Every person who worked here at any point in the quarter, employees and contractors. It is not how many are on site at once: that is the "on an average day" figure.
136
135 employees · 1 contractor · 65 on an average day Island Nursing and Rehab Center
Nursing Home, Hospice Care, Memory Care, Palliative Care, Respite Care & Skilled Nursing · Holtsville, NY
ALM Inspection Grade
A
ALM's inspection grade is 94 / 100, an A — 10 points above the New York average for CMS-certified facilities (84/100) · A proprietary Assisted Living Magazine grade.A 0–100 score of a facility's regulatory inspection record, shown as a letter and compared with other facilities of the same kind in the same state. It is not a government rating.
ALM's inspection grade is 94 / 100, an A — 10 points above the New York average for CMS-certified facilities (84/100) · A proprietary Assisted Living Magazine grade.A 0–100 score of a facility's regulatory inspection record, shown as a letter and compared with other facilities of the same kind in the same state. It is not a government rating.
CMS overall rating
5/5
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.
5/5
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.
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Island Nursing and Rehab Center
Nursing Home, Hospice Care, Memory Care, Palliative Care, Respite Care & Skilled Nursing · Holtsville, NY
ALM Inspection Grade
A
ALM's inspection grade is 94 / 100, an A — 10 points above the New York average for CMS-certified facilities (84/100) · A proprietary Assisted Living Magazine grade.A 0–100 score of a facility's regulatory inspection record, shown as a letter and compared with other facilities of the same kind in the same state. It is not a government rating.
ALM's inspection grade is 94 / 100, an A — 10 points above the New York average for CMS-certified facilities (84/100) · A proprietary Assisted Living Magazine grade.A 0–100 score of a facility's regulatory inspection record, shown as a letter and compared with other facilities of the same kind in the same state. It is not a government rating.
CMS overall rating
5/5
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.
5/5
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.
Island Nursing and Rehab Center accepts Medicare, Medicaid, and private pay.
Overview of Island Nursing and Rehab Center
Island Nursing and Rehab Center is a 120 bed nursing home in Holtsville, NY. It offers skilled nursing, memory care, hospice care, palliative care, and respite care. Skilled nursing provides licensed nursing care on site around the clock, while memory care offers a secured, supervised setting. Hospice and palliative care focus on comfort for residents with serious or end of life illness, and respite care provides a short stay when a usual caregiver needs time away.
The combination of memory care and skilled nursing may be a good fit for a resident who needs both cognitive supervision and nursing support. Total nurse staffing is 3 hours and 7 minutes per resident each day, representing the amount of nurse time assigned to each resident across a day.
Payment options include Medicare for eligible short term skilled care after a hospital stay, Medicaid for eligible care, and private pay for families paying directly. Island Nursing and Rehab Center also offers rehabilitation services and short term rehabilitation, giving residents a setting for time limited recovery without arranging care elsewhere.
Adult Day Care, Social Adult Day Care, and a Medical Adult Day Program provide daytime services. The medical program focuses on health related needs. Island Rehabilitation and Nursing Center operates the community.
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.
Staffing
Data period: Q4 2025 (October 1 – December 31, 2025).
Nursing care per resident per day and state rankings: CMS Provider Information.
Headcount, shifts and contractors: CMS Payroll-Based Journal (PBJ).
Resident count: CMS Long-Term Care Facility Characteristics (data as of Jun 2026).
Total nursing care per resident / day
This nursing home is ranked 323rd out of 490 nursing homes we track 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.
3h 7m
This nursing home is ranked 323rd out of 490 nursing homes we track 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.
3h 7mStandout metric: Physical therapist is +56% above New York average
4 of 6 metrics below New York average
Daily care time per resident, by role
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. All 18 are the facility's own employees; no agency contractors work in this role.
18 staff · 7.3-hour shifts
38m
↓ 10% · NY 42mThis facility: 38m per resident per day, 10% below the New York average of 42m (among New York facilities reporting a recent figure).
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. All 18 are the facility's own employees; no agency contractors work in this role.
18 staff · 7.3-hour shiftsUS average: 41m.Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse. US 41m
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. 17 total: 16 of the facility's own employees and 1 agency contractor.
17 staff · 7.3-hour shifts
36m
↓ 22% · NY 46mThis facility: 36m per resident per day, 22% below the New York average of 46m (among New York facilities reporting a recent figure).
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. 17 total: 16 of the facility's own employees and 1 agency contractor.
17 staff · 7.3-hour shiftsUS average: 52m.Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse. US 52m
Certified nursing assistant
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. All 62 are the facility's own employees; no agency contractors work in this role.
62 staff · 7.3-hour shifts
1h 54m
↓ 13% · NY 2h 11mThis facility: 1h 54m per resident per day, 13% below the New York average of 2h 11m (among New York facilities reporting a recent figure).
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. All 62 are the facility's own employees; no agency contractors work in this role.
62 staff · 7.3-hour shiftsUS average: 2h 20m.Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse. US 2h 20m
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
↑ 56% · NY 7mThis facility: 11m per resident per day, 56% above the New York average of 7m (among New York facilities reporting a recent figure).
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.
US average: 4m.Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse. US 4m
Total nursing, weekends
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.
RN + LPN + aide · Sat–Sun
2h 50m
↓ 10% · NY 3h 10mThis facility: 2h 50m per resident per day, 10% below the New York average of 3h 10m (among New York facilities reporting a recent figure).
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.
RN + LPN + aide · Sat–SunUS average: 3h 26m.Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse. US 3h 26m
RN, weekends
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.
Sat–Sun
29m
↑ 4% · NY 28mThis facility: 29m per resident per day, 4% above the New York average of 28m (among New York facilities reporting a recent figure).
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.
Sat–SunUS average: 28m.Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse. US 28m
Headcount
Every person who worked here at any point in the quarter, employees and contractors. It is not how many are on site at once: that is the "on an average day" figure.
136
135 employees · 1 contractor · 65 on an average day
136 total staff / 113 residents. Residents: CMS Long-Term Care Facility Characteristics (data as of Jun 2026); staff: CMS Payroll-Based Journal (Q4 2025).Residents and staff come from two different CMS releases, so the two counts can be a few months apart.
1.20 : 1
↓ 8% · NY 1.31This facility: 1.20 staff per resident, 8% below the New York average of 1.31 (among New York facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
136 staff ÷ 113 residents
See full New York ranking →
Average hours one staff member works on a day they are on shift, across every role.
7.3 h
↓ 5% · NY 7.7 hThis facility: 7.3 h, 5% below the New York average of 7.7 h (among New York facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
43,847 staff hours this quarter
See full New York ranking →99.7% of staff hours were worked by the facility's own employees
New York average: 87.9% · Contractors this quarter: Licensed Practical Nurse (1)
Why it matters: employees work here week after week and get to know each resident's routines and needs. Agency contractors often rotate between facilities, so a higher employee share usually means more consistent care.
93% of staff were vaccinated against the flu
Why it matters: staff move from resident to resident all day. When most of them are vaccinated, the flu is less likely to reach the people it is most dangerous for. Source: state health department data.
By The Numbers
Community insights.
Bed count
A mid-sized community that may balance personal attention with shared amenities and social activities.
120
Rank #333 / 566Bed count — State benchmarked This nursing home is ranked 333rd out of 566 nursing homes we track in New York for bed count. Shows this facility's certified or reported bed count compared to other New York facilities. Larger communities may offer more amenities, programs, and on-site services for residents and families. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in New York that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
A mid-sized community that may balance personal attention with shared amenities and social activities.
120
Rank #333 / 566Bed count — State benchmarked This nursing home is ranked 333rd out of 566 nursing homes we track in New York for bed count. Shows this facility's certified or reported bed count compared to other New York facilities. Larger communities may offer more amenities, programs, and on-site services for residents and families. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in New York that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.Medium-capacity home · Offers a balance of services and community atmosphere.
Walk Score
Car-dependent. Most errands require a car, with limited nearby walkable options.
Rank #431 / 442Walk Score — State benchmarked This nursing home is ranked 431st out of 442 nursing homes we track in New York for walk score. Shows how walkable this facility's neighborhood is compared to the average walk score across New York facilities. Higher scores benefit residents, families, and staff. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in New York that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
Car-dependent. Most errands require a car, with limited nearby walkable options.
Rank #431 / 442Walk Score — State benchmarked This nursing home is ranked 431st out of 442 nursing homes we track in New York for walk score. Shows how walkable this facility's neighborhood is compared to the average walk score across New York facilities. Higher scores benefit residents, families, and staff. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in New York that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
4
/ 100
Occupancy rate
Occupancy between 85% and 95% suggests balanced demand.
Rank #1 / 507Occupancy rate — State benchmarked This nursing home is ranked 1st out of 507 nursing homes we track in New York for occupancy. Shows this facility's occupancy rate versus the New York average, with its Statewide rank out of 507. Higher occupancy signals strong local demand and financial stability. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in New York that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
Occupancy between 85% and 95% suggests balanced demand.
Rank #1 / 507Occupancy rate — State benchmarked This nursing home is ranked 1st out of 507 nursing homes we track in New York for occupancy. Shows this facility's occupancy rate versus the New York average, with its Statewide rank out of 507. Higher occupancy signals strong local demand and financial stability. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in New York that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
91.7%
This home usually has limited availability
Based on 110 residents and 120 beds. Source: state licensing agency resident count
Higher than the New York average: 85.3%
Avg. Length of Stay
Average number of days residents stay at this facility, based on CMS cost report data. Shorter stays often reflect post-acute or rehab care; longer stays reflect long-term care.
Average number of days residents stay at this facility, based on CMS cost report data. Shorter stays often reflect post-acute or rehab care; longer stays reflect long-term care.
78
days
About This Community
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)
Resident Council
Short-Term Rehab
Respite CareRespite care provides families and unpaid caregivers with short-term relief from caregiving duties. Care can range from a few hours to a few weeks.
Pets not allowed
CMS Health Inspection History
ALM Inspection Grade
94 / 100
Calculated from CMS inspection data for this community's nursing-home beds
How it compares
10 points above the New York average for CMS-certified facilities (84/100)
Category breakdown
Citations
Strong
23 severity-weighted points (13 citations) · 2× lower than the typical CMS-certified NY facility (median: 43)
Enforcement
Strong
No fines on record · 0 enforcement actions
Persistence
Typical
53 days to fix issues · slower than the typical CMS-certified NY facility (median: 51)
Total health inspections
3
↓ 29% · NY 4.2This facility: 3, 29% below the New York average of 4.2 (among New York facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Total health citations
13
Rank #138 / 495Health citations — State benchmarked This nursing home is ranked 138th out of 495 nursing homes we track in New York for health citations. Shows this facility's total health deficiency citations benchmarked to the New York State average, with a ranking across all 495 NY facilities. Lower citation counts earn a better rank. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in New York that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.↓ 36% · NY 20.3This facility: 13, 36% below the New York average of 20.3 (among New York facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Citations per inspection
4.33
Rank #226 / 495Citations per inspection — State benchmarked This nursing home is ranked 226th out of 495 nursing homes we track in New York for citations per inspection. Shows average deficiency citations per CMS inspection for this facility versus the New York mean across 495 facilities with citation data. Lower is better. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in New York that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.↓ 9% · NY 4.78This facility: 4.33, 9% below the New York average of 4.78 (among New York facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Citation severity
100% corrected
13 of 13 citations corrected
Critical
J–L
0
↓ 100% · NY 0.3This facility: 0, 100% below the New York average of 0.3 (among New York facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Immediate jeopardy
Serious
G–I
0
↓ 100% · NY 0.4This facility: 0, 100% below the New York average of 0.4 (among New York facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Actual harm
Moderate
D–F
13
↓ 31% · NY 18.8This facility: 13, 31% below the New York average of 18.8 (among New York facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
No harm, more than minimal risk
Minor
A–C
0
↓ 100% · NY 0.7This facility: 0, 100% below the New York average of 0.7 (among New York facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
No harm, minimal riskLatest inspection: Aug 06, 2025 · 4 citations, all corrected
Most cited category: Resident Assessment & Care Planning, 4 of 13 citations · 6 categories in total
Citations history
Most recent first
Aug 06, 2025
4 citations
Pharmacy moderate citation
Corrected
Corrected
Pharmacy moderate citation
Corrected
Corrected
Care Planning moderate citation
Corrected
Corrected
Resident Rights moderate citation
Corrected
Corrected
Jun 11, 2024
6 citations
Nursing Services moderate citation
Corrected
Corrected
Nursing Services moderate citation
Corrected
Corrected
Quality of Care moderate citation
Corrected
Corrected
Care Planning moderate citation
Corrected
Corrected
Care Planning moderate citation
Corrected
Corrected
Care Planning moderate citation
Corrected
Corrected
Sep 13, 2022
3 citations
Infection Control moderate citation
Corrected
Corrected
Nursing Services moderate citation
Corrected
Corrected
Quality of Care moderate citation
Corrected
Corrected
Top deficiency categories
Share of 13 citations
Resident Assessment & Care Planning
4 deficiencies (31%)
Nursing & Physician Services
3 deficiencies (23%)
Quality of Life & Care
2 deficiencies (15%)
Pharmacy Services
2 deficiencies (15%)
Infection Control
1 deficiency (8%)
Resident Rights
1 deficiency (8%)
How citations are counted
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).
Includes all CMS health inspection records for this property, which could include management/ownership changes.
Source
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.
Show Inspection ReportsLawsuit overview for Island Nursing and Rehab Center
Summary of court-record activity tied to this facility, compiled from publicly available case dockets.
Source: State court e-filing records
Total Cases
Every lawsuit on record involving this facility since the earliest filing. Long-term volume signals overall legal exposure.
4
Every lawsuit on record involving this facility since the earliest filing. Long-term volume signals overall legal exposure.
4
Active Cases
Lawsuits still moving through the courts. Active claims can affect day-to-day operations, settlement risk, and insurance posture.
1
Lawsuits still moving through the courts. Active claims can affect day-to-day operations, settlement risk, and insurance posture.
1
Closed
Cases that have been disposed of — dismissed, settled, or decided. Shows how the facility has historically resolved disputes.
3
Cases that have been disposed of — dismissed, settled, or decided. Shows how the facility has historically resolved disputes.
3
Since
Year of the earliest case on record. A long history with steady filings suggests persistent issues; a recent first filing means newer exposure.
2018
Year of the earliest case on record. A long history with steady filings suggests persistent issues; a recent first filing means newer exposure.
2018
Most Recent
Most recent filing on record. Recent activity means legal disputes are still being raised against this facility.
2020
Most recent filing on record. Recent activity means legal disputes are still being raised against this facility.
2020
Last Scheduled Court Date
Most recent court appearance scheduled on record. Court dates are captured when the report is compiled and are not updated as dockets move, so later hearings may have been set since.
Aug 03, 2026
Most recent court appearance scheduled on record. Court dates are captured when the report is compiled and are not updated as dockets move, so later hearings may have been set since.
Aug 03, 2026
Enforcement
Penalties and fines
Penalties and fines
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 Aug 2026
No penalties in the past 3 years
No civil money penalties or payment denials on record since Aug 2023.
Total fines
$0
NY avg $75KNew York average: $75,313. Average among the 186 New York facilities with a penalty on record.US avg $67KUS average: $67,417, among the 6,775 US facilities with a penalty on record.
Number of fines
0
NY avg 1.75New York average: 1.75. Average among the 186 New York facilities with a penalty on record.US avg 1.96US average: 1.96, among the 6,775 US facilities with a penalty on record.
Payment denials
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
0
NY avg 0.11New York average: 0.11. Average among the 186 New York facilities with a penalty on record.US avg 0.36US average: 0.36, among the 6,775 US facilities with a penalty on record.
Health Outcomes
Quality of care over time
How residents at this home fare on health outcomes and preventive care, compared with the New York average.
CMS star rating for the care of long-stay residents, who live at the home for 100 days or more. It is built from the long-stay quality measures below. 5 stars is the best.
4
/ 5
Above average
≈ 0% · NY 4.0This facility: 4.0, level with the NY average of 4.0 (among NY facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
CMS star rating for the care of short-stay residents, mostly people recovering after a hospital stay for under 100 days. It is built from the short-stay quality measures below. 5 stars is the best.
5
/ 5
Significantly above average
↑ 42% · NY 3.5This facility: 5.0, 42% above the NY average of 3.5 (among NY facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Average of five long-stay measures: pressure ulcers, falls with major injury, unplanned weight loss, worsening ability to walk, and needing more help with daily activities. Each is the % of residents affected, so lower is better.
9.7
Score · lower is better
↑ 16% · NY 8.4This facility: 9.7, 16% above the NY average of 8.4 (among NY facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Average of three long-stay measures: needing more help with daily activities, worsening ability to walk, and loss of bowel or bladder control. Each is the % of residents affected, so lower is better.
17.4
Score · lower is better
↑ 13% · NY 15.4This facility: 17.4, 13% above the NY average of 15.4 (among NY facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.13 long-stay measures: 3 better, 6 worse, 4 near NY average
8 short-stay measures: 2 better, 3 worse, 3 compared with US only
Long-stay residents
People who live at the home · 13 measures
Daily care & independence
Needed more help with daily activities
Percent of long-stay residents whose need for help with daily activities has increased
19.3%
↑ 37% · NY 14.1This facility: 19.3, 37% above the NY average of 14.1 (among NY facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents whose need for help with daily activities has increased
19.3%
↑ 37% · NY 14.1This facility: 19.3, 37% above the NY average of 14.1 (among NY facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Walking ability worsened
Percent of long-stay residents whose ability to move independently worsened
12.3%
↓ 1% · NY 12.5This facility: 12.3, 1% below the NY average of 12.5 (among NY facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents whose ability to move independently worsened
12.3%
↓ 1% · NY 12.5This facility: 12.3, 1% below the NY average of 12.5 (among NY facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Bowel or bladder incontinence (low-risk residents)
Percent of low risk long-stay residents who lose control of their bowels or bladder
20.6%
↑ 6% · NY 19.5This facility: 20.6, 6% above the NY average of 19.5 (among NY facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of low risk long-stay residents who lose control of their bowels or bladder
20.6%
↑ 6% · NY 19.5This facility: 20.6, 6% above the NY average of 19.5 (among NY facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.Safety & clinical stability
Urinary tract infection
Percent of long-stay residents with a urinary tract infection
1.9%
↑ 50% · NY 1.3This facility: 1.9, 50% above the NY average of 1.3 (among NY facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents with a urinary tract infection
1.9%
↑ 50% · NY 1.3This facility: 1.9, 50% above the NY average of 1.3 (among NY facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Falls with major injury
Percent of long-stay residents experiencing one or more falls with major injury
6.0%
↑ 93% · NY 3.1This facility: 6.0, 93% above the NY average of 3.1 (among NY facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents experiencing one or more falls with major injury
6.0%
↑ 93% · NY 3.1This facility: 6.0, 93% above the NY average of 3.1 (among NY facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Pressure ulcers (high-risk residents)
Percent of long-stay high risk residents with pressure ulcers
6.4%
↓ 2% · NY 6.5This facility: 6.4, 2% below the NY average of 6.5 (among NY facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay high risk residents with pressure ulcers
6.4%
↓ 2% · NY 6.5This facility: 6.4, 2% below the NY average of 6.5 (among NY facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.Physical & mental health
Lost too much weight
Percent of long-stay residents who lose too much weight
4.6%
↓ 21% · NY 5.8This facility: 4.6, 21% below the NY average of 5.8 (among NY facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents who lose too much weight
4.6%
↓ 21% · NY 5.8This facility: 4.6, 21% below the NY average of 5.8 (among NY facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Depressive symptoms
Percent of long-stay residents who have depressive symptoms
21.0%
↑ 8% · NY 19.5This facility: 21.0, 8% above the NY average of 19.5 (among NY facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents who have depressive symptoms
21.0%
↑ 8% · NY 19.5This facility: 21.0, 8% above the NY average of 19.5 (among NY facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Antipsychotic use
Percent of long-stay residents who received an antipsychotic medication
11.2%
↓ 18% · NY 13.7This facility: 11.2, 18% below the NY average of 13.7 (among NY facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents who received an antipsychotic medication
11.2%
↓ 18% · NY 13.7This facility: 11.2, 18% below the NY average of 13.7 (among NY facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.Preventive care
Pneumococcal vaccine
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
99.4%
↑ 9% · NY 91.5This facility: 99.4, 9% above the NY average of 91.5 (among NY facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
99.4%
↑ 9% · NY 91.5This facility: 99.4, 9% above the NY average of 91.5 (among NY facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Flu vaccine
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
97.6%
↑ 2% · NY 95.3This facility: 97.6, 2% above the NY average of 95.3 (among NY facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
97.6%
↑ 2% · NY 95.3This facility: 97.6, 2% above the NY average of 95.3 (among NY facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.Hospital & emergency visits
Hospitalizations per 1,000 days
Number of hospitalizations per 1,000 long-stay resident days.
2.25
↑ 32% · NY 1.71This facility: 2.25, 32% above the NY average of 1.71 (among NY facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Number of hospitalizations per 1,000 long-stay resident days.
2.25
↑ 32% · NY 1.71This facility: 2.25, 32% above the NY average of 1.71 (among NY facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
ER visits per 1,000 days
Number of outpatient emergency department visits per 1,000 long-stay resident days.
1.32
↓ 2% · NY 1.35This facility: 1.32, 2% below the NY average of 1.35 (among NY facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Number of outpatient emergency department visits per 1,000 long-stay resident days.
1.32
↓ 2% · NY 1.35This facility: 1.32, 2% below the NY average of 1.35 (among NY facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.Short-stay residents
Rehab and recovery after a hospital stay · 8 measures
Daily care & independence
Able to care for self at discharge
Percentage of residents at or above expected ability to care for themselves at discharge.
62.0%
↑ 16% · US 53.7This facility: 62.0, 16% above the US average of 53.7 (among US facilities reporting a recent figure).
Percentage of residents at or above expected ability to care for themselves at discharge.
62.0%
↑ 16% · US 53.7This facility: 62.0, 16% above the US average of 53.7 (among US facilities reporting a recent figure).
Returned home or to the community
Rate of successful return to home or community from a skilled nursing facility.
58.6%
↑ 16% · US 50.6This facility: 58.6, 16% above the US average of 50.6 (among US facilities reporting a recent figure).
Rate of successful return to home or community from a skilled nursing facility.
58.6%
↑ 16% · US 50.6This facility: 58.6, 16% above the US average of 50.6 (among US facilities reporting a recent figure).Safety & clinical stability
Falls with major injury
Percentage of SNF residents who experience falls with major injury during their stay.
0.0%
↓ 100% · US 0.8This facility: 0.0, 100% below the US average of 0.8 (among US facilities reporting a recent figure).
Percentage of SNF residents who experience falls with major injury during their stay.
0.0%
↓ 100% · US 0.8This facility: 0.0, 100% below the US average of 0.8 (among US facilities reporting a recent figure).Physical & mental health
New antipsychotic medication
Percent of short-stay residents who newly received an antipsychotic medication
2.4%
↑ 108% · NY 1.2This facility: 2.4, 108% above the NY average of 1.2 (among NY facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of short-stay residents who newly received an antipsychotic medication
2.4%
↑ 108% · NY 1.2This facility: 2.4, 108% above the NY average of 1.2 (among NY facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.Preventive care
Pneumococcal vaccine
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
89.8%
↑ 16% · NY 77.4This facility: 89.8, 16% above the NY average of 77.4 (among NY facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
89.8%
↑ 16% · NY 77.4This facility: 89.8, 16% above the NY average of 77.4 (among NY facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Flu vaccine
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
91.9%
↑ 17% · NY 78.8This facility: 91.9, 17% above the NY average of 78.8 (among NY facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
91.9%
↑ 17% · NY 78.8This facility: 91.9, 17% above the NY average of 78.8 (among NY facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.Hospital & emergency visits
Re-hospitalized after admission
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
22.6%
↑ 10% · NY 20.6This facility: 22.6, 10% above the NY average of 20.6 (among NY facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
22.6%
↑ 10% · NY 20.6This facility: 22.6, 10% above the NY average of 20.6 (among NY facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
ER visits
Percentage of short-stay residents who had an outpatient emergency department visit.
11.4%
↑ 18% · NY 9.7This facility: 11.4, 18% above the NY average of 9.7 (among NY facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percentage of short-stay residents who had an outpatient emergency department visit.
11.4%
↑ 18% · NY 9.7This facility: 11.4, 18% above the NY average of 9.7 (among NY facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.Arrows show whether a figure is above or below the average. Green is better for residents, red is worse, and yellow means within 5% of the average. Grey compares with the US average only, because CMS publishes no state figure. The line on each bar marks the average.
Quality measures are calculated by CMS from Minimum Data Set (MDS) resident assessments and Medicare claims.
Money and staffing.
Island Nursing and Rehab Center’s finances from its CMS cost report for the fiscal year ending December 2024, compared with 454 New York nursing homes that filed a recent report. Includes all financial data for this property, which could include management/ownership changes.
FY Dec 2024
Is it financially stable?
Losing money on care, but less than last year
−10.6% operating margin
+1.5 pts vs prior year
An operating loss in 8 of the last 8 reported years. Other income ($0.6M) trims the net loss to −$1.2M. Watch for cost-cutting that reaches staffing.
Does it invest in staff?
Payroll in line with New York homes
56.4% payroll share of revenue
NY average 56.1%Rank #174 / 452Payroll % of net patient revenue — State benchmarked This nursing home is ranked 174th out of 452 nursing homes we track in New York for payroll % of net patient revenue. Shows payroll as a percentage of net patient revenue versus the New York average, among facilities reporting a recent fiscal year. Below 25% may signal understaffing or heavy agency use — read with Staffing ratings. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in New York that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
Payroll rose $1.7M while revenue rose $1.4M. Check hours per resident in the staffing section to confirm it reaches the floor.
FY 2024 scorecard
Each row shows the FY 2024 figure, the change since the prior report, the trend, and how it compares with New York homes.
Revenue & profit
Losing money on care
| Metric | FY 2024 | vs prior year | Trend 2017 → 2024Trend | NY median | Compared with NY homesRank in NY | In short |
|---|---|---|---|---|---|---|
| Net patient revenue What the home earns from resident care, after discounts and bad debt. | $17.3M | +$1.4M | Trend 20172024 | NY median $23.7M | Rank in NY Rank #289 / 454Net patient revenue — State benchmarked This nursing home is ranked 289th out of 454 nursing homes we track in New York for net patient revenue. Shows this facility's net patient revenue compared to the New York average, among facilities reporting a recent fiscal year. Higher revenue generally means more resources for staffing and capital — read alongside Payroll %. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in New York that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric. Higher than 36% of homes | Below NY median Higher net patient revenue than 36% of NY homes that filed a recent report. Revenue mostly follows how big a home is. |
| Operating expenses Everything it costs to run the home: staff, supplies, rent, admin. | $19.2M | +$1.3M | Trend 20172024 | NY median — | Rank in NY Not ranked | Exceeds revenue Operating expenses are higher than net patient revenue, so resident care runs at a loss. |
| Net patient income Revenue minus operating expenses. Negative means care loses money. | −$1.8M | +$0.1M | Trend 20172024 | NY median — | Rank in NY Not ranked | Loss, narrowing Resident care lost money this year, less than in the prior report. |
| Operating margin Net patient income as a share of revenue. The clearest health signal. | −10.6% | +1.5 pts | Trend 20172024 | NY median — | Rank in NY Not ranked | Loss A negative margin means resident care costs more than it earns. |
| Other income Money not from resident care: investments, grants, services. | $0.6M | — | Trend — | NY median — | Rank in NY Not ranked | Offsets part of the loss Income from outside resident care covers part of the loss on care. |
| Net income The bottom line after other income. | −$1.2M | −$0.1M | Trend — | NY median — | Rank in NY Not ranked | Loss The bottom line is below zero even after other income. |
Staffing spend
Staff spending in line with New York homes
| Metric | FY 2024 | vs prior year | Trend 2017 → 2024Trend | NY median | Compared with NY homesRank in NY | In short |
|---|---|---|---|---|---|---|
| Payroll costs Salaries and wage-related benefits, not counting contract labor. | $9.8M | +$1.7M | Trend 20172024 | NY median $12.4M | Rank in NY Rank #280 / 454Payroll costs — State benchmarked This nursing home is ranked 280th out of 454 nursing homes we track in New York for payroll costs. Shows total staff payroll — salaries plus wage-related benefits — benchmarked to the New York average, among facilities reporting a recent fiscal year. Higher payroll relative to peers often signals better staffing and less reliance on contract labor. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in New York that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric. Higher than 38% of homes | Below NY median Higher payroll than 38% of NY homes. Payroll in dollars mostly follows how big a home is, so this compares size, not staffing levels. |
| Payroll share of revenue Payroll divided by revenue. Higher usually means more staff per resident. | 56.4% | +5.5 pts | Trend 20172024 | NY median 52.6% | Rank in NY Rank #174 / 452Payroll % of net patient revenue — State benchmarked This nursing home is ranked 174th out of 452 nursing homes we track in New York for payroll % of net patient revenue. Shows payroll as a percentage of net patient revenue versus the New York average, among facilities reporting a recent fiscal year. Below 25% may signal understaffing or heavy agency use — read with Staffing ratings. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in New York that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric. Higher than 62% of homes | Near NY average The NY average is 56.1% of revenue. Within 3 points of it reads as near the average. |
Charts, 2017–2024 2 charts · NY benchmark drawn as a dashed line
Revenue, expenses and income
What the home earned from resident care (net patient revenue), what it cost to run (operating expenses) and the difference between the two (net patient income), for each fiscal year it filed a CMS cost report.
USD, millions
Net patient revenue Operating expenses Net patient income
Where revenue goes
Both lines are a share of net patient revenue. Payroll share is what goes to salaries and wage-related benefits; operating margin is what is left after every operating cost (below 0%, resident care lost money). The dashed line is the New York payroll average.
% of net patient revenue
Payroll share Operating margin NY payroll average
Year-by-year data, 2017–2024 every reported year · latest first, scroll sideways
| Metric | 2017 | 2018 | 2019 | 2020 | 2021 | 2022 | 2023 | 2024 |
|---|---|---|---|---|---|---|---|---|
| Net patient revenue | $16.5M | $17.2M | $17.7M | $12.2M | $12.2M | $12.8M | $15.9M | $17.3M |
| Operating expenses | $18.0M | $18.2M | $18.1M | $15.5M | $14.3M | $16.1M | $17.9M | $19.2M |
| Net patient income | −$1.5M | −$1.0M | −$0.4M | −$3.3M | −$2.2M | −$3.4M | −$1.9M | −$1.8M |
| Operating margin | −9.3% | −5.9% | −2.0% | −27.3% | −17.8% | −26.4% | −12.1% | −10.6% |
| Net income | −$0.9M | −$0.5M | −$0.3M | $2.0M | $13.3M | −$6.0M | −$1.1M | −$1.2M |
| Payroll costs | $12.2M | $12.2M | $11.9M | $10.6M | $9.4M | $8.5M | $8.1M | $9.8M |
| Payroll share of revenue | 74.0% | 70.9% | 67.4% | 86.5% | 77.1% | 66.8% | 50.9% | 56.4% |
| Beds | 120 | 120 | 120 | 120 | 120 | 120 | 120 | 120 |
| Gross revenue | $16.5M | $17.2M | $22.3M | $14.5M | $16.2M | $20.0M | $15.9M | $17.3M |
| Salaries | $9.6M | $9.5M | $9.4M | $8.4M | $7.5M | $6.7M | $6.8M | $8.0M |
| Wage-related costs | $2.6M | $2.7M | $2.5M | $2.2M | $1.9M | $1.9M | $1.3M | $1.8M |
| Contract labor | $0.1M | $0.3M | — | — | — | — | — | — |
| Other operating costs | $5.8M | $6.0M | $6.1M | $5.0M | $5.0M | $7.6M | $9.8M | $9.4M |
| Net patient revenue per day | $405 | $422 | $463 | $341 | $433 | $423 | $485 | $517 |
| Cost per day | $443 | $448 | $472 | $434 | $510 | $535 | $544 | $572 |
| Average length of stay | 68.6 days | 68.7 days | 64.8 days | 60.5 days | 93.3 days | 100.9 days | 95.5 days | 78.2 days |
Showing 2024–2022 · scroll sideways for 5 earlier years
Earlier and partial years are in the download. Download CSV
Who this home usually serves
Residents split by who pays for their care: Medicare, Medicaid, or private pay and other sources.
Over a year: CMS SNF Cost Report, FY2024
Snapshot: CMS Long-Term Care Facility Characteristics (quarterly), Jun 2026
Arriving
443 admissions · FY2024
Residents admitted during the year.
Medicare
230 · 52%
Medicaid
107 · 24%
Private pay & other
106 · 24%
Resident snapshot
113 residents · Jun 2026
Residents counted on the date of the latest CMS report, which updates quarterly.
Medicare
26 · 23%
Medicaid
70 · 62%
Private pay & other
17 · 15%
Leaving
429 discharges · FY2024
Residents discharged during the year.
Medicare
224 · 52%
Medicaid
103 · 24%
Private pay & other
102 · 24%
Mostly short-term rehab stays
Most residents typically stay for a few weeks or months before returning home or moving on.
Places of interest near Island Nursing and Rehab Center
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.
Calculate Travel Distance to Island Nursing and Rehab Center
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Financial Assistance for
Nursing Home in New York
Island Nursing and Rehab Center is located in North Holtsville, New York State.
Here are the financial assistance programs available to residents in New York State.
Know before you visit
Frequently Asked Questions about Island Nursing and Rehab Center
Quick answers from public records and the community's own listing.01 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).
02 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.
03 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.
04 What is the occupancy rate at Island Nursing and Rehab Center?
Island Nursing and Rehab Center's occupancy is 91.7%.
05 Are pets allowed at Island Nursing and Rehab Center?
No, Island Nursing and Rehab Center has a no-pet policy.
06 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.
07 What is the overall rating for Island Nursing and Rehab Center?
Island Nursing and Rehab Center received a 5-star overall rating from the CMS (Centers for Medicare and Medicaid Services). This score combines results from staffing levels, quality measures, and health inspections.
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