7 health deficiencies
Top issue: Pharmacy Service (2 deficiencies)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Commack, NY
4-star overall rating with 3-star inspections with 7 recent health deficiencies
68 Hauppauge Road, Commack, NY
(631) 715-2000
Overall
4 / 5
CMS overall stars
Health inspections
3 / 5
Survey and complaint cycles
Staffing
3 / 5
RN + nurse staffing
Quality measures
5 / 5
Resident outcomes and process measures
Quick facts
Beds
460
Certified beds
Average residents
419
Average occupied residents
Ownership
Non-Profit
Publicly displayed owner type
Chain
No chain reported
Operator or chain grouping
Approved since
1988-10-17
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
RN hours / resident day
0.71
Registered nurse staffing · state 0.70 · national 0.68
LPN hours / resident day
0.68
Licensed practical nurse staffing · state 0.78 · national 0.87
Aide hours / resident day
2.31
Nurse aide staffing · state 2.20 · national 2.35
Total nurse hours
3.71
All reported nurse hours · state 3.65 · national 3.89
Licensed hours
1.39
RN + LPN hours · state 1.47 · national 1.54
Weekend hours
3.18
Weekend nurse staffing · state 3.16 · national 3.43
Weekend RN hours
0.40
Weekend registered nurse coverage · state 0.47 · national 0.47
Physical therapist
0.09
Reported PT staffing · state 0.11 · national 0.07
Adjusted RN hours
0.61
CMS adjusted RN staffing hours
Adjusted total hours
3.17
CMS adjusted total nurse staffing hours
Case-mix index
1.60
Higher values indicate more complex resident acuity
RN turnover
20%
Annual RN turnover · state 41% · national 45%
Total nurse turnover
24%
Annual nurse turnover · state 41% · national 46%
SNF VBP
Program rank
3,887
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
42.26
Composite VBP score used to determine payment impact.
Payment multiplier
0.9952
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
Readmission
6.61
Baseline 19.89% · Performance 18.37% · Measure score 6.61 · Achievement 6.61 · Improvement 4.81
Healthcare-associated infections
0.80
Baseline 7.24% · Performance 7.60% · Measure score 0.80 · Achievement 0.80 · Improvement 0
Total nurse turnover
9.50
Baseline 32.68% · Performance 24.86% · Measure score 9.50 · Achievement 9.50 · Improvement 9
Adjusted total nurse staffing
0
Baseline 3.28 hours · Performance 2.96 hours · Measure score 0 · Achievement 0 · Improvement 0
SNF QRP
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 9.41% |
10.72%
1.3 pts better
|
Better than the National Rate · Eligible stays 1685 · Observed rate 8.25% · Lower 95% interval 7.84% |
| Discharge to community | 66.66% |
50.57%
16.1 pts better
|
Better than the National Rate · Eligible stays 1904 · Observed rate 58.72% · Lower 95% interval 64.16% |
| Medicare spending per beneficiary | 1.06 |
1.02
About the same
|
|
| Drug regimen review with follow-up | 93.74% |
95.27%
1.5 pts worse
|
Numerator 1048 · Denominator 1118 |
| Falls with major injury | 0.36% |
0.77%
0.4 pts better
|
Numerator 4 · Denominator 1118 |
| Discharge self-care score | 63.01% |
53.69%
9.3 pts better
|
Numerator 499 · Denominator 792 |
| Discharge mobility score | 73.36% |
50.94%
22.4 pts better
|
Numerator 581 · Denominator 792 |
| Pressure ulcers or injuries, new or worsened | 2.15% |
2.29%
0.1 pts better
|
Numerator 24 · Denominator 1118 · Adjusted rate 1.56% |
| Healthcare-associated infections requiring hospitalization | 7.6% |
7.12%
0.5 pts worse
|
No Different than the National Rate · Eligible stays 1196 · Observed rate 8.11% · Lower 95% interval 6.24% |
| Staff COVID-19 vaccination coverage | 6.26% |
8.2%
1.9 pts worse
|
Numerator 43 · Denominator 687 |
| Staff flu vaccination coverage | 94.75% |
42%
52.8 pts better
|
Numerator 957 · Denominator 1010 |
| Discharge function score | 65.53% |
56.45%
9.1 pts better
|
Numerator 519 · Denominator 792 |
| Transfer of health information to provider | 100% |
95.95%
4 pts better
|
Numerator 892 · Denominator 892 |
| Transfer of health information to patient | 100% |
96.28%
3.7 pts better
|
Numerator 78 · Denominator 78 |
| Resident COVID-19 vaccinations up to date | 33.39% |
25.2%
8.2 pts better
|
Numerator 199 · Denominator 596 |
Quality measures
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 1.4 |
1.7
0.3 pts better
|
1.9
0.5 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.4 · Observed 1.4 · Expected 1.9 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 0.7 |
1.3
0.6 pts better
|
1.8
1.1 pts better
|
Long Stay · 20240701-20250630 · Adjusted 0.7 · Observed 0.6 · Expected 1.5 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 98.0% |
91.2%
6.8 pts better
|
93.4%
4.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 96.8% · Q2 97.7% · Q3 99.0% · Q4 98.7% · 4Q avg 98.0% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 97.9% |
95.3%
2.6 pts better
|
95.5%
2.4 pts better
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 97.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 3.6% |
3.0%
0.6 pts worse
|
3.3%
0.3 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 3.5% · Q2 4.7% · Q3 3.9% · Q4 2.3% · 4Q avg 3.6% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 30.9% |
18.5%
12.4 pts worse
|
11.4%
19.5 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 25.2% · Q2 33.8% · Q3 32.5% · Q4 32.1% · 4Q avg 30.9% |
| Percentage of long-stay residents who lose too much weight | 5.3% |
6.1%
0.8 pts better
|
5.4%
0.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 6.1% · Q2 7.0% · Q3 6.0% · Q4 2.3% · 4Q avg 5.3% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 12.1% |
13.5%
1.4 pts better
|
19.6%
7.5 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 12.0% · Q2 12.0% · Q3 12.7% · Q4 11.7% · 4Q avg 12.1% |
| Percentage of long-stay residents who received an antipsychotic medication | 8.9% |
14.8%
5.9 pts better
|
16.7%
7.8 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 10.1% · Q2 8.4% · Q3 8.7% · Q4 8.4% · 4Q avg 8.9% · 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 | 9.3% |
15.1%
5.8 pts better
|
16.3%
7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 10.9% · Q2 12.1% · Q3 7.6% · Q4 6.5% · 4Q avg 9.3% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 13.6% |
15.5%
1.9 pts better
|
14.9%
1.3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 14.0% · Q2 18.1% · Q3 13.0% · Q4 9.2% · 4Q avg 13.6% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.6% |
0.6%
About the same
|
1.0%
0.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.8% · Q2 1.1% · Q3 0.3% · Q4 0.3% · 4Q avg 0.6% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 1.9% |
1.4%
0.5 pts worse
|
1.7%
0.2 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 3.9% · Q2 1.4% · Q3 1.3% · Q4 1.0% · 4Q avg 1.9% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 21.5% |
20.8%
0.7 pts worse
|
19.8%
1.7 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 21.4% · Q2 26.9% · Q3 25.1% · Q4 12.4% · 4Q avg 21.5% |
| Percentage of long-stay residents with pressure ulcers | 5.5% |
6.9%
1.4 pts better
|
5.1%
0.4 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 5.6% · Q2 6.2% · Q3 5.3% · Q4 5.0% · 4Q avg 5.5% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 92.8% |
76.7%
16.1 pts better
|
81.7%
11.1 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 90.6% · Q2 92.0% · Q3 94.9% · Q4 93.7% · 4Q avg 92.8% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 4.9% |
9.7%
4.8 pts better
|
12.0%
7.1 pts better
|
Short Stay · 20240701-20250630 · Adjusted 4.9% · Observed 4.5% · Expected 10.3% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 0.8% |
1.2%
0.4 pts better
|
1.6%
0.8 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 1.0% · Q2 1.1% · Q3 0.6% · Q4 0.4% · 4Q avg 0.8% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 92.3% |
78.8%
13.5 pts better
|
79.7%
12.6 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 92.3% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 20.8% |
20.6%
0.2 pts worse
|
23.9%
3.1 pts better
|
Short Stay · 20240701-20250630 · Adjusted 20.8% · Observed 21.6% · Expected 24.7% · Used in QM five-star |
Survey summary
Top issue: Pharmacy Service (2 deficiencies)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Top issue: Quality of Life and Care (2 deficiencies)
4 fire-safety deficiencies
Top issue: Construction (1 deficiency)
Top issue: Resident Assessment and Care Planning (1 deficiency)
2 fire-safety deficiencies
Top issue: Egress (1 deficiency)
Fire safety
Fire Safety
Use approved construction type or materials.
Corrected 2022-11-03
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2022-11-04
Fire Safety
Install smoke barrier doors that can resist smoke for at least 20 minutes.
Corrected 2022-10-17
Fire Safety
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
Corrected 2022-10-17
Fire Safety
Have exits that are accessible at all times.
Not marked corrected
Fire Safety
Have an enclosure around a vertical opening shaft.
Not marked corrected
Inspection history
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2026-02-26
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2024-07-15
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 2024-07-15
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2024-07-15
Health
Ensure medication error rates are not 5 percent or greater.
Corrected 2024-07-15
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 2024-07-15
Health
Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs.
Corrected 2024-07-15
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2022-10-17
Health
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2022-10-17
Health
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Corrected 2022-10-17
Health
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2022-10-17
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2022-10-17
Health
Provide and implement an infection prevention and control program.
Corrected 2022-11-14
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 2020-01-31
Penalties and ownership
5% Or Greater Direct Ownership Interest · Organization
Operational/Managerial Control · Individual
Corporate Director · Individual
Corporate Officer · Individual
Corporate Director · Individual
Corporate Director · Individual
Corporate Officer · Individual
Operational/Managerial Control · Individual
Corporate Director · Individual
Corporate Director · Individual
Corporate Director · Individual
Corporate Director · Individual
Corporate Director · Individual
Corporate Officer · Individual
Corporate Director · Individual
Corporate Director · Individual
Corporate Officer · Individual
Corporate Director · Individual
Corporate Officer · Individual
Operational/Managerial Control · Individual
Corporate Officer · Individual
Corporate Director · Individual
Corporate Director · Individual
Corporate Director · Individual
Corporate Director · Individual
Operational/Managerial Control · Individual
Corporate Director · Individual
Corporate Officer · Individual
Corporate Director · Individual
Corporate Officer · Individual
Corporate Director · Individual
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