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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.
Affinity Skilled Living and Rehabilitation Center is located in Oakdale, Long Island. It offers short-term rehabilitation and long-term skilled nursing care, specializing in orthopedic, neurological, cardiac, and pulmonary rehabilitation. The facility provides a range of services including physical, occupational, speech, and recreational therapy.
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 223rd out of 347 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.
| 44m per day | ▲ 5% 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.
| 44m per day | ▼ 4% 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 20m per day | ▲ 7% 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 23m per day | ▲ 7% 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.
| 10m per day | ▲ 43% 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.
| 28m per day | ■ Avg 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.
77% of new residents, usually for short-term rehab.
8% of new residents, often for short stays.
15% 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 #64 / 344Payroll — state benchmarkedThis home is ranked 64th out of 344 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.
Higher than the New York average: 88.3%Affinity Skilled Living and Rehabilitation Center is legally operated by Oakwood Operating Company, 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 State, 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 State 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 State 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 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.
| 57 | 29 | This facility has 97% more total citations than a typical New York State nursing home (57 vs. NY avg 29).↑ 97% worse |
|
Health citations
Violations related to resident care, clinical practices, and day-to-day operations.
| 52 | 20 | This facility has 160% more health citations than a typical New York State nursing home (52 vs. NY avg 20).↑ 160% worse |
|
Life safety citations
Violations related to building safety — fire prevention, emergency egress, and similar.
| 5 | 4 | This facility has 25% more life safety citations than a typical New York State nursing home (5 vs. NY avg 4).↑ 25% worse |
|
Citations per year
Average citations per year since 2020.
| 9.5 | 4.8 | This facility has 98% more citations per year than a typical New York State nursing home (9.5 vs. NY avg 4.8).↑ 98% worse |
|
Citations per inspection
Average citations per inspection.
| 2.3 | 3.2 | This facility has 28% fewer citations per inspection than a typical New York State 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.
| 25 | 9 | This facility has 178% more total inspections than a typical New York State nursing home (25 vs. NY avg 9).↑ 178% worse |
|
Inspections with citations
Inspections that resulted in at least one regulatory citation.
| 5 | 5 | This facility has inspections with citations in line with the New York State average (5 vs. NY avg 5).— At avg |
|
Inspection citation rate
Percentage of inspections that resulted in at least one citation.
| 20% | 56% | This facility has 36 percentage points lower inspection citation rate than a typical New York State nursing home (20% vs. NY avg 56%).↓ 36% 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.
| 95 | 79 | This facility has 20% more total complaints than a typical New York State nursing home (95 vs. NY avg 79).↑ 20% worse |
|
Complaints per year
Average complaints per year since 2020.
| 15.8 | 13.2 | This facility has 20% more complaints per year than a typical New York State nursing home (15.8 vs. NY avg 13.2).↑ 20% worse |
|
Complaints per bed
Size-adjusted complaint rate based on occupied beds.
| 0.36 | 0.50 | This facility has 28% fewer complaints per bed than a typical New York State nursing home (0.36 vs. NY avg 0.5).↓ 28% better |
|
Complaint investigations
On-site investigations triggered by complaints filed with New York State regulators.
| 49 | 15 | This facility has 227% more complaint investigations than a typical New York State nursing home (49 vs. NY avg 15).↑ 227% worse |
An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.
The most recent inspection of Affinity Skilled Living and Rehabilitation Center on September 30, 2025, had no deficiencies. Earlier inspections showed a pattern of multiple deficiencies and quality of care issues, with enforcement actions including stipulations and fines in 2020 and 2023. No complaint investigations were noted in the available reports. Enforcement actions were documented in prior years but were not listed in the most recent inspection. This suggests improvement in compliance and care since the last cited deficiencies.
Read the full inspection reports for this facility, including detailed findings and corrective actions.
Show Inspection ReportsNew York State average 3.6
Last Health inspection on Sep 2024
New York State average 18.5
New York State average 5.05
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
20 of 24 citations resulted from standard inspections; and 4 of 24 came from combined inspections (standard and complaint).
100% better than New York State averageNew York State average: 0.2
1
400% worse than New York State averageNew York State average: 0.2
Issues related to preventing and controlling infections, including hygiene practices and safety protocols.
Sep 11, 2024
Corrected
Issues related to food quality, meal service, and resident's nutritional needs.
Sep 11, 2024
Corrected
Issues related to medication management, including how drugs are stored, administered, and monitored.
Sep 11, 2024
Corrected
Issues related to how well residents receive appropriate treatment and support for their medical and daily care needs.
Sep 11, 2024
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.
22
Lawsuits still moving through the courts. Active claims can affect day-to-day operations, settlement risk, and insurance posture.
9
8 active · 1 restored
Cases that have been disposed of — dismissed, settled, or decided. Shows how the facility has historically resolved disputes.
12
12 Disposed
Year of the earliest case on record. A long history with steady filings suggests persistent issues; a recent first filing means newer exposure.
2014
Year of the most recent filing. Recent activity means legal disputes are still being raised against this facility.
2026
Next scheduled court appearance on record across active cases.
Apr 23, 2026Affinity Skilled Living and Rehabilitation Center is located in Oakdale, New York.
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0.9 miles from city center
Estimated distance in miles from Oakdale's city center to Affinity Skilled Living and Rehabilitation Center's address, calculated via Google Maps.
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This data corresponds to Q2 2025 and is based on CMS Payroll-Based Journal.
674% 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.
8.6 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.
7.6 hoursNo contractors work on this role.
Helps with daily care and mobility.
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.
Total hours from contractors
14,457 contractor hours this quarter
| Certified Nursing Assistant | 136 | 29 | 165 | 53,769 | 91 | 100% | 7.2 |
| Registered Nurse | 51 | 23 | 74 | 19,858 | 91 | 100% | 8.6 |
| Licensed Practical Nurse | 49 | 0 | 49 | 17,335 | 91 | 100% | 7.6 |
| Respiratory Therapy Technician | 4 | 10 | 14 | 4,249 | 88 | 97% | 7.3 |
| Physical Therapy Assistant | 2 | 11 | 13 | 3,495 | 86 | 95% | 7.1 |
| Other Social Services Staff | 8 | 0 | 8 | 2,225 | 90 | 99% | 7.1 |
| Mental Health Service Worker | 5 | 0 | 5 | 2,077 | 64 | 70% | 7.1 |
| Dental Services Staff | 4 | 0 | 4 | 1,707 | 89 | 98% | 7.2 |
| Occupational Therapy Aide | 4 | 0 | 4 | 992 | 74 | 81% | 6.9 |
| Qualified Social Worker | 2 | 0 | 2 | 893 | 77 | 85% | 6.9 |
| Other Dietary Services Staff | 1 | 0 | 1 | 441 | 61 | 67% | 7.2 |
| Occupational Therapy Assistant | 0 | 3 | 3 | 126 | 38 | 42% | 3.2 |
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
252Residents meet regularly to discuss policies, care quality, 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.
10.5
6% worse than New York State averageNew York State average: 9.8
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
15.9
12% better than New York State averageNew York State 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
18.4%
12% worse than New York State averageNew York State average: 16.4%
Percent of long-stay residents whose ability to move independently worsened
18.9%
14% worse than New York State averageNew York State average: 16.6%
Percent of low risk long-stay residents who lose control of their bowels or bladder
10.3%
52% better than New York State averageNew York State average: 21.4%
Percent of long-stay residents experiencing one or more falls with major injury
1.6%
47% better than New York State averageNew York State average: 3.0%
Percent of long-stay high risk residents with pressure ulcers
9.3%
29% worse than New York State averageNew York State average: 7.2%
Percent of long-stay residents with a urinary tract infection
5.9%
319% worse than New York State averageNew York State average: 1.4%
Percent of long-stay residents who lose too much weight
4.1%
33% better than New York State averageNew York State average: 6.1%
Percent of long-stay residents who have depressive symptoms
17.3%
In line with New York State averageNew York State average: 18.1%
Percent of long-stay residents who received an antipsychotic medication
5.6%
56% better than New York State averageNew York State average: 12.6%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
94.5%
In line with New York State averageNew York State average: 91.4%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
90.8%
5% worse than New York State averageNew York State average: 95.2%
Number of hospitalizations per 1,000 long-stay resident days.
1.20
30% better than New York State averageNew York State average: 1.71
Number of outpatient emergency department visits per 1,000 long-stay resident days.
0.78
42% better than New York State averageNew York State 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
83.9%
10% better than New York State averageNew York State average: 76.6%
Percent of short-stay residents who newly received an antipsychotic medication
1.2%
In line with New York State averageNew York State average: 1.3%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
80.4%
In line with New York State averageNew York State average: 78.8%
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
19.6%
5% better than New York State averageNew York State average: 20.6%
Percentage of short-stay residents who had an outpatient emergency department visit.
6.3%
35% better than New York State averageNew York State average: 9.7%
Percentage of SNF residents who experience falls with major injury during their stay.
0.3%
60% better than New York State averageNew York State average: 0.8%
Percentage of residents at or above expected ability to care for themselves at discharge.
54.5%
In line with New York State averageNew York State average: 53.7%
Rate of successful return to home or community from a skilled nursing facility.
46.5%
8% worse than New York State averageNew York State 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 (Data as of Jan 2026)
13% higher than New York State averageNew York State average: $66K
51% fewer fines than New York State averageNew York State average: 2.0
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
1
759% more payment denials than New York State averageNew York State average: 0.1
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 Massachusetts Executive Office of Elder Affairs and Department of Public Health.
| Affinity Skilled Living and Rehabilitation 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. | Oakdale | 280 | 92.9% | +5% | 3.14 | +74% | -12% | 1 | 24 | 8.0 | 1 | 259 | 23 | Estate Of Miriam Biller | $41.5M | $15.9M | 38.4% | 335839 | ||||
| AdviniaCare Country 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.
IL Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support.
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. | Newburyport | 111 | 71.9% | -12% | 3.14 | +41% | -20% | 5 | 72 | 14.4 | 8 | 90 | 51 | Ma Holdco Op LLC | $11.4M | $3.0M | 26.1% | 225332 |
Historical financial and operational data for Affinity Skilled Living and Rehabilitation Center based on CMS SNF Cost Reports.
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The legal owner and operator of Affinity Skilled Living and Rehabilitation Center is Oakwood Operating Company, LLC (For Profit).
Affinity Skilled Living and Rehabilitation Center has a walk score of 23. Car-dependent. Most errands require a car, with limited nearby walkable options.
According to NY state health department records, Affinity Skilled Living and Rehabilitation Center's license number is 5154323N.
Affinity Skilled Living and Rehabilitation Center's occupancy is 93%.
Affinity Skilled Living and Rehabilitation Center has 280 beds.
Affinity Skilled Living and Rehabilitation Center has had 57 recently reported deficiencies.
Yes — there are 26 photos of Affinity Skilled Living and Rehabilitation Center in the photo gallery on this page.
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