Oakdale, NY

Affinity Skilled Living And Rehabilitation Center

4-star overall rating with 3-star inspections with 9 recent health deficiencies with 5 fire-safety deficiencies in the latest cycle

305 Locust Avenue, Oakdale, NY

(631) 218-5900

Compare this facility

Overall

4 / 5

CMS overall stars

Health inspections

3 / 5

Survey and complaint cycles

Staffing

2 / 5

RN + nurse staffing

Quality measures

5 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

280

Certified beds

Average residents

254

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

The Mayer Family

Operator or chain grouping

Approved since

2002-09-06

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Chain footprint

11 facilities

Chain averages 3 overall / 3 health / 4 staffing / 4 quality stars

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

Hours and turnover

RN hours / resident day

0.74

Registered nurse staffing · state 0.70 · national 0.68

LPN hours / resident day

0.73

Licensed practical nurse staffing · state 0.78 · national 0.87

Aide hours / resident day

2.33

Nurse aide staffing · state 2.20 · national 2.35

Total nurse hours

3.80

All reported nurse hours · state 3.65 · national 3.89

Licensed hours

1.47

RN + LPN hours · state 1.47 · national 1.54

Weekend hours

3.29

Weekend nurse staffing · state 3.16 · national 3.43

Weekend RN hours

0.46

Weekend registered nurse coverage · state 0.47 · national 0.47

Physical therapist

0.16

Reported PT staffing · state 0.11 · national 0.07

Adjusted RN hours

0.61

CMS adjusted RN staffing hours

Adjusted total hours

3.14

CMS adjusted total nurse staffing hours

Case-mix index

1.66

Higher values indicate more complex resident acuity

RN turnover

41%

Annual RN turnover · state 41% · national 45%

Total nurse turnover

31%

Annual nurse turnover · state 41% · national 46%

SNF VBP

Value-based purchasing

Program rank

2,505

Lower is better among SNFs in the FY 2026 VBP program.

Performance score

49.41

Composite VBP score used to determine payment impact.

Payment multiplier

1.0034

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

6.10

Baseline 18.88% · Performance 18.61% · Measure score 6.10 · Achievement 6.10 · Improvement 1

Healthcare-associated infections

5.25

Baseline 7.89% · Performance 6.26% · Measure score 5.25 · Achievement 5.25 · Improvement 5.11

Total nurse turnover

6.69

Baseline 32.10% · Performance 36.33% · Measure score 6.69 · Achievement 6.69 · Improvement 0

Adjusted total nurse staffing

1.73

Baseline 2.73 hours · Performance 3.41 hours · Measure score 1.73 · Achievement 1.17 · Improvement 1.73

SNF QRP

Medicare quality reporting measures

Measure Facility National Note
Potentially preventable 30-day readmission 11.15%
10.72%
0.4 pts worse
No Different than the National Rate · Eligible stays 348 · Observed rate 11.21% · Lower 95% interval 8.64%
Discharge to community 46.48%
50.57%
4.1 pts worse
No Different than the National Rate · Eligible stays 400 · Observed rate 37.75% · Lower 95% interval 39.98%
Medicare spending per beneficiary 1.25
1.02
0.2 pts worse
Drug regimen review with follow-up 90.65%
95.27%
4.6 pts worse
Numerator 291 · Denominator 321
Falls with major injury 0.31%
0.77%
0.5 pts better
Numerator 1 · Denominator 321
Discharge self-care score 54.46%
53.69%
0.8 pts better
Numerator 122 · Denominator 224
Discharge mobility score 55.8%
50.94%
4.9 pts better
Numerator 125 · Denominator 224
Pressure ulcers or injuries, new or worsened 0.93%
2.29%
1.4 pts better
Numerator 3 · Denominator 321 · Adjusted rate 0.8%
Healthcare-associated infections requiring hospitalization 6.27%
7.12%
0.9 pts better
No Different than the National Rate · Eligible stays 274 · Observed rate 6.93% · Lower 95% interval 4.33%
Staff COVID-19 vaccination coverage 0%
8.2%
8.2 pts worse
Numerator 0 · Denominator 330
Staff flu vaccination coverage 93.94%
42%
51.9 pts better
Numerator 310 · Denominator 330
Discharge function score 59.38%
56.45%
2.9 pts better
Numerator 133 · Denominator 224
Transfer of health information to provider 86.21%
95.95%
9.7 pts worse
Numerator 75 · Denominator 87
Transfer of health information to patient 87.41%
96.28%
8.9 pts worse
Numerator 118 · Denominator 135
Resident COVID-19 vaccinations up to date 20.69%
25.2%
4.5 pts worse
Numerator 36 · Denominator 174

Quality measures

Resident outcomes and process scores

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 1.3 · Expected 2.0 · Used in QM five-star
Number of outpatient emergency department visits per 1000 long-stay resident days 0.8
1.3
0.5 pts better
1.8
1 pts better
Long Stay · 20240701-20250630 · Adjusted 0.8 · Observed 0.8 · Expected 1.7 · Used in QM five-star
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine 93.3%
91.2%
2.1 pts better
93.4%
0.1 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 96.2% · Q2 93.8% · Q3 91.2% · Q4 92.2% · 4Q avg 93.3%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine 90.8%
95.3%
4.5 pts worse
95.5%
4.7 pts worse
Long Stay · 2024Q3-2025Q2 · 4Q avg 90.8%
Percentage of long-stay residents experiencing one or more falls with major injury 1.7%
3.0%
1.3 pts better
3.3%
1.6 pts better
Long Stay · 2024Q4-2025Q3 · Q1 1.4% · Q2 1.4% · Q3 1.9% · Q4 2.0% · 4Q avg 1.7% · 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 7.9% · Q2 27.5% · Q3 25.6% · Q4 9.4% · 4Q avg 17.7%
Percentage of long-stay residents who lose too much weight 4.0%
6.1%
2.1 pts better
5.4%
1.4 pts better
Long Stay · 2024Q4-2025Q3 · Q1 3.0% · Q2 4.6% · Q3 5.4% · Q4 3.0% · 4Q avg 4.0%
Percentage of long-stay residents who received an antianxiety or hypnotic medication 18.3%
13.5%
4.8 pts worse
19.6%
1.3 pts better
Long Stay · 2024Q4-2025Q3 · Q1 16.9% · Q2 19.6% · Q3 17.8% · Q4 19.0% · 4Q avg 18.3%
Percentage of long-stay residents who received an antipsychotic medication 9.0%
14.8%
5.8 pts better
16.7%
7.7 pts better
Long Stay · 2024Q4-2025Q3 · Q1 9.5% · Q2 8.3% · Q3 8.5% · Q4 9.6% · 4Q avg 9.0% · Used in QM five-star
Percentage of long-stay residents who were physically restrained 0.1%
0.2%
0.1 pts better
0.1%
About the same
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.5% · Q4 0.0% · 4Q avg 0.1%
Percentage of long-stay residents whose ability to walk independently worsened 16.7%
15.1%
1.6 pts worse
16.3%
0.4 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 34.9% · Q2 15.5% · Q3 7.9% · Q4 9.9% · 4Q avg 16.7% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased 15.9%
15.5%
0.4 pts worse
14.9%
1 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 23.1% · Q2 18.0% · Q3 11.8% · Q4 11.1% · 4Q avg 15.9% · Used in QM five-star
Percentage of long-stay residents with a catheter inserted and left in their bladder 0.5%
0.6%
0.1 pts better
1.0%
0.5 pts better
Long Stay · 2024Q4-2025Q3 · Q1 0.5% · Q2 1.4% · Q3 0.0% · Q4 0.0% · 4Q avg 0.5% · Used in QM five-star
Percentage of long-stay residents with a urinary tract infection 6.0%
1.4%
4.6 pts worse
1.7%
4.3 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 6.5% · Q2 6.6% · Q3 5.8% · Q4 5.0% · 4Q avg 6.0% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence 9.1%
20.8%
11.7 pts better
19.8%
10.7 pts better
Long Stay · 2024Q4-2025Q3 · Q1 10.1% · Q2 9.0% · Q3 10.8% · Q4 6.4% · 4Q avg 9.1%
Percentage of long-stay residents with pressure ulcers 8.9%
6.9%
2 pts worse
5.1%
3.8 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 9.3% · Q2 9.4% · Q3 10.3% · Q4 6.6% · 4Q avg 8.9% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine 82.2%
76.7%
5.5 pts better
81.7%
0.5 pts better
Short Stay · 2024Q4-2025Q3 · Q1 85.3% · Q2 80.5% · Q3 80.1% · Q4 82.8% · 4Q avg 82.2%
Percentage of short-stay residents who had an outpatient emergency department visit 6.3%
9.7%
3.4 pts better
12.0%
5.7 pts better
Short Stay · 20240701-20250630 · Adjusted 6.3% · Observed 6.7% · Expected 11.8% · Used in QM five-star
Percentage of short-stay residents who newly received an antipsychotic medication 1.4%
1.2%
0.2 pts worse
1.6%
0.2 pts better
Short Stay · 2024Q4-2025Q3 · Q1 0.6% · Q2 1.3% · Q3 1.7% · Q4 1.8% · 4Q avg 1.4% · Used in QM five-star
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine 80.4%
78.8%
1.6 pts better
79.7%
0.7 pts better
Short Stay · 2024Q3-2025Q2 · 4Q avg 80.4%
Percentage of short-stay residents who were rehospitalized after a nursing home admission 19.6%
20.6%
1 pts better
23.9%
4.3 pts better
Short Stay · 20240701-20250630 · Adjusted 19.6% · Observed 24.1% · Expected 29.4% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2024-09-11 · Fire 2024-09-11

9 health deficiencies

Top issue: Quality of Life and Care (4 deficiencies)

5 fire-safety deficiencies

Top issue: Egress (2 deficiencies)

Cycle 2 Health 2023-01-13 · Fire 2023-01-13

8 health deficiencies

Top issue: Quality of Life and Care (3 deficiencies)

7 fire-safety deficiencies

Top issue: Egress (2 deficiencies)

Cycle 3 Health 2020-02-07 · Fire 2020-02-07

7 health deficiencies

Top issue: Resident Assessment and Care Planning (3 deficiencies)

5 fire-safety deficiencies

Top issue: Smoke (2 deficiencies)

Fire safety

Fire-safety citations

E · Potential for more than minimal harm 2024-09-11

K225 · Egress Deficiencies

Fire Safety

Have stairways and smokeproof enclosures used as exits that meet safety requirements.

Corrected 2024-09-24

D · Potential for more than minimal harm 2024-09-11

K211 · Egress Deficiencies

Fire Safety

Keep aisles, corridors, and exits free of obstruction in case of emergency.

Corrected 2024-09-25

D · Potential for more than minimal harm 2024-09-11

K311 · Smoke Deficiencies

Fire Safety

Have an enclosure around a vertical opening shaft.

Corrected 2024-09-24

D · Potential for more than minimal harm 2024-09-11

K351 · Smoke Deficiencies

Fire Safety

Install an approved automatic sprinkler system.

Corrected 2024-09-25

D · Potential for more than minimal harm 2024-09-11

K915 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have proper power supply for life support equipment.

Corrected 2024-09-26

F · Potential for more than minimal harm 2023-01-13

K300 · Egress Deficiencies

Fire Safety

Meet other general requirements that are deficient.

Corrected 2023-03-17

E · Potential for more than minimal harm 2023-01-13

K211 · Egress Deficiencies

Fire Safety

Keep aisles, corridors, and exits free of obstruction in case of emergency.

Corrected 2023-03-17

E · Potential for more than minimal harm 2023-01-13

K321 · Smoke Deficiencies

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 2023-03-17

D · Potential for more than minimal harm 2023-01-13

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have generator or other power source capable of supplying service within 10 seconds.

Corrected 2023-03-17

C · Minimal harm 2023-01-13

E39 · Emergency Preparedness Deficiencies

Fire Safety

Conduct testing and exercise requirements.

Corrected 2023-03-17

C · Minimal harm 2023-01-13

K531 · Services Deficiencies

Fire Safety

Have elevators that firefighters can control in the event of a fire.

Corrected 2023-03-17

C · Minimal harm 2023-01-13

K901 · Electrical Deficiencies

Fire Safety

Ensure that building systems meet requirements determined by risk assessment procedures performed by qualified personnel.

Corrected 2023-03-17

E · Potential for more than minimal harm 2020-02-07

K363 · Smoke Deficiencies

Fire Safety

Install corridor and hallway doors that block smoke.

Corrected 2020-04-07

D · Potential for more than minimal harm 2020-02-07

K211 · Egress Deficiencies

Fire Safety

Keep aisles, corridors, and exits free of obstruction in case of emergency.

Corrected 2020-04-07

D · Potential for more than minimal harm 2020-02-07

K521 · Services Deficiencies

Fire Safety

Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

Corrected 2020-04-07

C · Minimal harm 2020-02-07

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2020-04-07

C · Minimal harm 2020-02-07

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have generator or other power source capable of supplying service within 10 seconds.

Corrected 2020-04-07

Inspection history

Recent health citations

E · Potential for more than minimal harm 2024-09-11

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2024-11-01

D · Potential for more than minimal harm 2024-09-11

F684 · Quality of Life and Care Deficiencies

Health

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Corrected 2024-11-01

D · Potential for more than minimal harm 2024-09-11

F686 · Quality of Life and Care Deficiencies

Health

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Corrected 2024-11-01

D · Potential for more than minimal harm 2024-09-11

F689 · Quality of Life and Care Deficiencies

Health

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Corrected 2024-11-01

D · Potential for more than minimal harm 2024-09-11

F694 · Quality of Life and Care Deficiencies

Health

Provide for the safe, appropriate administration of IV fluids for a resident when needed.

Corrected 2024-11-01

D · Potential for more than minimal harm 2024-09-11

F761 · Pharmacy Service Deficiencies

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 2024-11-01

D · Potential for more than minimal harm 2024-09-11

F806 · Nutrition and Dietary Deficiencies

Health

Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.

Corrected 2024-11-01

B · Minimal harm 2024-09-11

F636 · Resident Assessment and Care Planning Deficiencies

Health

Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.

Corrected 2024-11-01

B · Minimal harm 2024-09-11

F640 · Resident Assessment and Care Planning Deficiencies

Health

Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.

Corrected 2024-11-01

G · Actual harm 2023-01-13

F689 · Quality of Life and Care Deficiencies

Health

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Corrected 2023-03-13

D · Potential for more than minimal harm 2023-01-13

F609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Corrected 2023-03-13

D · Potential for more than minimal harm 2023-01-13

F656 · Resident Assessment and Care Planning Deficiencies

Health

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Corrected 2023-03-13

D · Potential for more than minimal harm 2023-01-13

F657 · Resident Assessment and Care Planning Deficiencies

Health

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Corrected 2023-03-13

D · Potential for more than minimal harm 2023-01-13

F684 · Quality of Life and Care Deficiencies

Health

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Corrected 2023-03-13

D · Potential for more than minimal harm 2023-01-13

F695 · Quality of Life and Care Deficiencies

Health

Provide safe and appropriate respiratory care for a resident when needed.

Corrected 2023-03-13

D · Potential for more than minimal harm 2023-01-13

F755 · Pharmacy Service Deficiencies

Health

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Corrected 2023-03-13

D · Potential for more than minimal harm 2023-01-13

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2023-03-13

E · Potential for more than minimal harm 2020-02-07

F725 · Nursing and Physician Services Deficiencies

Health

Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

Corrected 2020-04-07

D · Potential for more than minimal harm 2020-02-07

F610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Respond appropriately to all alleged violations.

Corrected 2020-04-07

D · Potential for more than minimal harm 2020-02-07

F656 · Resident Assessment and Care Planning Deficiencies

Health

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Corrected 2020-04-07

D · Potential for more than minimal harm 2020-02-07

F660 · Resident Assessment and Care Planning Deficiencies

Health

Plan the resident's discharge to meet the resident's goals and needs.

Corrected 2020-04-07

D · Potential for more than minimal harm 2020-02-07

F676 · Quality of Life and Care Deficiencies

Health

Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.

Corrected 2020-04-07

D · Potential for more than minimal harm 2020-02-07

F689 · Quality of Life and Care Deficiencies

Health

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Corrected 2020-04-07

B · Minimal harm 2020-02-07

F640 · Resident Assessment and Care Planning Deficiencies

Health

Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.

Corrected 2020-04-07

Penalties and ownership

What sits behind the stars

Ownership

Landa, David

5% Or Greater Direct Ownership Interest · Individual

16% 5 facilities 2004-12-23
Mandel, Eli

5% Or Greater Direct Ownership Interest · Individual

15% 1 facilities 2004-12-23
Davidowitch, Nachum

5% Or Greater Direct Ownership Interest · Individual

10% 4 facilities 2004-12-23
Mayer, Andrea

5% Or Greater Direct Ownership Interest · Individual

9% 9 facilities 2004-12-23
Mayer, Giorgio

5% Or Greater Direct Ownership Interest · Individual

9% 12 facilities 2004-12-23
Estate Of Miriam Biller

5% Or Greater Direct Ownership Interest · Organization

6% 1 facilities 2017-08-05
Gewirtz, Jonathan

Operational/Managerial Control · Individual

0% 22 facilities 2007-12-15
Gewirtz, Jonathan

Corporate Director · Individual

0% 22 facilities 2010-01-01

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3-star overall rating with 3-star inspections with 6 recent health deficiencies with 2 fire-safety deficiencies in the latest cycle

Overall
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Health
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Staffing
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Fines
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5-star overall rating with 4-star inspections with 5 recent health deficiencies with 1 fire-safety deficiencies in the latest cycle

Overall
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Health
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Staffing
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Fines
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