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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.
At 10 Berkshire Road in West Babylon, Berkshire Nursing and Rehabilitation Center operates a 175-bed facility under for-profit ownership by Susan Aschkenazi through Berkshire Nursing Home, LLC. Continuously Medicare and Medicaid certified since 1970, the facility serves primarily short-term rehabilitation patients (52% Medicare admissions) and private-pay residents (39%) with a median stay of 93 days. Current occupancy reaches 90% (158 of 175 beds). A physician maintains on-site presence.
Overall and health inspection performance both score 5 stars. Quality measures earn 4 stars, above benchmarks. The staffing rating, however, remains at 2 stars.
Daily nursing totals 2 hours 45 minutes per resident; 21% below standard. Registered nurses provide 32 minutes (24% below state); licensed practical nurses, 45 minutes (at state level); certified nursing aides, 2 hours 22 minutes (8% above state). Weekend coverage exceeds state by 7%, yet weekend registered nurse hours fall 11% short.
A workforce of 207 (155 direct employees, 52 contractors) supports current census.
Three inspections since 2020 produced 24 citations (85% above average), reflecting elevated regulatory scrutiny.
October 2024 identified one Level 2 documentation deficiency corrected within three weeks. August 2024 documented six findings including one Level 3 accident hazard citation and multiple pressure ulcer, life safety, and environmental Level 2 issues; all remedied within weeks.
Earlier cycles showed recurring concerns with means of egress, sprinkler maintenance, and construction standards, all addressed by mid-2023.
One enforcement action and $9,000 in fines occurred in August 2024. Complaint filings (43 total, 46% below state) contain zero substantiated allegations.
62.4% of short-stay residents achieve or exceed expected self-care function at discharge, 53.1% return home or community successfully, and major injury falls occur in fewer than 1%. Long-stay quality measures achieve 5-star designation with clinical event scores 37% better than baseline. However, depressive symptoms in long-stay residents reach 47.4%; nearly three times the average of 18.1%.
The facility spans four acres of grounds and gardens with complimentary Wi-Fi, television, phone, laundry, and concierge services. On-site programming includes cardiac rehabilitation, physical and occupational therapy, enteral nutrition specialty, and dementia-focused care. Financial positioning shows minimal profitability ($10.8K net income on $39.8M revenue; profit margin 0.0%) and payroll at 42.4% of revenue, below typical facility efficiency levels of 53 to 65%.
Berkshire delivers robust short-stay rehabilitation discharge outcomes but carries material operational concerns: recurring regulatory findings despite strong inspection ratings, markedly elevated depressive symptom prevalence in long-stay residents, and modest staffing levels paired with modest financial performance.
Families considering extended placement should directly discuss staffing models, depression management protocols, and the enforcement action outcome before commitment.
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 336th out of 388 homes in New York. Total adjusted nursing hours per resident per day, combining RN, LPN, and aide time. CMS adjusts this for case-mix so facilities can be fairly compared.
| Staff type | Hours / Day / Resident | 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.
| 32m per day | ▼ 24% 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.
| 45m per day | ■ Avg 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 22m per day | ▲ 8% State avg: 2h 11m per day · National avg: 2h 20m per day |
|
Weekend Total Nursing
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.
| 8m per day | ▲ 14% State avg: 7m per day · National avg: 4m per day |
|
Weekend RN
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.
| 25m per day | ▼ 11% State avg: 28m per day · National avg: 28m per day |
Similar to the New York average: 88.3%Berkshire Nursing and Rehabilitation Center is legally operated by Berkshire Nursing Home, LLC (For Profit).
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.
A composite 0–100 score combining this facility's inspections, citations, complaints, and enforcement actions relative to the New York state average. See the nursing homes benchmark below for the typical New York score; higher is better.
Near the New York average for nursing homes.
New York nursing homes benchmark: C 74/100
Inspection score: 75 out of 100. Letter grade C. Near the New York average for nursing homes.
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 1 enforcement action. 34% of New York nursing homes have zero, and the statewide average is 1.6.
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
| This Facility | NY Average | vs. NY Avg |
|---|---|---|---|
|
Total citations
Formal regulatory issues recorded by inspectors across all inspection types.
| 24 | 13 | This facility has 85% more total citations than a typical New York nursing home (24 vs. NY avg 13).↑ 85% worse |
|
Health citations
Violations related to resident care, clinical practices, and day-to-day operations.
| 20 | 20 | This facility has health citations in line with the New York average (20 vs. NY avg 20).— At avg |
|
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.
| 4 | 2.2 | This facility has 82% more citations per year than a typical New York nursing home (4 vs. NY avg 2.2).↑ 82% worse |
|
Citations per inspection
Average citations per inspection.
| 2 | 1.4 | This facility has 43% more citations per inspection than a typical New York nursing home (2 vs. NY avg 1.4).↑ 43% worse |
Inspections
| This Facility | NY Average | vs. NY Avg |
|---|---|---|---|
|
Total inspections
Combined count of all routine and focused inspections. Excludes complaint investigations.
| 12 | 9 | This facility has 33% more total inspections than a typical New York nursing home (12 vs. NY avg 9).↑ 33% worse |
|
Inspections with citations
Inspections that resulted in at least one regulatory citation.
| 4 | 4 | This facility has inspections with citations in line with the New York average (4 vs. NY avg 4).— At avg |
|
Inspection citation rate
Percentage of inspections that resulted in at least one citation.
| 33% | 44% | This facility has 11 percentage points lower inspection citation rate than a typical New York nursing home (33% vs. NY avg 44%).↓ 11% better |
Complaints & Investigations
| This Facility | NY Average | vs. NY Avg |
|---|---|---|---|
|
Total complaints
Formal expressions of concern made by residents, families, or staff.
| 43 | 79 | This facility has 46% fewer total complaints than a typical New York nursing home (43 vs. NY avg 79).↓ 46% better |
|
Complaints per year
Average complaints per year since 2020.
| 7.2 | 13.2 | This facility has 45% fewer complaints per year than a typical New York nursing home (7.2 vs. NY avg 13.2).↓ 45% better |
|
Complaints per bed
Size-adjusted complaint rate based on occupied beds.
| 0.27 | 0.50 | This facility has 46% fewer complaints per bed than a typical New York nursing home (0.27 vs. NY avg 0.5).↓ 46% better |
|
Complaint investigations
On-site investigations triggered by complaints filed with New York regulators.
| 16 | 15 | This facility has 7% more complaint investigations than a typical New York nursing home (16 vs. NY avg 15).↑ 7% worse |
An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.
The most recent inspection on October 30, 2024, identified one Level 2 deficiency related to abuse reporting documentation, which was corrected by November 22, 2024. Earlier inspections showed multiple deficiencies, including a Level 3 citation for accident hazards and several Level 2 issues involving pressure ulcer treatment, life safety code, and physical environment, all of which were corrected within a few months. Prior reports also noted deficiencies with means of egress, sprinkler system maintenance, and construction standards, which were addressed by mid-2023. Complaint investigations were not listed in the available reports. The facility’s inspection history shows recurring issues in safety and reporting, but corrections were consistently made in a timely manner.
New York average 3.6
Last Health inspection on Sep 2025
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.
5 of 8 citations resulted from standard inspections; 2 of 8 resulted from complaint investigations; and 1 of 8 came from combined inspections (standard and complaint).
400% worse than New York averageNew York average: 0.2
400% worse than New York averageNew York average: 0.2
Corrected
Corrected
Corrected
Corrected
How this facility protects residents through staff vaccination policies and immunization practices.
Percentage of facility employees vaccinated against influenza.
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.
18
Lawsuits still moving through the courts. Active claims can affect day-to-day operations, settlement risk, and insurance posture.
3
Cases that have been disposed of — dismissed, settled, or decided. Shows how the facility has historically resolved disputes.
14
Year of the earliest case on record. A long history with steady filings suggests persistent issues; a recent first filing means newer exposure.
2014
Most recent filing on record. Recent activity means legal disputes are still being raised against this facility.
2026
Next scheduled court appearance on record across active cases.
May 01, 2026Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.
682% better than New York average
6% worse than New York average
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Manages medical care and health needs.
All 28 RN Staff are full-time employees. No contractors work on this role.
28
Average shift length. Calculated as total hours divided by days worked and average staff per day.
6.9 hoursAssists with medical care and medications.
36 total: 25 full-time employees and 11 contractors.
36
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.6 hoursHelps with daily care and mobility.
91 total: 85 full-time employees and 6 contractors.
91
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7 hours
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Total hours from contractors
12,049 contractor hours this quarter
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
| Certified Nursing Assistant | 85 | 6 | 91 | 34,178 | 92 | 100% | 7 |
| Licensed Practical Nurse | 25 | 11 | 36 | 10,808 | 92 | 100% | 7.6 |
| Registered Nurse | 28 | 0 | 28 | 6,914 | 92 | 100% | 6.9 |
| Other Dietary Services Staff | 7 | 0 | 7 | 2,622 | 92 | 100% | 6.6 |
| Physical Therapy Aide | 0 | 8 | 8 | 2,371 | 90 | 98% | 8.2 |
| Speech Language Pathologist | 0 | 8 | 8 | 2,093 | 77 | 84% | 7.9 |
| Respiratory Therapy Technician | 0 | 8 | 8 | 1,879 | 77 | 84% | 8.8 |
| Physical Therapy Assistant | 0 | 5 | 5 | 1,269 | 77 | 84% | 9.3 |
| Mental Health Service Worker | 2 | 0 | 2 | 850 | 63 | 68% | 7.5 |
| Occupational Therapy Aide | 3 | 3 | 6 | 800 | 76 | 83% | 5.1 |
| Clinical Nurse Specialist | 2 | 0 | 2 | 787 | 63 | 68% | 7.7 |
| Qualified Social Worker | 0 | 2 | 2 | 528 | 66 | 72% | 8 |
| Nurse Practitioner | 1 | 0 | 1 | 448 | 60 | 65% | 7.5 |
| Administrator | 1 | 0 | 1 | 409 | 58 | 63% | 7 |
| Medical Director | 0 | 1 | 1 | 117 | 39 | 42% | 3 |
| Other Social Services Staff | 1 | 0 | 1 | 56 | 8 | 9% | 7 |
Includes penalties issued in 2024
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)
87% lower than New York averageNew York average: $66K
51% fewer fines than New York averageNew York average: 2.0
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
0
100% fewer payment denials than New York averageNew York average: 0.1
Penalties are imposed by CMS for violations of federal nursing home regulations.
1 penalty in the past 3 years
Aug 20, 2024 · $9K
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Aug 20, 2024Last updated: Jan 2026
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.
6.2
37% better than New York averageNew York average: 9.8
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
15.2
16% 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
8.3%
50% better than New York averageNew York average: 16.4%
Percent of long-stay residents whose ability to move independently worsened
14.3%
14% better than New York averageNew York average: 16.6%
Percent of low risk long-stay residents who lose control of their bowels or bladder
23.1%
8% worse than New York averageNew York average: 21.4%
Percent of long-stay residents experiencing one or more falls with major injury
1.8%
39% better than New York averageNew York average: 3.0%
Percent of long-stay high risk residents with pressure ulcers
2.5%
65% 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
4.2%
31% better than New York averageNew York average: 6.1%
Percent of long-stay residents who have depressive symptoms
47.4%
162% worse than New York averageNew York average: 18.1%
Percent of long-stay residents who received an antipsychotic medication
7.5%
40% better than New York averageNew York average: 12.6%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
99.5%
9% better than New York averageNew York average: 91.4%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
5% better than New York averageNew York average: 95.2%
Number of hospitalizations per 1,000 long-stay resident days.
1.62
5% better than New York averageNew York average: 1.71
Number of outpatient emergency department visits per 1,000 long-stay resident days.
0.97
28% 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
98.3%
28% better than New York averageNew York average: 76.6%
Percent of short-stay residents who newly received an antipsychotic medication
1.1%
14% better than New York averageNew York average: 1.3%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
96.2%
22% better than New York averageNew York average: 78.8%
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
23.2%
13% worse than New York averageNew York average: 20.6%
Percentage of short-stay residents who had an outpatient emergency department visit.
5.9%
39% better than New York averageNew York average: 9.7%
Percentage of SNF residents who experience falls with major injury during their stay.
0.9%
13% worse than New York averageNew York average: 0.8%
Percentage of residents at or above expected ability to care for themselves at discharge.
62.4%
16% better than New York averageNew York average: 53.7%
Rate of successful return to home or community from a skilled nursing facility.
53.1%
5% 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.
52% of new residents, usually for short-term rehab.
39% of new residents, often for short stays.
9% of new residents, often for long-term daily care.
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
151Residents 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.
Historical financial and operational data for Berkshire Nursing and Rehabilitation Center based on CMS SNF Cost Reports.
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Rank #157 / 383Payroll — State benchmarkedThis home is ranked 157th out of 383 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.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Most residents typically stay for a few weeks or months before returning home or moving on.
4.2 miles from city center
Estimated distance in miles from W Babylon's city center to Berkshire Nursing and Rehabilitation Center's address, calculated via Google Maps.
Add your location
Berkshire Nursing and Rehabilitation Center is located in W Babylon, New York.
Here are the financial assistance programs available to residents in New York.
The information below is reported by the New York State Department of Health.
| East Neck Nursing & 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). | West Babylon (Moraga) | 300 | - | - | 2.80 | +70% | -22% | $0 | - | 24 | 8.0 | - | 267 | 24 | - | $45.7M | $22.0M | 48.1% | 335681 | ||||
| Berkshire Nursing 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). | W Babylon | 175 | 90.3% | +2% | 2.74 | +7% | -23% | $8.5k | 75 | 8 | 2.0 | 2 | 164 | 46 | Susan Aschkenazi | $39.8M | $16.9M | 42.4% | 335083 |
The legal owner and operator of Berkshire Nursing and Rehabilitation Center is Berkshire Nursing Home, LLC (For Profit).
Berkshire Nursing and Rehabilitation Center has a walk score of 46. Somewhat walkable. A few nearby services may be reachable on foot, but most trips require transportation.
According to NY state health department records, Berkshire Nursing and Rehabilitation Center's license number is 5101301N.
Berkshire Nursing and Rehabilitation Center's occupancy is 90%.
Berkshire Nursing and Rehabilitation Center has 175 beds.
Berkshire Nursing and Rehabilitation Center has had 24 recently reported deficiencies.
Yes — there is 1 photo of Berkshire Nursing and Rehabilitation Center in the photo gallery on this page.
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