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The Overall CMS Rating is scored from 1 to 5 stars and 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 is scored from 1 to 5 stars and 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.
Acadia Center for Nursing and Rehabilitation, formerly known as Riverhead Care Center, is located in Riverhead, New York. It has been servicing the East End of Long Island for over 40 years, providing outstanding patient care in a beautiful setting. The facility offers a range of services including rehabilitation therapy, nursing care, and specialized programs for residents.
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.
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.
This home is ranked 160th out of 355 homes in New York.| Staff type | Hours / day | vs state avg |
|---|---|---|
|
Registered Nurse (RN)
RNs hold the highest nursing license and can assess residents, interpret test results, and direct care plans. More RN hours per day often signals stronger clinical oversight and faster response to health changes.
| 37m per day | ▼ 12% State avg: 42m per day · National avg: 41m per day |
|
LPN / LVN
Licensed Practical Nurses (LPNs) or Licensed Vocational Nurses (LVNs) deliver routine hands-on care — medication administration, wound dressing, and monitoring vital signs. They work under RN supervision and make up a large share of daily bedside care.
| 1h 13m per day | ▲ 59% State avg: 46m per day · National avg: 52m per day |
|
Nurse Aide
Certified Nurse Aides (CNAs) provide the most direct day-to-day assistance: bathing, dressing, feeding, and mobility. Nurse aide hours are typically the largest staffing category and directly affect residents' quality of life.
| 2h 10m per day | ■ Avg State avg: 2h 11m per day · National avg: 2h 20m per day |
|
Total Nursing (Weekend)
Combined nursing hours (RN + LPN + Nurse Aide) per resident per day on weekends. Staffing often drops on weekends — this figure reveals whether the facility maintains adequate coverage outside of weekday hours.
| 3h 31m per day | ▲ 11% State avg: 3h 10m per day · National avg: 3h 26m per day |
|
Physical Therapist
Hours per resident per day provided by licensed Physical Therapists (PTs) or PT Assistants. PT services help residents recover mobility after injury or illness and are especially important for post-acute (short-stay) rehabilitation.
| 11m per day | ▲ 57% State avg: 7m per day · National avg: 4m per day |
|
RN (Weekend)
Registered nurse hours specifically on weekends. Facilities sometimes reduce RN presence on Saturdays and Sundays — a low weekend RN figure compared to weekday hours can indicate reduced clinical oversight when most administrative staff are absent.
| 22m per day | ▼ 21% State avg: 28m per day · National avg: 28m per day |
Most residents typically stay for a few weeks or months before returning home or moving on.
68% of new residents, usually for short-term rehab.
16% of new residents, often for short stays.
16% of new residents, often for long-term daily care.
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Rank #231 / 350Payroll — state benchmarkedThis home is ranked 231st out of 350 homes in New York.Shows total annual staff payroll benchmarked to the New York average. Higher payroll investment relative to peers often signals better staffing and less reliance on cheaper contract labor.
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Lower than the New York average: 88.3%Acadia Center for Nursing and Rehabilitation is legally operated by Riverhead Care Center, LLC (For Profit).
How this facility protects residents through staff vaccination policies and immunization practices.
Percentage of facility employees vaccinated against influenza.
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.
Enforcement actions are formal penalties or interventions imposed by New York regulators when a nursing home fails to meet state or federal care, safety, or regulatory standards. They may include directed plans of correction, civil monetary penalties, denial of payment, or appointment of temporary management.
This facility has 2 enforcement actions. 57% of New York nursing homes have zero, and the statewide average is 0.9.
This scorecard compares key inspection, citation, and complaint metrics at this facility against the New York state average. Metrics rated ≥15% worse than average are highlighted in red; those ≥15% better are highlighted in green.
Citations are formal regulatory issues recorded during state inspections.
| Metric | This Facility | NY Average | vs. NY Avg |
|---|---|---|---|
|
Total citations
Formal regulatory issues recorded by inspectors across all inspection types.
| 21 | 29 | This facility has 28% fewer total citations than a typical New York nursing home (21 vs. NY avg 29).↓ 28% better |
|
Health citations
Violations related to resident care, clinical practices, and day-to-day operations.
| 17 | 20 | This facility has 15% fewer health citations than a typical New York nursing home (17 vs. NY avg 20).↓ 15% better |
|
Life safety citations
Violations related to building safety — fire prevention, emergency egress, and similar.
| 4 | 4 | This facility has life safety citations in line with the New York average (4 vs. NY avg 4).— At avg |
|
Citations per year
Average citations per year since 2020.
| 3.5 | 4.8 | This facility has 27% fewer citations per year than a typical New York nursing home (3.5 vs. NY avg 4.8).↓ 27% better |
|
Citations per inspection
Average citations per inspection.
| 2.3 | 3.2 | This facility has 28% fewer citations per inspection than a typical New York nursing home (2.3 vs. NY avg 3.2).↓ 28% better |
State inspections evaluate whether the facility meets health and safety standards.
| Metric | This Facility | NY Average | vs. NY Avg |
|---|---|---|---|
|
Total inspections
Combined count of all routine and focused inspections. Excludes complaint investigations.
| 9 | 9 | This facility has total inspections in line with the New York average (9 vs. NY avg 9).— At avg |
|
Inspections with citations
Inspections that resulted in at least one regulatory citation.
| 2 | 5 | This facility has 60% fewer inspections with citations than a typical New York nursing home (2 vs. NY avg 5).↓ 60% better |
|
Inspection citation rate
Percentage of inspections that resulted in at least one citation.
| 22% | 56% | This facility has 34 percentage points lower inspection citation rate than a typical New York nursing home (22% vs. NY avg 56%).↓ 34% better |
Complaints are formal concerns filed by residents, families, or staff. Investigations are on-site follow-ups.
| Metric | This Facility | NY Average | vs. NY Avg |
|---|---|---|---|
|
Total complaints
Formal expressions of concern made by residents, families, or staff.
| 29 | 79 | This facility has 63% fewer total complaints than a typical New York nursing home (29 vs. NY avg 79).↓ 63% better |
|
Complaints per year
Average complaints per year since 2020.
| 4.8 | 13.2 | This facility has 64% fewer complaints per year than a typical New York nursing home (4.8 vs. NY avg 13.2).↓ 64% better |
|
Complaints per bed
Size-adjusted complaint rate based on occupied beds.
| 0.28 | 0.50 | This facility has 44% fewer complaints per bed than a typical New York nursing home (0.28 vs. NY avg 0.5).↓ 44% better |
|
Complaint investigations
On-site investigations triggered by complaints filed with New York regulators.
| 15 | 15 | This facility has complaint investigations in line with the New York average (15 vs. NY avg 15).— At avg |
An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.
The most recent inspection on September 18, 2024, identified deficiencies related to food sanitation, medication labeling and storage, egress doors, and sprinkler system maintenance, all of which were corrected by November 2024 or earlier. Earlier inspections showed a broader range of issues, including resident assessments, infection control, medication management, and multiple life safety code concerns, which were also addressed in a timely manner. Inspectors cited recurring themes around safety systems and medication handling, with no enforcement actions or fines listed in the available reports. Complaint investigations did not result in any substantiated findings. The facility’s corrections following each inspection suggest attention to resolving identified issues, with no clear pattern of worsening or persistent deficiencies.
Read the full inspection reports for this facility, including detailed findings and corrective actions.
Show Inspection ReportsNew York average 3.6
Last Health inspection on Sep 2024
New York average 18.5
New York average 5.05
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
9 of 10 citations resulted from standard inspections; and 1 of 10 came from combined inspections (standard and complaint).
100% better than New York averageNew York average: 0.2
0
100% better than New York averageNew York average: 0.2
Issues related to food quality, meal service, and resident's nutritional needs.
Sep 18, 2024
Corrected
Issues related to medication management, including how drugs are stored, administered, and monitored.
Sep 18, 2024
Corrected
Issues related to preventing and controlling infections, including hygiene practices and safety protocols.
Feb 07, 2023
Corrected
Issues related to medication management, including how drugs are stored, administered, and monitored.
Feb 07, 2023
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.
Summary of court-record activity tied to this facility, compiled from publicly available case dockets.
Source: State court e-filing records
Every lawsuit on record involving this facility since the earliest filing. Long-term volume signals overall legal exposure.
9
Lawsuits still moving through the courts. Active claims can affect day-to-day operations, settlement risk, and insurance posture.
1
1 active
Cases that have been disposed of — dismissed, settled, or decided. Shows how the facility has historically resolved disputes.
8
8 Disposed
Year of the earliest case on record. A long history with steady filings suggests persistent issues; a recent first filing means newer exposure.
2016
Year of the most recent filing. Recent activity means legal disputes are still being raised against this facility.
2024
Next scheduled court appearance on record across active cases.
May 01, 2026Acadia Center for Nursing and Rehabilitation is located in Riverhead, New York.
Here are the financial assistance programs available to residents in New York.
0.9 miles from city center
Estimated distance in miles from Riverhead's city center to Acadia Center for Nursing and Rehabilitation's address, calculated via Google Maps.
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This data corresponds to Q2 2025 and is based on CMS Payroll-Based Journal.
829% better than New York averageNew York average ratio: 0.18:1
0% compared with New York averageNew York average: 7.7 hours
Manages medical care and health needs.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.2 hoursThis role is partially covered by contractors.
Assists with medical care and medications.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8 hoursThis role is partially covered by contractors.
Helps with daily care and mobility.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8 hoursThis role is partially covered by contractors.
Total hours from contractors
16,081 contractor hours this quarter
| Certified Nursing Assistant | 39 | 38 | 77 | 22,539 | 91 | 100% | 8 |
| Licensed Practical Nurse | 20 | 25 | 45 | 12,100 | 91 | 100% | 8 |
| Clinical Nurse Specialist | 11 | 1 | 12 | 3,246 | 90 | 99% | 6.5 |
| Registered Nurse | 5 | 9 | 14 | 2,323 | 91 | 100% | 7.2 |
| Respiratory Therapy Technician | 0 | 7 | 7 | 1,842 | 76 | 84% | 6.9 |
| Physical Therapy Assistant | 0 | 5 | 5 | 1,409 | 75 | 82% | 6.9 |
| Other Dietary Services Staff | 3 | 0 | 3 | 1,208 | 91 | 100% | 7.5 |
| Mental Health Service Worker | 2 | 0 | 2 | 908 | 65 | 71% | 7.5 |
| Speech Language Pathologist | 0 | 5 | 5 | 612 | 60 | 66% | 6.7 |
| Occupational Therapy Aide | 1 | 1 | 2 | 605 | 84 | 92% | 5 |
| Physical Therapy Aide | 0 | 3 | 3 | 518 | 73 | 80% | 6.3 |
| Administrator | 2 | 0 | 2 | 489 | 65 | 71% | 7.4 |
| Dietitian | 1 | 0 | 1 | 465 | 62 | 68% | 7.5 |
| Nurse Practitioner | 1 | 0 | 1 | 458 | 61 | 67% | 7.5 |
| RN Director of Nursing | 1 | 0 | 1 | 375 | 68 | 75% | 5.5 |
| Qualified Social Worker | 0 | 2 | 2 | 359 | 54 | 59% | 6.6 |
| Medical Director | 0 | 2 | 2 | 195 | 39 | 43% | 5 |
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
113Residents meet regularly to discuss policies, care quality, and activities
Family members meet regularly to discuss policies, care quality, and activities
Organized group of family members that meets regularly to discuss facility policies, resident care, and activities.
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.
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
8.3
16% better than New York averageNew York average: 9.8
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
15.4
15% better than New York averageNew York average: 18.1
CMS star rating based on long-stay quality measure performance. 5 stars = significantly above average, 1 star = significantly below average.
Percent of long-stay residents whose need for help with daily activities has increased
15.4%
6% better than New York averageNew York average: 16.4%
Percent of long-stay residents whose ability to move independently worsened
12.5%
25% better than New York averageNew York average: 16.6%
Percent of low risk long-stay residents who lose control of their bowels or bladder
18.4%
14% better than New York averageNew York average: 21.4%
Percent of long-stay residents experiencing one or more falls with major injury
4.5%
51% worse than New York averageNew York average: 3.0%
Percent of long-stay high risk residents with pressure ulcers
4.1%
43% better than New York averageNew York average: 7.2%
Percent of long-stay residents with a urinary tract infection
0.0%
100% better than New York averageNew York average: 1.4%
Percent of long-stay residents who lose too much weight
4.9%
20% better than New York averageNew York average: 6.1%
Percent of long-stay residents who have depressive symptoms
11.3%
38% better than New York averageNew York average: 18.1%
Percent of long-stay residents who received an antipsychotic medication
8.9%
29% better than New York averageNew York average: 12.6%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
100.0%
9% better than New York averageNew York average: 91.4%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
98.0%
In line with New York averageNew York average: 95.2%
Number of hospitalizations per 1,000 long-stay resident days.
1.19
30% better than New York averageNew York average: 1.71
Number of outpatient emergency department visits per 1,000 long-stay resident days.
1.08
20% better than New York averageNew York average: 1.35
CMS star rating based on short-stay quality measure performance. 5 stars = much above average, 1 star = much below average.
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
99.7%
30% better than New York averageNew York average: 76.6%
Percent of short-stay residents who newly received an antipsychotic medication
0.0%
100% better than New York averageNew York average: 1.3%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
99.4%
26% better than New York averageNew York average: 78.8%
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
17.1%
17% better than New York averageNew York average: 20.6%
Percentage of short-stay residents who had an outpatient emergency department visit.
5.3%
45% better than New York averageNew York average: 9.7%
Percentage of SNF residents who experience falls with major injury during their stay.
0.8%
9% worse than New York averageNew York average: 0.8%
Percentage of residents at or above expected ability to care for themselves at discharge.
54.7%
In line with New York averageNew York average: 53.7%
Rate of successful return to home or community from a skilled nursing facility.
56.1%
11% better than New York averageNew York average: 50.6%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
Federal penalties imposed by CMS for regulatory violations, including civil money penalties (fines) and denials of payment for new Medicare/Medicaid admissions.
Source: CMS Penalties Database
No penalties in the past 3 years
No civil money penalties or payment denials were reported in the last 3 years.
The information below is reported by the New York State Department of Health.
| Acadia Center for Nursing and Rehabilitation |
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. | Riverhead (North Fork) | 181 | 55.8% | -37% | 3.37 | -39% | -6% | 0 | 10 | 3.3 | - | 110 | 35 | Mary Ann Mangels | $21.8M | $7.2M | 32.8% | 335254 | ||||
| Brookhaven Health Care Facility |
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.
CH Care Homes
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.
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. | East Patchogue | 160 | 93.8% | +6% | 4.23 | -4% | +18% | 1 | 14 | 4.7 | 1 | 150 | 12 | Brookhaven Health Care Facility LLC (For Profit) | $46.3M | $13.6M | 29.3% | 335694 | ||||
| Brookside Multicare Nursing 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. | Smithtown | 353 | 86.1% | -2% | 3.92 | +4% | +10% | 1 | 16 | 5.3 | - | 307 | 16 | Emm Healthcare Group LLC | $74.1M | $24.3M | 32.9% | 335175 | ||||
| Apex Rehabilitation & 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. | Huntington Station | 195 | 93.8% | +6% | 3.22 | +82% | -10% | 0 | 30 | 10.0 | - | 179 | 74 | David Efroymson | $49.0M | $9.1M | 18.5% | 335067 |
Historical financial and operational data for Acadia Center for Nursing and Rehabilitation based on CMS SNF Cost Reports.
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Acadia Center for Nursing and Rehabilitation is in the North Fork neighborhood of Riverhead.
The legal owner and operator of Acadia Center for Nursing and Rehabilitation is Riverhead Care Center, LLC (For Profit).
Acadia Center for Nursing and Rehabilitation has a walk score of 35. Somewhat walkable. A few nearby services may be reachable on foot, but most trips require transportation.
According to NY state health department records, Acadia Center for Nursing and Rehabilitation's license number is 5155301N.
Acadia Center for Nursing and Rehabilitation's occupancy is 56%.
Acadia Center for Nursing and Rehabilitation has 181 beds.
Acadia Center for Nursing and Rehabilitation has had 21 recently reported deficiencies.
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