Federal inspection record · CMS data as of October 1, 2026
Highfield Gardens Care Center of Great Neck
199 Community Drive, Great Neck, NY · (516) 365-9229
- Certified beds
- 200
- Residents per day
- 194
- Ownership
- For-Profit
- Chain
- Jonathan Bleier
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- June 1, 1977
1
How this home got 4 stars
The overall rating isn't an average. CMS starts from the inspection rating and nudges it at most two steps. Here is the arithmetic for this home, using CMS's own rules.
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Health inspections
★★★★★starting point
Everything starts from what state inspectors found on site. This is a ranking against other homes in New York.
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Staffing
★★★★★no change
Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.
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Quality measures
★★★★★+1 star
Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
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Overall
★★★★★4 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among New York homes
Highfield Gardens Care Center of Great Neck carries 36 inspection points. That is fewer than 53% of New York's 589 rated homes.
Inspectors' citations earn points by how serious and how widespread they were (the grid below). CMS then ranks every home in New York: the 10% with the fewest points get 5 stars, the 20% with the most get 1 star, and the middle 70% split evenly into 2, 3 and 4.
- 5★ 0–12 pts
- 4★ 12–27 pts
- 3★ 27–46 pts
- 2★ 46–82 pts
- 1★ over 82 pts
Bars show every rated home in New York by its weighted inspection score. CMS recalibrates the cut points monthly but holds a home's rating until its own score changes, so a home can sit just outside today's band.
3
What inspectors found
15 health citations on record since 2020. Each one gets a letter: the row says how badly residents were affected, the column how many.
Immediate jeopardyResidents at risk of serious injury or death
Actual harmA resident was hurt
Potential for harmNo one was hurt, but could have been
Minimal harmPaperwork-level problems
Read the rows, not the total. Most citations nationwide are a D: one problem, nobody hurt. Rows G–I mean a resident was harmed; J–L mean inspectors found residents in immediate danger of serious injury or death.
Small numbers in each cell are the inspection points CMS assigns per citation. Those points are what the state curve above ranks.
No citation on record at the harm or immediate-jeopardy level.
Everything else, by area of care
Nutrition and Dietary4E
- E
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
- E
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- E
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- D
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Quality of Life and Care3D
- D
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
- D
Provide enough food/fluids to maintain a resident's health.
- D
Provide safe and appropriate respiratory care for a resident when needed.
Resident Assessment and Care Planning2D
- D
PASARR screening for Mental disorders or Intellectual Disabilities
- D
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Nursing and Physician Services2D
- D
Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care.
- D
Ensure that the resident and his/her doctor meet face-to-face at all required visits.
Environmental1E
- E
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Pharmacy Service1D
- D
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.
Administration1B
- B
Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.
Infection Control1D
- D
Provide and implement an infection prevention and control program.
Inspection history
2025-02-03
8 health deficiencies · 3 fire-safety deficiencies
Top issue: Nutrition and Dietary (2 deficiencies)
2023-04-11
5 health deficiencies · 14 fire-safety deficiencies
Top issue: Nursing and Physician Services (2 deficiencies)
2020-09-15
2 health deficiencies · 1 fire-safety deficiencies
Top issue: Infection Control (1 deficiency)
4
Nursing time per resident, per day
Each resident here gets about 4 h 4 min of nursing staff time a day, 39 min of it from a registered nurse.
This home
4 h 4 min
New York average
3 h 41 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 44% of nursing staff and 56% of registered nurses left in the past year, along with 1 administrator.
Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.
5
Resident outcomes
Quality measures compared with state and national averages. Most come from assessments the home itself reports.
| Measure | This home | State | U.S. |
|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days0.2 pts worse | 1.9 | 1.7 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident days0.7 pts better | 0.6 | 1.3 | 1.7 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine8.2 pts better | 100.0% | 91.8% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine4.8 pts better | 100.0% | 95.2% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury0.8 pts better | 2.3% | 3.1% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms18.7 pts better | 1.4% | 20.1% | 13.5% |
| Percentage of long-stay residents who lose too much weight0.2 pts better | 5.5% | 5.7% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication0.8 pts worse | 14.0% | 13.2% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication3.8 pts worse | 17.5% | 13.7% | 15.4% |
| Percentage of long-stay residents who were physically restrained0.2 pts better | 0.0% | 0.2% | 0.1% |
| Percentage of long-stay residents whose ability to walk independently worsened6.7 pts better | 4.4% | 11.1% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased5.7 pts better | 8.0% | 13.7% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder0.5 pts better | 0.0% | 0.5% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection0.9 pts better | 0.3% | 1.2% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence16.8 pts better | 1.8% | 18.6% | 18.3% |
| Percentage of long-stay residents with pressure ulcers3.6 pts better | 2.9% | 6.5% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine22.4 pts better | 100.0% | 77.6% | 82.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit2.9 pts better | 6.5% | 9.4% | 11.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication0.6 pts worse | 1.7% | 1.1% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine21.1 pts better | 100.0% | 78.9% | 80.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission2.8 pts worse | 23.4% | 20.6% | 23.4% |
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Who owns and runs it
4 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.
Show ownership list
| Name | Role | Share | Homes |
|---|---|---|---|
| Bleier, Jonathan | 5% Or Greater Direct Ownership Interest · Individual | 81% | 20 facilities |
| Bleier, Sorah | 5% Or Greater Direct Ownership Interest · Individual | 14% | 5 facilities |
| Schiffer, Samuel | 5% Or Greater Indirect Ownership Interest · Individual | 10% | 1 facilities |
| Maliangos, Nicolet | W-2 Managing Employee · Individual | 0% | 5 facilities |
·
Fire safety
18 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Smoke8E
- E
Install smoke barrier doors that can resist smoke for at least 20 minutes.
- D
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- E
Install an approved automatic sprinkler system.
- E
Inspect, test, and maintain automatic sprinkler systems.
- E
Install smoke barrier doors that can resist smoke for at least 20 minutes.
- D
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- D
Properly select, install, inspect, or maintain portable fire extinguishes.
- D
Have properly sized and located compartments to protect residents from smoke.
Egress6E
- E
Keep aisles, corridors, and exits free of obstruction in case of emergency.
- E
Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.
- E
Have stairways and smokeproof enclosures used as exits that meet safety requirements.
- E
Have properly located and lighted "Exit" signs.
- D
Have exits that are accessible at all times.
- D
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Construction2F
- F
Use approved construction type or materials.
- F
Use approved construction type or materials.
Miscellaneous2E
- E
Have restrictions on the use of portable space heaters.
- D
Meet Health Care Facilities Code mechanical requirements.
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Other homes nearby
-
Northwell Health Stern Family Center for Rehabilit
Manhasset, NY
★★★★★- Worst citation, 3 yrs
- G
- Nursing / resident / day
- 5 h 15 min
- Fines
- $0
-
Parker Jewish Institute for Health Care & Rehab
New Hyde Park, NY
★★★★★- Worst citation, 3 yrs
- E
- Nursing / resident / day
- 3 h 54 min
- Fines
- $0
-
The Grand Rehabilitation and Nursing at Great Neck
Great Neck, NY · The Grand Healthcare
★★★★★- Worst citation, 3 yrs
- E
- Nursing / resident / day
- 3 h 9 min
- Fines
- $0