4/5
CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
4/5
CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
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 96th out of 407 homes in New York for nurse hours. 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.
| 34m per day | ▼ 20% 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 | ▼ 10% 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 31m per day | ▲ 15% State avg: 2h 11m per day · National avg: 2h 21m 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 13m per day | ■ Avg 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 | ▲ 20% 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.
| 23m per day | ▼ 19% State avg: 28m per day · National avg: 29m per day |
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.
A composite 0–100 score combining this facility's inspections, citations, complaints, and enforcement actions relative to the New York state average. The score below shows how many points this facility sits above or below the typical New York nursing home score (the benchmark); higher is better.
5 points below the New York average for nursing homes (83/100)
Rank #382 / 593 in New York Inspection Score — State benchmarked This home is ranked 382nd out of 593 homes in New York. Shows this facility's inspection score compared to the New York average among 593 comparable communities in the ranking pool. Rankings are based only on facilities in New York that report data for that category. Facilities without available data are excluded from the ranking. Inspection score: 78 out of 100. Letter grade C+. 5 points below the New York average for nursing homes (83/100)
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 3 enforcement actions. 33% 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.
| 23 | 13 | This facility has 77% more total citations than a typical New York nursing home (23 vs. NY avg 13).↑ 77% worse |
|
Health citations
Citations related to resident care, clinical practices, and day-to-day operations.
| 18 | 20 | This facility has 10% fewer health citations than a typical New York nursing home (18 vs. NY avg 20).↓ 10% better |
|
Life safety citations
Citations 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 2020.
| 3.8 | 2.2 | This facility has 73% more citations per year than a typical New York nursing home (3.8 vs. NY avg 2.2).↑ 73% worse |
|
Citations per inspection
Average citations per inspection.
| 2.6 | 1.4 | This facility has 86% more citations per inspection than a typical New York nursing home (2.6 vs. NY avg 1.4).↑ 86% worse |
Inspections
| 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 New York average (9 vs. NY avg 9).— At avg |
|
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.
| 44% | 44% | This facility has inspection citation rate in line with the New York average (44 vs. NY avg 44).— At avg |
Complaints & Investigations
| 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 New York 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 New York 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 New York nursing home (0.18 vs. NY avg 0.5).↓ 64% better |
|
Complaint investigations
On-site investigations triggered by complaints filed with New York regulators.
| 12 | 15 | This facility has 20% fewer complaint investigations than a typical New York 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.
New 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
100% better 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.
9
Lawsuits still moving through the courts. Active claims can affect day-to-day operations, settlement risk, and insurance posture.
1
Cases that have been disposed of — dismissed, settled, or decided. Shows how the facility has historically resolved disputes.
8
Year of the earliest case on record. A long history with steady filings suggests persistent issues; a recent first filing means newer exposure.
2017
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.
Jun 30, 2026Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.
569% more staff per resident than New York average
0% compared with 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 33 RN Staff are full-time employees. No contractors work on this role.
33
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.7 hoursAssists with medical care and medications.
38 total: 12 full-time employees and 26 contractors.
38
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.6 hoursHelps with daily care and mobility.
108 total: 76 full-time employees and 32 contractors.
108
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.1 hours
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Total hours from contractors
23,119 contractor hours this quarter
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
| Certified Nursing Assistant | 76 | 32 | 108 | 45,573 | 92 | 100% | 8.1 |
| Licensed Practical Nurse | 12 | 26 | 38 | 12,407 | 92 | 100% | 8.6 |
| Registered Nurse | 33 | 0 | 33 | 9,093 | 92 | 100% | 8.7 |
| Physical Therapy Aide | 6 | 4 | 10 | 3,758 | 81 | 88% | 7.7 |
| Other Dietary Services Staff | 2 | 6 | 8 | 2,804 | 92 | 100% | 7.2 |
| Respiratory Therapy Technician | 2 | 4 | 6 | 2,542 | 89 | 97% | 7.8 |
| Speech Language Pathologist | 6 | 1 | 7 | 2,149 | 80 | 87% | 8 |
| Occupational Therapy Aide | 5 | 0 | 5 | 1,180 | 86 | 93% | 5.2 |
| Dental Services Staff | 3 | 0 | 3 | 943 | 80 | 87% | 6.8 |
| Qualified Social Worker | 1 | 4 | 5 | 686 | 74 | 80% | 6.6 |
| Mental Health Service Worker | 2 | 0 | 2 | 555 | 66 | 72% | 7.5 |
| Clinical Nurse Specialist | 1 | 0 | 1 | 528 | 66 | 72% | 8 |
| Physical Therapy Assistant | 0 | 3 | 3 | 522 | 68 | 74% | 6.7 |
| Administrator | 1 | 0 | 1 | 495 | 66 | 72% | 7.5 |
| Dietitian | 1 | 0 | 1 | 495 | 66 | 72% | 7.5 |
| Nurse Practitioner | 1 | 0 | 1 | 483 | 60 | 65% | 8 |
Includes penalties issued in 2023
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
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.
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.
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.
Historical financial and operational data for Highfield Gardens Care Center from 2011–2023, based on CMS SNF Cost Reports.
Based on CMS SNF Cost Report for fiscal year ending in 12/2023.
Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
Money the home earns outside of resident care — such as investments, grants, rentals and other non-operating sources (CMS cost report, Worksheet G-3). It is tracked separately from net patient revenue: it is not part of that figure, and it is not included in net patient income.
Staff salaries plus wage-related costs — benefits such as payroll taxes, health insurance and retirement — from the home's own accounting records (CMS cost report, Worksheet A). Contract or agency labor is counted separately, under other operating costs.
Rank #181 / 403Payroll — State benchmarkedThis home is ranked 181st out of 403 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.Rankings are based only on facilities in New York that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Payroll as a share of revenue: staff salaries and wage-related benefits divided by net patient revenue. A higher figure means more of each revenue dollar goes to staff pay.
Rank #334 / 403Payroll % — State benchmarkedThis home is ranked 334th out of 403 homes in New York. Shows payroll as a percentage of revenue versus the New York average. Well-run New York facilities typically land around 53–65% — the top third Statewide. Below 25% may signal understaffing or heavy agency use — read with Staffing ratings.Rankings are based only on facilities in New York that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Everything it costs to run the home apart from payroll — food, utilities, supplies, maintenance, contract labor and administration. Calculated as total operating expense minus payroll (staff salaries and wage-related benefits).
The home's total operating expense for the year — all the costs of running it, salaries included (CMS cost report, Worksheet G-3).
Most residents typically stay for a few weeks or months before returning home or moving on.
Most new residents arrive under Medicare (55% of admissions), and a typical Medicare stay runs around 2 months.
Coverage residents most often arrive under.
Coverage residents most often leave under.
1.8 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)
Add your location
The information below is reported by the New York State Department of Health.
| Excel at Woodbury for Rehabilitation and Nursing, LLC | NH NC | Woodbury | 123
Facility
123
NY AVG
160
Rank
#402 / 748 |
95.9%
Facility
95.9%
NY AVG
88.3%
Rank
#313 / 436 | +9% | 2.98
Facility
2.98
NY AVG
3.58
Rank
#271 / 407 | +14% | -17% | $0
Facility
$0
NY AVG
$67.6k
Rank
#1 / 415 | 90
Facility
90
NY AVG
83
Rank
#166 / 593 | 13
Facility
13
NY AVG
18.5
Rank
#129 / 414 | 4.3
Facility
4.3
NY AVG
5.1
Rank
#157 / 414 | - | 112 | - |
32
Facility
32
NY AVG
63
Rank
#951 / 1173 | Excel At Woodbury For Rehabilitation And Nursing, LLC (For Profit) | $23.8M
Facility
$23.8M
NY AVG
$32.0M
Rank
#254 / 403 | $16.2M
Facility
$16.2M
NY AVG
$10.7M
Rank
#175 / 403 | 68.1%
Facility
68.1%
NY AVG
37%
Rank
#33 / 403 | 335231 | ||||
| Meadowbrook Care Center | NH MC PC | Freeport (West Merrick Road) | 280
Facility
280
NY AVG
160
Rank
#78 / 748 |
93.9%
Facility
93.9%
NY AVG
88.3%
Rank
#224 / 436 | +6% | 3.09
Facility
3.09
NY AVG
3.58
Rank
#247 / 407 | +31% | -14% | $0
Facility
$0
NY AVG
$67.6k
Rank
#1 / 415 | 81
Facility
81
NY AVG
83
Rank
#336 / 593 | 13
Facility
13
NY AVG
18.5
Rank
#129 / 414 | 4.3
Facility
4.3
NY AVG
5.1
Rank
#157 / 414 | - | 265 | A+ |
75
Facility
75
NY AVG
63
Rank
#530 / 1173 | Dov Berkowitz | $46.5M
Facility
$46.5M
NY AVG
$32.0M
Rank
#92 / 403 | $26.7M
Facility
$26.7M
NY AVG
$10.7M
Rank
#49 / 403 | 57.3%
Facility
57.3%
NY AVG
37%
Rank
#32 / 403 | 335796 | ||||
| Highfield Gardens Care Center | NH HC MC RC | Great Neck (Spinney Hill Homes) | 200
Facility
200
NY AVG
160
Rank
#169 / 748 | - | - | 3.87
Facility
3.87
NY AVG
3.58
Rank
#96 / 407 | +12% | +8% | $4.9k
Facility
$4.9k
NY AVG
$67.6k
Rank
#307 / 415 | 78
Facility
78
NY AVG
83
Rank
#382 / 593 | 15
Facility
15
NY AVG
18.5
Rank
#170 / 414 | 5.0
Facility
5.0
NY AVG
5.1
Rank
#219 / 414 | - | 37 | - |
55
Facility
55
NY AVG
63
Rank
#748 / 1173 | Sorah Bleier | $38.8M
Facility
$38.8M
NY AVG
$32.0M
Rank
#134 / 403 | $15.5M
Facility
$15.5M
NY AVG
$10.7M
Rank
#181 / 403 | 39.8%
Facility
39.8%
NY AVG
37%
Rank
#334 / 403 | 335250 |
Highfield Gardens Care Center is located in Great Neck, New York.
Here are the financial assistance programs available to residents in New York.
Highfield Gardens Care Center is in the Spinney Hill Homes neighborhood of Great Neck.
Highfield Gardens Care Center is legally operated by Wedgewood Care Center, Inc. (For Profit).
Highfield Gardens Care Center has a walk score of 55. Moderately walkable. Some errands can be accomplished on foot, with a mix of nearby amenities.
Highfield Gardens Care Center's occupancy is 100%.
Highfield Gardens Care Center is registered as a for-profit in NY.
Highfield Gardens Care Center has 200 beds.
Highfield Gardens Care Center has had 23 recently reported citations.
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