Cycle 1
Health 2024-08-21 · Fire 2024-08-21
7 health deficiencies
Top issue: Administration (2 deficiencies)
6 fire-safety deficiencies
Top issue: Emergency Preparedness (2 deficiencies)
Brookhaven, NY
Bellhaven Center For Rehab And Nursing Care
2-star overall rating with 1-star inspections with $146,251 in total fines with 7 recent health deficiencies with 6 fire-safety deficiencies in the latest cycle
110 Beaver Dam Road, Brookhaven, NY
(631) 286-8100
Overall
2 / 5
CMS overall stars
Health inspections
1 / 5
Survey and complaint cycles
Staffing
1 / 5
RN + nurse staffing
Quality measures
5 / 5
Resident outcomes and process measures
Quick facts
Facility snapshot
Beds
240
Certified beds
Average residents
236
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
Center Management Group
Operator or chain grouping
Approved since
1991-11-15
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Chain footprint
17 facilities
Chain averages 3 overall / 3 health / 2 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
0.42
Registered nurse staffing · state 0.70 · national 0.68
LPN hours / resident day
0.83
Licensed practical nurse staffing · state 0.78 · national 0.87
Aide hours / resident day
1.94
Nurse aide staffing · state 2.20 · national 2.35
Total nurse hours
3.19
All reported nurse hours · state 3.65 · national 3.89
Licensed hours
1.24
RN + LPN hours · state 1.47 · national 1.54
Weekend hours
2.77
Weekend nurse staffing · state 3.16 · national 3.43
Weekend RN hours
0.17
Weekend registered nurse coverage · state 0.47 · national 0.47
Physical therapist
0.03
Reported PT staffing · state 0.11 · national 0.07
Adjusted RN hours
0.33
CMS adjusted RN staffing hours
Adjusted total hours
2.50
CMS adjusted total nurse staffing hours
Case-mix index
1.74
Higher values indicate more complex resident acuity
RN turnover
30%
Annual RN turnover · state 41% · national 45%
Total nurse turnover
36%
Annual nurse turnover · state 41% · national 46%
SNF VBP
Value-based purchasing
Program rank
3,779
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
42.71
Composite VBP score used to determine payment impact.
Payment multiplier
0.9957
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
8.02
Baseline 22.88% · Performance 17.90% · Measure score 8.02 · Achievement 7.63 · Improvement 8.02
Healthcare-associated infections
0.75
Baseline 10.57% · Performance 9.87% · Measure score 0.75 · Achievement 0 · Improvement 0.75
Total nurse turnover
8.31
Baseline 33.15% · Performance 29.71% · Measure score 8.31 · Achievement 8.31 · Improvement 3.64
Adjusted total nurse staffing
0
Baseline 3.02 hours · Performance 2.71 hours · Measure score 0 · Achievement 0 · Improvement 0
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 12.46% |
10.72%
1.7 pts worse
|
No Different than the National Rate · Eligible stays 316 · Observed rate 13.92% · Lower 95% interval 9.78% |
| Discharge to community | 48.11% |
50.57%
2.5 pts worse
|
No Different than the National Rate · Eligible stays 289 · Observed rate 40.48% · Lower 95% interval 41.98% |
| Medicare spending per beneficiary | 1.63 |
1.02
0.6 pts worse
|
|
| Drug regimen review with follow-up | 97.91% |
95.27%
2.6 pts better
|
Numerator 374 · Denominator 382 |
| Falls with major injury | 0.52% |
0.77%
0.2 pts better
|
Numerator 2 · Denominator 382 |
| Discharge self-care score | 74.04% |
53.69%
20.4 pts better
|
Numerator 174 · Denominator 235 |
| Discharge mobility score | 60% |
50.94%
9.1 pts better
|
Numerator 141 · Denominator 235 |
| Pressure ulcers or injuries, new or worsened | 1.05% |
2.29%
1.2 pts better
|
Numerator 4 · Denominator 382 · Adjusted rate 0.87% |
| Healthcare-associated infections requiring hospitalization | 9.87% |
7.12%
2.7 pts worse
|
Worse than the National Rate · Eligible stays 286 · Observed rate 11.54% · Lower 95% interval 7.41% |
| Staff COVID-19 vaccination coverage | 0% |
8.2%
8.2 pts worse
|
Numerator 0 · Denominator 310 |
| Staff flu vaccination coverage | 61.05% |
42%
19 pts better
|
Numerator 232 · Denominator 380 |
| Discharge function score | 68.51% |
56.45%
12.1 pts better
|
Numerator 161 · Denominator 235 |
| Transfer of health information to provider | 83.08% |
95.95%
12.9 pts worse
|
Numerator 108 · Denominator 130 |
| Transfer of health information to patient | 89.26% |
96.28%
7 pts worse
|
Numerator 133 · Denominator 149 |
| Resident COVID-19 vaccinations up to date | 37.19% |
25.2%
12 pts better
|
Numerator 74 · Denominator 199 |
Quality measures
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 2.2 |
1.7
0.5 pts worse
|
1.9
0.3 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 2.2 · Observed 2.1 · Expected 1.8 · 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 1.5 · 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 | 99.5% |
95.3%
4.2 pts better
|
95.5%
4 pts better
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 99.5% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 4.4% |
3.0%
1.4 pts worse
|
3.3%
1.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 4.5% · Q2 4.0% · Q3 5.1% · Q4 3.9% · 4Q avg 4.4% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 15.6% |
18.5%
2.9 pts better
|
11.4%
4.2 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 13.7% · Q2 19.7% · Q3 19.9% · Q4 9.4% · 4Q avg 15.6% |
| Percentage of long-stay residents who lose too much weight | 8.0% |
6.1%
1.9 pts worse
|
5.4%
2.6 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 7.1% · Q2 8.0% · Q3 8.6% · Q4 8.2% · 4Q avg 8.0% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 17.8% |
13.5%
4.3 pts worse
|
19.6%
1.8 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 18.8% · Q2 17.8% · Q3 18.8% · Q4 15.7% · 4Q avg 17.8% |
| Percentage of long-stay residents who received an antipsychotic medication | 13.5% |
14.8%
1.3 pts better
|
16.7%
3.2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 11.3% · Q2 14.0% · Q3 14.1% · Q4 14.8% · 4Q avg 13.5% · 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 | 4.5% |
15.1%
10.6 pts better
|
16.3%
11.8 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 5.0% · Q2 5.8% · Q3 4.2% · Q4 3.1% · 4Q avg 4.5% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 6.4% |
15.5%
9.1 pts better
|
14.9%
8.5 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 7.1% · Q2 6.7% · Q3 7.4% · Q4 4.3% · 4Q avg 6.4% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.2% |
0.6%
0.4 pts better
|
1.0%
0.8 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.5% · Q2 0.0% · Q3 0.0% · Q4 0.4% · 4Q avg 0.2% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 0.3% |
1.4%
1.1 pts better
|
1.7%
1.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.5% · Q4 0.5% · 4Q avg 0.3% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 8.5% |
20.8%
12.3 pts better
|
19.8%
11.3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 12.9% · Q2 9.3% · Q3 5.2% · Q4 6.9% · 4Q avg 8.5% |
| 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 5.0% · Q2 5.4% · Q3 3.6% · Q4 2.5% · 4Q avg 4.1% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 99.6% |
76.7%
22.9 pts better
|
81.7%
17.9 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 99.5% · Q2 100.0% · Q3 99.5% · Q4 99.4% · 4Q avg 99.6% |
| 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 5.8% · Expected 10.3% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 0.5% |
1.2%
0.7 pts better
|
1.6%
1.1 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 0.9% · Q2 0.0% · Q3 0.0% · Q4 1.2% · 4Q avg 0.5% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 94.3% |
78.8%
15.5 pts better
|
79.7%
14.6 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 94.3% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 20.3% |
20.6%
0.3 pts better
|
23.9%
3.6 pts better
|
Short Stay · 20240701-20250630 · Adjusted 20.3% · Observed 19.2% · Expected 22.5% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2023-07-28 · Fire 2023-07-28
5 health deficiencies
Top issue: Quality of Life and Care (3 deficiencies)
2 fire-safety deficiencies
Top issue: Egress (1 deficiency)
Cycle 3
Health 2021-06-21 · Fire 2021-06-21
5 health deficiencies
Top issue: Freedom from Abuse and Neglect and Exploitation (2 deficiencies)
3 fire-safety deficiencies
Top issue: Egress (1 deficiency)
Fire safety
Fire-safety citations
F · Potential for more than minimal harm
2024-08-21
E4 · Emergency Preparedness Deficiencies
Fire Safety
Develop and maintain an Emergency Preparedness Program (EP).
Corrected 2024-09-19
E · Potential for more than minimal harm
2024-08-21
E6 · Emergency Preparedness Deficiencies
Fire Safety
Conduct risk assessment and an All-Hazards approach.
Corrected 2024-09-19
E · Potential for more than minimal harm
2024-08-21
K916 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Have a battery powered remote alarm panel in a location accessible by operating personnel.
Corrected 2024-10-18
E · Potential for more than minimal harm
2024-08-21
K918 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2024-11-14
D · Potential for more than minimal harm
2024-08-21
K211 · Egress Deficiencies
Fire Safety
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Corrected 2024-09-23
D · Potential for more than minimal harm
2024-08-21
K531 · Services Deficiencies
Fire Safety
Have elevators that firefighters can control in the event of a fire.
Corrected 2024-09-18
E · Potential for more than minimal harm
2023-07-28
K291 · Egress Deficiencies
Fire Safety
Install emergency lighting that can last at least 1 1/2 hours.
Corrected 2023-09-12
D · Potential for more than minimal harm
2023-07-28
K923 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Have proper medical gas storage and administration areas.
Corrected 2023-09-13
D · Potential for more than minimal harm
2021-06-21
K223 · Egress Deficiencies
Fire Safety
Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.
Corrected 2021-08-20
D · Potential for more than minimal harm
2021-06-21
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 2021-08-20
D · Potential for more than minimal harm
2021-06-21
K918 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2021-08-20
Inspection history
Recent health citations
K · Immediate jeopardy
2025-09-05
F700 · Quality of Life and Care Deficiencies
Health
Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.
Corrected 2025-11-14
D · Potential for more than minimal harm
2025-09-05
F835 · Administration Deficiencies
Health
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
Corrected 2025-11-14
D · Potential for more than minimal harm
2025-09-05
F865 · Administration Deficiencies
Health
Have a plan that describes the process for conducting QAPI and QAA activities.
Corrected 2025-11-14
D · Potential for more than minimal harm
2024-08-21
F610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Health
Respond appropriately to all alleged violations.
Corrected 2024-10-20
D · Potential for more than minimal harm
2024-08-21
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 2024-10-20
D · Potential for more than minimal harm
2024-08-21
F711 · Nursing and Physician Services Deficiencies
Health
Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit.
Corrected 2024-10-20
D · Potential for more than minimal harm
2024-08-21
F745 · Quality of Life and Care Deficiencies
Health
Provide medically-related social services to help each resident achieve the highest possible quality of life.
Corrected 2024-10-20
G · Actual harm
2023-07-28
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 2023-09-25
D · Potential for more than minimal harm
2023-07-28
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 2023-09-25
D · Potential for more than minimal harm
2023-07-28
F645 · Resident Assessment and Care Planning Deficiencies
Health
PASARR screening for Mental disorders or Intellectual Disabilities
Corrected 2023-09-25
D · Potential for more than minimal harm
2023-07-28
F695 · Quality of Life and Care Deficiencies
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2023-09-25
D · Potential for more than minimal harm
2023-07-28
F698 · Quality of Life and Care Deficiencies
Health
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Corrected 2023-09-25
E · Potential for more than minimal harm
2021-06-21
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 2021-08-20
D · Potential for more than minimal harm
2021-06-21
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 2021-08-20
D · Potential for more than minimal harm
2021-06-21
F610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Health
Respond appropriately to all alleged violations.
Corrected 2021-08-20
D · Potential for more than minimal harm
2021-06-21
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 2021-08-20
D · Potential for more than minimal harm
2021-06-21
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2021-08-20
Penalties and ownership
What sits behind the stars
$138,350
2025-09-05
Fine
Fine · fine $138,350
Fine
$7,901
2023-07-28
Fine
Fine · fine $7,901
Fine
Ownership
Gros, Charles-Edouard
5% Or Greater Direct Ownership Interest · Individual
Friedman, Devorah
5% Or Greater Direct Ownership Interest · Individual
Einhorn, Sharon
5% Or Greater Direct Ownership Interest · Individual
Minzer, Israel
5% Or Greater Direct Ownership Interest · Individual
Schlesinger, Ernest
5% Or Greater Direct Ownership Interest · Individual
Einhorn, Sharon
Operational/Managerial Control · Individual
Friedman, Devorah
Operational/Managerial Control · Individual
Gros, Charles-Edouard
Operational/Managerial Control · Individual
Schlesinger, Ernest
Operational/Managerial Control · Individual
Walker, Bernadette
Operational/Managerial Control · Individual
Walker, Bernadette
W-2 Managing Employee · Individual
Nearby options
Other facilities in reach
#1
Brookhaven Health Care Facility L L C
East Patchogue, NY
4-star overall rating with 3-star inspections with $7,901 in total fines with 5 recent health deficiencies
#2
Swan Lake Nursing & Rehabilitation
Patchogue, NY
2-star overall rating with 1-star inspections with 5 recent health deficiencies
#3
Medford Multicare Center For Living
Medford, NY
1-star overall rating with 1-star inspections with $134,713 in total fines with 7 recent health deficiencies with 1 fire-safety deficiencies in the latest cycle
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