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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.
Brookside Multicare Nursing Center is located on a sprawling, 24-acre campus in Smithtown, Long Island. It offers elite level post-acute care, skilled nursing, memory care, and rehabilitation to residents in the local community. The facility features spacious private and semi-private rooms, outdoor patios, and dining areas to provide a comfortable setting for recovery.
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 86th 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.
| 56m per day | ▲ 33% 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.
| 41m per day | ▼ 11% 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 29m per day | ▲ 14% 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.
| 4m 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.
| 34m per day | ▲ 21% State avg: 28m per day · National avg: 28m per day |
This home supports both short-term rehab and long-term care, with residents staying for a wide range of durations.
38% of new residents, usually for short-term rehab.
38% of new residents, often for short stays.
23% 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 #23 / 344Payroll — state benchmarkedThis home is ranked 23rd 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.
Similar to the New York average: 88.3%Brookside Multicare Nursing Center is legally operated by Optima Care Smithtown, 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 5 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.
| 57 | 29 | This facility has 97% more total citations than a typical New York 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 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 nursing home (5 vs. NY avg 4).↑ 25% worse |
|
Citations per year
Average citations per year since 2021.
| 11.4 | 5.8 | This facility has 97% more citations per year than a typical New York nursing home (11.4 vs. NY avg 5.8).↑ 97% worse |
|
Citations per inspection
Average citations per inspection.
| 1.7 | 3.2 | This facility has 47% fewer citations per inspection than a typical New York nursing home (1.7 vs. NY avg 3.2).↓ 47% 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.
| 33 | 9 | This facility has 267% more total inspections than a typical New York nursing home (33 vs. NY avg 9).↑ 267% worse |
|
Inspections with citations
Inspections that resulted in at least one regulatory citation.
| 11 | 5 | This facility has 120% more inspections with citations than a typical New York nursing home (11 vs. NY avg 5).↑ 120% worse |
|
Inspection citation rate
Percentage of inspections that resulted in at least one citation.
| 33% | 56% | This facility has 23 percentage points lower inspection citation rate than a typical New York nursing home (33% vs. NY avg 56%).↓ 23% 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.
| 114 | 79 | This facility has 44% more total complaints than a typical New York nursing home (114 vs. NY avg 79).↑ 44% worse |
|
Complaints per year
Average complaints per year since 2021.
| 22.8 | 15.8 | This facility has 44% more complaints per year than a typical New York nursing home (22.8 vs. NY avg 15.8).↑ 44% worse |
|
Complaints per bed
Size-adjusted complaint rate based on occupied beds.
| 0.37 | 0.50 | This facility has 26% fewer complaints per bed than a typical New York nursing home (0.37 vs. NY avg 0.5).↓ 26% better |
|
Complaint investigations
On-site investigations triggered by complaints filed with New York regulators.
| 42 | 15 | This facility has 180% more complaint investigations than a typical New York nursing home (42 vs. NY avg 15).↑ 180% worse |
An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.
The most recent inspection on June 26, 2024, identified deficiencies including care plan revisions, drug regimen review, accident hazards, labeling and storage of drugs, and several building and safety system issues, all of which were corrected by mid-2024. Earlier inspections showed a recurring issue with reporting to the national health safety network, resulting in multiple citations that remained uncorrected over several months. Prior complaint surveys also noted deficiencies related to care planning, medication use, accident hazards, infection control, and building safety features, which were corrected by the end of 2022. Complaint investigations were unsubstantiated or not noted, and no fines, immediate jeopardy findings, or license actions were listed in the available reports. The facility’s record shows ongoing challenges with regulatory reporting but improvement in care and safety issues over time.
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 Jun 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.
All 16 citations resulted from standard inspections.
100% better than New York averageNew York average: 0.2
0
100% better than New York averageNew York average: 0.2
Issues related to medication management, including how drugs are stored, administered, and monitored.
Jun 26, 2024
Corrected
Issues related to medication management, including how drugs are stored, administered, and monitored.
Jun 26, 2024
Corrected
Issues related to how well residents receive appropriate treatment and support for their medical and daily care needs.
Jun 26, 2024
Corrected
Issues related to creating and updating personalized care plans for residents based on their needs and conditions.
Jun 26, 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.
15
Lawsuits still moving through the courts. Active claims can affect day-to-day operations, settlement risk, and insurance posture.
7
7 active
Cases that have been disposed of — dismissed, settled, or decided. Shows how the facility has historically resolved disputes.
7
7 Disposed
Year of the earliest case on record. A long history with steady filings suggests persistent issues; a recent first filing means newer exposure.
2021
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, 2026Brookside Multicare Nursing Center is located in Smithtown, New York.
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1.2 miles from city center
Estimated distance in miles from Smithtown's city center to Brookside Multicare Nursing 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.
596% 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.
8.2 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.
7.7 hoursThis role is partially covered by contractors.
Total hours from contractors
21,162 contractor hours this quarter
| Certified Nursing Assistant | 142 | 36 | 178 | 68,914 | 91 | 100% | 7.7 |
| Licensed Practical Nurse | 36 | 25 | 61 | 19,004 | 91 | 100% | 8.2 |
| Registered Nurse | 44 | 6 | 50 | 16,515 | 91 | 100% | 8.6 |
| Clinical Nurse Specialist | 21 | 3 | 24 | 8,019 | 91 | 100% | 7.6 |
| Other Dietary Services Staff | 12 | 1 | 13 | 4,397 | 91 | 100% | 7.2 |
| Qualified Activities Professional | 16 | 0 | 16 | 3,173 | 91 | 100% | 9 |
| Mental Health Service Worker | 5 | 0 | 5 | 2,206 | 66 | 73% | 7.4 |
| Speech Language Pathologist | 3 | 4 | 7 | 1,862 | 77 | 85% | 7.4 |
| Respiratory Therapy Technician | 0 | 3 | 3 | 1,811 | 79 | 87% | 9.4 |
| Physical Therapy Aide | 3 | 4 | 7 | 1,782 | 76 | 84% | 7.2 |
| Physical Therapy Assistant | 0 | 4 | 4 | 1,442 | 75 | 82% | 8.7 |
| Occupational Therapy Aide | 4 | 0 | 4 | 1,259 | 65 | 71% | 7 |
| Therapeutic Recreation Specialist | 2 | 0 | 2 | 830 | 65 | 71% | 7.2 |
| Qualified Social Worker | 0 | 2 | 2 | 783 | 65 | 71% | 8.1 |
| Administrator | 2 | 0 | 2 | 763 | 62 | 68% | 7 |
| Dental Services Staff | 2 | 0 | 2 | 447 | 54 | 59% | 7.3 |
| Nurse Practitioner | 1 | 0 | 1 | 420 | 60 | 66% | 7 |
| RN Director of Nursing | 1 | 0 | 1 | 420 | 60 | 66% | 7 |
| Dietitian | 1 | 0 | 1 | 397 | 58 | 64% | 6.9 |
| Occupational Therapy Assistant | 0 | 2 | 2 | 121 | 39 | 43% | 2.8 |
| Medical Director | 0 | 1 | 1 | 91 | 13 | 14% | 7 |
| Respiratory Therapist | 0 | 1 | 1 | 7 | 2 | 2% | 3.5 |
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
317Residents 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.
8.9
9% better than New York averageNew York average: 9.8
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
15.0
17% 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
15.8%
In line with New York averageNew York average: 16.4%
Percent of long-stay residents whose ability to move independently worsened
16.8%
In line with New York averageNew York average: 16.6%
Percent of low risk long-stay residents who lose control of their bowels or bladder
12.5%
42% better than New York averageNew York average: 21.4%
Percent of long-stay residents experiencing one or more falls with major injury
2.0%
33% better than New York averageNew York average: 3.0%
Percent of long-stay high risk residents with pressure ulcers
4.7%
34% 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
5.1%
16% better than New York averageNew York average: 6.1%
Percent of long-stay residents who have depressive symptoms
10.0%
45% better than New York averageNew York average: 18.1%
Percent of long-stay residents who received an antipsychotic medication
23.5%
87% worse 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
99.0%
In line with New York averageNew York average: 95.2%
Number of hospitalizations per 1,000 long-stay resident days.
2.03
19% worse than New York averageNew York average: 1.71
Number of outpatient emergency department visits per 1,000 long-stay resident days.
0.63
53% 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
99.4%
30% better than New York averageNew York average: 76.6%
Percent of short-stay residents who newly received an antipsychotic medication
1.0%
18% better than New York averageNew York average: 1.3%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
94.3%
20% better than New York averageNew York average: 78.8%
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
25.0%
21% worse than New York averageNew York average: 20.6%
Percentage of short-stay residents who had an outpatient emergency department visit.
7.9%
19% better than New York averageNew York average: 9.7%
Percentage of SNF residents who experience falls with major injury during their stay.
1.7%
114% worse than New York averageNew York average: 0.8%
Percentage of residents at or above expected ability to care for themselves at discharge.
65.3%
22% better than New York averageNew York average: 53.7%
Rate of successful return to home or community from a skilled nursing facility.
39.0%
23% worse 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 (Data as of Jan 2026)
95% 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
Jul 31, 2023 · $3K
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Jul 31, 2023Last updated: Jan 2026
The information below is reported by the New York State Department of Health.
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| 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).
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| 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).
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Historical financial and operational data for Brookside Multicare Nursing Center based on CMS SNF Cost Reports.
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The legal owner and operator of Brookside Multicare Nursing Center is Optima Care Smithtown, LLC (For Profit).
Brookside Multicare Nursing Center has a walk score of 16. Car-dependent. Most errands require a car, with limited nearby walkable options.
According to NY state health department records, Brookside Multicare Nursing Center's license number is 5157318N.
Brookside Multicare Nursing Center's occupancy is 86%.
Brookside Multicare Nursing Center has 353 beds.
Brookside Multicare Nursing Center has had 57 recently reported deficiencies.
Yes — there are 16 photos of Brookside Multicare Nursing Center in the photo gallery on this page.
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