2 health deficiencies
Top issue: Nutrition and Dietary (1 deficiency)
2 fire-safety deficiencies
Top issue: Egress (1 deficiency)
Riverhead, NY
5-star overall rating with 4-star inspections with 2 recent health deficiencies with 2 fire-safety deficiencies in the latest cycle
1146 Woodcrest Avenue, Riverhead, NY
(631) 727-7744
Overall
5 / 5
CMS overall stars
Health inspections
4 / 5
Survey and complaint cycles
Staffing
3 / 5
RN + nurse staffing
Quality measures
5 / 5
Resident outcomes and process measures
Quick facts
Beds
181
Certified beds
Average residents
111
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
No chain reported
Operator or chain grouping
Approved since
1968-03-03
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Changed ownership
No
Within the last 12 months
Family council
Yes
Resident and family council reported
Sprinklers
Yes
Automatic sprinklers in all required areas
Staffing
RN hours / resident day
0.61
Registered nurse staffing · state 0.70 · national 0.68
LPN hours / resident day
1.22
Licensed practical nurse staffing · state 0.78 · national 0.87
Aide hours / resident day
2.17
Nurse aide staffing · state 2.20 · national 2.35
Total nurse hours
4.00
All reported nurse hours · state 3.65 · national 3.89
Licensed hours
1.83
RN + LPN hours · state 1.47 · national 1.54
Weekend hours
3.62
Weekend nurse staffing · state 3.16 · national 3.43
Weekend RN hours
0.37
Weekend registered nurse coverage · state 0.47 · national 0.47
Physical therapist
0.19
Reported PT staffing · state 0.11 · national 0.07
Adjusted RN hours
0.51
CMS adjusted RN staffing hours
Adjusted total hours
3.33
CMS adjusted total nurse staffing hours
Case-mix index
1.64
Higher values indicate more complex resident acuity
RN turnover
28%
Annual RN turnover · state 41% · national 45%
Total nurse turnover
42%
Annual nurse turnover · state 41% · national 46%
SNF VBP
Program rank
1,363
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
57.22
Composite VBP score used to determine payment impact.
Payment multiplier
1.0124
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
Readmission
5.56
Baseline 17.81% · Performance 18.85% · Measure score 5.56 · Achievement 5.56 · Improvement 0
Healthcare-associated infections
6.82
Baseline 6.88% · Performance 5.80% · Measure score 6.82 · Achievement 6.82 · Improvement 5.26
Total nurse turnover
7.77
Performance 31.93% · Measure score 7.77 · Achievement 7.77 · This facility did not have sufficient data to calculate a baseline period measure result.
Adjusted total nurse staffing
2.74
Baseline 3.05 hours · Performance 3.86 hours · Measure score 2.74 · Achievement 2.74 · Improvement 2.45
SNF QRP
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 14.37% |
10.72%
3.6 pts worse
|
Worse than the National Rate · Eligible stays 351 · Observed rate 14.25% · Lower 95% interval 11.41% |
| Discharge to community | 56.09% |
50.57%
5.5 pts better
|
Better than the National Rate · Eligible stays 366 · Observed rate 53.28% · Lower 95% interval 51.14% |
| Medicare spending per beneficiary | 1.26 |
1.02
0.2 pts worse
|
|
| Drug regimen review with follow-up | 99.16% |
95.27%
3.9 pts better
|
Numerator 235 · Denominator 237 |
| Falls with major injury | 0.84% |
0.77%
0.1 pts worse
|
Numerator 2 · Denominator 237 |
| Discharge self-care score | 54.67% |
53.69%
1 pts better
|
Numerator 82 · Denominator 150 |
| Discharge mobility score | 58% |
50.94%
7.1 pts better
|
Numerator 87 · Denominator 150 |
| Pressure ulcers or injuries, new or worsened | 1.69% |
2.29%
0.6 pts better
|
Numerator 4 · Denominator 237 · Adjusted rate 1.8% |
| Healthcare-associated infections requiring hospitalization | 5.8% |
7.12%
1.3 pts better
|
No Different than the National Rate · Eligible stays 239 · Observed rate 4.18% · Lower 95% interval 3.71% |
| Staff COVID-19 vaccination coverage | 0% |
8.2%
8.2 pts worse
|
Numerator 0 · Denominator 103 |
| Staff flu vaccination coverage | 81.23% |
42%
39.2 pts better
|
Numerator 212 · Denominator 261 |
| Discharge function score | 51.33% |
56.45%
5.1 pts worse
|
Numerator 77 · Denominator 150 |
| Transfer of health information to provider | 100% |
95.95%
4 pts better
|
Numerator 75 · Denominator 75 |
| Transfer of health information to patient | 100% |
96.28%
3.7 pts better
|
Numerator 112 · Denominator 112 |
| Resident COVID-19 vaccinations up to date | 26.83% |
25.2%
1.6 pts better
|
Numerator 33 · Denominator 123 |
Quality measures
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 1.2 |
1.7
0.5 pts better
|
1.9
0.7 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.2 · Observed 1.2 · Expected 1.9 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 1.1 |
1.3
0.2 pts better
|
1.8
0.7 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.1 · Observed 1.0 · Expected 1.6 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 100.0% |
91.2%
8.8 pts better
|
93.4%
6.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 100.0% · Q3 100.0% · Q4 100.0% · 4Q avg 100.0% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 98.0% |
95.3%
2.7 pts better
|
95.5%
2.5 pts better
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 98.0% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 4.9% |
3.0%
1.9 pts worse
|
3.3%
1.6 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 6.6% · Q2 5.6% · Q3 3.7% · Q4 3.7% · 4Q avg 4.9% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 17.7% |
18.5%
0.8 pts better
|
11.4%
6.3 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 2.6% · Q2 11.7% · Q3 29.1% · Q4 27.3% · 4Q avg 17.7% |
| Percentage of long-stay residents who lose too much weight | 4.2% |
6.1%
1.9 pts better
|
5.4%
1.2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 3.8% · Q2 1.2% · Q3 6.6% · Q4 5.4% · 4Q avg 4.2% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 17.0% |
13.5%
3.5 pts worse
|
19.6%
2.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 14.4% · Q2 15.7% · Q3 17.1% · Q4 21.0% · 4Q avg 17.0% |
| Percentage of long-stay residents who received an antipsychotic medication | 11.7% |
14.8%
3.1 pts better
|
16.7%
5 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 13.3% · Q2 10.0% · Q3 9.8% · Q4 13.3% · 4Q avg 11.7% · Used in QM five-star |
| Percentage of long-stay residents who were physically restrained | 0.0% |
0.2%
0.2 pts better
|
0.1%
0.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | 10.1% |
15.1%
5 pts better
|
16.3%
6.2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 3.0% · Q2 19.6% · Q3 3.6% · Q4 13.4% · 4Q avg 10.1% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 14.6% |
15.5%
0.9 pts better
|
14.9%
0.3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 11.2% · Q2 21.5% · Q3 12.2% · Q4 13.2% · 4Q avg 14.6% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.0% |
0.6%
0.6 pts better
|
1.0%
1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 0.0% |
1.4%
1.4 pts better
|
1.7%
1.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 13.6% |
20.8%
7.2 pts better
|
19.8%
6.2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 21.9% · Q2 18.4% · Q3 6.9% · Q4 5.5% · 4Q avg 13.6% |
| Percentage of long-stay residents with pressure ulcers | 4.1% |
6.9%
2.8 pts better
|
5.1%
1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 3.6% · Q2 1.8% · Q3 4.2% · Q4 7.0% · 4Q avg 4.1% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 99.7% |
76.7%
23 pts better
|
81.7%
18 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 99.3% · Q2 99.4% · Q3 100.0% · Q4 100.0% · 4Q avg 99.7% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 5.3% |
9.7%
4.4 pts better
|
12.0%
6.7 pts better
|
Short Stay · 20240701-20250630 · Adjusted 5.3% · Observed 5.1% · Expected 10.7% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 0.0% |
1.2%
1.2 pts better
|
1.6%
1.6 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 99.4% |
78.8%
20.6 pts better
|
79.7%
19.7 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 99.4% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 17.1% |
20.6%
3.5 pts better
|
23.9%
6.8 pts better
|
Short Stay · 20240701-20250630 · Adjusted 17.1% · Observed 15.7% · Expected 22.0% · Used in QM five-star |
Survey summary
Top issue: Nutrition and Dietary (1 deficiency)
2 fire-safety deficiencies
Top issue: Egress (1 deficiency)
Top issue: Quality of Life and Care (2 deficiencies)
8 fire-safety deficiencies
Top issue: Smoke (4 deficiencies)
Top issue: Quality of Life and Care (1 deficiency)
1 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (1 deficiency)
Fire safety
Fire Safety
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
Corrected 2024-10-01
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2024-10-01
Fire Safety
Have properly sized and located compartments to protect residents from smoke.
Corrected 2023-04-07
Fire Safety
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Corrected 2023-04-07
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2023-04-07
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2023-04-07
Fire Safety
Address subsistence needs for staff and patients.
Corrected 2023-04-07
Fire Safety
Install proper backup exit lighting.
Corrected 2023-04-07
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2023-04-07
Fire Safety
Ensure that building systems meet requirements determined by risk assessment procedures performed by qualified personnel.
Corrected 2023-04-07
Fire Safety
Have proper medical gas storage and administration areas.
Corrected 2020-08-21
Inspection history
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2024-11-04
Health
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Corrected 2024-11-04
Health
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
Corrected 2023-04-06
Health
Assure that each resident’s assessment is updated at least once every 3 months.
Corrected 2023-04-06
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2023-04-06
Health
Provide safe, appropriate pain management for a resident who requires such services.
Corrected 2023-04-06
Health
Ensure that residents are free from significant medication errors.
Corrected 2023-04-06
Health
Provide and implement an infection prevention and control program.
Corrected 2023-04-06
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2020-04-10
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2020-04-10
Penalties and ownership
Operational/Managerial Control · Individual
Operational/Managerial Control · Organization
General Partnership Interest · Individual
General Partnership Interest · Individual
General Partnership Interest · Individual
General Partnership Interest · Individual
Operational/Managerial Control · Individual
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