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Sachem Adult Home is a 46-bed licensed Adult Home with an Assisted Living Program (ALP) authorization at 1298 Coates Avenue in Holbrook, New York, in Suffolk County. Owned by Sachem Adult Home and ALP LLC and operated under the Nova Senior Living brand, the facility shares management with The Mansion at South Union and The Cambridge in Washington County. The ALP designation permits a higher level of nursing and personal care than standard adult homes. Staffing operates 24 hours. Pets are not permitted.
Confirmed services include personal care, laundry, assistance with daily activities, health care, and medication management. A mental wellness program is on-site with an Activity Director. According to Oasis Senior Advisors, the facility accommodates residents with mild dementia and includes a fenced rear area, alarmed doors, and pull-cord systems connected to staff and emergency services. Restaurant-style dining is offered. Third-party sources note an outdoor common area, library, and beauty salon.
The New York State Department of Health, Office of Aging and Long Term Care, has conducted six inspections, all with citations, against a state average of nine inspections with five citations. Thirteen total deficiencies have been recorded, against a state average of 22. The most recent inspection on July 7, 2025, a complaint investigation, cited one deficiency related to environmental standards; a plan of correction was approved. Nine complaints are on record at a rate of 19.6 per 100 occupied beds against a state average of 49.9; complaint investigations were unsubstantiated or found no violations. No enforcement actions appear in available reports. The inspection pattern shows recurring but isolated issues in resident services, records, and environmental standards, with no immediate jeopardy findings.
Sachem Adult Home is suited for families seeking an adult home with dementia accommodations within a multi-location management network in Holbrook. Families should ask about the current status of the ALP authorization, specific corrective actions taken following environmental deficiencies, and protocols for mild dementia care before placement.
Luxor at Sayville Rehabilitation and Nursing Center is a highly rated nursing home in Sayville, NY, offering long-term care and rehabilitation. Here, older adults can ease their worries, especially with a nurturing and welcoming environment. Daily housekeeping, laundry, dietitian-approved meals, and 24-hour care are among the high-quality services dedicated to helping residents maintain their independence with ease. Personalized care plans tailored to residents’ unique needs and habits are also provided for their recovery and rehabilitation.
Exercise classes, discussion groups, and celebration encourage residents to explore new hobbies and make friends. With state-of-the-art rehabilitation equipment and naturally-lit common areas, residents can rest and move around comfortably. Set near Sunrise Highway in Sayville, near shops and parks, the community guarantees accessibility and convenience. This nursing home is dedicated to helping older adults live to their potential, making it a good option for senior living in New York.
Island Nursing and Rehab Center provides exceptional skilled nursing, rehabilitation, respite, and hospice care in Holtsville, NY. The facility is part of the Gurwin Healthcare System and offers a range of services tailored to the needs of seniors and adults requiring skilled nursing care. Their commitment to excellence ensures that residents receive compassionate, person-centered care.
Ranking Methodology
How we rank these nursing homes
Every nursing home above is evaluated across five weighted categories using CMS data including Care Compare, Payroll-Based Journal, and Medicare Cost Reports.
Weighting overview
- 35%Care Quality
- 20%Staffing
- 20%Regulatory
- 20%Operational
- 5%Environment
01
Care Quality 35%
The largest single share of every ranking. CMS star ratings and quality measures that reflect actual care delivered to residents.
- Includes
- Overall Rating
- Health Inspection
- QM Rating
- Long-Stay QM
- Short-Stay QM
02
Staffing Adequacy 20%
The strongest predictor of resident outcomes. Volume and stability of nursing care, drawn from CMS Payroll-Based Journal.
- Includes
- Nurse Hrs/Res/Day
- RN vs State
- Total Nurse Staff Hrs vs State
- RN Turnover
03
Regulatory & Safety Record 20%
Inspection patterns that star ratings can mask. We weight per-inspection rates more heavily than raw counts.
- Includes
- Citations
- Citations/Inspection
- Severe Citations
- Fines
- Accreditations
04
Operational & Financial Stability 20%
Stable operations and sound finances are leading indicators of consistent care over time.
- Includes
- Occupancy vs State
- Avg Length of Stay
- Revenue
- Payroll %
- Years in Operation
- Admin Tenure
05
Environment & Accessibility 5%
Context that matters to families but doesn't directly measure clinical care. Weighted lower for nursing homes than for assisted or independent living.
- Includes
- Walk Score
- BBB Rating
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Frequently Asked Questions about Nursing Homes in Holbrook, NY
What's the difference between assisted living and a nursing home in New York?
Assisted living in New York is a residential model focused on housing, hospitality, and help with daily activities. Nursing homes (skilled nursing facilities) provide 24/7 medical care from licensed nurses for residents with significant health needs, and are regulated more strictly under both state and federal CMS rules.
Does New York Medicaid cover nursing home care?
Yes — New York Medicaid covers nursing home care for residents who meet income, asset, and medical-need eligibility requirements. Most CMS-certified nursing homes accept Medicaid as a primary payer once long-term-care eligibility is established.
What is nursing home care?
Nursing homes (also called skilled nursing facilities) provide 24/7 medical care from licensed nurses, rehabilitation services, and long-term custodial care for residents with significant health or functional needs.
How many nursing homes are listed on this page?
This page features 3 nursing homes in Holbrook, NY. Use the filters and comparison tools above to compare ratings, amenities, and pricing.
How do I choose the right nursing home in Holbrook, NY?
Start by matching the level of care offered to the resident's current and anticipated needs, then compare licensing status, staff-to-resident ratios, recent inspection results, and pricing. Tour at least two or three communities in Holbrook, NY, talk to current residents and families, and confirm what is included in the base rate versus billed as add-on services.
What should I look for when visiting nursing homes in Holbrook, NY?
Pay attention to staff interactions with residents, cleanliness and odor, food quality at meal times, the activity calendar, and how questions about pricing and care plans are answered. Ask to see the most recent state inspection report, the move-out / level-of-care-change policy, and a sample monthly bill that lists every fee.
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