Island Nursing and Rehab Center

Nursing Home, Hospice Care, Memory Care, Palliative Care, Respite Care & Skilled Nursing · Holtsville, NY

CMS overall rating

Island Nursing and Rehab Center

Nursing Home, Hospice Care, Memory Care, Palliative Care, Respite Care & Skilled Nursing · Holtsville, NY

CMS overall rating

5537 Expressway Drive North, Holtsville, NY 11742 View map

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Island Nursing and Rehab Center accepts Medicare, Medicaid, and private pay.

Calculator: See prices in your area

Island Nursing and Rehab Center accepts Medicare, Medicaid, and private pay.

Overview of Island Nursing and Rehab Center

Owned by Audrey Marchand, Island Nursing and Rehab Center is a skilled nursing facility in Holtsville, New York. The home is operated by Island Rehabilitation and Nursing Center, Inc. Medicare, Medicaid, and private pay are accepted, giving families multiple pathways to cover short-term rehabilitation and longer stays. Operating at full occupancy with an average length of stay of 95 days, the 120-bed facility serves post-acute rehabilitation residents and those receiving ongoing skilled care.

The center focuses on short-term rehabilitation and recovery. It offers rehabilitation services, respite care, and specialized programs through a Social Adult Day Care and Medical Adult Day Program. Daily nursing support averages about 3 hours and 9 minutes per resident, including registered nurse care, nurse aide support, and LPN/LVN coverage. The level of hands-on staffing reflects a strong clinical approach to post-hospital care and recovery.

Department of Health inspections focused on medication and pharmacy management, care planning accuracy, and nursing competencies. Most deficiencies identified during inspections were isolated issues corrected within the required timeframes. There were no systemic concerns found in the facility’s overall care system.

The facility is located on Expressway Drive North in Holtsville, a car-dependent area with a Walk Score of 4. Visitors and staff should expect to drive for most errands and transportation needs.

Families seeking a nursing home centered on skilled rehabilitation and recovery, the facility’s intensive staffing model and adult day programs provide structured support for both short-term transition care and ongoing management.

Facility Direct Line (631) 758-3336

Quality ratings

Measured by Centers for Medicare & Medicaid Services (CMS)

Staffing hours breakdown

Hours per resident per day — compared to New York state averages

Total nursing care / resident

3h 9m per day

This facility New York avg (3h 35m per day)

vs New York avg

-12%

2 of 6 metrics below state avg

Standout metric Physical Therapist is +57% above state avg

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	▲ 11% 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.	31m per day	▼ 33% 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 9m per day	■ Avg 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 2m per day	▼ 4% 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.	11m per day	▲ 57% 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.	35m per day	▲ 25% State avg: 28m per day · National avg: 28m per day

Capacity and availability

95 days

120-bed community

A larger shared setting that may offer more common spaces and organized community services.

Walk Score: 4 / 100

Car-dependent. Most errands require a car, with limited nearby walkable options.

About this community

Occupancy

Occupancy rate

100%

Higher than the New York average: 88.3%

Occupied beds

120 / 120

Average occupied beds in New York homes 166 beds

Facility TypeNursing Home

StatusActive

CountySuffolk

License Number5151318N

CMS Certification Number335835

Island Nursing and Rehab Center is legally operated by Island Rehabilitation and Nursing Center, Inc (Not for Profit).

Owner NameIsland Rehabilitation And Nursing Center, Inc (Not For Profit)

Rehabilitation Services

Respite Care

Short-Term Rehab

24-Hour Staffing

Pets not allowed

Since 2020 · 6 years of data 2 enforcement actions 22 citations 48 complaints 9 inspections 13 complaint investigations

Inspection Score

4 points below the New York average for nursing homes (83/100)

Enforcement Actions 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.

Since 2020

2 enforcement actions

This facility has 2 enforcement actions. 33% of New York nursing homes have zero, and the statewide average is 1.6.

September 13, 2022 Quality of Care #NH-22-168
June 1, 2020 Multiple Deficiencies #NH-20-033

Inspection Scorecard 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.

Since 2022 vs. New York state average

Overall vs. NY average

Citations Citations are formal regulatory issues recorded during state inspections.	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 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.	4	4	This facility has life safety citations in line with the New York average (4 vs. NY avg 4).— At avg
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 State inspections evaluate whether the facility meets health and safety standards.	This Facility	NY Average	vs. NY Avg
Total inspections Combined count of all inspections conducted at this facility.	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 Complaints are formal concerns filed by residents, families, or staff. Investigations are on-site follow-ups.	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

Inspection Reports Summary An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.

August 6, 2025 inspection cited four level 2 deficiencies in care planning, medication labeling, pharmacy services, and resident self-administered medications; all were isolated with no systemic quality issues.
June 11, 2024 inspection found seven level 2 deficiencies mostly isolated and corrected by August 8, 2024, involving assessments accuracy, care plans, physician supervision, dental services, and nursing staff sufficiency.
September 13, 2022 inspection identified six level 2 deficiencies in nursing competency, infection control, respiratory care, plus life safety code issues; most were isolated or pattern scope and corrected by late 2022.

Show Inspection Reports

Inspections since 2022

Total health inspections 3

New York average 3.6

Last Health inspection on Aug 2025

Total health citations

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 4 years)

Critical health citations

100% better than New York average

New York average: 0.2

Serious health citations

100% better than New York average

New York average: 0.2

0 critical citations New York average: 0.2

0 serious citations New York average: 0.2

13 moderate citations New York average: 17.4

0 minor citations New York average: 0.7

Citations history (last 4 years)

Pharmacy moderate citation Aug 06, 2025

Corrected

Pharmacy moderate citation Aug 06, 2025

Corrected

Care Planning moderate citation Aug 06, 2025

Corrected

Resident Rights moderate citation Aug 06, 2025

Corrected

Employee Flu Vaccination Rate: 93%

Percentage of facility employees vaccinated against influenza.

Total Cases 4

Active Cases 1

Closed 3

Since 2005

Most Recent 2020

Next Court Date May 01, 2026

View full lawsuit report

Total staff 136

Employees 135

Contractors 1

Staff to resident ratio 1.20 : 1

587% more staff per resident than New York average

Avg staff/day 65

Average shift 7.3 hours

5% worse than New York average

Total staff hours (quarter) 43,847

Nursing staff breakdown

7.3 hours

Contractor staffing

139 contractor hours this quarter

Licensed Practical Nurse: 1

Staff by category


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

62 Certified Nursing Assistant

% of Days 100%

18 Registered Nurse

% of Days 100%

17 Licensed Practical Nurse

% of Days 100%

10 Physical Therapy Assistant

% of Days 98%

6 Respiratory Therapy Technician

% of Days 97%

4 Speech Language Pathologist

% of Days 82%

4 Clinical Nurse Specialist

% of Days 76%

4 Other Social Services Staff

% of Days 100%

2 Mental Health Service Worker

% of Days 77%

2 Physical Therapy Aide

% of Days 79%

1 Dental Services Staff

% of Days 59%

1 Administrator

% of Days 60%

1 Nurse Practitioner

% of Days 54%

3 Qualified Social Worker

% of Days 66%

1 Medical Director

% of Days 42%

View All Staffing Data in Holbrook

No penalties in the past 3 years

No civil money penalties or payment denials were reported in the last 3 years.

High-risk clinical events score 9.9

In line with New York average

New York average: 9.8

Functional decline score 16.2

10% better than New York average

New York average: 18.1

Long-stay resident measures

Average New York avg: 4.0

Need for Help with Daily Activities Increased 17.0%

In line with New York average

New York average: 16.4%

Walking Ability Worsened 11.5%

31% better than New York average

New York average: 16.6%

Low Risk Residents with Bowel/Bladder Incontinence 20.2%

5% better than New York average

New York average: 21.4%

Falls with Major Injury 6.1%

106% worse than New York average

New York average: 3.0%

High Risk Residents with Pressure Ulcers 8.5%

19% worse than New York average

New York average: 7.2%

Urinary Tract Infection 2.3%

63% worse than New York average

New York average: 1.4%

Lost Too Much Weight 6.4%

5% worse than New York average

New York average: 6.1%

Depressive Symptoms 18.1%

In line with New York average

New York average: 18.1%

Antipsychotic Use 7.1%

43% better than New York average

New York average: 12.6%

Pneumococcal Vaccine 91.7%

In line with New York average

New York average: 91.4%

Influenza Vaccine 97.6%

In line with New York average

New York average: 95.2%

Hospitalizations per 1,000 days 2.25

32% worse than New York average

New York average: 1.71

ED visits per 1,000 days 1.32

In line with New York average

New York average: 1.35

Short-stay resident measures

Above average New York avg: 3.5

Pneumococcal Vaccine 86.9%

13% better than New York average

New York average: 76.6%

Antipsychotic medication increase 1.7%

36% worse than New York average

New York average: 1.3%

Influenza Vaccine 91.9%

17% better than New York average

New York average: 78.8%

Re-hospitalized after SNF stay 22.6%

10% worse than New York average

New York average: 20.6%

Emergency department visits 11.4%

18% worse than New York average

New York average: 9.7%

Falls with major injury 0.0%

100% better than New York average

New York average: 0.8%

Ability to care for self at discharge 62.0%

16% better than New York average

New York average: 53.7%

Successful return to home or community 58.6%

16% better than New York average

New York average: 50.6%

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

Total residents 113

Medicare

23% of residents

Medicaid

61.9% of residents

Private pay or other

15% of residents

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.

Financial Trends

Historical financial and operational data for Island Nursing and Rehab Center from 2011–2023, based on CMS SNF Cost Reports.

Key figures below are for fiscal year ending in 12/2023.

Occupancy Rate 75.0% ↑ 6.1pp vs 2022

Net Patient Income -$1.9M ↑ ~$1.4M vs 2022

Payroll Costs $8.1M ↓ ~$414.9K vs 2022

Operating Margin -12.1% ↑ 14.3pp vs 2022

Metric	2011	2012	2013	2014	2015	2016	2017	2018	2019	2020	2021	2022	2023
Occupancy %	94.1%	93.1%	94.2%	93.1%	94.8%	93.4%	92.8%	92.8%	87.4%	81.6%	64.1%	68.9%	75.0%
Beds	120	120	120	120	120	120	120	120	120	120	120	120	120
Net Income	$324,658	-$1,080,384	-$222,906	-$1,151,193	$76,176	$613,216	-$870,624	-$498,912	-$347,536	$1,956,961	$13,324,905	-$5,978,186	-$1,144,398
Gross Revenue	$16,002,420	$14,745,684	$22,649,186	$15,486,979	$16,315,206	$16,939,796	$16,451,242	$17,178,783	$22,320,081	$14,549,416	$16,197,786	$19,972,624	$15,923,812
Operating Expenses	$15,760,956	$15,905,927	$16,226,494	$16,690,476	$17,059,863	$17,317,080	$17,980,748	$18,198,374	$18,065,743	$15,545,564	$14,332,200	$16,129,057	$17,853,698
Net Patient Income	$241,463	-$1,160,243	-$268,132	-$1,203,497	-$744,657	-$377,284	-$1,529,506	-$1,019,591	-$358,040	-$3,332,973	-$2,161,763	-$3,371,520	-$1,929,886
Net Patient Revenue	$16,002,419	$14,745,684	$15,958,362	$15,486,979	$16,315,206	$16,939,796	$16,451,242	$17,178,783	$17,707,703	$12,212,591	$12,170,437	$12,757,537	$15,923,812
Payroll Costs	$9,980,971	$10,456,443	$10,839,070	$11,199,361	$11,487,500	$11,710,002	$12,167,984	$12,182,357	$11,935,767	$10,560,596	$9,381,295	$8,517,353	$8,102,451
Operating Margin %	1.5%	-7.9%	-1.7%	-7.8%	-4.6%	-2.2%	-9.3%	-5.9%	-2.0%	-27.3%	-17.8%	-26.4%	-12.1%
Medicare %	25.5%	24.0%	25.1%	22.0%	23.7%	24.7%	22.7%	24.9%	25.4%	20.4%	25.0%	18.9%	25.5%
Medicaid %	62.0%	62.6%	60.4%	61.0%	53.6%	39.9%	32.6%	63.1%	33.3%	34.7%	62.3%	63.5%	58.4%
Private %	12.5%	13.4%	14.5%	17.0%	22.7%	35.5%	44.7%	11.9%	41.3%	44.9%	12.8%	17.6%	16.2%
Net Patient Revenue/Day	$388	$360	$387	$380	$393	$413	$405	$422	$463	$341	$433	$423	$485
Cost/Day	$383	$389	$393	$409	$411	$422	$443	$448	$472	$434	$510	$535	$544
Avg Length of Stay	75.1 days	71.4 days	72.5 days	68.2 days	70.6 days	64.1 days	68.6 days	68.7 days	64.8 days	60.5 days	93.3 days	100.9 days	95.5 days

Finances and operations

Based on CMS SNF Cost Report for fiscal year ending in 12/2023.

Net patient revenue

$15.9M

Net patient income

-$1.9M

Nonprofit Other Nonprofit

Net patient revenue

$15.9M

Net patient income

-$1.9M

Other income

$785.5K

Payroll costs

$8.1M 50.9% of net patient revenue

Other operating costs

$9.8M

Total costs

$17.9M

TYPE OF STAY

Mostly short-term rehab stays

Most residents typically stay for a few weeks or months before returning home or moving on.

Most new residents arrive under Medicare (70% of admissions), and a typical Medicare stay runs around 1 - 2 months.

Coverage residents most often arrive under.

Medicare 70%

Private pay 15%

Medicaid 15%

Coverage residents most often leave under.

Medicare 70%

Private pay 15%

Medicaid 15%

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.

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Community First Choice Option

NY Medicaid CFCO

Age 65+ or disabled

General New York resident, Medicaid- eligible, care need (not necessarily nursing home level).

Income Limits (2025) ~$2,829/month 300% FBR, individual

Asset Limits $30,182 individual, higher due to NY Medicaid expansion

Higher asset limit; urban density increases demand.

Benefits

Personal care (5-7 hours/day) Respite care (240 hours/year) Home modifications ($1,500 avg.) Assistive technology ($500 avg.)

Expanded In-Home Services for the Elderly Program (EISEP)

NY EISEP

Age 60+

General New York resident, at risk of decline but not nursing home level.

Income Limits ~$2,500/month individual, varies

Asset Limits $15,000 individual

Cost-sharing required above certain income; urban/rural balance.

Benefits

In-home care (3-5 hours/week) Respite (up to 10 days/year) Case management Transportation (~5 trips/month)

Who is the owner of Island Nursing and Rehab Center?

Island Nursing and Rehab Center is legally operated by Island Rehabilitation and Nursing Center, Inc (Not for Profit).

Is Island Nursing and Rehab Center in a walkable area?

Island Nursing and Rehab Center has a walk score of 4. Car-dependent. Most errands require a car, with limited nearby walkable options.

What is the license number of Island Nursing and Rehab Center?

According to NY state health department records, Island Nursing and Rehab Center's license number is 5151318N.

What is the occupancy rate at Island Nursing and Rehab Center?

Island Nursing and Rehab Center's occupancy is 100%.

Are pets allowed at Island Nursing and Rehab Center?

No, Island Nursing and Rehab Center has a no-pet policy.

Does Island Nursing and Rehab Center operate as a for-profit or non-profit?

Island Nursing and Rehab Center is registered as a non-profit in NY.

How many beds does Island Nursing and Rehab Center have?

Island Nursing and Rehab Center has 120 beds.

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Island Nursing and Rehab Center

Overview of Island Nursing and Rehab Center

Quality ratings

Staffing hours breakdown

Capacity and availability

About this community

Occupancy

License Details

Ownership & Operating Entity

Therapy & Rehabilitation

Staffing & Medical

Additional Policies & Features

Amenities & Lifestyle

Contact Island Nursing and Rehab Center

Inspection History

Inspection Scorecard 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 Citations are formal regulatory issues recorded during state inspections.

Inspections State inspections evaluate whether the facility meets health and safety standards.

Complaints & Investigations Complaints are formal concerns filed by residents, families, or staff. Investigations are on-site follow-ups.

Inspection Reports Summary An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.

Health Inspection History

Inspections since 2022

Breakdown of citation severity (last 4 years)

Citations history (last 4 years)

Infection Prevention & Vaccination

Lawsuit overview for Island Nursing and Rehab Center

Staffing Data

Nursing staff breakdown

Registered Nurse

Licensed Practical Nurse

Certified Nursing Assistant

Contractor staffing

Staff by category

62 Certified Nursing Assistant

18 Registered Nurse

17 Licensed Practical Nurse

10 Physical Therapy Assistant

6 Respiratory Therapy Technician

4 Speech Language Pathologist

4 Clinical Nurse Specialist

4 Other Social Services Staff

2 Mental Health Service Worker

2 Physical Therapy Aide

1 Dental Services Staff

1 Administrator

1 Nurse Practitioner

3 Qualified Social Worker

1 Medical Director

Penalties and fines

Quality of care over time

Long-stay resident measures

Short-stay resident measures

Breakdown by payment type

Medicare

Private pay

Medicaid

Facility Characteristics

Programs & Services

Residents Group

Active Resident Council

Financial Trends

Financial Performance

Payroll & Labor Costs

Payer Mix (percentage)

Finances and operations

Who this home usually serves

Mostly short-term rehab stays

Admissions

Discharges

Places of interest near Island Nursing and Rehab Center

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Financial Assistance for Nursing Home in New York

Community First Choice Option

Expanded In-Home Services for the Elderly Program (EISEP)

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Financial Assistance for
Nursing Home in New York