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Nursing Home in Long Island

CMS overall rating Info 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.

Highfield Gardens Care Center

Nursing Home in Long Island

CMS overall rating Info 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.

Highfield Gardens Care Center

Overview of Highfield Gardens Care Center

Situated in Great Neck, New York, Highfield Gardens Care Center rises as a meticulously maintained facility offering top-notch rehabilitation and subacute services. With a focus on holistic care, they boast a team of dedicated therapists proficient in physical, occupational, and speech therapies. Beyond the exceptional healthcare services, Highfield Gardens takes pride in its delectable cuisine, ensuring residents enjoy not only nourishing meals but also a delightful dining experience.

Residents can engage in various recreational activities, and the availability of concierge services adds an extra layer of convenience to their daily lives. With 200 beds and participation in Medicare and Medicaid programs, Highfield Gardens Care Center provides a comfortable, supportive, and caring environment for individuals in need of rehabilitation and subacute care.

Quality ratings

Measured by Centers for Medicare & Medicaid Services (CMS)

Overall rating Info 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.
4/5
New York average: 3.1/5
Health Inspection Info 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.
3/5
New York average: 2.8/5
Staffing Info 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.
4/5
New York average: 2.7/5
Quality Measures Info 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.
5/5
New York average: 4.0/5

Nursing care per resident

Info This shows how many total hours of nursing staff time are available per resident each day. Higher numbers usually mean more staff support.
3h 52m per day

This home provides 11% more nursing time per resident than the New York average.

New York average: 3h 29m per day

Staffing hours breakdown

Info Hours of care per resident per day, broken down by staff type. Data from CMS Medicare.
Staff type Facility State avg National avg
Registered Nurse (RN) Info Registered nurse hours per resident per day. 44m per day 42m per day 41m per day
Nurse Aide Info Nurse aide hours per resident per day. 2h 42m per day 2h 11m per day 2h 21m per day
Total Nursing (Weekend) Info Total number of nurse staff hours per resident per day on weekends. 3h 29m per day 3h 10m per day 3h 26m per day
Physical Therapist Info Physical therapist staff hours per resident per day. 8m per day 7m per day 4m per day
RN (Weekend) Info Registered nurse hours per resident per day on weekends. 33m per day 28m per day 29m per day

Capacity and availability

High-capacity home

May provide extensive amenities, services and programs.

Total beds 200

This home usually has availability

Lower occupancy suggests more openings may be available.

Lower demand than the New York average
Occupancy rate 18.5%
Residents per day 37
Occupancy rate
18.5%
Residents per day
37

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.

Might be optimal for
Short stays Recovery Medicare-covered care

Breakdown by payment type

Medicare

55% of new residents, usually for short-term rehab.

Typical stay 2 months

Private pay

22% of new residents, often for short stays.

Typical stay 4 - 5 months

Medicaid

22% of new residents, often for long-term daily care.

Typical stay 1 - 2 years

Finances and operations

Privately-owned community
Operated by a business corporation.
Home revenue
$38.9M
Profit
$1.8M
Privately-owned community Operated by a business corporation.
Home revenue
$38.9M
Profit
$1.8M
Payroll costs Info The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
$11.8M
30.3% of revenue
Other operating costs Info All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
$25.2M
Total costs $37.0M
Bed community size
200-bed community
A large-scale community that may provide a wide range of amenities, services, and structured programs.
Walk Score
Walk Score: 55 / 100
Moderately walkable. Some errands can be accomplished on foot, with a mix of nearby amenities.

About this community

Occupancy

Occupancy rate
19%
In line with New York average
Occupied beds
37 / 200
Average residents 166 per day

License Details

Facility TypeNursing Home
CountyNassau

Additional Licensing Details

CMS Certification Number335250

Ownership & Operating Entity

Highfield Gardens Care Center is legally operated by Wedgewood Care Center, Inc. (For Profit).

Therapy & Rehabilitation

3 services
Rehabilitation Services
Respite Care
Short-Term Rehab

Staffing & Medical

2 services
Skilled Nursing
24-Hour Staffing

Amenities & Lifestyle

15 amenities
Light
Airy Interiors
Quality Furniture
Attractive Décor
Flat-Screen Cable Tv
Convenient Bedside Phones
Fitness Activities
Cultural And Educational Programs
Professional Entertainment
Community Trips
Social Gatherings
Recreational Activities
Arts And Crafts
Study Groups
Games
Specific ProgramsIndependent Living, Assisted Living, Memory Care, Skilled Nursing

Dining & Nutrition

Food DescriptionMeals are more than just food; they’re an event at Highfield Gardens Care Center of Great Neck. Features a chef and dietician team-up for balanced, tasty meals. Serves three delectable meals a day in our elegant dining room.

Types of Care at Highfield Gardens Care Center

Assisted Living Memory Care Skilled Nursing

Contact Highfield Gardens Care Center

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.

9 inspections

4 with citations, 5 without citations

13 on-site complaint investigations

New York average: 9 inspections (5 with citations), 15 on-site complaint investigations

35 complaints

17 complaints per 100 occupied beds

New York average: 49.9 complaints per 100 occupied beds

Formal expressions of dissatisfaction or concern made by residents, or their families regarding various aspects of the care, services, and environment provided.

New York average: 79 complaints

Latest inspection

Date February 3, 2025
Annual Inspection

24 total citations

19 health citations 5 life safety citations

Citations indicate regulatory violations. A higher number implies the facility had several areas requiring improvement.

New York average: 29 citations

New York average: 20 health citations

New York average: 4 life safety citations

21 deficiencies

Deficiencies indicate regulatory issues. A higher number implies the facility had several areas requiring improvement.

New York average: 22 deficiencies

Health Inspection History

Inspections
Total health inspections 3

New York average 3.6


Last Health inspection on Feb 2025

Total health citations 15

New York average 18.5

Citations per inspection
5

New York average 5.05


Health citations are formal notices following inspections when they fail to comply with safety and care standards.

All 15 citations resulted from standard inspections.

Breakdown of citation severity (last 3 years)
Critical Health citations More info 0
100% better than New York average

New York average: 0.2


Serious Health citations More info 0
100% better than New York average

New York average: 0.2

0 critical citations More info New York average: 0.2

0 serious citations More info New York average: 0.2

14 moderate citations More info New York average: 17.4

1 minor citation More info New York average: 0.7
Citations history (last 3 years)
Administration minor citation Info Issues related to how the facility is managed, including policies, procedures, and compliance with regulations. Feb 03, 2025
Corrected

Environmental moderate citation Info Issues related to building safety, cleanliness, maintenance, and overall living conditions. Feb 03, 2025
Corrected

Nutrition moderate citation Info Issues related to food quality, meal service, and resident's nutritional needs. Feb 03, 2025
Corrected

Nutrition moderate citation Info Issues related to food quality, meal service, and resident's nutritional needs. Feb 03, 2025
Corrected

Compare Nursing Homes around Long Island The information below is reported by the New York State Department of Health.

2 facilities compared · CMS & NY Dept. of Health data · Updated Apr 2026

Filter by care type
Meadowbrook Care Center
NH

Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).

AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

Freeport
282
91.5%
+4%
3.09
+41%
-14%
0
13
4.3
0
260
-
75
Berkowitz, Dov
$45.6M
$20.4M
44.8%
335796
Highfield Gardens Care Center
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.

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.

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).

Great Neck
200
98.0%
+11%
3.87
+15%
+8%
2
15
5.0
0
198
-
55
Bleier, Sorah
$38.8M
$11.8M
30.4%
335250

Places of interest near Highfield Gardens Care Center

Address 32.8 miles from city center — 1.91 miles to nearest hospital (Long Island Jewish Medical Center)

Calculate Travel Distance to Highfield Gardens Care Center

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Address

Staffing Data (Q2 2025)

This data corresponds to Q2 2025 and is based on CMS Payroll-Based Journal.

Total staff 251
Employees 160
Contractors 91
Staff to resident ratio 1.27:1
623% better than New York average

New York average ratio: 0.18:1

Avg staff/day 125
Average shift 8 hours
0% compared with New York average

New York average: 7.7 hours

Total staff hours (quarter) 91,287
Nursing staff breakdown
Registered Nurse

Manages medical care and health needs.

Total count 36
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 8.8 hours

This role is partially covered by contractors.

Licensed Practical Nurse

Assists with medical care and medications.

Total count 32
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 8.6 hours

This role is partially covered by contractors.

Certified Nursing Assistant

Helps with daily care and mobility.

Total count 118
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 8 hours

This role is partially covered by contractors.

Contractor staffing

Total hours from contractors

26%

23,730 contractor hours this quarter

Certified Nursing Assistant: 37 Licensed Practical Nurse: 22 Other Dietary Services Staff: 8 Respiratory Therapy Technician: 7 Speech Language Pathologist: 6 Physical Therapy Assistant: 5 Registered Nurse: 3 Physical Therapy Aide: 2 Qualified Social Worker: 1
Staff by category
Certified Nursing Assistant813711847,77791100%8
Licensed Practical Nurse10223212,37291100%8.6
Registered Nurse3333611,70891100%8.8
Physical Therapy Aide6283,4487785%8.1
Other Dietary Services Staff28103,41791100%6.8
Speech Language Pathologist66122,6657886%8.1
Respiratory Therapy Technician2792,2668593%8
Occupational Therapy Aide5051,45591100%5
Mental Health Service Worker3031,1866774%7.5
Dental Services Staff4041,1368593%6.9
Other Social Services Staff2026496167%7
Qualified Social Worker1125716571%7.4
Nurse Practitioner1015646369%9
Clinical Nurse Specialist1015206571%8
Administrator1014886571%7.5
Physical Therapy Assistant0554163640%7.4
Dietitian1013905257%7.5
Medical Director1012606571%4
118 Certified Nursing Assistant
% of Days 100%
32 Licensed Practical Nurse
% of Days 100%
36 Registered Nurse
% of Days 100%
8 Physical Therapy Aide
% of Days 85%
10 Other Dietary Services Staff
% of Days 100%
12 Speech Language Pathologist
% of Days 86%
9 Respiratory Therapy Technician
% of Days 93%
5 Occupational Therapy Aide
% of Days 100%
3 Mental Health Service Worker
% of Days 74%
4 Dental Services Staff
% of Days 93%
2 Other Social Services Staff
% of Days 67%
2 Qualified Social Worker
% of Days 71%
1 Nurse Practitioner
% of Days 69%
1 Clinical Nurse Specialist
% of Days 71%
1 Administrator
% of Days 71%
5 Physical Therapy Assistant
% of Days 40%
1 Dietitian
% of Days 57%
1 Medical Director
% of Days 71%

Facility Characteristics

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

Total census
198 residents
Residents by payment source
Medicare
59 residents (29.8%)
Medicaid
113 residents (57.1%)
Private pay or other
26 residents (13.1%)
Programs & Services
Residents' Group

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

Active Resident Council

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

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. 7.8
21% 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. 11.1
39% better than New York average

New York average: 18.1

Long-stay resident measures
Significantly above average New York avg: 4.3 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 16.4%
In line with New York average

New York average: 16.4%

Walking Ability Worsened Info Percent of long-stay residents whose ability to move independently worsened 10.9%
34% 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 6.1%
72% 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 2.2%
25% better 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 4.8%
34% 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 4.6%
24% better than New York average

New York average: 6.1%

Depressive Symptoms Info Percent of long-stay residents who have depressive symptoms 0.2%
99% better than New York average

New York average: 18.1%

Antipsychotic Use Info Percent of long-stay residents who received an antipsychotic medication 14.2%
13% worse 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 100.0%
5% better than New York average

New York average: 95.2%

Hospitalizations per 1,000 days Info Number of hospitalizations per 1,000 long-stay resident days. 1.99
16% worse 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. 0.59
56% better than New York average

New York average: 1.35

Short-stay resident measures
Significantly above average New York avg: 3.7 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 99.9%
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 2.1%
62% worse 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 100.0%
27% 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. 22.7%
10% worse 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. 6.6%
32% 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. 1.6%
106% 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. 63.9%
19% better than 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. 49.2%
In line with New York average

New York average: 50.6%

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 (Data as of Jan 2026)

Total fines amount $5K
93% lower than New York average

New York average: $66K

Number of fines 2
In line with New York average

New York average: 2.0

Payment Denials Info 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 average

New York average: 0.1

Fines amount comparison
Fines amount comparison
This facility $5K
New York average $66K
Penalty History

Penalties are imposed by CMS for violations of federal nursing home regulations.

Civil Money Penalty Info Fines imposed for noncompliance, which can be assessed per day or per instance of violation. Oct 10, 2023
$2K
Civil Money Penalty Info Fines imposed for noncompliance, which can be assessed per day or per instance of violation. Sep 18, 2023
$3K

Last updated: Jan 2026

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Community First Choice Option

NY Medicaid CFCO

Age 65+ or disabled, New York resident, Medicaid- eligible, care need (not necessarily nursing home level).

~$2,829/month (300% FBR, individual).

$30,182 (individual, higher due to NY Medicaid expansion).

Higher asset limit; urban density increases demand.

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

NY EISEP

Age 60+, New York resident, at risk of decline but not nursing home level.

~$2,500/month (individual, varies).

$15,000 (individual).

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

Senior Citizen Rent Increase Exemption (SCRIE)

NY SCRIE

Age 62+, NYC resident, live in rent-controlled/stabilized apartment, spend >1/3 of income on rent.

$50,000/year (household).

No strict asset cap, but income-focused eligibility.

Limited to NYC’s rent-regulated units; high demand in urban areas.

Senior Citizen Homeowners’ Exemption (SCHE)

NY SCHE

Age 65+, NYC resident, own and live in a 1-3 family home, co-op, or condo.

$58,399/year (household).

No strict asset cap, income-driven eligibility.

Applies only in NYC; excludes large apartment buildings.

New York Foundation for Senior Citizens (NYFSC) Home Sharing Program

NYFSC Home Sharing

One participant must be 60+ (host or guest), NYC resident, able to share living space.

No strict limit, but targets those needing cost relief.

Not applicable; focus on housing need.

Primarily NYC-focused; limited slots due to demand.

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