within the broader South Shore region.

Families should ask directly about the specific corrective measures implemented following the September 2025 care planning and infection control deficiencies before placement.

Maria Regina Rehabilitation and Nursing is a 188-bed skilled nursing facility at 1725 Brentwood Road in Brentwood, New York, in Suffolk County, owned and operated by Optima Care Brentwood, LLC, a for-profit partnership within the Optima Care network. The facility holds 188 certified beds, all private rooms, set on a 212-acre campus. CMS rates the facility 4 stars overall, above the New York state average of 3.33. It accepts Medicare and Medicaid.

Average daily census is approximately 171 residents, an occupancy rate of approximately 91 percent. Total nurse staffing hours per resident per day are 4.75, well above the New York state average of 3.7. Nurse turnover stands at 24.9 percent, below the state average of 40.7 percent. Confirmed amenities include all-private rooms, a garden courtyard, a chapel with religious services, a resident dining room, and a beauty and nail salon. Confirmed services include short-term rehabilitation, long-term nursing care, adult day care, Alzheimer’s and dementia care, stroke rehabilitation and recovery, and hospice and palliative care. A volunteer program is confirmed.

The New York State Department of Health conducted five inspections, producing 26 deficiencies and 40 total citations. The most recent, a complaint investigation on January 28, 2025, identified multiple quality of care and life safety deficiencies, all corrected by March 19, 2025. Earlier inspections cited staffing, care planning, medication labeling, fire safety system maintenance, accident hazards, and nursing staff competence, with all issues addressed promptly. Thirty complaints have been filed. One enforcement action is on record: Stipulation and Order #NH-24-063, dated April 23, 2024. One fine of $8,511.75 has been recorded. No immediate jeopardy findings or license actions appear in the public record.

Published reviewer sentiment is mixed, with accounts describing friendly staff, clean facilities, and effective rehabilitation, alongside concerns about staffing responsiveness during off-hours.

Maria Regina Rehabilitation and Nursing is suited for individuals seeking short-term rehabilitation, long-term nursing care, or dementia care in Brentwood with above-average staffing levels and all-private-room accommodations.

Jefferson’s Ferry is Long Island’s first Life Plan Community, a not-for-profit Continuing Care Retirement Community at One Jefferson Ferry Drive in South Setauket, Suffolk County, New York, owned by Active Retirement Community Inc. Newsweek ranked it #1 in New York State and #28 nationally in its 2026 America’s Best CCRCs list, placing it in the top 1.5% of approximately 1,900 communities nationwide. The Vincent Bove Health Center, its named on-site health facility, carries a 5/5 CMS Overall Star Rating across all five subcategories, and U.S. News & World Report designated it a Best Nursing Home for 2026 with High Performing ratings in both Short-Term Rehabilitation and Long-Term Care simultaneously.

The community has been Medicare and Medicaid certified since November 6, 2001. Its defining feature is the Life Care contract: residents entering independent living receive guaranteed access to assisted living, memory support, and skilled nursing at predictable rates with little to no increase over their independent living monthly fee. The campus holds 248 independent living units, 60 private assisted living apartments, and 60 private skilled nursing rooms. Minimum admission age is 62. Those entering directly into assisted living from outside the community pay approximately $256 per day.

The New York State Department of Health, Office of Aging and Long Term Care is the inspecting body. Four inspections are on record, all with citations, against a state average of nine with five carrying citations. The most recent, a complaint investigation on June 13, 2025, identified 6 citations and 7 deficiencies against state averages of 29 and 22. The one deficiency related to freedom from abuse and neglect was corrected by July 31, 2025. Earlier inspections cited isolated life safety and resident rights issues, all corrected within reasonable timeframes. No enforcement actions or fines appear in the record. Thirty complaints have been filed at a rate of 50 per 100 occupied beds, marginally above the state average of 49.9; none were substantiated.

The Pinnacle Quality Insight Customer Experience Award for skilled nursing has been received six consecutive years. Fitch Ratings upgraded the community to BBB+ with a Stable Outlook in September 2025. Waitlists exist for one-bedroom-with-den and larger units, consistent with the high occupancy the Fitch upgrade reflects. Confirmed amenities include a fitness center, indoor pool, wood shop, movie theater, library, beauty and barber salon, restaurants, and gardens. Chef-prepared meals, housekeeping, medication management, and personal care are all included. Vision and dental care are available on-site.

Stony Brook University Hospital, ranked 10th in New York and High Performing in 19 procedures, is 2.2 miles away. John T. Mather Memorial Hospital in Port Jefferson is 3.0 miles distant.

Jefferson’s Ferry suits active adults 62 and older planning ahead for the full care continuum, particularly those for whom the financial predictability of a Life Care contract is a priority. Families evaluating direct skilled nursing or assisted living admission should ask about the corrective actions following the June 2025 inspection and note that the complaint rate sits marginally above the state average.

Massena Rehabilitation and Nursing Center is a 160-bed skilled nursing facility at 89 Grove Street in Massena, St. Lawrence County, New York, owned by MARNC Operating, LLC, a for-profit entity affiliated with Personal Healthcare Management. The facility accepts Medicare and Medicaid. Approximately 143 residents are in residence on an average daily basis. An automatic sprinkler system and a family council are both confirmed.

CMS rates the facility 1/5 stars overall, with a 1/5 health inspection rating, a 2/5 staffing rating, and a 2/5 quality measures rating, all below New York state averages of 2.81, 2.53, and 4.19 respectively. Nurse hours per resident per day average 3.18 against a state average of 3.6; licensed nursing hours average 0.9 per day against a national average of 1.4. Nurse turnover is 69.8%, well above the state average of 40.6%. U.S. News rates short-term rehabilitation as Evaluated and long-term care As Expected for 2026.

Nine inspections are on record with the New York State Department of Health, Office of Aging and Long Term Care, all with citations, matching the state average of 9 with 5 carrying citations. The most recent, a complaint investigation on August 15, 2025, identified 65 total citations and 41 deficiencies, substantially above New York state averages of 29 and 22. Deficiencies spanned bedrails, behavioral health services, food procurement, infection control, resident rights, and safety systems. Earlier inspections showed recurring issues in quality of care, nutrition, hydration, and NHSN reporting. Two enforcement actions are on record: Stipulation and Order NH-23-098, dated June 28, 2023, and Stipulation and Order NH-18-014, dated June 5, 2017. The inspection summary describes no clear pattern of overall improvement. 235 complaints have been filed at a rate of 146.9 per 100 occupied beds, nearly three times the New York state average of 49.9.

Confirmed services include short-term rehabilitation, long-term care, skilled nursing, clinical labs, dental care, dietary services, housekeeping, mental health, occupational therapy, pharmacy, physician, podiatry, physical therapy, social work, speech pathology, and therapeutic activities. Massena Hospital is approximately a five-minute drive away.

Families evaluating Massena Rehabilitation and Nursing Center should review the full August 2025 inspection report, ask directly about corrective actions taken on recurring deficiencies, and ask about current nursing staffing levels and turnover before making a placement decision.

Pine Valley Center for Rehabilitation and Nursing is a 160-bed skilled nursing facility at 661 North Main Street in Spring Valley, Rockland County, New York, owned by Pine Valley Center, LLC, a for-profit entity. Medicare and Medicaid certified since May 14, 1969. Current residents number 154, an occupancy rate of 76.8%, below the New York state average of 78.6%. The payer mix is 74.7% Medicaid, 14.9% private pay, and 10.4% Medicare. An active resident council and a state-approved nurse aide training program are confirmed on-site.

CMS rates the facility 3/5 stars overall: 3/5 health inspection, 4/5 staffing, and 3/5 quality measures. Total nursing hours average 4 hours and 12 minutes per resident per day. Q2 2025 staffing totals 18 RNs, 30 LPNs, and 82 CNAs, all employees with zero contractor hours reported. U.S. News rates both short-term rehabilitation and long-term care As Expected for 2026.

Five inspections are on record with the New York State Department of Health, Office of Aging and Long Term Care, all with citations, against a state average of 9 with 5 carrying citations. The most recent, a complaint investigation on December 2, 2024, identified 15 citations and 22 deficiencies, at the state average of 22. Deficiencies covered abuse reporting, infection prevention, nurse aide training, and reporting violations; all corrected by January 31, 2025. A health inspection in October 2025 cited one additional abuse and neglect moderate citation. All citations in the inspection history are classified as moderate; zero critical or serious citations appear on record. Zero enforcement actions. Forty-seven complaints at 29.4 per 100 occupied beds, well below the state average of 49.9.

Quality measures split meaningfully. Falls with major injury are 82% better than the state average; depressive symptoms 98% better; UTI rate 61% better. Against those, functional decline runs 41% worse, walking ability worsened 46% worse, and bowel and bladder incontinence 42% worse. Confirmed care types include long-term care, short-term rehabilitation, sub-acute care, hospice, and respite care. Kosher dining is confirmed and meals are included. Good Samaritan Hospital Medical Center is in close proximity in Rockland County.

Pine Valley suits seniors in Rockland County seeking short-term rehabilitation or long-term skilled nursing. Families considering long-term placement should ask clinical staff directly about the functional decline and mobility quality measures before deciding.

Fulton Center for Rehabilitation and Healthcare is a 176-bed for-profit nursing facility in Gloversville, Fulton County, established in 1967. It provides short-term rehabilitation, long-term care, and skilled nursing services as part of Centers Health Care network. Medicare and Medicaid certified with 94 percent occupancy averaging 166 residents, it maintains family councils. The facility occupies a scenic Mohawk Valley setting.

Fulton Center received a one-star overall CMS rating, significantly below state average of 3.33 and national average of 3.32. Health inspection rating is one star; staffing rating is one star; quality measures rating is three stars. Recent health inspection on November 16, 2023 documented 14 deficiencies, 205 complaints, and 13 total citations. The facility incurred one federal fine of $10,120. The one-star staffing rating reflects critically understaffed registered nurse hours per resident. This is a major concern for resident safety and care coordination. The exceptionally high complaint-to-deficiency ratio (205 complaints versus 14 deficiencies) suggests systemic operational or communication challenges not fully captured in inspection findings. Quality measures rate three stars, slightly underperforming state and national standards, indicating gaps in clinical care outcomes.

Fulton Center offers physical therapy, occupational therapy, speech-language pathology, dental care, psychiatry, and skilled nursing services. The RehabStrong program emphasizes individualized rehabilitation planning and cutting-edge rehabilitation technology supporting resident recovery goals. Activities programming, community engagement, and physician oversight support comprehensive resident care. Automatic sprinkler systems provide fire safety infrastructure.

Family and resident feedback presents stark contrasts. Positive reviews praise dedicated physical and occupational therapy teams, compassionate nursing aides, professional administrative staff, and warm facility atmosphere. Negative reviews from EveryPlace report severe neglect, unsanitary conditions, communication failures, and unresponsive staff, indicating substantial quality consistency concerns requiring direct verification.

Fulton Center is suited only for families who conduct unannounced in-person visits during evening or weekend hours to verify November 2023 deficiency corrections, independently assess facility cleanliness and staffing responsiveness, confirm registered nurse staffing meets medical complexity needs, and can tolerate a one-star rating despite three-star quality measures.

Riverside Center for Rehabilitation and Nursing is an 80-bed skilled nursing facility at 90 North Main Street in Castleton-on-Hudson, Rensselaer County, New York, owned by RSRNC, LLC, a for-profit entity. The facility accepts Medicare and Medicaid. A resident and family council status is not listed in the available source data.

CMS rates the facility 2/5 stars overall: 2/5 health inspection, 4/5 staffing, and 3/5 quality measures. U.S. News rates short-term rehabilitation as Evaluated for 2026. One fine of $7,901 is on record.

Four inspections are on record with the New York State Department of Health, Office of Aging and Long Term Care, all with citations, against a state average of 9 with 5 carrying citations. The most recent, a complaint investigation on July 12, 2023, identified 12 total citations and 13 deficiencies, below the New York state averages of 29 and 22. Deficiencies covered privacy, food sanitation, the infection preventionist role, pest control, resident rights, environment, and gas equipment handling. Earlier inspections cited accident hazards, supervision, abuse and neglect, reporting violations, and staff vaccination compliance. Three enforcement actions are on record: Stipulation and Order NH-23-081 dated December 9, 2022; Stipulation and Order NH-23-060 dated April 13, 2021; and Stipulation and Order NH-18-030 dated March 15, 2018. The inspection summary describes ongoing compliance challenges without a clear pattern of improvement or worsening. 102 complaints have been filed at a rate of 127.5 per 100 occupied beds, more than twice the New York state average of 49.9.

Confirmed care types include long-term care, short-term rehabilitation, nursing care, medical care, Alzheimer’s and dementia care, social services, and additional clinical care services. Named ancillary services include audiology, dental, medical social services, nutritional services, optometry, pharmaceutical services, physician services, psychology, occupational therapy, physical therapy, and speech language pathology.

Columbia Memorial Health in Hudson, NY is the nearest regional hospital, approximately 15 miles south.

Riverside Center suits seniors in the Hudson River Valley seeking skilled nursing or short-term rehabilitation in a smaller facility. Families should review the three enforcement actions and the complaint rate, which runs substantially above the state average, before making a placement decision.

Peninsula Nursing and Rehabilitation Center is a 200-bed skilled nursing facility at 50-15 Beach Channel Drive in Far Rockaway, Queens County, New York, owned by Cardiff Bay Care Center, LLC, a for-profit entity. Medicare and Medicaid certified since April 18, 1973. Current residents number approximately 178. A resident and family council and an automatic sprinkler system are both confirmed.

CMS rates the facility 4/5 stars overall. U.S. News rates both short-term rehabilitation and long-term care As Expected for 2026. Zero fines and zero substantiated complaints appear in the CMS record. One facility incident is on record.

Six inspections are on record with the New York State Department of Health, Office of Aging and Long Term Care, against a state average of 9. The most recent, a complaint investigation on July 3, 2024, identified 21 total citations and 21 deficiencies, both at or below the New York state averages of 29 and 22. Five Level 2 deficiencies covered infection prevention and control, Medicaid and Medicare notices, physician visits, dental services, and gas equipment storage; most corrected by August 23, 2024. Earlier inspections showed recurring citations involving NHSN reporting, accident hazard supervision, and life safety code and environmental concerns, generally corrected within a few months. Zero enforcement actions are on record. Eighty-three complaints have been filed at a rate of 41.5 per 100 occupied beds, below the New York state average of 49.9.

Confirmed programs include 24-hour skilled nursing, short-term and long-term rehabilitation, cardiac rehabilitation, physical, occupational, and speech therapy, respiratory therapy, enteral nutrition therapy, IV therapy, pain management, hospice, palliative care, pre- and post-operative care, and a secure dementia unit. A rooftop solarium, beauty parlor and barber shop, religious services for all denominations, a family and friends transport program, therapeutic recreation, pet visitation, and trips and entertainment are all confirmed. Specialist physician services encompass neurology, physiatry, cardiology, pulmonology, dermatology, podiatry, orthopedics, vascular surgery, ENT, dentistry, psychology, psychiatry, and ophthalmology. St. John’s Episcopal Hospital at South Shore is approximately 0.43 miles away.

Peninsula suits seniors in Queens seeking skilled nursing, post-acute rehabilitation, or long-term care within a large-capacity facility carrying a 4-star CMS rating and a complaint rate below the state average.