Acadia Center for Nursing and Rehabilitation
Nursing Home, Hospice Care, Palliative Care, Respite Care & Skilled Nursing · Riverhead, NY
CMS overall rating Info CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.

Acadia Center for Nursing and Rehabilitation

Nursing Home, Hospice Care, Palliative Care, Respite Care & Skilled Nursing · Riverhead, NY
CMS overall rating Info CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
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Acadia Center for Nursing and Rehabilitation accepts Medicare, Medicaid, and private pay.

Inspection History

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.

Inspection Score Info A composite 0–100 score combining this facility's inspections, citations, complaints, and enforcement actions relative to the New York state average. The score below shows how many points this facility sits above or below the typical New York nursing home score (the benchmark); higher is better.This is a proprietary Assisted Living Magazine score.

1 point above the New York average for nursing homes (83/100)

Rank #277 / 591 in New York Inspection Score — State benchmarked This home is ranked 277th out of 591 homes in New York for inspection score. Shows this facility's inspection score compared to the New York average among 591 comparable communities in the ranking pool. Facilities with the same value for a metric share the same rank. Rankings are based only on facilities in New York that report data for that category. Facilities without available data are excluded from the ranking. This is a proprietary Assisted Living Magazine score. Inspection score: 84 out of 100. Letter grade B. 1 point above the New York average for nursing homes (83/100)

Enforcement Actions Info 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.

Since 2020
2 enforcement actions

This facility has 2 enforcement actions. 33% of New York nursing homes have zero, and the statewide average is 1.6.

  • February 7, 2023 Infection Control #NH-23-055
  • October 27, 2020 Quality of Care #NH-21-096

Inspection Scorecard Info 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.

Since 2020 vs. New York state average
Overall vs. NY average 2 Worse Metrics worse than New York average:
• Total citations (62% above)
• Citations per inspection (64% above)
2 At Avg Metrics at New York average:
• Life safety citations (at NY avg)
• Complaint investigations (at NY avg)
6 Better Metrics better than New York average:
• Health citations (15% below)
• Inspections with citations (50% below)
• Inspection citation rate (50% below)
• Total complaints (63% below)
• Complaints per year (64% below)
• Complaints per bed (44% below)

Citations Info Citations are formal regulatory issues recorded during state inspections.

This FacilityNY Averagevs. NY Avg
Total citations Info Formal regulatory issues recorded by inspectors across all inspection types. 2113 This facility has 62% more total citations than a typical New York nursing home (21 vs. NY avg 13).↑ 62% worse
Health citations Info Citations related to resident care, clinical practices, and day-to-day operations. 1720 This facility has 15% fewer health citations than a typical New York nursing home (17 vs. NY avg 20).↓ 15% better
Life safety citations Info Citations related to building safety — fire prevention, emergency egress, and similar. 44 This facility has life safety citations in line with the New York average (4 vs. NY avg 4).— At avg
Citations per inspection Info Average citations per inspection. 2.31.4 This facility has 64% more citations per inspection than a typical New York nursing home (2.3 vs. NY avg 1.4).↑ 64% worse

Inspections Info State inspections evaluate whether the facility meets health and safety standards.

This FacilityNY Averagevs. NY Avg
Total inspections Info Combined count of all inspections conducted at this facility. 99 This facility has total inspections in line with the New York average (9 vs. NY avg 9).— At avg
Inspections with citations Info Inspections that resulted in at least one regulatory citation. 24 This facility has 50% fewer inspections with citations than a typical New York nursing home (2 vs. NY avg 4).↓ 50% better
Inspection citation rate Info Percentage of inspections that resulted in at least one citation. 22%44% This facility has 22 percentage points lower inspection citation rate than a typical New York nursing home (22% vs. NY avg 44%).↓ 22% better

Complaints & Investigations Info Complaints are formal concerns filed by residents, families, or staff. Investigations are on-site follow-ups.

This FacilityNY Averagevs. NY Avg
Total complaints Info Formal expressions of concern made by residents, families, or staff. 2979 This facility has 63% fewer total complaints than a typical New York nursing home (29 vs. NY avg 79).↓ 63% better
Complaints per year Info Average complaints per year since 2020. 4.813.2 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 Info Size-adjusted complaint rate based on occupied beds. 0.280.50 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 Info On-site investigations triggered by complaints filed with New York regulators. 1515 This facility has complaint investigations in line with the New York average (15 vs. NY avg 15).— At avg

Inspection Reports Summary Info An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.

  • September 18, 2024 complaint survey found 4 deficiencies in food sanitation, drug labeling, egress doors, and sprinkler maintenance, all corrected by November 2024.
  • February 7, 2023 complaint survey found 17 deficiencies including infection control, medication errors, respiratory care, and multiple life safety code violations.
  • All deficiencies from February 2023 and September 2024 complaint surveys were corrected within two months of the inspections.

Health Inspection History

Inspections since 2020
Total health inspections 3

New York average 3.6


Last Health inspection on Sep 2024

Total health citations
10 Rank #76 / 408Health citations — State benchmarkedThis home is ranked 76th out of 408 homes in New York for health citations. Shows this facility's total health deficiency citations benchmarked to the New York State average, with a ranking across all 408 NY facilities. Lower citation counts earn a better rank.Facilities with the same value for a metric share the same rank. Rankings are based only on facilities in New York that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.

New York average 18.5

Citations per inspection
3.33 Rank #84 / 408Citations per inspection — State benchmarkedThis home is ranked 84th out of 408 homes in New York for citations per inspection. Shows average deficiency citations per CMS inspection for this facility versus the New York mean across 408 facilities with citation data. Lower is better.Facilities with the same value for a metric share the same rank. Rankings are based only on facilities in New York that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.

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).

Breakdown of citation severity (last 6 years)
Critical health citations
0
100% better than New York average

New York average: 0.2


Serious health citations
0
100% better than New York average

New York average: 0.2

0 critical citations New York average: 0.2

0 serious citations New York average: 0.2

10 moderate citations New York average: 17.4

0 minor citations New York average: 0.7
Citations history (last 6 years)
Nutrition moderate citation Sep 18, 2024
Corrected

Pharmacy moderate citation Sep 18, 2024
Corrected

Infection Control moderate citation Feb 07, 2023
Corrected

Pharmacy moderate citation Feb 07, 2023
Corrected

Infection Prevention & Vaccination

How this facility protects residents through staff vaccination policies and immunization practices.

Employee Flu Vaccination Rate: 97%

Percentage of facility employees vaccinated against influenza.

Lawsuit overview for Acadia Center for Nursing and Rehabilitation

Summary of court-record activity tied to this facility, compiled from publicly available case dockets.

Source: State court e-filing records

Total Cases Info Every lawsuit on record involving this facility since the earliest filing. Long-term volume signals overall legal exposure. 9
Active Cases Info Lawsuits still moving through the courts. Active claims can affect day-to-day operations, settlement risk, and insurance posture. 1
Closed Info Cases that have been disposed of — dismissed, settled, or decided. Shows how the facility has historically resolved disputes. 8
Since Info Year of the earliest case on record. A long history with steady filings suggests persistent issues; a recent first filing means newer exposure. 2016
Most Recent Info Most recent filing on record. Recent activity means legal disputes are still being raised against this facility. 2024
Next Court Date Info Next scheduled court appearance on record across active cases. May 01, 2026

Staffing Data

Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.

Total staff 214
Employees 81
Contractors 133
Staff to resident ratio 1.89 : 1
981% more staff per resident than New York average
New York average ratio: 0.18 : 1 New York average ratio: 0.18 : 1See full New York ranking
Avg staff/day 74
Average shift 8 hours
0% compared with New York average
New York average: 7.7 hours New York average shift: 7.7 hoursSee full New York ranking
Total staff hours (quarter) 54,269

Nursing staff breakdown

Q4 2025 · Oct 1 – Dec 31 More info This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Registered Nurse

Manages medical care and health needs.

RN Staff Info 19 total: 3 full-time employees and 16 contractors. 19
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 7.9 hours
Licensed Practical Nurse

Assists with medical care and medications.

LPN Staff Info 47 total: 19 full-time employees and 28 contractors. 47
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 7.9 hours
Certified Nursing Assistant

Helps with daily care and mobility.

CNA Staff Info 95 total: 37 full-time employees and 58 contractors. 95
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 8.1 hours

Contractor staffing

Q4 2025 · Oct 1 – Dec 31 More info This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.

Total hours from contractors

45.9%

24,890 contractor hours this quarter

Certified Nursing Assistant: 58 Licensed Practical Nurse: 28 Registered Nurse: 16 Respiratory Therapy Technician: 8 Physical Therapy Assistant: 7 Clinical Nurse Specialist: 4 Qualified Social Worker: 4 Physical Therapy Aide: 3 Speech Language Pathologist: 3 Occupational Therapy Aide: 1 Medical Director: 1

Staff by category

Q4 2025 · Oct 1 – Dec 31 More info This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Certified Nursing Assistant37589523,27392100%8.1
Licensed Practical Nurse19284712,59592100%7.9
Clinical Nurse Specialist114153,98592100%7.2
Registered Nurse316193,54892100%7.9
Respiratory Therapy Technician0882,3307885%7.8
Physical Therapy Assistant0771,9887177%9.1
Other Dietary Services Staff3031,3339199%8.2
Occupational Therapy Aide1129388997%7.1
Mental Health Service Worker2029386571%7.5
Physical Therapy Aide0337626571%9.8
Speech Language Pathologist0336565257%11.9
Administrator2025116773%7.4
Nurse Practitioner1014586166%7.5
Dietitian1014055459%7.5
Medical Director0113854145%9.4
Qualified Social Worker0441583740%3.8
RN Director of Nursing101955%1.8
95 Certified Nursing Assistant
% of Days 100%
47 Licensed Practical Nurse
% of Days 100%
15 Clinical Nurse Specialist
% of Days 100%
19 Registered Nurse
% of Days 100%
8 Respiratory Therapy Technician
% of Days 85%
7 Physical Therapy Assistant
% of Days 77%
3 Other Dietary Services Staff
% of Days 99%
2 Occupational Therapy Aide
% of Days 97%
2 Mental Health Service Worker
% of Days 71%
3 Physical Therapy Aide
% of Days 71%
3 Speech Language Pathologist
% of Days 57%
2 Administrator
% of Days 73%
1 Nurse Practitioner
% of Days 66%
1 Dietitian
% of Days 59%
1 Medical Director
% of Days 45%
4 Qualified Social Worker
% of Days 40%
1 RN Director of Nursing
% of Days 5%

Penalties and fines

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.

Quality of care over time

These measures show how residents usually do over time at this home, based on health outcomes and preventive care.

High-risk clinical events score Info 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 average

New York average: 9.8

Functional decline score Info A composite score based on activities of daily living decline, walking ability decline, and incontinence. 15.4
15% better than New York average

New York average: 18.1

Long-stay resident measures
Significantly above average New York avg: 4.0 Info CMS star rating based on long-stay quality measure performance. 5 stars = significantly above average, 1 star = significantly below average.
Need for Help with Daily Activities Increased Info Percent of long-stay residents whose need for help with daily activities has increased 15.4%
6% better than New York average

New York average: 16.4%

Walking Ability Worsened Info Percent of long-stay residents whose ability to move independently worsened 12.5%
25% better than New York average

New York average: 16.6%

Low Risk Residents with Bowel/Bladder Incontinence Info Percent of low risk long-stay residents who lose control of their bowels or bladder 18.4%
14% better than New York average

New York average: 21.4%

Falls with Major Injury Info Percent of long-stay residents experiencing one or more falls with major injury 4.5%
51% worse than New York average

New York average: 3.0%

High Risk Residents with Pressure Ulcers Info Percent of long-stay high risk residents with pressure ulcers 4.1%
43% better than New York average

New York average: 7.2%

Urinary Tract Infection Info Percent of long-stay residents with a urinary tract infection 0.0%
100% better than New York average

New York average: 1.4%

Lost Too Much Weight Info Percent of long-stay residents who lose too much weight 4.9%
20% better than New York average

New York average: 6.1%

Depressive Symptoms Info Percent of long-stay residents who have depressive symptoms 11.3%
38% better than New York average

New York average: 18.1%

Antipsychotic Use Info Percent of long-stay residents who received an antipsychotic medication 8.9%
29% better than New York average

New York average: 12.6%

Pneumococcal Vaccine Info Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine 100.0%
9% better than New York average

New York average: 91.4%

Influenza Vaccine Info Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine 98.0%
In line with New York average

New York average: 95.2%

Hospitalizations per 1,000 days Info Number of hospitalizations per 1,000 long-stay resident days. 1.19
30% better than New York average

New York average: 1.71

ED visits per 1,000 days Info Number of outpatient emergency department visits per 1,000 long-stay resident days. 1.08
20% better than New York average

New York average: 1.35

Short-stay resident measures
Significantly above average New York avg: 3.5 Info CMS star rating based on short-stay quality measure performance. 5 stars = much above average, 1 star = much below average.
Pneumococcal Vaccine Info Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine 99.7%
30% better than New York average

New York average: 76.6%

Antipsychotic medication increase Info Percent of short-stay residents who newly received an antipsychotic medication 0.0%
100% better than New York average

New York average: 1.3%

Influenza Vaccine Info Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine 99.4%
26% better than New York average

New York average: 78.8%

Re-hospitalized after SNF stay Info Percentage of short-stay residents who were re-hospitalized after their nursing home admission. 17.1%
17% better than New York average

New York average: 20.6%

Emergency department visits Info Percentage of short-stay residents who had an outpatient emergency department visit. 5.3%
45% better than New York average

New York average: 9.7%

Falls with major injury Info Percentage of SNF residents who experience falls with major injury during their stay. 0.8%
9% worse than New York average

New York average: 0.8%

Ability to care for self at discharge Info Percentage of residents at or above expected ability to care for themselves at discharge. 54.7%
In line with New York average

New York average: 53.7%

Successful return to home or community Info Rate of successful return to home or community from a skilled nursing facility. 56.1%
11% better than New York average

New York average: 50.6%

Breakdown by payment type

Medicare

68% of new residents, usually for short-term rehab.

Typical stay 1 - 2 months

Private pay

16% of new residents, often for short stays.

Typical stay 4 - 5 months

Medicaid

16% of new residents, often for long-term daily care.

Typical stay 1 years

Facility Characteristics

Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)

Total residents 113
Medicare
27
23.9% of residents
Medicaid
78
69% of residents
Private pay or other
8
7.1% of residents
Programs & Services
Residents Group

Residents meet regularly to discuss policies, care quality, and activities

Family Member Group

Family members meet regularly to discuss policies, care quality, and activities

Active Family Council

Organized group of family members that meets regularly to discuss facility policies, resident care, and activities.

Active Resident Council

Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.

Finances and operations

Based on CMS SNF Cost Report for fiscal year ending in 12/2023.

For-profit
Corporation
Net patient revenue Info Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
$18.0M
Net patient income Info Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
-$2.0M
For-profit Corporation
Net patient revenue Info Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
$18.0M Rank #274 / 396Revenue — State benchmarkedThis home is ranked 274th out of 396 homes in New York for revenue. Shows this facility's annual revenue compared to the New York average. Higher revenue generally means more resources for staffing and capital — read alongside Payroll %.Facilities with the same value for a metric share the same rank. Rankings are based only on facilities in New York that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Net patient income Info Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
-$2.0M
Other income Info Money the home earns outside of resident care — such as investments, grants, rentals and other non-operating sources (CMS cost report, Worksheet G-3). It is tracked separately from net patient revenue: it is not part of that figure, and it is not included in net patient income.
$388.2K
Payroll costs Info Staff salaries plus wage-related costs — benefits such as payroll taxes, health insurance and retirement — from the home's own accounting records (CMS cost report, Worksheet A). Contract or agency labor is counted separately, under other operating costs. Rank #284 / 396Payroll — State benchmarkedThis home is ranked 284th out of 396 homes in New York for payroll. 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.Facilities with the same value for a metric share the same rank. Rankings are based only on facilities in New York that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
$10.0M 55.6% of net patient revenue Info Payroll as a share of revenue: staff salaries and wage-related benefits divided by net patient revenue. A higher figure means more of each revenue dollar goes to staff pay. Rank #245 / 396Payroll % — State benchmarkedThis home is ranked 245th out of 396 homes in New York for payroll %. Shows payroll as a percentage of revenue versus the New York average. Well-run New York facilities typically land around 53–65% — the top third Statewide. Below 25% may signal understaffing or heavy agency use — read with Staffing ratings.Facilities with the same value for a metric share the same rank. Rankings are based only on facilities in New York that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Other operating costs Info Everything it costs to run the home apart from payroll — food, utilities, supplies, maintenance, contract labor and administration. Calculated as total operating expense minus payroll (staff salaries and wage-related benefits).
$10.0M
Total costs Info The home's total operating expense for the year — all the costs of running it, salaries included (CMS cost report, Worksheet G-3).
$20.0M

Who this home usually serves

TYPE OF STAY

Mostly short-term rehab stays

Most residents typically stay for a few weeks or months before returning home or moving on.

Most new residents arrive under Medicare (68% of admissions), and a typical Medicare stay runs around 1 - 2 months.

Admissions
328 total

Coverage residents most often arrive under.

Medicare 68%
Private pay 16%
Medicaid 16%
Discharges
316 total

Coverage residents most often leave under.

Medicare 70%
Private pay 15%
Medicaid 15%

Places of interest near Acadia Center for Nursing and Rehabilitation

Address 0.9 miles from city center Info Estimated distance in miles from Riverhead's city center to Acadia Center for Nursing and Rehabilitation's address, calculated via Google Maps.

Calculate Travel Distance to Acadia Center for Nursing and Rehabilitation

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Address

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

CMS & NY Dept. of Health data

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RC
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RC
SNF
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NY AVG 160
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Facility 91.2%
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Rank #265 / 410
+5%
2.83
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NY AVG 3.58
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77
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11
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20
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$42.0MFiscal year ending 12/2023
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NH
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NY AVG 160
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Facility 94.0%
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335402
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NH
HOS
PC
RC
SNF
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181
Facility 181
NY AVG 160
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55.8%
Facility 55.8%
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-36%
3.37
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84
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10
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335254

Financial Assistance for
Nursing Home in New York

Acadia Center for Nursing and Rehabilitation is located in Riverhead, New York State.
Here are the financial assistance programs available to residents in New York State.

Get Financial aid guidance

Community First Choice Option

NY Medicaid CFCO

Age 65+ or disabled
General New York resident, Medicaid- eligible, care need (not necessarily nursing home level).
Income Limits (2025) ~$2,829/month 300% FBR, individual
Asset Limits $30,182 individual, higher due to NY Medicaid expansion
NY

Higher asset limit; urban density increases demand.

Benefits
Personal care (5-7 hours/day) Respite care (240 hours/year) Home modifications ($1,500 avg.) Assistive technology ($500 avg.)

Expanded In-Home Services for the Elderly Program (EISEP)

NY EISEP

Age 60+
General New York resident, at risk of decline but not nursing home level.
Income Limits ~$2,500/month individual, varies
Asset Limits $15,000 individual
NY

Cost-sharing required above certain income; urban/rural balance.

Benefits
In-home care (3-5 hours/week) Respite (up to 10 days/year) Case management Transportation (~5 trips/month)

Frequently Asked Questions about Acadia Center for Nursing and Rehabilitation

What neighborhood is Acadia Center for Nursing and Rehabilitation in?

Acadia Center for Nursing and Rehabilitation is in the North Fork neighborhood of Riverhead.

Who is the owner of Acadia Center for Nursing and Rehabilitation?

Acadia Center for Nursing and Rehabilitation is legally operated by Riverhead Care Center, LLC (For Profit).

Is Acadia Center for Nursing and Rehabilitation in a walkable area?

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.

What is the license number of Acadia Center for Nursing and Rehabilitation?

According to NY state health department records, Acadia Center for Nursing and Rehabilitation's license number is 5155301N.

What is the occupancy rate at Acadia Center for Nursing and Rehabilitation?

Acadia Center for Nursing and Rehabilitation's occupancy is 56%.

Are pets allowed at Acadia Center for Nursing and Rehabilitation?

No, Acadia Center for Nursing and Rehabilitation has a no-pet policy.

Does Acadia Center for Nursing and Rehabilitation operate as a for-profit or non-profit?

Acadia Center for Nursing and Rehabilitation is registered as a for-profit in NY.

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