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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.
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.
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 241st out of 388 homes in New York. 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.
| 47m per day | ▲ 12% 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.
| 39m per day | ▼ 15% 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 21m per day | ▲ 8% State avg: 2h 11m per day · National avg: 2h 20m 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 4m per day | ▼ 3% 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.
| 5m per day | ▼ 29% 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.
| 34m per day | ▲ 21% State avg: 28m per day · National avg: 28m per day |
Similar to the New York average: 88.3%Island Nursing and Rehab Center is legally operated by Island Rehabilitation and Nursing Center, Inc (Not 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. See the nursing homes benchmark below for the typical New York score; higher is better.
D+ · Below the New York average for nursing homes.
New York nursing homes benchmark: C 74/100
Inspection score: 67 out of 100. Letter grade D+. Below the New York average for nursing homes.
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 2 enforcement actions. 34% 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.
| 22 | 13 | This facility has 69% more total citations than a typical New York nursing home (22 vs. NY avg 13).↑ 69% worse |
|
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 New York nursing home (18 vs. NY avg 20).↓ 10% better |
|
Life safety citations
Violations related to building safety — fire prevention, emergency egress, and similar.
| 4 | 4 | This facility has life safety citations in line with the New York average (4 vs. NY avg 4).— At avg |
|
Citations per year
Average citations per year since 2022.
| 5.5 | 3.3 | This facility has 67% more citations per year than a typical New York nursing home (5.5 vs. NY avg 3.3).↑ 67% worse |
|
Citations per inspection
Average citations per inspection.
| 2.4 | 1.4 | This facility has 71% more citations per inspection than a typical New York nursing home (2.4 vs. NY avg 1.4).↑ 71% 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.
| 48 | 79 | This facility has 39% fewer total complaints than a typical New York nursing home (48 vs. NY avg 79).↓ 39% better |
|
Complaints per year
Average complaints per year since 2022.
| 12 | 19.8 | This facility has 39% fewer complaints per year than a typical New York nursing home (12 vs. NY avg 19.8).↓ 39% better |
|
Complaints per bed
Size-adjusted complaint rate based on occupied beds.
| 0.43 | 0.50 | This facility has 14% fewer complaints per bed than a typical New York nursing home (0.43 vs. NY avg 0.5).↓ 14% better |
|
Complaint investigations
On-site investigations triggered by complaints filed with New York regulators.
| 13 | 15 | This facility has 13% fewer complaint investigations than a typical New York nursing home (13 vs. NY avg 15).↓ 13% better |
An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.
The most recent inspection on August 6, 2025, identified several deficiencies related to care planning, medication labeling, pharmacy services, and resident self-administered medications. Earlier inspections showed a pattern of isolated or corrected deficiencies involving care plans, nursing staff, assessments, and infection control, with no enforcement actions or fines listed in the available reports. Inspectors commonly cited issues with care planning, medication management, and staff competency. Complaint investigations were unsubstantiated or not noted, and no license suspensions or fines were reported. The facility’s deficiencies appear consistent over time, with many issues addressed or corrected between inspections.
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 Aug 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.
11 of 13 citations resulted from standard inspections; and 2 of 13 came from combined inspections (standard and complaint).
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.
4
Lawsuits still moving through the courts. Active claims can affect day-to-day operations, settlement risk, and insurance posture.
1
1 active
Cases that have been disposed of — dismissed, settled, or decided. Shows how the facility has historically resolved disputes.
3
3 Disposed
Year of the earliest case on record. A long history with steady filings suggests persistent issues; a recent first filing means newer exposure.
2005
Most recent filing on record. Recent activity means legal disputes are still being raised against this facility.
2020
Next scheduled court appearance on record across active cases.
May 01, 2026Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.
587% better than New York average
5% worse than 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.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.3 hoursNo contractors work on this role.
Assists with medical care and medications.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.3 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.
7.3 hoursNo contractors work on this role.
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Total hours from contractors
139 contractor hours this quarter
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
| Certified Nursing Assistant | 62 | 0 | 62 | 21,846 | 92 | 100% | 7.3 |
| Registered Nurse | 18 | 0 | 18 | 6,314 | 92 | 100% | 7.3 |
| Licensed Practical Nurse | 16 | 1 | 17 | 5,223 | 92 | 100% | 7.3 |
| Physical Therapy Assistant | 10 | 0 | 10 | 2,145 | 90 | 98% | 7.6 |
| Respiratory Therapy Technician | 6 | 0 | 6 | 1,862 | 89 | 97% | 8.4 |
| Speech Language Pathologist | 4 | 0 | 4 | 1,250 | 75 | 82% | 7.7 |
| Clinical Nurse Specialist | 4 | 0 | 4 | 1,208 | 70 | 76% | 7.3 |
| Other Social Services Staff | 4 | 0 | 4 | 1,125 | 92 | 100% | 7.5 |
| Mental Health Service Worker | 2 | 0 | 2 | 728 | 71 | 77% | 7.5 |
| Physical Therapy Aide | 2 | 0 | 2 | 579 | 73 | 79% | 7.9 |
| Dental Services Staff | 1 | 0 | 1 | 405 | 54 | 59% | 7.5 |
| Administrator | 1 | 0 | 1 | 403 | 55 | 60% | 7.3 |
| Nurse Practitioner | 1 | 0 | 1 | 375 | 50 | 54% | 7.5 |
| Qualified Social Worker | 3 | 0 | 3 | 307 | 61 | 66% | 4.9 |
| Medical Director | 1 | 0 | 1 | 78 | 39 | 42% | 2 |
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
No penalties in the past 3 years
No civil money penalties or payment denials were reported in the last 3 years.
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.
9.9
In line with New York averageNew York average: 9.8
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
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
17.0%
In line with New York averageNew York average: 16.4%
Percent of long-stay residents whose ability to move independently worsened
11.5%
31% better than New York averageNew York average: 16.6%
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%
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%
Percent of long-stay high risk residents with pressure ulcers
8.5%
19% worse than New York averageNew York average: 7.2%
Percent of long-stay residents with a urinary tract infection
2.3%
63% worse than New York averageNew York average: 1.4%
Percent of long-stay residents who lose too much weight
6.4%
5% worse than New York averageNew York average: 6.1%
Percent of long-stay residents who have depressive symptoms
18.1%
In line with New York averageNew York average: 18.1%
Percent of long-stay residents who received an antipsychotic medication
7.1%
43% better than New York averageNew York average: 12.6%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
91.7%
In line with New York averageNew York average: 91.4%
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%
Number of hospitalizations per 1,000 long-stay resident days.
2.25
32% worse than New York averageNew York average: 1.71
Number of outpatient emergency department visits per 1,000 long-stay resident days.
1.32
In line with 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
86.9%
13% better than New York averageNew York average: 76.6%
Percent of short-stay residents who newly received an antipsychotic medication
1.7%
36% worse than New York averageNew York average: 1.3%
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%
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
22.6%
10% worse than New York averageNew York average: 20.6%
Percentage of short-stay residents who had an outpatient emergency department visit.
11.4%
18% worse than New York averageNew York average: 9.7%
Percentage of SNF residents who experience falls with major injury during their stay.
0.0%
100% better than New York averageNew York average: 0.8%
Percentage of residents at or above expected ability to care for themselves at discharge.
62.0%
16% better than New York averageNew York average: 53.7%
Rate of successful return to home or community from a skilled nursing facility.
58.6%
16% better than 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.
70% of new residents, usually for short-term rehab.
15% of new residents, often for short stays.
15% of new residents, often for long-term daily care.
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
113Residents 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 Island Nursing and Rehab Center based on CMS SNF Cost Reports.
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Rank #309 / 383Payroll — State benchmarkedThis home is ranked 309th out of 383 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.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Most residents typically stay for a few weeks or months before returning home or moving on.
0.7 miles from city center
Estimated distance in miles from Holtsville's city center to Island Nursing and Rehab Center's address, calculated via Google Maps.
Add your location
Island Nursing and Rehab Center is located in Holtsville, New York.
Here are the financial assistance programs available to residents in New York.
The legal owner and operator of Island Nursing and Rehab Center is Island Rehabilitation and Nursing Center, Inc (Not for Profit).
Island Nursing and Rehab Center has a walk score of 4. Car-dependent. Most errands require a car, with limited nearby walkable options.
According to NY state health department records, Island Nursing and Rehab Center's license number is 5151318N.
Island Nursing and Rehab Center's occupancy is 92%.
Island Nursing and Rehab Center has 120 beds.
Island Nursing and Rehab Center has had 22 recently reported deficiencies.
Yes — there are 5 photos of Island Nursing and Rehab Center in the photo gallery on this page.
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