Nursing Home

Highfield Gardens Care Center

Nursing Home

Highfield Gardens Care Center

199 Community Dr, Great Neck, NY 11021 View map
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 Official CMS rating based on health inspections, staffing and quality measures.
4/5
New York average: 3.2/5
Health Inspection Info Official CMS rating based on deficiencies found during state health inspections.
3/5
New York average: 2.9/5
Staffing Info Official CMS rating based on nurse staffing hours per resident per day.
4/5
New York average: 2.7/5
Quality Measures Info Official CMS rating based on clinical outcomes for residents.
5/5
New York average: 4.0/5

Nursing care per resident

Info Average daily nursing hours per resident (adjusted for acuity). Higher values indicate more nursing time per resident.
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. 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 is often near full

That suggests steady demand, but availability may be limited.

Higher demand than most homes in New York
Occupancy rate 98%
Residents per day (avg) 198
Occupancy rate
98%
Residents per day (avg)
198

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
$38,875,375.00
Profit
$1,836,523.00
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
98%
In line with New York average
Occupied beds
196 / 200
Average residents 166 per day

License details

Facility type
Nursing Home
County: Nassau

Additional licensing details

CMS Certification Number: 335250

Ownership & operating entity

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

Care Services

Nursing Services
Rehabilitation Services
Respite Care
Memory Care
Independent Living
Skilled Nursing
Licensed Nurses/CNAs
24-Hour Staffing
Short-Term Rehab

All Levels of Care

Independent Living
Assisted Living
Memory Care
Skilled Nursing

Amenities & Lifestyle

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

Programs & Activities

Specific Programs
Independent Living, Assisted Living, Memory Care, Skilled Nursing

Dining & Nutrition

Food Description
Meals 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: 93 complaints

Latest inspection

Date:October 10, 2023
Type: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

6 deficiencies

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

3 enforcement actions

Penalties or interventions imposed by state regulators when facilities do not comply with quality, safety or regulatory standards.

November 21, 2021: Stipulation & Order #NH-21-222

Quality of Care

January 7, 2021: Stipulation & Order #NH-21-050

Quality of Care

September 15, 2020: Stipulation & Order #NH-20-071

Multiple Deficiencies

Health Inspection History

Inspections
Total health inspections 3

New York average 3.6


Last Health inspection on Feb 2025

Total health citations 15
Citations per inspection
5

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 Feb 03, 2025
Corrected

Environmental moderate citation Feb 03, 2025
Corrected

Nutrition moderate citation Feb 03, 2025
Corrected

Nutrition moderate citation Feb 03, 2025
Corrected

Compare Nursing Homes around Long Island

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

Nursing Home 24/7 care needed

AL

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$45,559,937.00
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Highfield Gardens Care Center
AL

Assisted Living For seniors needing help with daily tasks but not full-time nursing.

MC

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SNF

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Great Neck
200
55
BLEIER, SORAH
98.0%
$38,828,759.00
$11,790,890.00
30.4%
198
4/5
3.8748
3/5
4/5
5/5
2
15
+15%
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+11%

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)

Address 199 Community Dr, Great Neck, NY 11021

Calculate Travel Distance to Highfield Gardens Care Center

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Address

Staffing Data

Source: CMS Payroll-Based Journal (Q2 2025)

251
Total Staff
160
Employees
91
Contractors
91,287
Total Hours (Quarter)
125
Avg Staff/Day
8
Avg Shift (hrs)
Nursing Staff Breakdown
Role Count Avg Shift (hrs) Uses Contractors?
Registered Nurse368.8 Yes
Licensed Practical Nurse328.6 Yes
Certified Nursing Assistant1188 Yes
Staff by Category
Administration
2 staff
5.8hs shift avg
Nursing Staff
186 staff
8.2hs shift avg
Physicians & Practitioners
2 staff
8.5hs shift avg
Therapy Services
39 staff
7.4hs shift avg
Activities & Recreation
0 staff
0hs shift avg
Social Services
4 staff
7.2hs shift avg
Dietary Services
11 staff
6.9hs shift avg
Other Services
7 staff
7.2hs shift avg
Contractor Analysis
26%
of total hours from contractors
23,730 contractor hours this quarter
Licensed Practical Nurse: 22 Certified Nursing Assistant: 37 Registered Nurse: 3 Respiratory Therapy Technician: 7 Physical Therapy Aide: 2 Other Dietary Services Staff: 8 Speech Language Pathologist: 6 Qualified Social Worker: 1 Physical Therapy Assistant: 5
Role Employees Contractors Total Staff Total Hours Days Worked % of Days Avg Shift (hrs)
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

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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