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San Simeon by the Sound Center for Nursing & Rehabilitation
Nursing Home, Adult Day Care, Hospice Care, Memory Care, Palliative Care & Skilled Nursing · Greenport, NY
CMS overall rating Info 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.
San Simeon by the Sound Center for Nursing & Rehabilitation

San Simeon by the Sound Center for Nursing & Rehabilitation

Nursing Home, Adult Day Care, Hospice Care, Memory Care, Palliative Care & Skilled Nursing · Greenport, NY
CMS overall rating Info 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.
61700 Route 48, Po Box 2122, Greenport, NY 11944 View map Calculator: See prices in your area
San Simeon by the Sound Center for Nursing & Rehabilitation accepts Medicare, Medicaid, and private pay.
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San Simeon by the Sound Center for Nursing & Rehabilitation accepts Medicare, Medicaid, and private pay.

Overview of San Simeon by the Sound Center for Nursing & Rehabilitation

San Simeon by the Sound Center for Nursing & Rehabilitation sits at 61700 Route 48 in Greenport, New York, a 120-bed skilled nursing facility owned by Joseph Fischetti. It takes Medicare, Medicaid, and private pay, and its care lineup spans nursing home services, memory care programming, and rehabilitation, the kind of range that lets a resident’s needs shift without requiring a move to an entirely different facility.

The neighborhood works in the facility’s favor from a walkability standpoint. The Walk Score is 74, very walkable, and most errands don’t require a car. Occupancy sits at 80 percent, with 96 of the 120 beds currently filled.

Staffing tells a concrete story here: total nursing care runs 3 hours and 38 minutes per resident, per day, a specific number rather than a vague claim about attentive care. Respite care and rehabilitation services round out the offering alongside the memory care programming.

On the regulatory side, inspections at San Simeon by the Sound have tended to center on environmental and hazardous-materials safety and resident rights and protections, the kind of operational areas state regulators routinely review at skilled nursing facilities handling this range of care.

It’s a North Fork skilled nursing facility built to handle a real range of resident needs, from short-term rehabilitation through memory care, backed by broad payment acceptance and a staffing structure with numbers a family can actually evaluate.

Facility Direct Line (631) 477-2110
Facility Direct Line (631) 477-2110

Quality ratings

Measured by Centers for Medicare & Medicaid Services (CMS)

Overall rating Info 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.
▼ 67.5% Below NY avg. ▼ 67.5% Below NY avg.NY average: 3.1Click the badge to see the full State ranking.Click here to see the full State ranking.
Health Inspection Info 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.
▼ 64.7% Below NY avg. ▼ 64.7% Below NY avg.NY average: 2.8Click the badge to see the full State ranking.Click here to see the full State ranking.
Staffing Info 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.
▲ 10.4% Above NY avg. ▲ 10.4% Above NY avg.NY average: 2.7Click the badge to see the full State ranking.Click here to see the full State ranking.
Quality Measures Info 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.
▲ 4.8% Above NY avg. ▲ 4.8% Above NY avg.NY average: 3.8Click the badge to see the full State ranking.Click here to see the full State ranking.

Staffing hours Info 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.

Hours per resident per day vs New York averages

Rank #139 / 395Nurse hours — State benchmarkedThis home is ranked 139th out of 395 homes we track in New York for nurse hours. Shows adjusted nurse hours per resident per day benchmarked to the New York average, with a ranking across 395 New York facilities. More hours mean more direct care. The national average is about 3.5 hrs; below 3.0 is a red flag.Communities with the same value for a metric share the same rank. Rankings cover every community we track in New York that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.Click the rank badge to see the full State ranking.Click here to see the full State ranking.

Total nursing care Info This home is ranked 139th out of 395 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 28m

3% below state avg
Staff type
Hours / day / resident
vs state avg
Registered Nurse (RN) Info 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.
1h 13m
+74% State avg: 42m per day · National avg: 41m per day
LPN / LVN Info 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.
38m
−18% State avg: 46m per day · National avg: 52m per day
Nurse Aide Info 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.
1h 37m
−26% State avg: 2h 11m per day · National avg: 2h 20m per day
Weekend Total Nursing Info 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 15m
Avg State avg: 3h 10m per day · National avg: 3h 26m per day
Physical Therapist Info 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.
2m
−67% State avg: 7m per day · National avg: 4m per day
Weekend RN Info 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.
1h 3m
+124% State avg: 28m per day · National avg: 28m per day

3 of 6 metrics below state avg

Standout metric: Weekend RN is +124% above New York average

Capacity and availability

Residents per day
96
Avg. Length of Stay Info 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.
135 days
Bed community size
120-bed community Rank #405 / 736Bed count — State benchmarkedThis home is ranked 405th out of 736 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 cover every community we track in New York that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
A larger shared setting that may offer more common spaces and organized community services.
Walk Score
Walk Score: 74 / 100 Rank #540 / 1150Walk Score — State benchmarkedThis home is ranked 540th out of 1,150 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 cover every community we track in New York that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Very walkable. Most errands can be accomplished on foot, and many essentials are within a short walk.

About this community

Occupancy

Occupancy rate
80%
Rank #352 / 392Occupancy rate — State benchmarkedThis home is ranked 352nd out of 392 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 392. Higher occupancy signals strong local demand and financial stability.Communities with the same value for a metric share the same rank. Rankings cover every community we track in New York that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Lower than the New York average: 88.3%
Occupied beds
96 / 120
Average occupied beds in New York homes 166 beds

License Details

Facility TypeNursing Home
StatusActive
CountySuffolk
License Number5127302N

Ownership & Operating Entity

San Simeon by the Sound Center for Nursing & Rehabilitation is legally operated by San Simeon BY the Sound Center for Nursing & Rehabilitation (Not for Profit).

Owner NameSan Simeon By The Sound Center For Nursing & Rehabilitation (Not For Profit)

Therapy & Rehabilitation

2 services
Rehabilitation Services
Short-Term Rehab

Additional Services

4 services
Short-Term Post-Acute Rehabilitation
Medical Services
Dementia & Alzheimer’s Care
Palliative Care

Additional Policies & Features

Pets not allowed

Amenities & Lifestyle

Volunteer Program

Contact San Simeon by the Sound Center for Nursing & Rehabilitation

Inspection History

In New York State, the Department of Health, Office of Aging and Long Term Care performs unannounced onsite inspections to monitor compliance with state and federal healthcare regulations.

Since 2020 · 6 years of data These figures come from state-published inspection data. 3 enforcement actions 51 citations 65 complaints 34 inspections 24 complaint investigations
Inspection Score Info A composite 0–100 score combining this facility's inspections, citations, complaints, and enforcement actions relative to the New York State state average. The score below shows how many points this facility sits above or below the typical New York State nursing home score (the benchmark); higher is better.This is a proprietary Assisted Living Magazine score.

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

Rank #559 / 616 in New York State Inspection Score — State benchmarked This home is ranked 559th out of 616 homes we track in New York State for inspection score. Shows this facility's inspection score compared to the New York State average among 616 comparable communities in the ranking pool. Communities with the same value for a metric share the same rank. Rankings cover every community we track in New York State that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric. This is a proprietary Assisted Living Magazine score. Inspection score: 68 out of 100. Letter grade D+. 15 points below the New York State average for nursing homes (83/100)

Enforcement Actions Info Enforcement actions are formal penalties or interventions imposed by New York State 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
3 enforcement actions

This facility has 3 enforcement actions. 33% of New York State nursing homes have zero, and the statewide average is 1.6.

  • September 5, 2024 Quality of Care #NH-25-017
  • December 26, 2023 Multiple Deficiencies #NH-25-005
  • November 23, 2022 Quality of Care #NH-23-048

Inspection Scorecard Info This scorecard compares key inspection, citation, and complaint metrics at this facility against the New York State state average. Metrics rated ≥15% worse than average are highlighted in red; those ≥15% better are highlighted in green.

Since 2020 vs. New York State state average
Overall vs. NY average 7 Worse Metrics worse than New York State average:
• Total citations (292% above)
• Health citations (130% above)
• Life safety citations (25% above)
• Citations per inspection (7% above)
• Inspections with citations (450% above)
• Inspection citation rate (48% above)
• Complaints per bed (34% above) 2 Better Metrics better than New York State average:
• Total complaints (18% below)
• Complaints per year (18% below)

Citations Info Citations are formal regulatory issues recorded during state inspections.

This FacilityNY Averagevs. NY Avg
Total citations Info Formal regulatory issues recorded by inspectors across all inspection types. 5113 This facility has 292% more total citations than a typical New York State nursing home (51 vs. NY avg 13).↑ 292% worse
Health citations Info Citations related to resident care, clinical practices, and day-to-day operations. 4620 This facility has 130% more health citations than a typical New York State nursing home (46 vs. NY avg 20).↑ 130% worse
Life safety citations Info Citations related to building safety — fire prevention, emergency egress, and similar. 54 This facility has 25% more life safety citations than a typical New York State nursing home (5 vs. NY avg 4).↑ 25% worse
Citations per inspection Info Average citations per inspection. 1.51.4 This facility has 7% more citations per inspection than a typical New York State nursing home (1.5 vs. NY avg 1.4).↑ 7% worse

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

This FacilityNY Averagevs. NY Avg
Total inspections Info Combined count of all inspections conducted at this facility. 349 This facility has had 278% more total inspections than the New York State average (34 vs. NY avg 9). More inspections can mean more regulatory scrutiny rather than worse care.↑ 278% more
Inspections with citations Info Inspections that resulted in at least one regulatory citation. 224 This facility has 450% more inspections with citations than a typical New York State nursing home (22 vs. NY avg 4).↑ 450% worse
Inspection citation rate Info Percentage of inspections that resulted in at least one citation. 65%44% This facility has 21 percentage points higher inspection citation rate than a typical New York State nursing home (65% vs. NY avg 44%).↑ 21% worse

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

This FacilityNY Averagevs. NY Avg
Total complaints Info Formal expressions of concern made by residents, families, or staff. 6579 This facility has 18% fewer total complaints than a typical New York State nursing home (65 vs. NY avg 79).↓ 18% better
Complaints per year Info Average complaints per year since 2020. 10.813.2 This facility has 18% fewer complaints per year than a typical New York State nursing home (10.8 vs. NY avg 13.2).↓ 18% better
Complaints per bed Info Size-adjusted complaint rate based on occupied beds. 0.670.50 This facility has 34% more complaints per bed than a typical New York State nursing home (0.67 vs. NY avg 0.5).↑ 34% worse
Complaint investigations Info On-site investigations triggered by complaints filed with New York State regulators. 2415 This facility has had 60% more complaint investigations than the New York State average (24 vs. NY avg 15). More inspections can mean more regulatory scrutiny rather than worse care.↑ 60% more
Show Inspection Reports

CMS Health Inspection History

Federal inspection data published by CMS, covering this home's Medicare and/or Medicaid-certified skilled-nursing/nursing beds only.

Inspections Since 2022 · 4 years of data
Total health inspections 3

New York State average 3.6

Last Health inspection on Sep 2024

Total health citations
16 Rank #186 / 397Health citations — State benchmarkedThis home is ranked 186th out of 397 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 397 NY facilities. Lower citation counts earn a better rank.Communities with the same value for a metric share the same rank. Rankings cover every community we track in New York that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.Click the rank badge to see the full State ranking.Click here to see the full State ranking.

New York State average 18.5

Citations per inspection
5.33 Rank #241 / 397Citations per inspection — State benchmarkedThis home is ranked 241st out of 397 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 397 facilities with citation data. Lower is better.Communities with the same value for a metric share the same rank. Rankings cover every community we track in New York that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.Click the rank badge to see the full State ranking.Click here to see the full State ranking.

New York State average 5.05

Health citations are formal notices following inspections when they fail to comply with safety and care standards.

13 of 16 citations resulted from standard inspections; 2 of 16 resulted from complaint investigations; and 1 of 16 came from combined inspections (standard and complaint).

Breakdown of citation severity (last 4 years)
Critical health citations
3
1400% worse than New York State average

New York State average: 0.2

Serious health citations
1
400% worse than New York State average

New York State average: 0.2

3 critical citations New York State average: 0.2
1 serious citation New York State average: 0.2
12 moderate citations New York State average: 17.4
0 minor citations New York State average: 0.7
Citations history (last 4 years)
Infection Control moderate citation Sep 05, 2024
Corrected
Nutrition moderate citation Sep 05, 2024
Corrected
Pharmacy moderate citation Sep 05, 2024
Corrected
Quality of Care moderate citation Sep 05, 2024
Corrected

Data sourced from CMS Health Deficiencies reports, which cover the Medicare and/or Medicaid-certified skilled-nursing and nursing beds and no other part of the community. 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.

Infection Prevention & Vaccination

How this facility protects residents through staff vaccination policies and immunization practices.

Employee Flu Vaccination Rate: 92%

Percentage of facility employees vaccinated against influenza.

Lawsuit overview for San Simeon by the Sound Center for Nursing & Rehabilitation

Summary of court-record activity tied to this facility, compiled from publicly available case dockets.

Source: State court e-filing records

Total Cases Info Every lawsuit on record involving this facility since the earliest filing. Long-term volume signals overall legal exposure. 13
Active Cases Info Lawsuits still moving through the courts. Active claims can affect day-to-day operations, settlement risk, and insurance posture. 2
Closed Info Cases that have been disposed of — dismissed, settled, or decided. Shows how the facility has historically resolved disputes. 11
Since Info Year of the earliest case on record. A long history with steady filings suggests persistent issues; a recent first filing means newer exposure. 2014
Most Recent Info Most recent filing on record. Recent activity means legal disputes are still being raised against this facility. 2026
Next Court Date Info Next scheduled court appearance on record across active cases. Aug 07, 2026
View full lawsuit report

Staffing Data

Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.

Total staff 146
Employees 109
Contractors 37
Staff to resident ratio 1.27 : 1
625% more staff per resident than New York average
New York average ratio: 0.18 : 1 New York average ratio: 0.18 : 1See full New York ranking
Avg staff/day 48
Average shift 8.4 hours
9% better than New York average
New York average: 7.7 hours New York average shift: 7.7 hoursSee full New York ranking
Total staff hours (quarter) 36,910

Nursing staff breakdown

Q4 2025 · Oct 1 – Dec 31 More info This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Registered Nurse

Manages medical care and health needs.

RN Staff Info 32 total: 26 full-time employees and 6 contractors. 32
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 9.7 hours
Licensed Practical Nurse

Assists with medical care and medications.

LPN Staff Info 26 total: 24 full-time employees and 2 contractors. 26
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 9.2 hours
Certified Nursing Assistant

Helps with daily care and mobility.

CNA Staff Info 64 total: 38 full-time employees and 26 contractors. 64
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 8.2 hours

Contractor staffing

Q4 2025 · Oct 1 – Dec 31 More info This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.

Total hours from contractors

11.7%

4,308 contractor hours this quarter

Certified Nursing Assistant: 26 Registered Nurse: 6 Licensed Practical Nurse: 2 Feeding Assistant: 1 Medical Director: 1 Occupational Therapy Assistant: 1

Staff by category

Q4 2025 · Oct 1 – Dec 31 More info This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Certified Nursing Assistant38266416,77192100%8.2
Licensed Practical Nurse242266,67392100%9.2
Registered Nurse266325,99592100%9.7
Other Dietary Services Staff5051,5129199%8
Physical Therapy Aide3031,3637076%7.6
Administrator1014956672%7.5
Nurse Practitioner1014956672%7.5
Clinical Nurse Specialist1014956672%7.5
Physical Therapy Assistant3034886368%7.8
RN Director of Nursing1014534751%9.6
Mental Health Service Worker1014476065%7.4
Speech Language Pathologist1014015054%8
Dietitian1013985358%7.5
Occupational Therapy Aide1013215661%5.7
Respiratory Therapy Technician1012834650%6.1
Feeding Assistant0111986672%3
Medical Director011781314%6
Occupational Therapy Assistant01145910%5
Qualified Social Worker101111%1
64 Certified Nursing Assistant
% of Days 100%
26 Licensed Practical Nurse
% of Days 100%
32 Registered Nurse
% of Days 100%
5 Other Dietary Services Staff
% of Days 99%
View All Staffing Data

Penalties and fines

Includes penalties issued in 2023-2024

Federal penalties imposed by CMS for regulatory violations, including civil money penalties (fines) and denials of payment for new Medicare/Medicaid admissions.

Source: CMS Penalties Database (Data as of Jan 2026)

Total fines amount $112K Rank #385 / 398Federal fines — State benchmarkedThis home is ranked 385th out of 398 homes we track in New York for federal fines. Shows this facility's cumulative CMS federal fine dollars versus the New York average among facilities with fines, and where it ranks among 398 facilities in the pool. Lower total dollars mean a better rank.Communities with the same value for a metric share the same rank. Rankings cover every community we track in New York that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
69% higher than New York State average

New York State average: $66K

Number of fines 3
48% more fines than New York State average

New York State average: 2.0

Payment Denials Info Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed. 0
100% fewer payment denials than New York State average

New York State average: 0.1

Fines amount comparison
Fines amount comparison
This facility $112K
New York State average $66K
Penalty History

Penalties are imposed by CMS for violations of federal nursing home regulations.

3 penalties in the past 3 years

Multiple penalties were reported in the last 3 years.

Civil Money Penalty Info Fines imposed for noncompliance, which can be assessed per day or per instance of violation. Sep 5, 2024
$41K
Civil Money Penalty Info Fines imposed for noncompliance, which can be assessed per day or per instance of violation. Dec 26, 2023
$67K
Civil Money Penalty Info Fines imposed for noncompliance, which can be assessed per day or per instance of violation. Dec 11, 2023
$4K

Last updated: Jan 2026

Quality of care over time

These measures show how residents usually do over time at this home, based on health outcomes and preventive care.

High-risk clinical events score Info A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline. 8.0
18% better than New York State average

New York State average: 9.8

Functional decline score Info A composite score based on activities of daily living decline, walking ability decline, and incontinence. 17.0
6% better than New York State average

New York State average: 18.1

Long-stay resident measures
Significantly above average Info CMS star rating based on long-stay quality measure performance. 5 stars = significantly above average, 1 star = significantly below average.
Need for Help with Daily Activities Increased Info Percent of long-stay residents whose need for help with daily activities has increased 13.5%
18% better than New York State average

New York State average: 16.4%

Walking Ability Worsened Info Percent of long-stay residents whose ability to move independently worsened 13.0%
22% better than New York State average

New York State average: 16.6%

Low Risk Residents with Bowel/Bladder Incontinence Info Percent of low risk long-stay residents who lose control of their bowels or bladder 24.5%
14% worse than New York State average

New York State average: 21.4%

Falls with Major Injury Info Percent of long-stay residents experiencing one or more falls with major injury 2.7%
8% better than New York State average

New York State average: 3.0%

High Risk Residents with Pressure Ulcers Info Percent of long-stay high risk residents with pressure ulcers 4.2%
42% better than New York State average

New York State average: 7.2%

Urinary Tract Infection Info Percent of long-stay residents with a urinary tract infection 0.6%
55% better than New York State average

New York State average: 1.4%

Lost Too Much Weight Info Percent of long-stay residents who lose too much weight 6.7%
10% worse than New York State average

New York State average: 6.1%

Depressive Symptoms Info Percent of long-stay residents who have depressive symptoms 60.5%
234% worse than New York State average

New York State average: 18.1%

Antipsychotic Use Info Percent of long-stay residents who received an antipsychotic medication 9.8%
22% better than New York State average

New York State average: 12.6%

Pneumococcal Vaccine Info Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine 83.6%
9% worse than New York State average

New York State average: 91.4%

Influenza Vaccine Info Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine 67.8%
29% worse than New York State average

New York State average: 95.2%

Hospitalizations per 1,000 days Info Number of hospitalizations per 1,000 long-stay resident days. 1.12
35% better than New York State average

New York State average: 1.71

ED visits per 1,000 days Info Number of outpatient emergency department visits per 1,000 long-stay resident days. 1.68
24% worse than New York State average

New York State average: 1.35

Short-stay resident measures
Average Info CMS star rating based on short-stay quality measure performance. 5 stars = much above average, 1 star = much below average.
Pneumococcal Vaccine Info Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine 63.5%
17% worse than New York State average

New York State average: 76.6%

Antipsychotic medication increase Info Percent of short-stay residents who newly received an antipsychotic medication 2.7%
115% worse than New York State average

New York State average: 1.3%

Influenza Vaccine Info Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine 57.7%
27% worse than New York State average

New York State average: 78.8%

Re-hospitalized after SNF stay Info Percentage of short-stay residents who were re-hospitalized after their nursing home admission. 24.3%
18% worse than New York State average

New York State average: 20.6%

Emergency department visits Info Percentage of short-stay residents who had an outpatient emergency department visit. 10.0%
In line with New York State average

New York State average: 9.7%

Falls with major injury Info Percentage of SNF residents who experience falls with major injury during their stay. 1.5%
94% worse than New York State average

New York State average: 0.8%

Ability to care for self at discharge Info Percentage of residents at or above expected ability to care for themselves at discharge. 48.8%
9% worse than New York State average

New York State average: 53.7%

Successful return to home or community Info Rate of successful return to home or community from a skilled nursing facility. 60.3%
19% better than New York State average

New York State average: 50.6%

Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.

Breakdown by payment type

Medicare

67% of new residents, usually for short-term rehab.

Typical stay 1 - 2 months

Private pay

16% of new residents, often for short stays.

Typical stay 4 - 5 months

Medicaid

17% of new residents, often for long-term daily care.

Typical stay 1 - 2 years

Facility Characteristics

Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)

Total residents 115
Medicare
29
25.2% of residents
Medicaid
65
56.5% of residents
Private pay or other
21
18.3% 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.

Data sourced from CMS Long-Term Care Facility Characteristics quarterly report. Payer mix reflects the current resident census by primary payment source.

Finances and operations

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

For-profit
Corporation
Net patient revenue Info Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
$15.2M
Net patient income Info Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
-$3.7M
For-profit Corporation
Net patient revenue Info Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
$15.2M Rank #287 / 383Net patient revenue — State benchmarkedThis home is ranked 287th out of 383 homes we track in New York. 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 cover every community we track in New York that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.
Net patient income Info Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
-$3.7M
Other income Info Money the home earns outside of resident care — such as investments, grants, rentals and other non-operating sources (CMS cost report, Worksheet G-3). It is tracked separately from net patient revenue: it is not part of that figure, and it is not included in net patient income.
$2.0M
Payroll costs Info Staff salaries plus wage-related costs — benefits such as payroll taxes, health insurance and retirement — from the home's own accounting records (CMS cost report, Worksheet A). Contract or agency labor is counted separately, under other operating costs. Rank #234 / 383Payroll costs — State benchmarkedThis home is ranked 234th out of 383 homes we track in New York. 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 cover every community we track in New York that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.
$10.1M 66.5% of net patient revenue Info Payroll as a share of revenue: staff salaries and wage-related benefits divided by net patient revenue. A higher figure means more of each revenue dollar goes to staff pay. Rank #75 / 382Payroll % of net patient revenue — State benchmarkedThis home is ranked 75th out of 382 homes we track in New York. 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 cover every community we track in New York that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.
Other operating costs Info Everything it costs to run the home apart from payroll — food, utilities, supplies, maintenance, contract labor and administration. Calculated as total operating expense minus payroll (staff salaries and wage-related benefits).
$8.8M
Total costs Info The home's total operating expense for the year — all the costs of running it, salaries included (CMS cost report, Worksheet G-3).
$18.9M
How we calculate these figures

This home is owned by Joseph Fischetti

Certified by the Centers for Medicare & Medicaid Services authority — CMS Certification Number: 335274

Show certification details

Who this home usually serves

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 (67% of admissions), and a typical Medicare stay runs around 1 - 2 months.

Admissions
254 total

Coverage residents most often arrive under.

Medicare 67%
Private pay 16%
Medicaid 17%
Discharges
260 total

Coverage residents most often leave under.

Medicare 65%
Private pay 17%
Medicaid 18%

Admissions and discharges reflect care patterns over time — they are not used to rate this facility.

How we assess these insights

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Address 0.0 miles from city center Info Estimated distance in miles from Greenport's city center to San Simeon by the Sound Center for Nursing & Rehabilitation's address, calculated via Google Maps.

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Compare Nursing Homes around New York State

Info below is compiled from CMS reports & the NY State Dept. of Health (NYSDOH), senior community websites & trusted data sources such as Walk Score & BBB.

Communities are listed from highest to lowest based on our ranking methodology.

The facility name. Click to view the full profile page on Assisted Living Magazine, including photos, services, and contact info.
CMS (Centers for Medicare & Medicaid Services, the federal agency that regulates nursing homes) Overall 5-star rating — a composite of Health Inspection, Staffing, and Quality Measures scores. 5 stars = top 10% nationally. 1 star = bottom 10%. The single most important number to start with when comparing facilities.
Care Types in This Table AL (Assisted Living): Housing with help for daily activities like bathing, dressing, and medication, without 24-hour skilled nursing. NH (Nursing Home): 24/7 skilled nursing care for residents with complex, ongoing medical needs. SNF (Skilled Nursing Facility): Round-the-clock nursing care, often for recovery after surgery, injury, or illness. MC (Memory Care): Secured, specialized care for people living with Alzheimer's or dementia. RC (Respite Care): Short-term temporary care that gives family caregivers a break. IL (Independent Living): Community living with dining, activities, and transportation for active seniors who need little personal care. HOS (Hospice Care): Comfort-focused care for those with a terminal illness, prioritizing quality of life over treatment. ADC (Adult Day Care): Daytime supervision, health monitoring, and social activities for seniors who live at home. PC (Palliative Care): Comfort-focused care for serious illness at any stage, including alongside curative treatment.
Neighborhood or city area where the facility is located. Proximity to family, hospitals, and green space matters for both quality of life and ease of visitation. Consider drive time and transit access when evaluating location.
Licensed bed capacity. Larger facilities (300+ beds) often have more specialized programs but can feel institutional. Smaller homes (under 150 beds) tend to deliver more personalized care. Compare with Avg Res/Day to understand how full the facility typically runs.
Percentage of licensed beds filled on an average day. Color indicates financial health: green (90%+) = operationally strong, typically profitable. Amber (80–89%) = stable but leaving revenue on the table. Orange (70–79%) = financial strain likely, may struggle with fixed costs. Red (<70%) = significant distress, closure or ownership change risk increases sharply.
This facility's occupancy rate compared to the statewide average for similar facilities. A positive number means above-average demand. Facilities running 5%+ above the state average are typically the most sought-after in their market — a strong proxy for reputation.
CMS-adjusted total nurse hours per resident per day (RN + LPN + CNA combined). The national average is approximately 3.5 hrs. Higher is better — more direct care time per resident. Below 3.0 is a red flag. CMS weights RN hours more heavily because RNs handle complex clinical decisions that CNAs cannot.
CMS Health Inspection star rating (1–5 stars), based on the 3 most recent annual state surveys plus any complaint investigations. This is the hardest rating to manipulate — it reflects real surveyor findings on-site. 5 stars = fewest deficiencies found. 1 star = most. It carries the heaviest weight in the Overall CMS rating.
CMS Staffing star rating (1–5 stars), based on daily nurse staffing hours submitted to CMS via verified payroll data. Compares RN, LPN, and CNA coverage relative to resident acuity level. 5 stars = well above expected staffing. Weekend staffing is evaluated separately, as that's where many facilities quietly reduce coverage.
CMS Quality Measures star rating (1–5 stars), based on 15 clinical outcome metrics including fall rates, pressure ulcers, antipsychotic drug use, and hospital readmissions. Captures actual resident health outcomes, not just compliance. High QM combined with low Health Inspection scores can indicate a facility with strong care but weak documentation practices.
Registered Nurse hours per resident/day compared to the statewide average. RNs are the highest-skilled nursing staff — they assess residents, manage medications, and respond to emergencies. A value of +50% means RN coverage is 50% above the state norm. Negative values are a concern for residents with complex or acute medical needs.
Total nursing staff hours (RN + LPN + CNA combined) per resident/day vs. the statewide average. A broader measure than RN vs State — it captures the entire care team. A facility can have high total staffing but low RN hours, meaning more aides and fewer nurses. Read both columns together for the full picture.
Total dollar amount of federal monetary fines (civil money penalties) issued by CMS in the past 3 years. Fines are only levied for serious violations — typically actual harm to residents, repeated uncorrected deficiencies, or systemic non-compliance. Even a single fine is noteworthy. Multiple fines strongly suggest a pattern, not isolated incidents.
A composite 0–100 score combining this facility's inspections, citations, complaints, and enforcement actions relative to the state average. See the benchmark below for the typical score in this state; higher is better. This is a proprietary Assisted Living Magazine score.
Total health deficiency citations from the most recent standard inspection cycle. Minor citations (scope A–C) are common and often administrative in nature. Higher counts aren't always disqualifying, but should be read alongside Severe Citations to understand actual harm levels. Under 10 is strong for a large facility; 30+ warrants a closer look.
Average deficiency citations per CMS inspection (survey) in the reporting window — total citations divided by the number of inspections. Lower is better; compare alongside total Citations and Severe Citations for context.
Citations at CMS scope/severity level G or higher — G–I means actual harm occurred; J–L means residents were placed in immediate jeopardy. (D–F is potential for harm only). Examples include unaddressed falls, medication errors causing injury, neglect, or abuse.
Average number of residents in the building on any given day, derived from annual census data. Reflects true operating scale — a 400-bed facility running 200 residents/day operates very differently from one at 390. Higher resident counts generally mean more funded staffing hours.
Better Business Bureau rating (A+ to F). Reflects complaint history, business transparency, and how family disputes were resolved. A+ means no significant unresolved complaints. A blank (—) means the facility isn't BBB-accredited, which is common for healthcare providers and not necessarily a negative signal.
Walk Score® (0–100). Measures walkability of the surrounding area. 90–100 = Walker's Paradise. 70–89 = Very Walkable. 50–69 = Somewhat Walkable. Below 50 = Car-Dependent. Higher scores benefit family visitors, resident outings, and staff commuting.
The licensed owner or operator of record filed with CMS — the individual or organization legally accountable for the facility. Searching the operator name across other facilities can reveal chain or multi-site ownership, which matters: chain-operated homes tend to have more variable quality outcomes than independently run facilities.
What the home actually collects for resident care, after contractual allowances, bad debt and discounts — not gross billings. Taken from the latest complete annual cost report, so it is comparable across homes reporting the same period. Revenue alone doesn't indicate care quality, but it funds staffing and capital reinvestment. Pair with Payroll %. Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
Staff salaries plus wage-related benefits from the latest complete annual cost report. Contract and agency labour is counted separately, under other operating costs, so a home leaning on agency staff can show a low figure here. Payroll is the cost most directly tied to care quality — compare with Payroll % for full context. Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
Payroll as a share of NET PATIENT REVENUE (not gross revenue). Both figures come from the same cost-report year. A higher figure means more of each revenue dollar goes to staff pay. Read with the Staffing star rating to judge whether spend translates into coverage — and note that homes whose patient revenue covers only part of their operation can read implausibly high. The New York average is: 55.8% Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
CMS Certification Number: the unique federal identifier for this skilled nursing provider.
Ditmas Park Nursing & Rehab ★ ★ ★ ★ ★
NH
PC
SNF
Brooklyn (Flatbush)
240
Facility 240
NY AVG 160
Rank #108 / 736
95.0%
Facility 95.0%
NY AVG 90.6
Rank #179 / 392
+5%
3.45
Facility 3.45
NY AVG 3.58
Rank #164 / 395
 ★ ★ ★ ★ ☆ ★ ★ ★ ★ ☆ ★ ★ ★ ★ ★ +50%-4%
$0
Facility $0
NY AVG $67.6k
Rank #1 / 398
85
Facility 85
NY AVG 83
Rank #293 / 616
7
Facility 7
NY AVG 18.5
Rank #31 / 397
2.3
Facility 2.3
NY AVG 5.1
Rank #29 / 397
-228A-
93
Facility 93
NY AVG 64
Rank #191 / 1,150
Bmo Family Holdings LLC
$62.0MFiscal year ending 12/2023
Facility $62.0MFiscal year ending 12/2023
NY AVG $29.2M
Rank #28 / 383
$9.0MFiscal year ending 12/2023
Facility $9.0MFiscal year ending 12/2023
NY AVG $15.4M
Rank #255 / 383
14.4%Fiscal year ending 12/2023
Facility 14.4%Fiscal year ending 12/2023
NY AVG 55.8%
Rank #382 / 382
335648
The Plaza Rehab and Nursing Center ★ ★ ★ ★ ★
NH
HOS
PC
RC
SNF
Bronx (Fordham Manor)
744
Facility 744
NY AVG 160
Rank #1 / 736
98.0%
Facility 98.0%
NY AVG 90.6
Rank #61 / 392
+8%
3.18
Facility 3.18
NY AVG 3.58
Rank #213 / 395
 ★ ★ ★ ★ ☆ ★ ★ ★ ☆ ☆ ★ ★ ★ ★ ★ +74%-11%
$0
Facility $0
NY AVG $67.6k
Rank #1 / 398
81
Facility 81
NY AVG 83
Rank #390 / 616
14
Facility 14
NY AVG 18.5
Rank #146 / 397
4.7
Facility 4.7
NY AVG 5.1
Rank #189 / 397
-729A+
87
Facility 87
NY AVG 64
Rank #344 / 1,150
Tcprnc, LLC (For Profit)
$127.4MFiscal year ending 12/2023
Facility $127.4MFiscal year ending 12/2023
NY AVG $29.2M
Rank #1 / 383
$51.1MFiscal year ending 12/2023
Facility $51.1MFiscal year ending 12/2023
NY AVG $15.4M
Rank #14 / 383
40.1%Fiscal year ending 12/2023
Facility 40.1%Fiscal year ending 12/2023
NY AVG 55.8%
Rank #316 / 382
335462
Amsterdam Nursing Home ★ ★ ★ ★ ★
NH
SNF
New York (Manhattan)
409
Facility 409
NY AVG 160
Rank #23 / 736
98.0%
Facility 98.0%
NY AVG 90.6
Rank #61 / 392
+8%
3.13
Facility 3.13
NY AVG 3.58
Rank #249 / 395
 ★ ★ ★ ★ ☆ ★ ★ ★ ☆ ☆ ★ ★ ★ ★ ★ +5%-12%
$0
Facility $0
NY AVG $67.6k
Rank #1 / 398
78
Facility 78
NY AVG 83
Rank #434 / 616
14
Facility 14
NY AVG 18.5
Rank #146 / 397
7.0
Facility 7.0
NY AVG 5.1
Rank #326 / 397
-401A+
93
Facility 93
NY AVG 64
Rank #191 / 1,150
Judith Fenster
$81.1MFiscal year ending 12/2023
Facility $81.1MFiscal year ending 12/2023
NY AVG $29.2M
Rank #10 / 383
$30.1MFiscal year ending 12/2023
Facility $30.1MFiscal year ending 12/2023
NY AVG $15.4M
Rank #35 / 383
37.1%Fiscal year ending 12/2023
Facility 37.1%Fiscal year ending 12/2023
NY AVG 55.8%
Rank #336 / 382
335570
United Hebrew of New Rochelle ★ ★ ★ ★ ★
NH
AL
IL
MC
SNF
New Rochelle
294
Facility 294
NY AVG 160
Rank #71 / 736
57.1%
Facility 57.1%
NY AVG 90.6
Rank #377 / 392
-37%
3.30
Facility 3.30
NY AVG 3.58
Rank #189 / 395
 ★ ★ ★ ★ ☆ ★ ★ ★ ★ ☆ ★ ★ ★ ★ ★ +31%-8%
$0
Facility $0
NY AVG $67.6k
Rank #1 / 398
96
Facility 96
NY AVG 83
Rank #73 / 616
7
Facility 7
NY AVG 18.5
Rank #31 / 397
2.3
Facility 2.3
NY AVG 5.1
Rank #29 / 397
-168-
80
Facility 80
NY AVG 64
Rank #454 / 1,150
Rita Mabli
$31.9MFiscal year ending 12/2023
Facility $31.9MFiscal year ending 12/2023
NY AVG $29.2M
Rank #139 / 383
$27.5MFiscal year ending 12/2023
Facility $27.5MFiscal year ending 12/2023
NY AVG $15.4M
Rank #41 / 383
86%Fiscal year ending 12/2023
Facility 86%Fiscal year ending 12/2023
NY AVG 55.8%
Rank #15 / 382
335621
San Simeon by the Sound Center for Nursing & Rehabilitation ★ ☆ ☆ ☆ ☆
NH
ADC
HOS
MC
PC
SNF
Greenport
120
Facility 120
NY AVG 160
Rank #405 / 736
80.0%
Facility 80.0%
NY AVG 90.6
Rank #352 / 392
-12%
3.46
Facility 3.46
NY AVG 3.58
Rank #139 / 395
 ★ ☆ ☆ ☆ ☆ ★ ★ ★ ☆ ☆ ★ ★ ★ ★ ☆ +73%-3%
$156.2k
Facility $156.2k
NY AVG $67.6k
Rank #385 / 398
68
Facility 68
NY AVG 83
Rank #559 / 616
16
Facility 16
NY AVG 18.5
Rank #186 / 397
5.3
Facility 5.3
NY AVG 5.1
Rank #241 / 397
496-
74
Facility 74
NY AVG 64
Rank #540 / 1,150
Joseph Fischetti
$15.2MFiscal year ending 12/2023
Facility $15.2MFiscal year ending 12/2023
NY AVG $29.2M
Rank #287 / 383
$10.1MFiscal year ending 12/2023
Facility $10.1MFiscal year ending 12/2023
NY AVG $15.4M
Rank #234 / 383
66.5%Fiscal year ending 12/2023
Facility 66.5%Fiscal year ending 12/2023
NY AVG 55.8%
Rank #75 / 382
335274
Nursing Home Explorer

Financial Assistance for
Nursing Home in New York

San Simeon by the Sound Center for Nursing & Rehabilitation is located in Greenport, New York State.
Here are the financial assistance programs available to residents in New York State.

Get Financial aid guidance

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
NY

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
NY

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)

Frequently Asked Questions about San Simeon by the Sound Center for Nursing & Rehabilitation

Who is the owner of San Simeon by the Sound Center for Nursing & Rehabilitation?

San Simeon by the Sound Center for Nursing & Rehabilitation is legally operated by San Simeon BY the Sound Center for Nursing & Rehabilitation (Not for Profit).

Is San Simeon by the Sound Center for Nursing & Rehabilitation in a walkable area?

San Simeon by the Sound Center for Nursing & Rehabilitation has a walk score of 74. Very walkable. Most errands can be accomplished on foot, and many essentials are within a short walk.

What is the license number of San Simeon by the Sound Center for Nursing & Rehabilitation?

According to NY state health department records, San Simeon by the Sound Center for Nursing & Rehabilitation's license number is 5127302N.

What is the occupancy rate at San Simeon by the Sound Center for Nursing & Rehabilitation?

San Simeon by the Sound Center for Nursing & Rehabilitation's occupancy is 80%.

Are pets allowed at San Simeon by the Sound Center for Nursing & Rehabilitation?

No, San Simeon by the Sound Center for Nursing & Rehabilitation has a no-pet policy.

Does San Simeon by the Sound Center for Nursing & Rehabilitation operate as a for-profit or non-profit?

San Simeon by the Sound Center for Nursing & Rehabilitation is registered as a for-profit in NY.

How many beds does San Simeon by the Sound Center for Nursing & Rehabilitation have?

San Simeon by the Sound Center for Nursing & Rehabilitation has 120 beds.

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