West Babylon, NY

Berkshire Nursing & Rehabilitation Center

5-star overall rating with 4-star inspections with $44,292 in total fines with 3 recent health deficiencies with 2 fire-safety deficiencies in the latest cycle

10 Berkshire Road, West Babylon, NY

(631) 587-0600

Compare this facility

Overall

5 / 5

CMS overall stars

Health inspections

4 / 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

175

Certified beds

Average residents

160

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

No chain reported

Operator or chain grouping

Approved since

1970-08-01

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

Hours and turnover

RN hours / resident day

0.53

Registered nurse staffing · state 0.70 · national 0.68

LPN hours / resident day

0.76

Licensed practical nurse staffing · state 0.78 · national 0.87

Aide hours / resident day

2.37

Nurse aide staffing · state 2.20 · national 2.35

Total nurse hours

3.66

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

3.45

Weekend nurse staffing · state 3.16 · national 3.43

Weekend RN hours

0.42

Weekend registered nurse coverage · state 0.47 · national 0.47

Physical therapist

0.14

Reported PT staffing · state 0.11 · national 0.07

Adjusted RN hours

0.41

CMS adjusted RN staffing hours

Adjusted total hours

2.79

CMS adjusted total nurse staffing hours

Case-mix index

1.80

Higher values indicate more complex resident acuity

RN turnover

53%

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

5,696

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

Performance score

35.27

Composite VBP score used to determine payment impact.

Payment multiplier

0.9890

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

2.71

Baseline 20.45% · Performance 20.18% · Measure score 2.71 · Achievement 2.71 · Improvement 0.30

Healthcare-associated infections

4.46

Baseline 7.73% · Performance 6.50% · Measure score 4.46 · Achievement 4.46 · Improvement 3.99

Total nurse turnover

6.93

Baseline 25.22% · Performance 35.34% · Measure score 6.93 · Achievement 6.93 · Improvement 0

Adjusted total nurse staffing

0

Baseline 2.75 hours · Performance 2.86 hours · Measure score 0 · Achievement 0 · Improvement 0

SNF QRP

Medicare quality reporting measures

Measure	Facility	National	Note
Potentially preventable 30-day readmission	10.63%	10.72% 0.1 pts better	No Different than the National Rate · Eligible stays 383 · Observed rate 9.92% · Lower 95% interval 8.12%
Discharge to community	53.13%	50.57% 2.6 pts better	No Different than the National Rate · Eligible stays 460 · Observed rate 46.09% · Lower 95% interval 48.13%
Medicare spending per beneficiary	1.47	1.02 0.4 pts worse
Drug regimen review with follow-up	100%	95.27% 4.7 pts better	Numerator 344 · Denominator 344
Falls with major injury	0.87%	0.77% 0.1 pts worse	Numerator 3 · Denominator 344
Discharge self-care score	62.39%	53.69% 8.7 pts better	Numerator 136 · Denominator 218
Discharge mobility score	70.18%	50.94% 19.2 pts better	Numerator 153 · Denominator 218
Pressure ulcers or injuries, new or worsened	1.16%	2.29% 1.1 pts better	Numerator 4 · Denominator 344 · Adjusted rate 0.88%
Healthcare-associated infections requiring hospitalization	6.5%	7.12% 0.6 pts better	No Different than the National Rate · Eligible stays 280 · Observed rate 6.07% · Lower 95% interval 4.44%
Staff COVID-19 vaccination coverage	3.59%	8.2% 4.6 pts worse	Numerator 9 · Denominator 251
Staff flu vaccination coverage	48.59%	42% 6.6 pts better	Numerator 138 · Denominator 284
Discharge function score	68.81%	56.45% 12.4 pts better	Numerator 150 · Denominator 218
Transfer of health information to provider	100%	95.95% 4 pts better	Numerator 216 · Denominator 216
Transfer of health information to patient	90.12%	96.28% 6.2 pts worse	Numerator 73 · Denominator 81
Resident COVID-19 vaccinations up to date	27.17%	25.2% 2 pts better	Numerator 47 · Denominator 173

Quality measures

Resident outcomes and process scores

Measure	Facility	State	National	Note
Number of hospitalizations per 1000 long-stay resident days	1.6	1.7 0.1 pts better	1.9 0.3 pts better	Long Stay · 20240701-20250630 · Adjusted 1.6 · Observed 2.0 · Expected 2.4 · 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 1.8 · Used in QM five-star
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine	99.3%	91.2% 8.1 pts better	93.4% 5.9 pts better	Long Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 100.0% · Q3 98.2% · Q4 99.1% · 4Q avg 99.3%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine	100.0%	95.3% 4.7 pts better	95.5% 4.5 pts better	Long Stay · 2024Q3-2025Q2 · 4Q avg 100.0%
Percentage of long-stay residents experiencing one or more falls with major injury	1.6%	3.0% 1.4 pts better	3.3% 1.7 pts better	Long Stay · 2024Q4-2025Q3 · Q1 1.8% · Q2 1.9% · Q3 0.9% · Q4 1.7% · 4Q avg 1.6% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms	48.6%	18.5% 30.1 pts worse	11.4% 37.2 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 48.1% · Q2 46.2% · Q3 53.3% · Q4 46.9% · 4Q avg 48.6%
Percentage of long-stay residents who lose too much weight	5.8%	6.1% 0.3 pts better	5.4% 0.4 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 2.8% · Q2 3.7% · Q3 9.2% · Q4 8.1% · 4Q avg 5.8%
Percentage of long-stay residents who received an antianxiety or hypnotic medication	9.0%	13.5% 4.5 pts better	19.6% 10.6 pts better	Long Stay · 2024Q4-2025Q3 · Q1 10.1% · Q2 9.3% · Q3 8.1% · Q4 8.6% · 4Q avg 9.0%
Percentage of long-stay residents who received an antipsychotic medication	12.2%	14.8% 2.6 pts better	16.7% 4.5 pts better	Long Stay · 2024Q4-2025Q3 · Q1 8.8% · Q2 11.1% · Q3 14.3% · Q4 14.3% · 4Q avg 12.2% · 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	15.2%	15.1% 0.1 pts worse	16.3% 1.1 pts better	Long Stay · 2024Q4-2025Q3 · Q1 7.8% · Q2 13.5% · Q3 24.8% · Q4 14.8% · 4Q avg 15.2% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased	9.0%	15.5% 6.5 pts better	14.9% 5.9 pts better	Long Stay · 2024Q4-2025Q3 · Q1 11.7% · Q2 6.2% · Q3 8.2% · Q4 9.8% · 4Q avg 9.0% · 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	23.8%	20.8% 3 pts worse	19.8% 4 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 29.0% · Q2 23.6% · Q3 26.2% · Q4 16.9% · 4Q avg 23.8%
Percentage of long-stay residents with pressure ulcers	3.0%	6.9% 3.9 pts better	5.1% 2.1 pts better	Long Stay · 2024Q4-2025Q3 · Q1 1.9% · Q2 3.4% · Q3 3.1% · Q4 3.4% · 4Q avg 3.0% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine	97.7%	76.7% 21 pts better	81.7% 16 pts better	Short Stay · 2024Q4-2025Q3 · Q1 99.3% · Q2 98.3% · Q3 96.7% · Q4 96.4% · 4Q avg 97.7%
Percentage of short-stay residents who had an outpatient emergency department visit	5.9%	9.7% 3.8 pts better	12.0% 6.1 pts better	Short Stay · 20240701-20250630 · Adjusted 5.9% · Observed 5.6% · Expected 10.6% · 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 1.0% · Q3 1.5% · Q4 2.3% · 4Q avg 1.4% · Used in QM five-star
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine	96.2%	78.8% 17.4 pts better	79.7% 16.5 pts better	Short Stay · 2024Q3-2025Q2 · 4Q avg 96.2%
Percentage of short-stay residents who were rehospitalized after a nursing home admission	23.2%	20.6% 2.6 pts worse	23.9% 0.7 pts better	Short Stay · 20240701-20250630 · Adjusted 23.2% · Observed 24.5% · Expected 25.2% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2024-08-20 · Fire 2024-08-20

4 health deficiencies

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

2 fire-safety deficiencies

Top issue: Egress (1 deficiency)

Cycle 2 Health 2023-03-29 · Fire 2023-03-29

1 health deficiencies

Top issue: Freedom from Abuse and Neglect and Exploitation (1 deficiency)

2 fire-safety deficiencies

Top issue: Egress (1 deficiency)

Cycle 3 Health 2020-09-24 · Fire 2020-09-24

3 health deficiencies

Top issue: Pharmacy Service (1 deficiency)

3 fire-safety deficiencies

Top issue: Egress (1 deficiency)

Fire safety

Fire-safety citations

D · Potential for more than minimal harm 2024-08-20

K281 · Egress Deficiencies

Fire Safety

Install proper backup exit lighting.

Corrected 2024-09-24

D · Potential for more than minimal harm 2024-08-20

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

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

Corrected 2024-09-24

E · Potential for more than minimal harm 2023-03-29

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2023-05-12

D · Potential for more than minimal harm 2023-03-29

K211 · Egress Deficiencies

Fire Safety

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

Corrected 2023-05-31

E · Potential for more than minimal harm 2020-09-24

K227 · Egress Deficiencies

Fire Safety

Have ramps, exits, fire escape ladders, steps, and areas of refuge that meet safety requirements.

Corrected 2020-11-18

D · Potential for more than minimal harm 2020-09-24

K341 · Smoke Deficiencies

Fire Safety

Install a fire alarm system that can be heard throughout the facility.

Corrected 2020-11-18

D · Potential for more than minimal harm 2020-09-24

K521 · Services Deficiencies

Fire Safety

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

Corrected 2020-11-18

Inspection history

Recent health citations

J · Immediate jeopardy 2025-09-22

F684 · Quality of Life and Care Deficiencies

Health

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

Corrected 2025-11-10

D · Potential for more than minimal harm 2024-10-30

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 2024-11-22

G · Actual harm 2024-08-20

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 2024-09-16

D · Potential for more than minimal harm 2024-08-20

F610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Respond appropriately to all alleged violations.

Corrected 2024-09-27

D · Potential for more than minimal harm 2024-08-20

F686 · Quality of Life and Care Deficiencies

Health

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

Corrected 2024-09-20

D · Potential for more than minimal harm 2020-09-24

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 2020-11-18

D · Potential for more than minimal harm 2020-09-24

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 2020-11-18

D · Potential for more than minimal harm 2020-09-24

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 2020-11-18

Penalties and ownership

What sits behind the stars

$35,780 2025-09-22

Fine

Fine · fine $35,780

Fine

$8,512 2024-08-20

Fine

Fine · fine $8,512

Fine