Facility type
Nursing Home
Status
Active
Mostly short-term rehab stays
Most residents typically stay for a few weeks or months before returning home or moving on.
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Nursing Home
Island Nursing and Rehab Center
Island Nursing and Rehab Center provides exceptional skilled nursing, rehabilitation, respite, and hospice care in Holtsville, NY. The facility is part of the Gurwin Healthcare System and offers a range of services tailored to the needs of seniors and adults requiring skilled nursing care. Their commitment to excellence ensures that residents receive compassionate, person-centered care.
Quality ratings
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.
Nursing care per resident
This shows how many total hours of nursing staff time are available per resident each day. Higher numbers usually mean more staff support.
Capacity and availability
Medium-capacity home
Offers a balance of services and community atmosphere.
Total beds
120
This home usually has availability
Lower occupancy suggests more openings may be available.
Occupancy rate
75%
Residents per day (avg)
106
Occupancy rate
75%
Residents per day (avg)
106
Who this home usually serves
Show admissions and discharges
TYPE OF STAY
Might be optimal for
Short stays
Recovery
Medicare-covered care
Breakdown by payment type
Medicare
70% of new residents, usually for short-term rehab.
Typical stay
1 - 2 months
Private pay
15% of new residents, often for short stays.
Typical stay
3 - 4 months
Medicaid
15% of new residents, often for long-term daily care.
Typical stay
11 - 12 months
Finances and operations
Voluntary non-profit community
Home revenue
$16.7M
Operating deficit
-$1.1M
Voluntary non-profit community
Home revenue
$16,709,300.00
Operating deficit
$-1,144,398.00
Payroll costs
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
$6.8M
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Other operating costs
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
$18.3M
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Total costs
$25.1M
120-bed community
A larger shared setting that may offer more common spaces and organized community services.
About this community
License details
County:
Suffolk
Additional licensing details
License number:
5151318N
CMS Certification Number:
335835
Ownership & operating entity
Owner name:
Island Rehabilitation and Nursing Center, Inc (Not 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
Programs & Activities
Specific Programs
Skilled Nursing, Rehabilitation, Respite Care, Hospice Care, Adult Day Care, Social Adult Day Care, Medical Adult Day Program, Home Care
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.
3 inspections
3 with citations, 0 without citations
New York average: 9 inspections (5 with citations)
Show Inspection Reports
40 complaints
33.3 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:August 6, 2025
Type:Complaint Investigation
14 total citations
Citations indicate regulatory violations. A higher number implies the facility had several areas requiring improvement.
New York average: 29 citations
18 deficiencies
Deficiencies indicate regulatory issues. A higher number implies the facility had several areas requiring improvement.
2 enforcement actions
Penalties or interventions imposed by state regulators when facilities do not comply with quality, safety or regulatory standards.
September 13, 2022: Stipulation & Order #: NH-22-168
A formal agreement with the state to correct serious or repeated issues.
June 1, 2020: Stipulation & Order #: NH-20-033
A formal agreement with the state to correct serious or repeated issues.
Health Inspection History
Inspections
Total health inspections
3
New York average 3.6
Last Health inspection on Aug 2025
Total health citations
13
New York average 18.5
Citations per inspection
4.33
New York average 5.05
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
11 of 13 citations resulted from standard inspections; and 2 of 13 came from combined inspections (standard and complaint).
Breakdown of citation severity (last 3 years)
Critical Health citations
0
0
100% better than New York averageNew York average: 0.2
Serious Health citations
0
0
100% better than New York averageNew York average: 0.2
0 critical citations
0 serious citations
13 moderate citations
0 minor citations
Citations history (last 3 years)
Pharmacy moderate citation
Issues related to medication management, including how drugs are stored, administered, and monitored.
Aug 06, 2025
Issues related to medication management, including how drugs are stored, administered, and monitored.
Aug 06, 2025
Corrected
Pharmacy moderate citation
Issues related to medication management, including how drugs are stored, administered, and monitored.
Aug 06, 2025
Issues related to medication management, including how drugs are stored, administered, and monitored.
Aug 06, 2025
Corrected
Care Planning moderate citation
Issues related to creating and updating personalized care plans for residents based on their needs and conditions.
Aug 06, 2025
Issues related to creating and updating personalized care plans for residents based on their needs and conditions.
Aug 06, 2025
Corrected
Resident Rights moderate citation
Issues related to resident's rights, including dignity, privacy, and the ability to make decisions about their care.
Aug 06, 2025
Issues related to resident's rights, including dignity, privacy, and the ability to make decisions about their care.
Aug 06, 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.
Compare Nursing Homes around Holbrook The information below is reported by the New York State Department of Health.
Island Nursing and Rehab 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).
Holtsville
120
75.0%
-15%
3.15
-12%
0
13
0
106
Marchand, Audrey
$15,9M
$6,8M
42.5%
335835
Luxor at Sayville Rehabilitation & 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).
Folsom
-
-
-
-
-
0
0
0
-
-
-
-
-
-
Places of interest near Island Nursing and Rehab Center
0.7 miles from city center
5537 Expressway Drive North, Holtsville, NY 11742
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Staffing Data (Q2 2025)
This data corresponds to Q2 2025 and is based on CMS Payroll-Based Journal.
Total staff
140
Employees
135
Contractors
5
Staff to resident ratio
1.24:1
607% better than New York averageNew York average ratio: 0.18:1
Avg staff/day
65
Average shift
7.3 hours
5% worse than New York averageNew York average: 7.7 hours
Total staff hours (quarter)
42,935
Nursing staff breakdown
Registered Nurse
Manages medical care and health needs.
Total count
16
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.5 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.5 hoursNo contractors work on this role.
Licensed Practical Nurse
Assists with medical care and medications.
Total count
19
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.6 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.6 hoursThis role is partially covered by contractors.
Certified Nursing Assistant
Helps with daily care and mobility.
Total count
70
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7 hoursThis role is partially covered by contractors.
Contractor staffing
Total hours from contractors
3%
1,294 contractor hours this quarter
Licensed Practical Nurse: 4
Certified Nursing Assistant: 1
Staff by category
| Certified Nursing Assistant | 69 | 1 | 70 | 21,210 | 91 | 100% | 7 |
| Registered Nurse | 16 | 0 | 16 | 5,572 | 91 | 100% | 7.5 |
| Licensed Practical Nurse | 15 | 4 | 19 | 5,494 | 91 | 100% | 7.6 |
| Physical Therapy Assistant | 8 | 0 | 8 | 2,245 | 87 | 96% | 7.6 |
| Other Social Services Staff | 4 | 0 | 4 | 1,460 | 91 | 100% | 7.5 |
| Clinical Nurse Specialist | 3 | 0 | 3 | 1,290 | 64 | 70% | 7.5 |
| Respiratory Therapy Technician | 5 | 0 | 5 | 1,168 | 90 | 99% | 8.4 |
| Speech Language Pathologist | 5 | 0 | 5 | 1,114 | 87 | 96% | 7.5 |
| Mental Health Service Worker | 2 | 0 | 2 | 878 | 77 | 85% | 7.5 |
| Physical Therapy Aide | 2 | 0 | 2 | 534 | 66 | 73% | 8.1 |
| Nurse Practitioner | 1 | 0 | 1 | 435 | 58 | 64% | 7.5 |
| Administrator | 1 | 0 | 1 | 406 | 55 | 60% | 7.4 |
| Dental Services Staff | 1 | 0 | 1 | 405 | 54 | 59% | 7.5 |
| Other Dietary Services Staff | 1 | 0 | 1 | 362 | 50 | 55% | 7.2 |
| Qualified Social Worker | 1 | 0 | 1 | 286 | 60 | 66% | 4.8 |
| Medical Director | 1 | 0 | 1 | 78 | 39 | 43% | 2 |
70 Certified Nursing Assistant
% of Days
100%
16 Registered Nurse
% of Days
100%
19 Licensed Practical Nurse
% of Days
100%
8 Physical Therapy Assistant
% of Days
96%
4 Other Social Services Staff
% of Days
100%
3 Clinical Nurse Specialist
% of Days
70%
5 Respiratory Therapy Technician
% of Days
99%
5 Speech Language Pathologist
% of Days
96%
2 Mental Health Service Worker
% of Days
85%
2 Physical Therapy Aide
% of Days
73%
1 Nurse Practitioner
% of Days
64%
1 Administrator
% of Days
60%
1 Dental Services Staff
% of Days
59%
1 Other Dietary Services Staff
% of Days
55%
1 Qualified Social Worker
% of Days
66%
1 Medical Director
% of Days
43%
Facility Characteristics
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total census
113 residents
Residents by payment source
Medicare
26 residents (23%)
Medicaid
70 residents (61.9%)
Private pay or other
17 residents (15%)
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.
Data sourced from CMS Long-Term Care Facility Characteristics quarterly report. Payer mix reflects the current resident census by primary payment source.
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
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
9.9
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
9.9
In line with New York averageNew York average: 9.8
Functional decline score
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
16.2
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
16.2
10% better than New York averageNew York average: 18.1
Long-stay resident measures
Need for Help with Daily Activities Increased
Percent of long-stay residents whose need for help with daily activities has increased
17.0%
Percent of long-stay residents whose need for help with daily activities has increased
17.0%
In line with New York averageNew York average: 16.4%
Walking Ability Worsened
Percent of long-stay residents whose ability to move independently worsened
11.5%
Percent of long-stay residents whose ability to move independently worsened
11.5%
31% better than New York averageNew York average: 16.6%
Low Risk Residents with Bowel/Bladder Incontinence
Percent of low risk long-stay residents who lose control of their bowels or bladder
20.2%
Percent of low risk long-stay residents who lose control of their bowels or bladder
20.2%
5% better than New York averageNew York average: 21.4%
Falls with Major Injury
Percent of long-stay residents experiencing one or more falls with major injury
6.1%
Percent of long-stay residents experiencing one or more falls with major injury
6.1%
106% worse than New York averageNew York average: 3.0%
High Risk Residents with Pressure Ulcers
Percent of long-stay high risk residents with pressure ulcers
8.5%
Percent of long-stay high risk residents with pressure ulcers
8.5%
19% worse than New York averageNew York average: 7.2%
Urinary Tract Infection
Percent of long-stay residents with a urinary tract infection
2.3%
Percent of long-stay residents with a urinary tract infection
2.3%
63% worse than New York averageNew York average: 1.4%
Lost Too Much Weight
Percent of long-stay residents who lose too much weight
6.4%
Percent of long-stay residents who lose too much weight
6.4%
5% worse than New York averageNew York average: 6.1%
Depressive Symptoms
Percent of long-stay residents who have depressive symptoms
18.1%
Percent of long-stay residents who have depressive symptoms
18.1%
In line with New York averageNew York average: 18.1%
Antipsychotic Use
Percent of long-stay residents who received an antipsychotic medication
7.1%
Percent of long-stay residents who received an antipsychotic medication
7.1%
43% better than New York averageNew York average: 12.6%
Pneumococcal Vaccine
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
91.7%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
91.7%
In line with New York averageNew York average: 91.4%
Influenza Vaccine
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
97.6%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
97.6%
In line with New York averageNew York average: 95.2%
Short-stay resident measures
Pneumococcal Vaccine
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
86.9%
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
86.9%
13% better than New York averageNew York average: 76.6%
Antipsychotic medication increase
Percent of short-stay residents who newly received an antipsychotic medication
1.7%
Percent of short-stay residents who newly received an antipsychotic medication
1.7%
36% worse than New York averageNew York average: 1.3%
Influenza Vaccine
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
91.9%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
91.9%
17% better than New York averageNew York average: 78.8%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
Financial Trends
Historical financial and operational data for Island Nursing and Rehab Center based on CMS SNF Cost Reports.
Occupancy Rate
75.0%
↑ 6.1pp vs 2022
Net Income
-$1,144,398
↑ ~$4.8M vs 2022
Total Payroll
$8,102,451
↓ ~$415K vs 2022
Profit Margin
-7.2%
↑ 22.7pp vs 2022
Loading trend charts...
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