Cycle 1
Health 2025-11-25 · Fire 2025-11-25
3 health deficiencies
Top issue: Resident Rights (2 deficiencies)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Smithtown, NY
Brookside Multicare Nursing Center
4-star overall rating with 4-star inspections with $3,145 in total fines with 3 recent health deficiencies
7 Route 25a, Smithtown, NY
(631) 724-2200
Overall
4 / 5
CMS overall stars
Health inspections
4 / 5
Survey and complaint cycles
Staffing
4 / 5
RN + nurse staffing
Quality measures
4 / 5
Resident outcomes and process measures
Quick facts
Facility snapshot
Beds
353
Certified beds
Average residents
300
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
Optima Care
Operator or chain grouping
Approved since
1978-06-12
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Chain footprint
8 facilities
Chain averages 3 overall / 3 health / 3 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
0.93
Registered nurse staffing · state 0.70 · national 0.68
LPN hours / resident day
0.69
Licensed practical nurse staffing · state 0.78 · national 0.87
Aide hours / resident day
2.48
Nurse aide staffing · state 2.20 · national 2.35
Total nurse hours
4.10
All reported nurse hours · state 3.65 · national 3.89
Licensed hours
1.62
RN + LPN hours · state 1.47 · national 1.54
Weekend hours
3.56
Weekend nurse staffing · state 3.16 · national 3.43
Weekend RN hours
0.56
Weekend registered nurse coverage · state 0.47 · national 0.47
Physical therapist
0.07
Reported PT staffing · state 0.11 · national 0.07
Adjusted RN hours
0.91
CMS adjusted RN staffing hours
Adjusted total hours
3.99
CMS adjusted total nurse staffing hours
Case-mix index
1.40
Higher values indicate more complex resident acuity
RN turnover
24%
Annual RN turnover · state 41% · national 45%
Total nurse turnover
22%
Annual nurse turnover · state 41% · national 46%
SNF VBP
Value-based purchasing
Program rank
7,156
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
30.60
Composite VBP score used to determine payment impact.
Payment multiplier
0.9860
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
0
Baseline 18.24% · Performance 21.84% · Measure score 0 · Achievement 0 · Improvement 0
Healthcare-associated infections
0
Baseline 7.50% · Performance 11.52% · Measure score 0 · Achievement 0 · Improvement 0
Total nurse turnover
10
Baseline 23.16% · Performance 21.53% · Measure score 10 · Achievement 10 · Improvement 9
Adjusted total nurse staffing
2.24
Baseline 3.78 hours · Performance 3.71 hours · Measure score 2.24 · Achievement 2.24 · Improvement 0
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 11.1% |
10.72%
0.4 pts worse
|
No Different than the National Rate · Eligible stays 213 · Observed rate 10.8% · Lower 95% interval 8.15% |
| Discharge to community | 39.01% |
50.57%
11.6 pts worse
|
Worse than the National Rate · Eligible stays 243 · Observed rate 32.1% · Lower 95% interval 32.84% |
| Medicare spending per beneficiary | 1.39 |
1.02
0.4 pts worse
|
|
| Drug regimen review with follow-up | 99.59% |
95.27%
4.3 pts better
|
Numerator 241 · Denominator 242 |
| Falls with major injury | 1.65% |
0.77%
0.9 pts worse
|
Numerator 4 · Denominator 242 |
| Discharge self-care score | 65.33% |
53.69%
11.6 pts better
|
Numerator 98 · Denominator 150 |
| Discharge mobility score | 64.67% |
50.94%
13.7 pts better
|
Numerator 97 · Denominator 150 |
| Pressure ulcers or injuries, new or worsened | 0% |
2.29%
2.3 pts better
|
Numerator 0 · Denominator 242 · Adjusted rate 0% |
| Healthcare-associated infections requiring hospitalization | 11.52% |
7.12%
4.4 pts worse
|
Worse than the National Rate · Eligible stays 138 · Observed rate 15.94% · Lower 95% interval 7.65% |
| Staff COVID-19 vaccination coverage | 12.31% |
8.2%
4.1 pts better
|
Numerator 57 · Denominator 463 |
| Staff flu vaccination coverage | 88.52% |
42%
46.5 pts better
|
Numerator 378 · Denominator 427 |
| Discharge function score | 70% |
56.45%
13.5 pts better
|
Numerator 105 · Denominator 150 |
| Transfer of health information to provider | 97.73% |
95.95%
1.8 pts better
|
Numerator 86 · Denominator 88 |
| Transfer of health information to patient | 90.91% |
96.28%
5.4 pts worse
|
Numerator 90 · Denominator 99 |
| Resident COVID-19 vaccinations up to date | 33.56% |
25.2%
8.4 pts better
|
Numerator 50 · Denominator 149 |
Quality measures
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 2.0 |
1.7
0.3 pts worse
|
1.9
0.1 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 2.0 · Observed 2.9 · Expected 2.7 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 0.6 |
1.3
0.7 pts better
|
1.8
1.2 pts better
|
Long Stay · 20240701-20250630 · Adjusted 0.6 · Observed 0.8 · Expected 2.0 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 99.6% |
91.2%
8.4 pts better
|
93.4%
6.2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 99.3% · Q2 99.6% · Q3 99.6% · Q4 99.6% · 4Q avg 99.6% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 99.0% |
95.3%
3.7 pts better
|
95.5%
3.5 pts better
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 99.0% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 2.1% |
3.0%
0.9 pts better
|
3.3%
1.2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 1.7% · Q2 2.1% · Q3 2.1% · Q4 2.5% · 4Q avg 2.1% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 11.0% |
18.5%
7.5 pts better
|
11.4%
0.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 8.6% · Q2 8.6% · Q3 12.8% · Q4 14.1% · 4Q avg 11.0% |
| 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 4.5% · Q2 6.7% · Q3 2.9% · Q4 1.9% · 4Q avg 4.0% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 23.3% |
13.5%
9.8 pts worse
|
19.6%
3.7 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 25.3% · Q2 24.3% · Q3 22.7% · Q4 20.7% · 4Q avg 23.3% |
| Percentage of long-stay residents who received an antipsychotic medication | 28.2% |
14.8%
13.4 pts worse
|
16.7%
11.5 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 25.7% · Q2 29.0% · Q3 28.9% · Q4 29.2% · 4Q avg 28.2% · 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 | 14.5% |
15.1%
0.6 pts better
|
16.3%
1.8 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 23.9% · Q2 15.0% · Q3 10.9% · Q4 7.0% · 4Q avg 14.5% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 13.9% |
15.5%
1.6 pts better
|
14.9%
1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 16.9% · Q2 20.6% · Q3 12.1% · Q4 5.9% · 4Q avg 13.9% · 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 11.5% · Q2 13.5% · Q3 13.9% · Q4 15.6% · 4Q avg 13.6% |
| Percentage of long-stay residents with pressure ulcers | 4.7% |
6.9%
2.2 pts better
|
5.1%
0.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 4.3% · Q2 5.0% · Q3 4.9% · Q4 4.7% · 4Q avg 4.7% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 99.3% |
76.7%
22.6 pts better
|
81.7%
17.6 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 99.4% · Q2 99.1% · Q3 99.1% · Q4 99.5% · 4Q avg 99.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 7.9% |
9.7%
1.8 pts better
|
12.0%
4.1 pts better
|
Short Stay · 20240701-20250630 · Adjusted 7.9% · Observed 7.8% · Expected 11.0% · 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 1.0% · Q2 1.5% · Q3 1.4% · Q4 1.7% · 4Q avg 1.4% · 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 | 25.0% |
20.6%
4.4 pts worse
|
23.9%
1.1 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 25.0% · Observed 25.4% · Expected 24.2% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2024-06-26 · Fire 2024-06-26
4 health deficiencies
Top issue: Pharmacy Service (2 deficiencies)
5 fire-safety deficiencies
Top issue: Egress (1 deficiency)
Cycle 3
Health 2022-11-02 · Fire 2022-11-02
8 health deficiencies
Top issue: Pharmacy Service (2 deficiencies)
2 fire-safety deficiencies
Top issue: Smoke (2 deficiencies)
Fire safety
Fire-safety citations
E · Potential for more than minimal harm
2024-06-26
E15 · Emergency Preparedness Deficiencies
Fire Safety
Address subsistence needs for staff and patients.
Corrected 2024-08-15
D · Potential for more than minimal harm
2024-06-26
K211 · Egress Deficiencies
Fire Safety
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Corrected 2024-06-27
D · Potential for more than minimal harm
2024-06-26
K374 · Smoke Deficiencies
Fire Safety
Install smoke barrier doors that can resist smoke for at least 20 minutes.
Corrected 2024-06-27
D · Potential for more than minimal harm
2024-06-26
K901 · Electrical Deficiencies
Fire Safety
Ensure that building systems meet requirements determined by risk assessment procedures performed by qualified personnel.
Corrected 2024-06-27
D · Potential for more than minimal harm
2024-06-26
K923 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Have proper medical gas storage and administration areas.
Corrected 2024-06-27
D · Potential for more than minimal harm
2022-11-02
K351 · Smoke Deficiencies
Fire Safety
Install an approved automatic sprinkler system.
Corrected 2022-12-29
D · Potential for more than minimal harm
2022-11-02
K374 · Smoke Deficiencies
Fire Safety
Install smoke barrier doors that can resist smoke for at least 20 minutes.
Corrected 2022-12-29
Inspection history
Recent health citations
D · Potential for more than minimal harm
2025-11-25
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 2026-01-20
D · Potential for more than minimal harm
2025-11-25
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 2026-01-20
D · Potential for more than minimal harm
2025-11-25
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 2026-01-20
E · Potential for more than minimal harm
2024-06-26
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 2024-08-15
D · Potential for more than minimal harm
2024-06-26
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 2024-08-15
D · Potential for more than minimal harm
2024-06-26
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 2024-08-15
D · Potential for more than minimal harm
2024-06-26
F756 · Pharmacy Service Deficiencies
Health
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Corrected 2024-08-15
E · Potential for more than minimal harm
2022-11-02
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 2022-12-30
E · Potential for more than minimal harm
2022-11-02
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 2022-12-30
E · Potential for more than minimal harm
2022-11-02
F919 · Environmental Deficiencies
Health
Make sure that a working call system is available in each resident's bathroom and bathing area.
Corrected 2022-12-30
D · Potential for more than minimal harm
2022-11-02
F558 · Resident Rights Deficiencies
Health
Reasonably accommodate the needs and preferences of each resident.
Corrected 2022-12-30
D · Potential for more than minimal harm
2022-11-02
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 2022-12-30
D · Potential for more than minimal harm
2022-11-02
F758 · Pharmacy Service Deficiencies
Health
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
Corrected 2022-12-30
D · Potential for more than minimal harm
2022-11-02
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 2022-12-30
D · Potential for more than minimal harm
2022-11-02
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2022-12-30
Penalties and ownership
What sits behind the stars
$3,145
2023-07-31
Fine
Fine · fine $3,145
Fine
Ownership
Mendel, Eric
5% Or Greater Indirect Ownership Interest · Individual
Rovt, Alexander
5% Or Greater Direct Ownership Interest · Individual
Emm Healthcare Group LLC
5% Or Greater Direct Ownership Interest · Organization
Mendel, Boris
5% Or Greater Direct Ownership Interest · Individual
Avinari, Ilana
Operational/Managerial Control · Individual
Cahill, Kevin
Operational/Managerial Control · Individual
Chaudhry, Jahanzeb
Operational/Managerial Control · Individual
Mendel, Eric
Operational/Managerial Control · Individual
Mendel, Eric
Corporate Officer · Individual
Nearby options
Other facilities in reach
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St Catherine Of Siena Nrsg And Rehab Care Center
Smithtown, NY
3-star overall rating with 3-star inspections with $64,496 in total fines with 5 recent health deficiencies
#2
Smithtown Center For Rehabilitation & Nursing Care
Smithtown, NY
4-star overall rating with 3-star inspections with 11 recent health deficiencies with 2 fire-safety deficiencies in the latest cycle
#3
The Hamlet Rehabilitation And Healthcare Center At
Nesconset, NY
5-star overall rating with 4-star inspections with $92,770 in total fines with 3 recent health deficiencies with 1 fire-safety deficiencies in the latest cycle
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