Huntington Station, NY

Apex Rehabilitation & Care Center

3-star overall rating with 2-star inspections with 12 recent health deficiencies

78 Birchwood Dr, Huntington Station, NY

(631) 423-3200

Compare this facility

Overall

3 / 5

CMS overall stars

Health inspections

2 / 5

Survey and complaint cycles

Staffing

3 / 5

RN + nurse staffing

Quality measures

5 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

195

Certified beds

Average residents

188

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

No chain reported

Operator or chain grouping

Approved since

1967-01-01

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Changed ownership

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

0.95

Registered nurse staffing · state 0.70 · national 0.68

LPN hours / resident day

0.34

Licensed practical nurse staffing · state 0.78 · national 0.87

Aide hours / resident day

2.24

Nurse aide staffing · state 2.20 · national 2.35

Total nurse hours

3.53

All reported nurse hours · state 3.65 · national 3.89

Licensed hours

1.29

RN + LPN hours · state 1.47 · national 1.54

Weekend hours

3.16

Weekend nurse staffing · state 3.16 · national 3.43

Weekend RN hours

0.72

Weekend registered nurse coverage · state 0.47 · national 0.47

Physical therapist

0.10

Reported PT staffing · state 0.11 · national 0.07

Adjusted RN hours

0.89

CMS adjusted RN staffing hours

Adjusted total hours

3.30

CMS adjusted total nurse staffing hours

Case-mix index

1.46

Higher values indicate more complex resident acuity

RN turnover

55%

Annual RN turnover · state 41% · national 45%

Total nurse turnover

33%

Annual nurse turnover · state 41% · national 46%

SNF VBP

Value-based purchasing

Program rank

1,807

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

Performance score

53.89

Composite VBP score used to determine payment impact.

Payment multiplier

1.0087

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

7.03

Baseline 19.14% · Performance 18.18% · Measure score 7.03 · Achievement 7.03 · Improvement 4.06

Healthcare-associated infections

4.28

Baseline 9.43% · Performance 7.31% · Measure score 4.28 · Achievement 1.75 · Improvement 4.28

Total nurse turnover

Baseline 31.34% · Performance 22.66% · Measure score 10 · Achievement 10 · Improvement 9

Adjusted total nurse staffing

0.25

Baseline 2.88 hours · Performance 3.09 hours · Measure score 0.25 · Achievement 0 · Improvement 0.25

SNF QRP

Medicare quality reporting measures

Measure	Facility	National	Note
Potentially preventable 30-day readmission	11.32%	10.72% 0.6 pts worse	No Different than the National Rate · Eligible stays 318 · Observed rate 11.64% · Lower 95% interval 9.03%
Discharge to community	49.05%	50.57% 1.5 pts worse	No Different than the National Rate · Eligible stays 299 · Observed rate 37.79% · Lower 95% interval 42.31%
Medicare spending per beneficiary	1.42	1.02 0.4 pts worse
Drug regimen review with follow-up	99.18%	95.27% 3.9 pts better	Numerator 243 · Denominator 245
Falls with major injury	1.22%	0.77% 0.4 pts worse	Numerator 3 · Denominator 245
Discharge self-care score	66.46%	53.69% 12.8 pts better	Numerator 109 · Denominator 164
Discharge mobility score	67.07%	50.94% 16.1 pts better	Numerator 110 · Denominator 164
Pressure ulcers or injuries, new or worsened	0.82%	2.29% 1.5 pts better	Numerator 2 · Denominator 245 · Adjusted rate 0.75%
Healthcare-associated infections requiring hospitalization	7.31%	7.12% 0.2 pts worse	No Different than the National Rate · Eligible stays 220 · Observed rate 7.73% · Lower 95% interval 5.09%
Staff COVID-19 vaccination coverage	0%	8.2% 8.2 pts worse	Numerator 0 · Denominator 215
Staff flu vaccination coverage	84.62%	42% 42.6 pts better	Numerator 176 · Denominator 208
Discharge function score	66.46%	56.45% 10 pts better	Numerator 109 · Denominator 164
Transfer of health information to provider	98.63%	95.95% 2.7 pts better	Numerator 72 · Denominator 73
Transfer of health information to patient	100%	96.28% 3.7 pts better	Numerator 80 · Denominator 80
Resident COVID-19 vaccinations up to date	1.69%	25.2% 23.5 pts worse	Numerator 2 · Denominator 118

Quality measures

Resident outcomes and process scores

Measure	Facility	State	National	Note
Number of hospitalizations per 1000 long-stay resident days	1.5	1.7 0.2 pts better	1.9 0.4 pts better	Long Stay · 20240701-20250630 · Adjusted 1.5 · Observed 1.5 · Expected 2.0 · Used in QM five-star
Number of outpatient emergency department visits per 1000 long-stay resident days	1.0	1.3 0.3 pts better	1.8 0.8 pts better	Long Stay · 20240701-20250630 · Adjusted 1.0 · Observed 1.0 · Expected 1.7 · Used in QM five-star
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine	95.8%	91.2% 4.6 pts better	93.4% 2.4 pts better	Long Stay · 2024Q4-2025Q3 · Q1 99.4% · Q2 96.2% · Q3 93.3% · Q4 94.2% · 4Q avg 95.8%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine	45.8%	95.3% 49.5 pts worse	95.5% 49.7 pts worse	Long Stay · 2024Q3-2025Q2 · 4Q avg 45.8%
Percentage of long-stay residents experiencing one or more falls with major injury	1.0%	3.0% 2 pts better	3.3% 2.3 pts better	Long Stay · 2024Q4-2025Q3 · Q1 1.3% · Q2 0.6% · Q3 0.7% · Q4 1.3% · 4Q avg 1.0% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms	77.1%	18.5% 58.6 pts worse	11.4% 65.7 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 77.5% · Q2 81.1% · Q3 81.5% · Q4 68.5% · 4Q avg 77.1%
Percentage of long-stay residents who lose too much weight	3.9%	6.1% 2.2 pts better	5.4% 1.5 pts better	Long Stay · 2024Q4-2025Q3 · Q1 4.7% · Q2 4.0% · Q3 3.5% · Q4 3.2% · 4Q avg 3.9%
Percentage of long-stay residents who received an antianxiety or hypnotic medication	33.4%	13.5% 19.9 pts worse	19.6% 13.8 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 33.8% · Q2 35.1% · Q3 32.2% · Q4 32.5% · 4Q avg 33.4%
Percentage of long-stay residents who received an antipsychotic medication	25.0%	14.8% 10.2 pts worse	16.7% 8.3 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 24.3% · Q2 27.9% · Q3 23.8% · Q4 23.9% · 4Q avg 25.0% · 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	7.3%	15.1% 7.8 pts better	16.3% 9 pts better	Long Stay · 2024Q4-2025Q3 · Q1 4.6% · Q2 12.4% · Q3 6.9% · Q4 5.3% · 4Q avg 7.3% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased	5.5%	15.5% 10 pts better	14.9% 9.4 pts better	Long Stay · 2024Q4-2025Q3 · Q1 3.7% · Q2 9.7% · Q3 5.8% · Q4 2.8% · 4Q avg 5.5% · Used in QM five-star
Percentage of long-stay residents with a catheter inserted and left in their bladder	0.7%	0.6% 0.1 pts worse	1.0% 0.3 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.6% · Q3 1.3% · Q4 1.0% · 4Q avg 0.7% · Used in QM five-star
Percentage of long-stay residents with a urinary tract infection	0.2%	1.4% 1.2 pts better	1.7% 1.5 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.7% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.2% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence	7.9%	20.8% 12.9 pts better	19.8% 11.9 pts better	Long Stay · 2024Q4-2025Q3 · Q1 8.0% · Q2 11.5% · Q3 5.5% · Q4 6.5% · 4Q avg 7.9%
Percentage of long-stay residents with pressure ulcers	7.3%	6.9% 0.4 pts worse	5.1% 2.2 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 8.1% · Q2 8.6% · Q3 6.2% · Q4 6.3% · 4Q avg 7.3% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine	94.7%	76.7% 18 pts better	81.7% 13 pts better	Short Stay · 2024Q4-2025Q3 · Q1 98.5% · Q2 98.6% · Q3 98.6% · Q4 83.4% · 4Q avg 94.7%
Percentage of short-stay residents who had an outpatient emergency department visit	6.6%	9.7% 3.1 pts better	12.0% 5.4 pts better	Short Stay · 20240701-20250630 · Adjusted 6.6% · Observed 7.3% · Expected 12.5% · Used in QM five-star
Percentage of short-stay residents who newly received an antipsychotic medication	2.6%	1.2% 1.4 pts worse	1.6% 1 pts worse	Short Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 2.8% · Q3 4.3% · Q4 3.2% · 4Q avg 2.6% · Used in QM five-star
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine	90.1%	78.8% 11.3 pts better	79.7% 10.4 pts better	Short Stay · 2024Q3-2025Q2 · 4Q avg 90.1%
Percentage of short-stay residents who were rehospitalized after a nursing home admission	18.8%	20.6% 1.8 pts better	23.9% 5.1 pts better	Short Stay · 20240701-20250630 · Adjusted 18.8% · Observed 21.3% · Expected 27.0% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-04-16 · Fire 2025-04-16

12 health deficiencies

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

0 fire-safety deficiencies

No concentrated fire-safety issue counts in this cycle.

Cycle 2 Health 2024-02-14 · Fire 2024-02-14

13 health deficiencies

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

1 fire-safety deficiencies

Top issue: Emergency Preparedness (1 deficiency)

Cycle 3 Health 2022-02-14 · Fire 2022-02-14

6 health deficiencies

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

0 fire-safety deficiencies

No concentrated fire-safety issue counts in this cycle.

Fire safety

Fire-safety citations

E · Potential for more than minimal harm 2024-02-14

E15 · Emergency Preparedness Deficiencies

Fire Safety

Address subsistence needs for staff and patients.

Corrected 2024-03-30

Inspection history

Recent health citations

F · Potential for more than minimal harm 2025-04-16

F812 · Nutrition and Dietary Deficiencies

Health

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Corrected 2025-05-23

E · Potential for more than minimal harm 2025-04-16

F686 · Quality of Life and Care Deficiencies

Health

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

Corrected 2025-05-23

E · Potential for more than minimal harm 2025-04-16

F835 · Administration Deficiencies

Health

Administer the facility in a manner that enables it to use its resources effectively and efficiently.

Corrected 2025-05-23

E · Potential for more than minimal harm 2025-04-16

F839 · Administration Deficiencies

Health

Employ staff that are licensed, certified, or registered in accordance with state laws.

Corrected 2025-05-23

D · Potential for more than minimal harm 2025-04-16

F550 · Resident Rights Deficiencies

Health

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Corrected 2025-05-23

D · Potential for more than minimal harm 2025-04-16

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 2025-05-23

D · Potential for more than minimal harm 2025-04-16

F610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Respond appropriately to all alleged violations.

Corrected 2025-05-23

D · Potential for more than minimal harm 2025-04-16

F684 · Quality of Life and Care Deficiencies

Health

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

Corrected 2025-05-23

D · Potential for more than minimal harm 2025-04-16

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 2025-05-23

D · Potential for more than minimal harm 2025-04-16

F790 · Quality of Life and Care Deficiencies

Health

Provide routine and 24-hour emergency dental care for each resident.

Corrected 2025-05-23

D · Potential for more than minimal harm 2025-04-16

F842 · Resident Assessment and Care Planning Deficiencies

Health

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Corrected 2025-05-23

D · Potential for more than minimal harm 2025-04-16

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2025-05-23

D · Potential for more than minimal harm 2024-02-27

F697 · Quality of Life and Care Deficiencies

Health

Provide safe, appropriate pain management for a resident who requires such services.

Corrected 2024-03-30

E · Potential for more than minimal harm 2024-02-14

F584 · Resident Rights Deficiencies

Health

Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

Corrected 2024-03-30

E · Potential for more than minimal harm 2024-02-14

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 2024-03-30

E · Potential for more than minimal harm 2024-02-14

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 2024-03-30