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Best Nursing Homes in Long Island, NY

Why trust this guide? Our editorial team analyzed 4 nursing homes in Long Island, NY using CMS data, inspection records, complaints, amenities, and facility-level details. How we rank nursing homes in NY
Reviewed by
Jordan Weiss, PhD
Last updated
Jun 2026
We analyzed These are the facilities in Long Island, NY our team has analyzed — not a count of every nursing home provider in Long Island, NY.
4 homes
Other senior care options in Long Island:
Assisted Living Memory Care Independent Living

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
Avg Overall CMS Rating: 4.7/ 5The average Overall CMS Rating for all CMS-certified nursing homes in Long Island, NY. Ratings combine health inspections, staffing, and quality measures, with inspections weighted most. Individual facilities can vary widely from this average.
National Average: 3.2/ 5
Avg Staffing Rating: 2.7/ 5The average Staffing Rating across all CMS-certified nursing homes in Long Island, NY. Reflects nursing staff hours per resident per day (including RNs), adjusted for residents' care needs. Individual facilities can vary widely from this average.
National Average: 3.4/ 5
Avg Health Insp. Rating: 4.0/ 5The average Health Inspection Rating across all CMS-certified nursing homes in Long Island, NY. Based on each facility's recent inspections and complaint investigations, weighing the number, scope, and severity of deficiencies. Individual facilities can vary widely from this average.
National Average: 3.0/ 5

Compare Nursing Homes around Long Island

Info below is compiled from CMS reports & the NY State Dept. of Health (NYSDOH), senior community websites & trusted data sources such as Walk Score & BBB.

Communities are listed from highest to lowest based on our ranking methodology.

The facility name. Click to view the full profile page on Assisted Living Magazine, including photos, services, and contact info.
CMS (Centers for Medicare & Medicaid Services, the federal agency that regulates nursing homes) Overall 5-star rating — a composite of Health Inspection, Staffing, and Quality Measures scores. 5 stars = top 10% nationally. 1 star = bottom 10%. The single most important number to start with when comparing facilities.
Care Types in This Table NH (Nursing Home): 24/7 skilled nursing care for residents with complex, ongoing medical needs. SNF (Skilled Nursing Facility): Round-the-clock nursing care, often for recovery after surgery, injury, or illness. MC (Memory Care): Secured, specialized care for people living with Alzheimer's or dementia. RC (Respite Care): Short-term temporary care that gives family caregivers a break. HOS (Hospice Care): Comfort-focused care for those with a terminal illness, prioritizing quality of life over treatment. PC (Palliative Care):
Neighborhood or city area where the facility is located. Proximity to family, hospitals, and green space matters for both quality of life and ease of visitation. Consider drive time and transit access when evaluating location.
Licensed bed capacity. Larger facilities (300+ beds) often have more specialized programs but can feel institutional. Smaller homes (under 150 beds) tend to deliver more personalized care. Compare with Avg Res/Day to understand how full the facility typically runs.
Percentage of licensed beds filled on an average day. Color indicates financial health: green (90%+) = operationally strong, typically profitable. Amber (80–89%) = stable but leaving revenue on the table. Orange (70–79%) = financial strain likely, may struggle with fixed costs. Red (<70%) = significant distress, closure or ownership change risk increases sharply.
This facility's occupancy rate compared to the statewide average for similar facilities. A positive number means above-average demand. Facilities running 5%+ above the state average are typically the most sought-after in their market — a strong proxy for reputation.
CMS-adjusted total nurse hours per resident per day (RN + LPN + CNA combined). The national average is approximately 3.5 hrs. Higher is better — more direct care time per resident. Below 3.0 is a red flag. CMS weights RN hours more heavily because RNs handle complex clinical decisions that CNAs cannot.
CMS Health Inspection star rating (1–5 stars), based on the 3 most recent annual state surveys plus any complaint investigations. This is the hardest rating to manipulate — it reflects real surveyor findings on-site. 5 stars = fewest deficiencies found. 1 star = most. It carries the heaviest weight in the Overall CMS rating.
CMS Staffing star rating (1–5 stars), based on daily nurse staffing hours submitted to CMS via verified payroll data. Compares RN, LPN, and CNA coverage relative to resident acuity level. 5 stars = well above expected staffing. Weekend staffing is evaluated separately, as that's where many facilities quietly reduce coverage.
CMS Quality Measures star rating (1–5 stars), based on 15 clinical outcome metrics including fall rates, pressure ulcers, antipsychotic drug use, and hospital readmissions. Captures actual resident health outcomes, not just compliance. High QM combined with low Health Inspection scores can indicate a facility with strong care but weak documentation practices.
Registered Nurse hours per resident/day compared to the statewide average. RNs are the highest-skilled nursing staff — they assess residents, manage medications, and respond to emergencies. A value of +50% means RN coverage is 50% above the state norm. Negative values are a concern for residents with complex or acute medical needs.
Total nursing staff hours (RN + LPN + CNA combined) per resident/day vs. the statewide average. A broader measure than RN vs State — it captures the entire care team. A facility can have high total staffing but low RN hours, meaning more aides and fewer nurses. Read both columns together for the full picture.
Total dollar amount of federal monetary fines (civil money penalties) issued by CMS in the past 3 years. Fines are only levied for serious violations — typically actual harm to residents, repeated uncorrected deficiencies, or systemic non-compliance. Even a single fine is noteworthy. Multiple fines strongly suggest a pattern, not isolated incidents.
A composite 0–100 score combining this facility's inspections, citations, complaints, and enforcement actions relative to the New York state average. See the benchmark below for the typical New York score; higher is better. This is a proprietary Assisted Living Magazine score.
Total health deficiency citations from the most recent standard inspection cycle. Minor citations (scope A–C) are common and often administrative in nature. Higher counts aren't always disqualifying, but should be read alongside Severe Citations to understand actual harm levels. Under 10 is strong for a large facility; 30+ warrants a closer look.
Average deficiency citations per CMS inspection (survey) in the reporting window — total citations divided by the number of inspections. Lower is better; compare alongside total Citations and Severe Citations for context.
Citations at CMS scope/severity level D or higher — meaning actual harm occurred or residents were placed in immediate jeopardy. Examples include unaddressed falls, medication errors causing injury, neglect, or abuse.
Average number of residents in the building on any given day, derived from annual census data. Reflects true operating scale — a 400-bed facility running 200 residents/day operates very differently from one at 390. Higher resident counts generally mean more funded staffing hours.
Better Business Bureau rating (A+ to F). Reflects complaint history, business transparency, and how family disputes were resolved. A+ means no significant unresolved complaints. A blank (—) means the facility isn't BBB-accredited, which is common for healthcare providers and not necessarily a negative signal.
Walk Score® (0–100). Measures walkability of the surrounding area. 90–100 = Walker's Paradise. 70–89 = Very Walkable. 50–69 = Somewhat Walkable. Below 50 = Car-Dependent. Higher scores benefit family visitors, resident outings, and staff commuting.
The licensed owner or operator of record filed with CMS — the individual or organization legally accountable for the facility. Searching the operator name across other facilities can reveal chain or multi-site ownership, which matters: chain-operated homes tend to have more variable quality outcomes than independently run facilities.
What the home actually collects for resident care, after contractual allowances, bad debt and discounts — not gross billings. Taken from the latest complete annual cost report, so it is comparable across homes reporting the same period. Revenue alone doesn't indicate care quality, but it funds staffing and capital reinvestment. Pair with Payroll %. Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
Staff salaries plus wage-related benefits from the latest complete annual cost report. Contract and agency labour is counted separately, under other operating costs, so a home leaning on agency staff can show a low figure here. Payroll is the cost most directly tied to care quality — compare with Payroll % for full context. Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
Payroll as a share of NET PATIENT REVENUE (not gross revenue). Both figures come from the same cost-report year. A higher figure means more of each revenue dollar goes to staff pay. Read with the Staffing star rating to judge whether spend translates into coverage — and note that homes whose patient revenue covers only part of their operation can read implausibly high. The New York average is: 55.8% Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
CMS Certification Number: the unique federal identifier for this skilled nursing provider.
Meadowbrook Care Center
NH
MC
PC
SNF
Freeport
280
Facility 280
NY AVG 160
Rank #75 / 737
93.9%
Facility 93.9%
NY AVG 87.2
Rank #210 / 408
+8%
3.09
Facility 3.09
NY AVG 3.58
Rank #232 / 389
 +31%-14%
$0
Facility $0
NY AVG $67.6k
Rank #1 / 397
81
Facility 81
NY AVG 83
Rank #390 / 616
13
Facility 13
NY AVG 18.5
Rank #124 / 396
4.3
Facility 4.3
NY AVG 5.1
Rank #149 / 396
-263A+
75
Facility 75
NY AVG 64
Rank #527 / 1,149
Dov Berkowitz
$46.5MFiscal year ending 12/2023
Facility $46.5MFiscal year ending 12/2023
NY AVG $29.2M
Rank #61 / 382
$26.7MFiscal year ending 12/2023
Facility $26.7MFiscal year ending 12/2023
NY AVG $15.4M
Rank #46 / 382
57.3%Fiscal year ending 12/2023
Facility 57.3%Fiscal year ending 12/2023
NY AVG 55.8%
Rank #128 / 381
335796
Excel at Woodbury for Rehabilitation and Nursing, LLC
NH
SNF
Tpke Woodbury
123
Facility 123
NY AVG 160
Rank #396 / 737
95.9%
Facility 95.9%
NY AVG 87.2
Rank #150 / 408
+10%
2.98
Facility 2.98
NY AVG 3.58
Rank #256 / 389
 +14%-17%
$0
Facility $0
NY AVG $67.6k
Rank #1 / 397
90
Facility 90
NY AVG 83
Rank #196 / 616
13
Facility 13
NY AVG 18.5
Rank #124 / 396
4.3
Facility 4.3
NY AVG 5.1
Rank #149 / 396
-118-
32
Facility 32
NY AVG 64
Rank #948 / 1,149
Excel At Woodbury For Rehabilitation And Nursing, LLC (For Profit)
$23.8MFiscal year ending 12/2023
Facility $23.8MFiscal year ending 12/2023
NY AVG $29.2M
Rank #193 / 382
$16.2MFiscal year ending 12/2023
Facility $16.2MFiscal year ending 12/2023
NY AVG $15.4M
Rank #127 / 382
68.1%Fiscal year ending 12/2023
Facility 68.1%Fiscal year ending 12/2023
NY AVG 55.8%
Rank #61 / 381
335231
Highfield Gardens Care Center
NH
HOS
MC
RC
SNF
Great Neck (Spinney Hill Homes)
200
Facility 200
NY AVG 160
Rank #165 / 737
--
3.87
Facility 3.87
NY AVG 3.58
Rank #87 / 389
 +12%+8%
$4.9k
Facility $4.9k
NY AVG $67.6k
Rank #293 / 397
78
Facility 78
NY AVG 83
Rank #434 / 616
15
Facility 15
NY AVG 18.5
Rank #163 / 396
5.0
Facility 5.0
NY AVG 5.1
Rank #210 / 396
-37-
55
Facility 55
NY AVG 64
Rank #746 / 1,149
Sorah Bleier
$38.8MFiscal year ending 12/2023
Facility $38.8MFiscal year ending 12/2023
NY AVG $29.2M
Rank #88 / 382
$15.5MFiscal year ending 12/2023
Facility $15.5MFiscal year ending 12/2023
NY AVG $15.4M
Rank #143 / 382
39.8%Fiscal year ending 12/2023
Facility 39.8%Fiscal year ending 12/2023
NY AVG 55.8%
Rank #318 / 381
335250

Rank badges are statewide: each community is ranked against every NY community we track that reports that metric, not just the 4 analyzed for Long Island.

Nursing Home Explorer
Exterior view of Meadowbrook Care Center building
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Overview of Meadowbrook Care Center
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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.

Phone: (516) 377-8200

Contact Meadowbrook Care Center

Exterior view of the nursing facility entrance
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Overview of Excel at Woodbury for Rehabilitation and Nursing
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Excel at Woodbury for Rehabilitation and Nursing is a 123-bed facility on Jericho Turnpike that mostly handles short-term physical recovery. The building operates at nearly full capacity, and residents typically stay for about 68 days. Payments are handled through standard private pay, Medicare, and Medicaid. Since it sits on a car-dependent stretch of Long Island, visiting family members and employees will generally need a vehicle to get back and forth.

Daily nursing sheets show that the floor staff provides just under three hours of direct care per resident, split between practical nurses and aides. This team runs several specialized clinical tracks designed for complex post-hospital recovery, including amputee rehab, tracheotomy care, and lung conditions. When state health department inspectors reviewed the books, they noted a few recurring issues regarding how the staff handles drug labeling, care plan updates, and resident assessments. The facility corrected those specific issues after each visit, and the state’s registry shows zero official enforcement actions or substantiated resident complaints against the operator.

Families looking over rehabilitation options on Long Island can use these public health files to see how the building operates. The state’s paperwork outlines a busy rehab hub that possesses wide clinical capabilities and a clear complaint history, balanced against standard clerical corrections and modest daily staffing levels.

Phone: (516) 692-4100

Contact Excel at Woodbury for Rehabilitation and Nursing, LLC

Exterior view of Highfield Gardens Care Center building
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Overview of Highfield Gardens Care Center
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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.

Phone: (516) 303-0100

Contact Highfield Gardens Care Center

Exterior view of the Gurwin Jewish assisted living facility
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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.

Phone: (631) 715-8500

Contact Gurwin Jewish – Fay J. Lindner Residences

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
Full methodology →
No paid rankings Facilities cannot pay to influence placement.
Data source Centers for Medicare & Medicaid Services (CMS)
How we're paid: If we help you find a home and you move in, that home may pay us a referral fee. This never affects where they rank or what you pay. Learn more
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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 4 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.

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