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The Overall CMS Rating is scored from 1 to 5 stars and combines results from health inspections, staffing levels, and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
The Overall CMS Rating is scored from 1 to 5 stars and combines results from health inspections, staffing levels, and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Located at 391 North Country Road in Smithtown, New York, Smithtown Center for Rehabilitation & Nursing Care operates 162 licensed beds under private ownership by Smithtown Health Care Management. Current occupancy stands at 99 percent, substantially above the state average of 88.3 percent.
The facility provides respite care, rehabilitation services, and memory care. Therapeutic Recreation Services represent the documented program offering. Nursing care runs 2 hours 32 minutes per resident per day. The facility does not maintain 24-hour staffing and does not accept Medicare or Medicaid payment.
The regulatory record documents persistent compliance difficulties. Over a four-year span, 31 deficiencies were cited at an annual rate of 7.8, significantly above New York’s 5.1 average.
The most recent April 2025 complaint investigation produced ten citations affecting infection control, medication labeling and storage, PASARR screening adequacy, pharmacy service procedures, appropriate self-administration of medications, respiratory and tracheostomy care, professional care standards, pressure ulcer prevention approaches, egress illumination, and sprinkler system maintenance; all addressed by June 27, 2025. February 2024 brought ten violations: four health citations and six life safety code violations addressing antibiotic stewardship implementation, physician oversight of care, provider notification procedures, food subsistence provisions, electrical equipment testing, electrical systems adequacy, emergency lighting, and gas and vacuum piping inspection protocols; all were corrected by mid-April 2024. Two December 2022 COVID-19 surveys identified national health safety network reporting deficiencies marked as widespread in scope, neither of which had been resolved at the time of reporting.
No monetary sanctions, immediate jeopardy determinations, or license suspensions are listed.
Legal exposure includes four currently pending cases among 16 matters filed since 2013.
Families should review staffing schedules, infection control audits, medication safety procedures, and emergency response protocols given the facility’s regulatory pattern and operational limitations.
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Based on the results of the facility's three most recent standard inspections and any complaint investigations. CMS reviews the number, scope, and severity of deficiencies, with more recent findings weighted more heavily.
Measures average nursing staff hours per resident per day, including Registered Nurses (RNs) and total nursing staff. Ratings are adjusted based on the level of care residents require and are compared to state and national benchmarks.
Based on clinical and physical health indicators reported to CMS, such as hospital readmissions, falls, pressure ulcers, and improvements in mobility. These measures reflect how well residents' health needs are being managed.
Daily nursing hours per resident by staff type, reported to CMS. Higher is generally better — compare this facility to state and national averages to see where staffing stands.
This home is ranked 373rd out of 387 homes in New York. Total adjusted nursing hours per resident per day, combining RN, LPN, and aide time. CMS adjusts this for case-mix so facilities can be fairly compared.
| Staff type | Hours / Day / Resident | vs state avg |
|---|---|---|
|
Registered Nurse (RN)
RNs hold the highest nursing license and can assess residents, interpret test results, and direct care plans. More RN hours per day often signals stronger clinical oversight and faster response to health changes.
| 36m per day | ▼ 14% State avg: 42m per day · National avg: 41m per day |
|
LPN / LVN
Licensed Practical Nurses (LPNs) or Licensed Vocational Nurses (LVNs) deliver routine hands-on care — medication administration, wound dressing, and monitoring vital signs. They work under RN supervision and make up a large share of daily bedside care.
| 46m per day | ■ Avg State avg: 46m per day · National avg: 52m per day |
|
Nurse Aide
Certified Nurse Aides (CNAs) provide the most direct day-to-day assistance: bathing, dressing, feeding, and mobility. Nurse aide hours are typically the largest staffing category and directly affect residents' quality of life.
| 2h 4m per day | ▼ 5% State avg: 2h 11m per day · National avg: 2h 20m per day |
|
Weekend Total Nursing
Combined nursing hours (RN + LPN + Nurse Aide) per resident per day on weekends. Staffing often drops on weekends — this figure reveals whether the facility maintains adequate coverage outside of weekday hours.
| 3h 5m per day | ▼ 3% State avg: 3h 10m per day · National avg: 3h 26m per day |
|
Physical Therapist
Hours per resident per day provided by licensed Physical Therapists (PTs) or PT Assistants. PT services help residents recover mobility after injury or illness and are especially important for post-acute (short-stay) rehabilitation.
| 6m per day | ▼ 14% State avg: 7m per day · National avg: 4m per day |
|
Weekend RN
Registered nurse hours specifically on weekends. Facilities sometimes reduce RN presence on Saturdays and Sundays — a low weekend RN figure compared to weekday hours can indicate reduced clinical oversight when most administrative staff are absent.
| 24m per day | ▼ 14% State avg: 28m per day · National avg: 28m per day |
Higher than the New York average: 88.3%Smithtown Center for Rehabilitation & Nursing Care is legally operated by Smithtown Health Care Management, LLC (For Profit).
In New York, the Department of Health, Office of Aging and Long Term Care performs unannounced onsite inspections to monitor compliance with state and federal healthcare regulations.
A composite 0–100 score combining this facility's inspections, citations, complaints, and enforcement actions relative to the New York state average. The score below shows how many points this facility sits above or below the typical New York nursing home score (the benchmark); higher is better.
1 point below the New York average for nursing homes (83/100)
Inspection score: 82 out of 100. Letter grade B-. 1 point below the New York average for nursing homes (83/100)
Enforcement actions are formal penalties or interventions imposed by New York regulators when a nursing home fails to meet state or federal care, safety, or regulatory standards. They may include directed plans of correction, civil monetary penalties, denial of payment, or appointment of temporary management.
This facility has 1 enforcement action. 33% of New York nursing homes have zero, and the statewide average is 1.6.
This scorecard compares key inspection, citation, and complaint metrics at this facility against the New York state average. Metrics rated ≥15% worse than average are highlighted in red; those ≥15% better are highlighted in green.
Citations
| This Facility | NY Average | vs. NY Avg |
|---|---|---|---|
|
Total citations
Formal regulatory issues recorded by inspectors across all inspection types.
| 25 | 13 | This facility has 92% more total citations than a typical New York nursing home (25 vs. NY avg 13).↑ 92% worse |
|
Health citations
Violations related to resident care, clinical practices, and day-to-day operations.
| 19 | 20 | This facility has 5% fewer health citations than a typical New York nursing home (19 vs. NY avg 20).↓ 5% better |
|
Life safety citations
Violations related to building safety — fire prevention, emergency egress, and similar.
| 6 | 4 | This facility has 50% more life safety citations than a typical New York nursing home (6 vs. NY avg 4).↑ 50% worse |
|
Citations per year
Average citations per year since 2022.
| 6.3 | 3.3 | This facility has 91% more citations per year than a typical New York nursing home (6.3 vs. NY avg 3.3).↑ 91% worse |
|
Citations per inspection
Average citations per inspection.
| 3.1 | 1.4 | This facility has 121% more citations per inspection than a typical New York nursing home (3.1 vs. NY avg 1.4).↑ 121% worse |
Inspections
| This Facility | NY Average | vs. NY Avg |
|---|---|---|---|
|
Total inspections
Combined count of all routine and focused inspections. Excludes complaint investigations.
| 8 | 9 | This facility has 11% fewer total inspections than a typical New York nursing home (8 vs. NY avg 9).↓ 11% better |
|
Inspections with citations
Inspections that resulted in at least one regulatory citation.
| 7 | 4 | This facility has 75% more inspections with citations than a typical New York nursing home (7 vs. NY avg 4).↑ 75% worse |
|
Inspection citation rate
Percentage of inspections that resulted in at least one citation.
| 88% | 44% | This facility has 44 percentage points higher inspection citation rate than a typical New York nursing home (88% vs. NY avg 44%).↑ 44% worse |
Complaints & Investigations
| This Facility | NY Average | vs. NY Avg |
|---|---|---|---|
|
Total complaints
Formal expressions of concern made by residents, families, or staff.
| 49 | 79 | This facility has 38% fewer total complaints than a typical New York nursing home (49 vs. NY avg 79).↓ 38% better |
|
Complaints per year
Average complaints per year since 2022.
| 12.3 | 19.8 | This facility has 38% fewer complaints per year than a typical New York nursing home (12.3 vs. NY avg 19.8).↓ 38% better |
|
Complaints per bed
Size-adjusted complaint rate based on occupied beds.
| 0.30 | 0.50 | This facility has 40% fewer complaints per bed than a typical New York nursing home (0.3 vs. NY avg 0.5).↓ 40% better |
|
Complaint investigations
On-site investigations triggered by complaints filed with New York regulators.
| 13 | 15 | This facility has 13% fewer complaint investigations than a typical New York nursing home (13 vs. NY avg 15).↓ 13% better |
An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.
New York average 3.6
Last Health inspection on Apr 2025
New York average 18.5
New York average 5.05
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
12 of 15 citations resulted from standard inspections; and 3 of 15 resulted from complaint investigations.
100% better than New York averageNew York average: 0.2
100% better than New York averageNew York average: 0.2
Corrected
Corrected
Corrected
Corrected
How this facility protects residents through staff vaccination policies and immunization practices.
Percentage of facility employees vaccinated against influenza.
Summary of court-record activity tied to this facility, compiled from publicly available case dockets.
Source: State court e-filing records
Every lawsuit on record involving this facility since the earliest filing. Long-term volume signals overall legal exposure.
16
Lawsuits still moving through the courts. Active claims can affect day-to-day operations, settlement risk, and insurance posture.
4
Cases that have been disposed of — dismissed, settled, or decided. Shows how the facility has historically resolved disputes.
11
Year of the earliest case on record. A long history with steady filings suggests persistent issues; a recent first filing means newer exposure.
2013
Most recent filing on record. Recent activity means legal disputes are still being raised against this facility.
2026
Next scheduled court appearance on record across active cases.
Apr 28, 2026Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.
653% better than New York average
0% compared with New York average
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Manages medical care and health needs.
All 17 RN Staff are full-time employees. No contractors work on this role.
17
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.6 hoursAssists with medical care and medications.
All 30 LPN Staff are full-time employees. No contractors work on this role.
30
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.8 hoursHelps with daily care and mobility.
All 78 CNA Staff are full-time employees. No contractors work on this role.
78
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.5 hours
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Total hours from contractors
9,190 contractor hours this quarter
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
| Certified Nursing Assistant | 78 | 0 | 78 | 30,887 | 92 | 100% | 7.5 |
| Licensed Practical Nurse | 30 | 0 | 30 | 10,549 | 92 | 100% | 8.8 |
| Registered Nurse | 17 | 0 | 17 | 5,695 | 92 | 100% | 8.6 |
| Speech Language Pathologist | 0 | 7 | 7 | 2,466 | 77 | 84% | 8.3 |
| Physical Therapy Aide | 0 | 8 | 8 | 2,299 | 78 | 85% | 7.9 |
| Physical Therapy Assistant | 0 | 14 | 14 | 1,939 | 91 | 99% | 7.4 |
| Other Dietary Services Staff | 7 | 0 | 7 | 1,655 | 92 | 100% | 6.9 |
| Mental Health Service Worker | 4 | 0 | 4 | 1,383 | 69 | 75% | 7.4 |
| Respiratory Therapy Technician | 1 | 6 | 7 | 1,309 | 80 | 87% | 6.7 |
| Occupational Therapy Aide | 5 | 0 | 5 | 1,095 | 71 | 77% | 7 |
| Qualified Social Worker | 0 | 4 | 4 | 975 | 65 | 71% | 7.6 |
| RN Director of Nursing | 2 | 0 | 2 | 850 | 60 | 65% | 7.8 |
| Administrator | 2 | 0 | 2 | 780 | 63 | 68% | 7.6 |
| Nurse Practitioner | 2 | 0 | 2 | 589 | 59 | 64% | 7.6 |
| Other Social Services Staff | 1 | 0 | 1 | 433 | 58 | 63% | 7.5 |
| Qualified Activities Professional | 1 | 5 | 6 | 371 | 68 | 74% | 5.3 |
| Dietitian | 1 | 0 | 1 | 275 | 36 | 39% | 7.6 |
| Clinical Nurse Specialist | 1 | 0 | 1 | 168 | 22 | 24% | 7.6 |
| Occupational Therapy Assistant | 0 | 1 | 1 | 60 | 12 | 13% | 5 |
| Medical Director | 0 | 1 | 1 | 48 | 12 | 13% | 4 |
Federal penalties imposed by CMS for regulatory violations, including civil money penalties (fines) and denials of payment for new Medicare/Medicaid admissions.
Source: CMS Penalties Database
No penalties in the past 3 years
No civil money penalties or payment denials were reported in the last 3 years.
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
6.7
32% better than New York averageNew York average: 9.8
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
8.5
53% better than New York averageNew York average: 18.1
CMS star rating based on long-stay quality measure performance. 5 stars = significantly above average, 1 star = significantly below average.
Percent of long-stay residents whose need for help with daily activities has increased
10.5%
36% better than New York averageNew York average: 16.4%
Percent of long-stay residents whose ability to move independently worsened
9.7%
42% better than New York averageNew York average: 16.6%
Percent of low risk long-stay residents who lose control of their bowels or bladder
5.3%
75% better than New York averageNew York average: 21.4%
Percent of long-stay residents experiencing one or more falls with major injury
4.6%
56% worse than New York averageNew York average: 3.0%
Percent of long-stay high risk residents with pressure ulcers
3.9%
46% better than New York averageNew York average: 7.2%
Percent of long-stay residents with a urinary tract infection
0.0%
100% better than New York averageNew York average: 1.4%
Percent of long-stay residents who lose too much weight
4.9%
20% better than New York averageNew York average: 6.1%
Percent of long-stay residents who have depressive symptoms
88.8%
390% worse than New York averageNew York average: 18.1%
Percent of long-stay residents who received an antipsychotic medication
5.8%
54% better than New York averageNew York average: 12.6%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
97.8%
7% better than New York averageNew York average: 91.4%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
97.7%
In line with New York averageNew York average: 95.2%
Number of hospitalizations per 1,000 long-stay resident days.
1.67
In line with New York averageNew York average: 1.71
Number of outpatient emergency department visits per 1,000 long-stay resident days.
0.35
74% better than New York averageNew York average: 1.35
CMS star rating based on short-stay quality measure performance. 5 stars = much above average, 1 star = much below average.
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
88.5%
16% better than New York averageNew York average: 76.6%
Percent of short-stay residents who newly received an antipsychotic medication
0.7%
43% better than New York averageNew York average: 1.3%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
92.9%
18% better than New York averageNew York average: 78.8%
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
23.5%
14% worse than New York averageNew York average: 20.6%
Percentage of short-stay residents who had an outpatient emergency department visit.
7.0%
28% better than New York averageNew York average: 9.7%
Percentage of SNF residents who experience falls with major injury during their stay.
0.9%
21% worse than New York averageNew York average: 0.8%
Percentage of residents at or above expected ability to care for themselves at discharge.
58.1%
8% better than New York averageNew York average: 53.7%
Rate of successful return to home or community from a skilled nursing facility.
41.6%
18% worse than New York averageNew York average: 50.6%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
67% of new residents, usually for short-term rehab.
30% of new residents, often for short stays.
3% of new residents, often for long-term daily care.
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
150Residents meet regularly to discuss policies, care quality, and activities
Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.
Data sourced from CMS Long-Term Care Facility Characteristics quarterly report. Payer mix reflects the current resident census by primary payment source.
Historical financial and operational data for Smithtown Center for Rehabilitation & Nursing Care based on CMS SNF Cost Reports.
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Rank #137 / 382Payroll — State benchmarkedThis home is ranked 137th out of 382 homes in New York. Shows total annual staff payroll benchmarked to the New York average. Higher payroll investment relative to peers often signals better staffing and less reliance on cheaper contract labor.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Most residents typically stay for a few weeks or months before returning home or moving on.
1.2 miles from city center
Estimated distance in miles from Smithtown's city center to Smithtown Center for Rehabilitation & Nursing Care's address, calculated via Google Maps.
Add your location
Smithtown Center for Rehabilitation & Nursing Care is located in Smithtown, New York.
Here are the financial assistance programs available to residents in New York.
The information below is reported by the New York State Department of Health.
| Massapequa Center Rehabilitation & Nursing |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care). | Amityville (Louden Avenue) | 320
Facility
320
NY AVG
160
Rank
#45 / 748 | 89.1% | +1% | 3.01 | -14% | -16% | $0 | 75
Facility
75
NY AVG
76
Rank
#284 / 340 | 11 | 5.5 | - | 295 |
62
Facility
62
NY AVG
63
Rank
#680 / 1173 | Aharon Bleier | $73.4M | $33.6M | 45.8% | 335213 | ||||
| John T Mather Memorial Hospital of Port Jefferson New York Inc |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care). | Port Jefferson | 249
Facility
249
NY AVG
160
Rank
#111 / 748 | - | - | 8.88 | +7% | +148% | $0 | - | 12 | 4.0 | - | 11 |
73
Facility
73
NY AVG
63
Rank
#564 / 1173 | - | - | - | - | 335853 | ||||
| Smithtown Center for Rehabilitation & Nursing Care |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care). | Smithtown | 162
Facility
162
NY AVG
160
Rank
#295 / 748 | 98.8% | +12% | 2.54 | -32% | -29% | $0 | 82
Facility
82
NY AVG
76
Rank
#229 / 340 | 15 | 3.8 | - | 157 |
16
Facility
16
NY AVG
63
Rank
#1050 / 1173 | Bracha Weits | $37.8M | $18.1M | 48% | 335756 | ||||
| Brookhaven Health Care Facility |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
HC Home Care Professional care delivered in the person's own home — from companionship and errands to skilled nursing and therapy. Allows seniors to age in place. Medicare covers skilled home health when medically necessary.
MC Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk. | East Patchogue | 160
Facility
160
NY AVG
160
Rank
#298 / 748 | 93.8% | +6% | 4.23 | -24% | +18% | $7.9k | 78 | 14 | 4.7 | 1 | 150 |
12
Facility
12
NY AVG
63
Rank
#1074 / 1173 | Brookhaven Health Care Facility LLC (For Profit) | $46.3M | $16.9M | 36.6% | 335694 | ||||
| Cold Spring Hills Center for Nursing & Rehabilitation |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
HC Home Care Professional care delivered in the person's own home — from companionship and errands to skilled nursing and therapy. Allows seniors to age in place. Medicare covers skilled home health when medically necessary.
MC Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk. | Woodbury (Rolling Hills At Woodbury) | 588
Facility
588
NY AVG
160
Rank
#4 / 748 | - | - | - | - | -4% | - | $280.3k | 66 | 42 | 10.5 | 3 | - |
25
Facility
25
NY AVG
63
Rank
#996 / 1173 | 378 Sywood LLC (Receivership) | $114.6M | $69.3M | 60.4% | 335555 |
The legal owner and operator of Smithtown Center for Rehabilitation & Nursing Care is Smithtown Health Care Management, LLC (For Profit).
Smithtown Center for Rehabilitation & Nursing Care has a walk score of 16. Car-dependent. Most errands require a car, with limited nearby walkable options.
According to NY state health department records, Smithtown Center for Rehabilitation & Nursing Care's license number is 5157314N.
Smithtown Center for Rehabilitation & Nursing Care's occupancy is 99%.
Smithtown Center for Rehabilitation & Nursing Care has 162 beds.
Smithtown Center for Rehabilitation & Nursing Care has had 25 recently reported deficiencies.
Yes — there are 3 photos of Smithtown Center for Rehabilitation & Nursing Care in the photo gallery on this page.
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