Cycle 1
Health 2025-07-22 · Fire 2025-07-22
4 health deficiencies
Top issue: Resident Assessment and Care Planning (3 deficiencies)
1 fire-safety deficiencies
Top issue: Smoke (1 deficiency)
Woodbury, NY
Excel At Woodbury For Rehab And Nursing, L L C
5-star overall rating with 5-star inspections with 4 recent health deficiencies with 1 fire-safety deficiencies in the latest cycle
8533 Jericho Tpke, Woodbury, NY
(516) 692-4100
Overall
5 / 5
CMS overall stars
Health inspections
5 / 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
123
Certified beds
Average residents
99
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
Paragon Healthnet
Operator or chain grouping
Approved since
1968-04-19
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Chain footprint
11 facilities
Chain averages 5 overall / 4 health / 3 staffing / 5 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
0.82
Registered nurse staffing · state 0.70 · national 0.68
LPN hours / resident day
1.12
Licensed practical nurse staffing · state 0.78 · national 0.87
Aide hours / resident day
2.40
Nurse aide staffing · state 2.20 · national 2.35
Total nurse hours
4.35
All reported nurse hours · state 3.65 · national 3.89
Licensed hours
1.94
RN + LPN hours · state 1.47 · national 1.54
Weekend hours
3.71
Weekend nurse staffing · state 3.16 · national 3.43
Weekend RN hours
0.36
Weekend registered nurse coverage · state 0.47 · national 0.47
Physical therapist
0.06
Reported PT staffing · state 0.11 · national 0.07
Adjusted RN hours
0.64
CMS adjusted RN staffing hours
Adjusted total hours
3.36
CMS adjusted total nurse staffing hours
Case-mix index
1.77
Higher values indicate more complex resident acuity
RN turnover
30%
Annual RN turnover · state 41% · national 45%
Total nurse turnover
23%
Annual nurse turnover · state 41% · national 46%
SNF VBP
Value-based purchasing
Program rank
930
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
62.01
Composite VBP score used to determine payment impact.
Payment multiplier
1.0170
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
9.45
Baseline 19.12% · Performance 17.05% · Measure score 9.45 · Achievement 9.45 · Improvement 9
Healthcare-associated infections
5.94
Baseline 9.88% · Performance 6.73% · Measure score 5.94 · Achievement 3.68 · Improvement 5.94
Total nurse turnover
8.85
Baseline 31.48% · Performance 27.50% · Measure score 8.85 · Achievement 8.85 · Improvement 5.50
Adjusted total nurse staffing
0.56
Baseline 3.37 hours · Performance 3.24 hours · Measure score 0.56 · Achievement 0.56 · Improvement 0
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 10.85% |
10.72%
0.1 pts worse
|
No Different than the National Rate · Eligible stays 626 · Observed rate 10.06% · Lower 95% interval 8.71% |
| Discharge to community | 60.24% |
50.57%
9.7 pts better
|
Better than the National Rate · Eligible stays 704 · Observed rate 53.27% · Lower 95% interval 56.42% |
| Medicare spending per beneficiary | 1.51 |
1.02
0.5 pts worse
|
|
| Drug regimen review with follow-up | 95.93% |
95.27%
0.7 pts better
|
Numerator 448 · Denominator 467 |
| Falls with major injury | 1.28% |
0.77%
0.5 pts worse
|
Numerator 6 · Denominator 467 |
| Discharge self-care score | 59.93% |
53.69%
6.2 pts better
|
Numerator 178 · Denominator 297 |
| Discharge mobility score | 73.74% |
50.94%
22.8 pts better
|
Numerator 219 · Denominator 297 |
| Pressure ulcers or injuries, new or worsened | 1.07% |
2.29%
1.2 pts better
|
Numerator 5 · Denominator 467 · Adjusted rate 0.91% |
| Healthcare-associated infections requiring hospitalization | 6.74% |
7.12%
0.4 pts better
|
No Different than the National Rate · Eligible stays 441 · Observed rate 6.8% · Lower 95% interval 4.64% |
| Staff COVID-19 vaccination coverage | 11.51% |
8.2%
3.3 pts better
|
Numerator 32 · Denominator 278 |
| Staff flu vaccination coverage | 52.1% |
42%
10.1 pts better
|
Numerator 124 · Denominator 238 |
| Discharge function score | 69.7% |
56.45%
13.2 pts better
|
Numerator 207 · Denominator 297 |
| Transfer of health information to provider | 99.31% |
95.95%
3.4 pts better
|
Numerator 286 · Denominator 288 |
| Transfer of health information to patient | 97.39% |
96.28%
1.1 pts better
|
Numerator 112 · Denominator 115 |
| Resident COVID-19 vaccinations up to date | 54.58% |
25.2%
29.4 pts better
|
Numerator 137 · Denominator 251 |
Quality measures
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 1.8 |
1.7
0.1 pts worse
|
1.9
0.1 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.8 · Observed 2.8 · Expected 2.9 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 1.4 |
1.3
0.1 pts worse
|
1.8
0.4 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.4 · Observed 1.7 · Expected 2.1 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 98.6% |
91.2%
7.4 pts better
|
93.4%
5.2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 100.0% · Q3 100.0% · Q4 93.9% · 4Q avg 98.6% |
| 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 | 3.7% |
3.0%
0.7 pts worse
|
3.3%
0.4 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 3.6% · Q2 3.6% · Q3 5.6% · Q4 2.0% · 4Q avg 3.7% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 14.1% |
18.5%
4.4 pts better
|
11.4%
2.7 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 8.7% · Q2 10.9% · Q3 20.0% · Q4 18.4% · 4Q avg 14.1% |
| Percentage of long-stay residents who lose too much weight | 11.8% |
6.1%
5.7 pts worse
|
5.4%
6.4 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 8.0% · Q2 5.5% · Q3 17.6% · Q4 17.0% · 4Q avg 11.8% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 15.9% |
13.5%
2.4 pts worse
|
19.6%
3.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 14.5% · Q2 19.6% · Q3 16.7% · Q4 12.2% · 4Q avg 15.9% |
| Percentage of long-stay residents who received an antipsychotic medication | 8.3% |
14.8%
6.5 pts better
|
16.7%
8.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 2.6% · Q2 10.8% · Q3 7.9% · Q4 12.5% · 4Q avg 8.3% · 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 | 9.0% |
15.1%
6.1 pts better
|
16.3%
7.3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 13.1% · Q3 13.5% · Q4 8.5% · 4Q avg 9.0% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 13.4% |
15.5%
2.1 pts better
|
14.9%
1.5 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 15.4% · Q2 7.5% · Q3 15.7% · Q4 15.2% · 4Q avg 13.4% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.4% |
0.6%
0.2 pts better
|
1.0%
0.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 1.7% · Q4 0.0% · 4Q avg 0.4% · 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 | 5.4% |
20.8%
15.4 pts better
|
19.8%
14.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 8.5% · Q2 3.9% · Q3 6.7% · Q4 2.4% · 4Q avg 5.4% |
| Percentage of long-stay residents with pressure ulcers | 7.5% |
6.9%
0.6 pts worse
|
5.1%
2.4 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 6.2% · Q2 7.1% · Q3 5.5% · Q4 11.9% · 4Q avg 7.5% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 92.6% |
76.7%
15.9 pts better
|
81.7%
10.9 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 94.6% · Q2 93.6% · Q3 89.9% · Q4 92.7% · 4Q avg 92.6% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 7.3% |
9.7%
2.4 pts better
|
12.0%
4.7 pts better
|
Short Stay · 20240701-20250630 · Adjusted 7.3% · Observed 7.2% · Expected 11.0% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 1.7% |
1.2%
0.5 pts worse
|
1.6%
0.1 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 3.1% · Q2 1.7% · Q3 0.0% · Q4 2.2% · 4Q avg 1.7% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 93.4% |
78.8%
14.6 pts better
|
79.7%
13.7 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 93.4% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 18.5% |
20.6%
2.1 pts better
|
23.9%
5.4 pts better
|
Short Stay · 20240701-20250630 · Adjusted 18.5% · Observed 19.8% · Expected 25.5% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2024-04-23 · Fire 2024-04-23
3 health deficiencies
Top issue: Freedom from Abuse and Neglect and Exploitation (1 deficiency)
1 fire-safety deficiencies
Top issue: Smoke (1 deficiency)
Cycle 3
Health 2022-09-22 · Fire 2022-09-22
6 health deficiencies
Top issue: Environmental (2 deficiencies)
8 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (3 deficiencies)
Fire safety
Fire-safety citations
D · Potential for more than minimal harm
2025-07-22
K374 · Smoke Deficiencies
Fire Safety
Install smoke barrier doors that can resist smoke for at least 20 minutes.
Corrected 2025-09-10
D · Potential for more than minimal harm
2024-04-23
K324 · Smoke Deficiencies
Fire Safety
Provide properly protected cooking facilities.
Corrected 2024-05-21
E · Potential for more than minimal harm
2022-09-22
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 2022-09-23
E · Potential for more than minimal harm
2022-09-22
K353 · Smoke Deficiencies
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2022-09-23
E · Potential for more than minimal harm
2022-09-22
K372 · Smoke Deficiencies
Fire Safety
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected 2022-09-23
E · Potential for more than minimal harm
2022-09-22
K915 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Have proper power supply for life support equipment.
Corrected 2022-11-17
D · Potential for more than minimal harm
2022-09-22
K918 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2022-09-23
D · Potential for more than minimal harm
2022-09-22
K923 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Have proper medical gas storage and administration areas.
Corrected 2022-09-23
C · Minimal harm
2022-09-22
E15 · Emergency Preparedness Deficiencies
Fire Safety
Address subsistence needs for staff and patients.
Corrected 2022-10-20
C · Minimal harm
2022-09-22
E29 · Emergency Preparedness Deficiencies
Fire Safety
Develop a communication plan.
Corrected 2022-09-23
Inspection history
Recent health citations
D · Potential for more than minimal harm
2025-07-22
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 2025-09-10
D · Potential for more than minimal harm
2025-07-22
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 2025-09-10
B · Minimal harm
2025-07-22
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 2025-09-10
B · Minimal harm
2025-07-22
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 2025-09-10
D · Potential for more than minimal harm
2024-04-23
F600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Health
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2024-05-10
D · Potential for more than minimal harm
2024-04-23
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 2024-05-21
D · Potential for more than minimal harm
2024-04-23
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 2024-05-21
E · Potential for more than minimal harm
2022-09-22
F921 · Environmental Deficiencies
Health
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Corrected 2022-11-18
E · Potential for more than minimal harm
2022-09-22
F925 · Environmental Deficiencies
Health
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Corrected 2022-11-18
D · Potential for more than minimal harm
2022-09-22
F580 · Resident Rights Deficiencies
Health
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected 2022-11-18
D · Potential for more than minimal harm
2022-09-22
F610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Health
Respond appropriately to all alleged violations.
Corrected 2022-11-18
D · Potential for more than minimal harm
2022-09-22
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 2022-11-18
D · Potential for more than minimal harm
2022-09-22
F684 · Quality of Life and Care Deficiencies
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2022-11-18
Penalties and ownership
What sits behind the stars
Ownership
Laufer, Issac
5% Or Greater Direct Ownership Interest · Individual
Lebowitz, Chaim
5% Or Greater Direct Ownership Interest · Individual
Lebowitz, Max
5% Or Greater Direct Ownership Interest · Individual
Altman, Stacey
Operational/Managerial Control · Individual
Flanagan, Brenainn
Operational/Managerial Control · Individual
Polimeni, Lisa
Operational/Managerial Control · Individual
Nearby options
Other facilities in reach
#1
White Oaks Rehabilitation And Nursing Center
Woodbury, NY
3-star overall rating with 3-star inspections with 7 recent health deficiencies with 2 fire-safety deficiencies in the latest cycle
#2
Woodbury Heights Nursing And Rehabilitation Center
Woodbury, NY
1-star overall rating with 1-star inspections with $280,271 in total fines with 14 recent health deficiencies with 12 fire-safety deficiencies in the latest cycle
#3
Central Island Healthcare
Plainview, NY
4-star overall rating with 3-star inspections with 8 recent health deficiencies with 4 fire-safety deficiencies in the latest cycle
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