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Best Nursing Homes in Long Island, NY

Reviewed by Dr. Jordan Weiss
Updated Mar 2026
We analyzed 6 homes in Long Island, NY

Sources: CMS Centers for Medicare and Medicaid Services, and New York State Department of Health, Office of Aging and Long Term Care.

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Video Tour: Top-rated Nursing Homes facilities in Long Island, New York State.

Watch this Video to see Long Island's Top-rated Senior Communities

Compare Nursing Homes around Long Island

The information below is reported by the New York State Department of Health.

2 facilities compared · CMS & NY Dept. of Health data

Click column headers to sort
Meadowbrook Care Center
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.

Freeport (West Merrick Road)
280
Facility 280
NY AVG 185
Rank #79 / 752
91.5%
Facility 91.5%
NY AVG 88.3%
Rank #232 / 433
+4%
3.09
Facility 3.09
NY AVG 3.58
Rank #241 / 388
+31%-14%
$0
Facility $0
NY AVG $67.6k
Rank #1 / 395
13
Facility 13
NY AVG 18.5
Rank #126 / 394
4.3
Facility 4.3
NY AVG 5.1
Rank #154 / 394
-
Facility -
NY AVG 0.4
260
75
Facility 75
NY AVG 62
Rank #525 / 1167
Dov Berkowitz
$46.7M
Facility $46.7M
NY AVG $32.0M
Rank #86 / 383
$31.3M
Facility $31.3M
NY AVG $10.7M
Rank #45 / 383
67.1%
Facility 67.1%
NY AVG 37%
Rank #32 / 383
335796
Highfield Gardens Care Center
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.

MC

Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk.

Great Neck (Spinney Hill Homes)
200
Facility 200
NY AVG 185
Rank #172 / 752
18.5%
Facility 18.5%
NY AVG 88.3%
Rank #429 / 433
-79%
3.87
Facility 3.87
NY AVG 3.58
Rank #96 / 388
+12%+8%
$4.9k
Facility $4.9k
NY AVG $67.6k
Rank #289 / 395
15
Facility 15
NY AVG 18.5
Rank #165 / 394
5.0
Facility 5.0
NY AVG 5.1
Rank #213 / 394
-
Facility -
NY AVG 0.4
37
55
Facility 55
NY AVG 62
Rank #743 / 1167
Sorah Bleier
$38.9M
Facility $38.9M
NY AVG $32.0M
Rank #125 / 383
$15.5M
Facility $15.5M
NY AVG $10.7M
Rank #169 / 383
39.7%
Facility 39.7%
NY AVG 37%
Rank #315 / 383
335250
Overview of Meadowbrook Care Center

As a leading advanced rehabilitation and nursing facility in Freeport, New York, Meadowbrook Care Center prides itself on its state-of-the-art medical services that deliver quality and dependable care. With its professional and compassionate care staff, seniors will be immersed in comprehensive medical services that enhance a rejuvenating recovery. The lifestyle at Meadowbrook is focused on leading its residents to reach their fullest potential while maintaining independence and individuality. Meadowbrook Care Center seamlessly blends innovative creativity with committed care, enhancing each individual’s healing journey. Residents will participate in a results-driven approach to rehabilitation and long-term care. This approach includes therapeutic activities, rehabilitative programs (speech, occupational, physical), medication management, diabetes management, specialized meal plans, and ADLs.

Contact Meadowbrook Care Center

Overview of Gurwin Jewish – Fay J. Lindner Residences

Gurwin’s Assisted Living on Long Island aims for an elegant, independent lifestyle with added support. Their assisted living community fosters personalized relationships, creating a social, engaging, and supportive environment. Residents enjoy enriched lives through friendships, fine dining, and various activities.

As part of the Gurwin Healthcare System’s Life Plan Community, residents have priority access to additional assisted living levels of care, ensuring comprehensive support for Long Island’s older adults. The residences within the community offer worry-free living with well-equipped apartments, weekly housekeeping, linen services, and 24-hour security. Transportation services and an onsite beauty salon and barber shop add convenience and luxury, anticipating and meeting residents’ diverse needs for a harmonious and comfortable living experience.

Contact Gurwin Jewish – Fay J. Lindner Residences

Overview of The Bristal at Holtsville

Located within the neighborhood of Holtsville, NY, The Bristal at Holtsville provides families in Suffolk County with an assisted living experience like no other – in services, amenities, and care. The Bristal at Holtsville offers various living options, including independent living, assisted living, and memory care, where their professional and courteous team leads in providing top-of-the-line assistance and care fit to the varying needs of their residents.

Conveniently located near The Brookhaven Wildlife and Ecology Center, the amphitheater at Bald Hill, and the downtown area of Patchogue, residents at The Bristal can visit and enjoy fine restaurants, theaters, and cultural attractions. Dedicated to creating a dynamic and active atmosphere for its residents, the community offers amenities, including a heated outdoor pool, a putting green, a cinema, a fitness center, a full programming calendar, and a pet-friendly community

What does this home offer?

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Pets Allowed

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Room Sizes: 293 / 363 / 619 / 947 sq. ft.

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Housing Options: Studio / 1 Bed / 2 Bed

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Building Type: 3-story

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Transportation Services

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Fitness and Recreation

Contact The Bristal at Holtsville

Overview of Highfield Gardens Care Center

Situated in Great Neck, New York, Highfield Gardens Care Center rises as a meticulously maintained facility offering top-notch rehabilitation and subacute services. With a focus on holistic care, they boast a team of dedicated therapists proficient in physical, occupational, and speech therapies. Beyond the exceptional healthcare services, Highfield Gardens takes pride in its delectable cuisine, ensuring residents enjoy not only nourishing meals but also a delightful dining experience.

Residents can engage in various recreational activities, and the availability of concierge services adds an extra layer of convenience to their daily lives. With 200 beds and participation in Medicare and Medicaid programs, Highfield Gardens Care Center provides a comfortable, supportive, and caring environment for individuals in need of rehabilitation and subacute care.

Contact Highfield Gardens Care Center

Overview of Island Assisted Living

Island Assisted Living is a distinguished community situated in the thriving neighborhood of Hempstead, NY, that offers assisted living. Alongside a variety of purposely built, private, and semi-private rooms, housekeeping and laundry services are also provided to ensure residents feel at ease during their stay. Here, residents also receive top-notch assistance for their daily living activities and healthcare needs from a respectful and well-trained team 24/7.

Focusing on residents’ leisure and wellness, engaging social events and fun activities are conducted. A restaurant-style dining is provided, ensuring residents enjoy delicious and healthy dining options three times daily. The community is a good option for those needing assistance to live comfortably in retirement, especially with its friendly environment and cozy amenities.

What does this home offer?

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Housing Options: Private / Semi-Private Rooms

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Building Type: Mid-rise

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Dining Services

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Housekeeping Services

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Social and Recreational Activities

Contact Island Assisted Living

Overview of Long Beach Assisted Living

Conveniently located in the beautiful setting of Long Beach, NY, Long Beach Assisted Living is an exceptional community that offers assisted living. Here, residents can keep their peace of mind with top-notch care for their daily living activities around the clock. This community is led by a registered nurse, ensuring residents can maintain their independence without worries.

Group exercises, fun social events, and enriching activities are conducted for residents’ enjoyment and wellness. With full-service dining, residents enjoy a variety of dining options that cater to their dietary needs and preferences. The community also accepts payment from SSA, SSI, and Medicaid to ease financial burdens. Residents will surely have the finest retirement experience, accompanied by the community’s dedicated services and state-of-the-art amenities.

What does this home offer?

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Housing options icon

Housing Options: Studio / Semi-Private Rooms

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Building type icon

Building Type: Mid-rise

Dining services icon
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Dining Services

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Social and Recreational Activities

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Exercise Programs

Contact Long Beach Assisted Living

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.

  • CMS data
  • 5 weighted categories
  • Updated quarterly
Full methodology

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 Long Island, 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 6 nursing homes in Long Island, NY. Use the filters and comparison tools above to compare ratings, amenities, and pricing.

How do I choose the right nursing home in Long Island, 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 Long Island, 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 Long Island, 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.