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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.
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.
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.
| 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.
| 36m per day | ▼ 22% 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 42m per day | ▲ 24% State avg: 2h 11m per day · National avg: 2h 21m 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.
| 8m per day | ▲ 14% 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.
| 33m per day | ▲ 18% State avg: 28m per day · National avg: 29m per day |
Most residents typically stay for a few weeks or months before returning home or moving on.
55% of new residents, usually for short-term rehab.
22% of new residents, often for short stays.
22% 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 #126 / 344Payroll — state benchmarkedThis home is ranked 126th 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.
Lower than the New York average: 88.3%Highfield Gardens Care Center is legally operated by Wedgewood Care Center, Inc. (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.
Enforcement actions are formal penalties or interventions imposed by the New York State Department of Health 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 3 enforcement actions. 57% of NY 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 violations recorded during state inspections.
| Metric | This Facility | NY Average | vs. NY Avg |
|---|---|---|---|
|
Total citations
Formal regulatory violations recorded by inspectors across all inspection types.
| 23 | 29 | This facility has 21% fewer total citations than a typical NY nursing home (23 vs. NY avg 29).↓ 21% better |
|
Health citations
Violations related to resident care, clinical practices, and day-to-day operations.
| 18 | 20 | This facility has 10% fewer health citations than a typical NY nursing home (18 vs. NY avg 20).↓ 10% better |
|
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 NY nursing home (5 vs. NY avg 4).↑ 25% worse |
|
Citations per year
Average citations per year since 2020.
| 3.8 | 4.8 | This facility has 21% fewer citations per year than a typical NY nursing home (3.8 vs. NY avg 4.8).↓ 21% better |
|
Citations per inspection
Average citations per inspection.
| 2.6 | 3.2 | This facility has 19% fewer citations per inspection than a typical NY nursing home (2.6 vs. NY avg 3.2).↓ 19% 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.
| 9 | 9 | This facility has total inspections in line with the NY average (9 vs. NY avg 9).— At avg |
|
Inspections with citations
Inspections that resulted in at least one regulatory citation.
| 4 | 5 | This facility has 20% fewer inspections with citations than a typical NY nursing home (4 vs. NY avg 5).↓ 20% better |
|
Inspection citation rate
Percentage of inspections that resulted in at least one citation.
| 44% | 56% | This facility has 21% fewer inspection citation rate than a typical NY nursing home (44 vs. NY avg 56).↓ 21% 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.
| 36 | 79 | This facility has 54% fewer total complaints than a typical NY nursing home (36 vs. NY avg 79).↓ 54% better |
|
Complaints per year
Average complaints per year since 2020.
| 6 | 13.2 | This facility has 55% fewer complaints per year than a typical NY nursing home (6 vs. NY avg 13.2).↓ 55% better |
|
Complaints per bed
Size-adjusted complaint rate based on occupied beds.
| 0.18 | 0.50 | This facility has 64% fewer complaints per bed than a typical NY nursing home (0.18 vs. NY avg 0.5).↓ 64% better |
|
Complaint investigations
On-site investigations triggered by complaints filed with the NY Department of Health.
| 12 | 15 | This facility has 20% fewer complaint investigations than a typical NY nursing home (12 vs. NY avg 15).↓ 20% better |
An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.
The most recent inspection on February 3, 2025, found multiple deficiencies including incomplete PASARR screening, inadequate pressure ulcer care, medication storage issues, unsafe food temperatures, and pest control problems. Earlier inspections showed fewer but recurring issues, mainly related to reporting requirements and food safety, with no enforcement actions or fines listed in the available reports. Prior reports also cited deficiencies in resident care areas such as nutrition, respiratory care, and physician supervision, as well as infection control and accident hazard investigations. Complaint investigations were not noted or substantiated in the available records. The pattern suggests ongoing challenges in care planning, food safety, and facility maintenance, with no clear improvement trend 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 Feb 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.
All 15 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 how the facility is managed, including policies, procedures, and compliance with regulations.
Feb 03, 2025
Corrected
Issues related to building safety, cleanliness, maintenance, and overall living conditions.
Feb 03, 2025
Corrected
Issues related to food quality, meal service, and resident's nutritional needs.
Feb 03, 2025
Corrected
Issues related to food quality, meal service, and resident's nutritional needs.
Feb 03, 2025
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.
Highfield Gardens Care Center is located in Great Neck, New York.
Here are the financial assistance programs available to residents in New York.
32.8 miles from city center
Estimated distance in miles from Great Neck's city center to Highfield Gardens Care Center's address, calculated via Google Maps.
— 1.91 miles to nearest hospital (Long Island Jewish Medical Center)
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This data corresponds to Q2 2025 and is based on CMS Payroll-Based Journal.
623% 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.
8.8 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.
8.6 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.
8 hoursThis role is partially covered by contractors.
Total hours from contractors
23,730 contractor hours this quarter
| Certified Nursing Assistant | 81 | 37 | 118 | 47,777 | 91 | 100% | 8 |
| Licensed Practical Nurse | 10 | 22 | 32 | 12,372 | 91 | 100% | 8.6 |
| Registered Nurse | 33 | 3 | 36 | 11,708 | 91 | 100% | 8.8 |
| Physical Therapy Aide | 6 | 2 | 8 | 3,448 | 77 | 85% | 8.1 |
| Other Dietary Services Staff | 2 | 8 | 10 | 3,417 | 91 | 100% | 6.8 |
| Speech Language Pathologist | 6 | 6 | 12 | 2,665 | 78 | 86% | 8.1 |
| Respiratory Therapy Technician | 2 | 7 | 9 | 2,266 | 85 | 93% | 8 |
| Occupational Therapy Aide | 5 | 0 | 5 | 1,455 | 91 | 100% | 5 |
| Mental Health Service Worker | 3 | 0 | 3 | 1,186 | 67 | 74% | 7.5 |
| Dental Services Staff | 4 | 0 | 4 | 1,136 | 85 | 93% | 6.9 |
| Other Social Services Staff | 2 | 0 | 2 | 649 | 61 | 67% | 7 |
| Qualified Social Worker | 1 | 1 | 2 | 571 | 65 | 71% | 7.4 |
| Nurse Practitioner | 1 | 0 | 1 | 564 | 63 | 69% | 9 |
| Clinical Nurse Specialist | 1 | 0 | 1 | 520 | 65 | 71% | 8 |
| Administrator | 1 | 0 | 1 | 488 | 65 | 71% | 7.5 |
| Physical Therapy Assistant | 0 | 5 | 5 | 416 | 36 | 40% | 7.4 |
| Dietitian | 1 | 0 | 1 | 390 | 52 | 57% | 7.5 |
| Medical Director | 1 | 0 | 1 | 260 | 65 | 71% | 4 |
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
198Residents 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.
7.8
21% better than New York averageNew York average: 9.8
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
11.1
39% 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
16.4%
In line with New York averageNew York average: 16.4%
Percent of long-stay residents whose ability to move independently worsened
10.9%
34% better than New York averageNew York average: 16.6%
Percent of low risk long-stay residents who lose control of their bowels or bladder
6.1%
72% better than New York averageNew York average: 21.4%
Percent of long-stay residents experiencing one or more falls with major injury
2.2%
25% better than New York averageNew York average: 3.0%
Percent of long-stay high risk residents with pressure ulcers
4.8%
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
4.6%
24% better than New York averageNew York average: 6.1%
Percent of long-stay residents who have depressive symptoms
0.2%
99% better than New York averageNew York average: 18.1%
Percent of long-stay residents who received an antipsychotic medication
14.2%
13% worse than New York averageNew York average: 12.6%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
100.0%
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.
1.99
16% worse than New York averageNew York average: 1.71
Number of outpatient emergency department visits per 1,000 long-stay resident days.
0.59
56% 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
99.9%
30% better than New York averageNew York average: 76.6%
Percent of short-stay residents who newly received an antipsychotic medication
2.1%
62% worse than New York averageNew York average: 1.3%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
27% better than New York averageNew York average: 78.8%
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
22.7%
10% worse than New York averageNew York average: 20.6%
Percentage of short-stay residents who had an outpatient emergency department visit.
6.6%
32% better than New York averageNew York average: 9.7%
Percentage of SNF residents who experience falls with major injury during their stay.
1.6%
106% worse than New York averageNew York average: 0.8%
Percentage of residents at or above expected ability to care for themselves at discharge.
63.9%
19% better than New York averageNew York average: 53.7%
Rate of successful return to home or community from a skilled nursing facility.
49.2%
In line with 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)
93% lower than New York averageNew York average: $66K
In line with 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.
2 penalties in the past 3 years
Multiple penalties were reported in the last 3 years.
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Oct 10, 2023
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Sep 18, 2023Last updated: Jan 2026
| 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).
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| Highfield Gardens 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.
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Historical financial and operational data for Highfield Gardens Care Center based on CMS SNF Cost Reports.
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