Cycle 1
Health 2025-02-03 · Fire 2025-02-03
8 health deficiencies
Top issue: Nutrition and Dietary (2 deficiencies)
3 fire-safety deficiencies
Top issue: Smoke (2 deficiencies)
Great Neck, NY
Highfield Gardens Care Center Of Great Neck
4-star overall rating with 3-star inspections with $4,922 in total fines with 8 recent health deficiencies with 3 fire-safety deficiencies in the latest cycle
199 Community Drive, Great Neck, NY
(516) 365-9229
Overall
4 / 5
CMS overall stars
Health inspections
3 / 5
Survey and complaint cycles
Staffing
4 / 5
RN + nurse staffing
Quality measures
5 / 5
Resident outcomes and process measures
Quick facts
Facility snapshot
Beds
200
Certified beds
Average residents
198
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
Jonathan Bleier
Operator or chain grouping
Approved since
1977-06-01
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Chain footprint
18 facilities
Chain averages 3 overall / 2 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
0.74
Registered nurse staffing · state 0.70 · national 0.68
LPN hours / resident day
0.60
Licensed practical nurse staffing · state 0.78 · national 0.87
Aide hours / resident day
2.70
Nurse aide staffing · state 2.20 · national 2.35
Total nurse hours
4.04
All reported nurse hours · state 3.65 · national 3.89
Licensed hours
1.34
RN + LPN hours · state 1.47 · national 1.54
Weekend hours
3.48
Weekend nurse staffing · state 3.16 · national 3.43
Weekend RN hours
0.55
Weekend registered nurse coverage · state 0.47 · national 0.47
Physical therapist
0.13
Reported PT staffing · state 0.11 · national 0.07
Adjusted RN hours
0.71
CMS adjusted RN staffing hours
Adjusted total hours
3.87
CMS adjusted total nurse staffing hours
Case-mix index
1.43
Higher values indicate more complex resident acuity
RN turnover
16%
Annual RN turnover · state 41% · national 45%
Total nurse turnover
30%
Annual nurse turnover · state 41% · national 46%
SNF VBP
Value-based purchasing
Program rank
4,984
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
37.87
Composite VBP score used to determine payment impact.
Payment multiplier
0.9910
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
4.01
Baseline 16.63% · Performance 19.57% · Measure score 4.01 · Achievement 4.01 · Improvement 0
Healthcare-associated infections
0
Baseline 7.09% · Performance 8.78% · Measure score 0 · Achievement 0 · Improvement 0
Total nurse turnover
7.96
Baseline 46.29% · Performance 31.15% · Measure score 7.96 · Achievement 7.96 · Improvement 6.56
Adjusted total nurse staffing
3.17
Baseline 3.13 hours · Performance 3.98 hours · Measure score 3.17 · Achievement 3.17 · Improvement 2.72
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 11.52% |
10.72%
0.8 pts worse
|
No Different than the National Rate · Eligible stays 329 · Observed rate 10.94% · Lower 95% interval 8.93% |
| Discharge to community | 49.21% |
50.57%
1.4 pts worse
|
No Different than the National Rate · Eligible stays 398 · Observed rate 39.45% · Lower 95% interval 43.93% |
| Medicare spending per beneficiary | 1.55 |
1.02
0.5 pts worse
|
|
| Drug regimen review with follow-up | 100% |
95.27%
4.7 pts better
|
Numerator 377 · Denominator 377 |
| Falls with major injury | 1.59% |
0.77%
0.8 pts worse
|
Numerator 6 · Denominator 377 |
| Discharge self-care score | 63.89% |
53.69%
10.2 pts better
|
Numerator 69 · Denominator 108 |
| Discharge mobility score | 66.67% |
50.94%
15.7 pts better
|
Numerator 72 · Denominator 108 |
| Pressure ulcers or injuries, new or worsened | 0% |
2.29%
2.3 pts better
|
Numerator 0 · Denominator 377 · Adjusted rate 0% |
| Healthcare-associated infections requiring hospitalization | 8.78% |
7.12%
1.7 pts worse
|
No Different than the National Rate · Eligible stays 295 · Observed rate 10.17% · Lower 95% interval 6.27% |
| Staff COVID-19 vaccination coverage | 41.95% |
8.2%
33.8 pts better
|
Numerator 73 · Denominator 174 |
| Staff flu vaccination coverage | 95.2% |
42%
53.2 pts better
|
Numerator 218 · Denominator 229 |
| Discharge function score | 68.52% |
56.45%
12.1 pts better
|
Numerator 74 · Denominator 108 |
| Transfer of health information to provider | 100% |
95.95%
4 pts better
|
Numerator 257 · Denominator 257 |
| Transfer of health information to patient | 97.67% |
96.28%
1.4 pts better
|
Numerator 42 · Denominator 43 |
| Resident COVID-19 vaccinations up to date | 70% |
25.2%
44.8 pts better
|
Numerator 161 · Denominator 230 |
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 2.2 · Expected 2.1 · 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 0.6 · Expected 1.7 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 100.0% |
91.2%
8.8 pts better
|
93.4%
6.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 100.0% · Q3 100.0% · Q4 100.0% · 4Q avg 100.0% |
| 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 | 2.5% |
3.0%
0.5 pts better
|
3.3%
0.8 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 2.6% · Q2 2.6% · Q3 2.0% · Q4 2.6% · 4Q avg 2.5% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 0.5% |
18.5%
18 pts better
|
11.4%
10.9 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.7% · Q3 0.0% · Q4 1.4% · 4Q avg 0.5% |
| Percentage of long-stay residents who lose too much weight | 4.4% |
6.1%
1.7 pts better
|
5.4%
1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 2.0% · Q2 6.8% · Q3 5.4% · Q4 3.4% · 4Q avg 4.4% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 9.4% |
13.5%
4.1 pts better
|
19.6%
10.2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 8.4% · Q2 8.4% · Q3 10.1% · Q4 10.6% · 4Q avg 9.4% |
| Percentage of long-stay residents who received an antipsychotic medication | 17.7% |
14.8%
2.9 pts worse
|
16.7%
1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 14.6% · Q2 18.5% · Q3 17.9% · Q4 20.0% · 4Q avg 17.7% · 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 | 8.3% |
15.1%
6.8 pts better
|
16.3%
8 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 7.2% · Q2 16.3% · Q3 4.8% · Q4 5.2% · 4Q avg 8.3% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 13.1% |
15.5%
2.4 pts better
|
14.9%
1.8 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 11.1% · Q2 23.7% · Q3 9.2% · Q4 8.1% · 4Q avg 13.1% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.1% |
0.6%
0.5 pts better
|
1.0%
0.9 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.5% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.1% · 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 5.7% · Q2 10.6% · Q3 2.5% · Q4 3.1% · 4Q avg 5.4% |
| Percentage of long-stay residents with pressure ulcers | 3.6% |
6.9%
3.3 pts better
|
5.1%
1.5 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 5.7% · Q2 4.4% · Q3 2.8% · Q4 1.6% · 4Q avg 3.6% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 99.9% |
76.7%
23.2 pts better
|
81.7%
18.2 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 99.6% · Q3 100.0% · Q4 100.0% · 4Q avg 99.9% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 6.6% |
9.7%
3.1 pts better
|
12.0%
5.4 pts better
|
Short Stay · 20240701-20250630 · Adjusted 6.6% · Observed 6.6% · Expected 11.0% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 1.9% |
1.2%
0.7 pts worse
|
1.6%
0.3 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 3.2% · Q2 1.9% · Q3 1.2% · Q4 1.8% · 4Q avg 1.9% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 100.0% |
78.8%
21.2 pts better
|
79.7%
20.3 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 100.0% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 22.7% |
20.6%
2.1 pts worse
|
23.9%
1.2 pts better
|
Short Stay · 20240701-20250630 · Adjusted 22.7% · Observed 23.6% · Expected 24.8% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2023-04-11 · Fire 2023-04-11
5 health deficiencies
Top issue: Nursing and Physician Services (2 deficiencies)
14 fire-safety deficiencies
Top issue: Smoke (6 deficiencies)
Cycle 3
Health 2020-09-15 · Fire 2020-09-15
2 health deficiencies
Top issue: Infection Control (1 deficiency)
1 fire-safety deficiencies
Top issue: Egress (1 deficiency)
Fire safety
Fire-safety citations
F · Potential for more than minimal harm
2025-02-03
K161 · Construction Deficiencies
Fire Safety
Use approved construction type or materials.
Corrected 2025-04-01
E · Potential for more than minimal harm
2025-02-03
K374 · Smoke Deficiencies
Fire Safety
Install smoke barrier doors that can resist smoke for at least 20 minutes.
Corrected 2025-04-01
D · Potential for more than minimal harm
2025-02-03
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 2025-04-01
F · Potential for more than minimal harm
2023-04-11
K161 · Construction Deficiencies
Fire Safety
Use approved construction type or materials.
Corrected 2023-06-09
E · Potential for more than minimal harm
2023-04-11
K211 · Egress Deficiencies
Fire Safety
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Corrected 2023-06-09
E · Potential for more than minimal harm
2023-04-11
K223 · Egress Deficiencies
Fire Safety
Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.
Corrected 2023-06-09
E · Potential for more than minimal harm
2023-04-11
K225 · Egress Deficiencies
Fire Safety
Have stairways and smokeproof enclosures used as exits that meet safety requirements.
Corrected 2023-06-09
E · Potential for more than minimal harm
2023-04-11
K293 · Egress Deficiencies
Fire Safety
Have properly located and lighted "Exit" signs.
Corrected 2023-06-09
E · Potential for more than minimal harm
2023-04-11
K351 · Smoke Deficiencies
Fire Safety
Install an approved automatic sprinkler system.
Corrected 2023-06-09
E · Potential for more than minimal harm
2023-04-11
K353 · Smoke Deficiencies
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2023-06-09
E · Potential for more than minimal harm
2023-04-11
K374 · Smoke Deficiencies
Fire Safety
Install smoke barrier doors that can resist smoke for at least 20 minutes.
Corrected 2023-06-09
E · Potential for more than minimal harm
2023-04-11
K781 · Miscellaneous Deficiencies
Fire Safety
Have restrictions on the use of portable space heaters.
Corrected 2023-06-09
D · Potential for more than minimal harm
2023-04-11
K271 · Egress Deficiencies
Fire Safety
Have exits that are accessible at all times.
Corrected 2023-06-09
D · Potential for more than minimal harm
2023-04-11
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 2023-06-09
D · Potential for more than minimal harm
2023-04-11
K355 · Smoke Deficiencies
Fire Safety
Properly select, install, inspect, or maintain portable fire extinguishes.
Corrected 2023-06-09
D · Potential for more than minimal harm
2023-04-11
K371 · Smoke Deficiencies
Fire Safety
Have properly sized and located compartments to protect residents from smoke.
Corrected 2023-06-09
D · Potential for more than minimal harm
2023-04-11
K900 · Miscellaneous Deficiencies
Fire Safety
Meet Health Care Facilities Code mechanical requirements.
Corrected 2023-06-09
D · Potential for more than minimal harm
2020-09-15
K211 · Egress Deficiencies
Fire Safety
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Corrected 2020-11-13
Inspection history
Recent health citations
E · Potential for more than minimal harm
2025-02-03
F804 · Nutrition and Dietary Deficiencies
Health
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected 2025-04-01
E · Potential for more than minimal harm
2025-02-03
F812 · Nutrition and Dietary Deficiencies
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2025-04-01
E · Potential for more than minimal harm
2025-02-03
F925 · Environmental Deficiencies
Health
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Corrected 2025-04-01
D · Potential for more than minimal harm
2025-02-03
F645 · Resident Assessment and Care Planning Deficiencies
Health
PASARR screening for Mental disorders or Intellectual Disabilities
Corrected 2025-04-01
D · Potential for more than minimal harm
2025-02-03
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 2025-04-01
D · Potential for more than minimal harm
2025-02-03
F686 · Quality of Life and Care Deficiencies
Health
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2025-04-01
D · Potential for more than minimal harm
2025-02-03
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 2025-04-01
B · Minimal harm
2025-02-03
F838 · Administration Deficiencies
Health
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.
Corrected 2025-04-01
E · Potential for more than minimal harm
2023-04-11
F812 · Nutrition and Dietary Deficiencies
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2023-06-09
D · Potential for more than minimal harm
2023-04-11
F692 · Quality of Life and Care Deficiencies
Health
Provide enough food/fluids to maintain a resident's health.
Corrected 2023-06-09
D · Potential for more than minimal harm
2023-04-11
F695 · Quality of Life and Care Deficiencies
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2023-06-09
D · Potential for more than minimal harm
2023-04-11
F710 · Nursing and Physician Services Deficiencies
Health
Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care.
Corrected 2023-06-09
D · Potential for more than minimal harm
2023-04-11
F712 · Nursing and Physician Services Deficiencies
Health
Ensure that the resident and his/her doctor meet face-to-face at all required visits.
Corrected 2023-06-09
D · Potential for more than minimal harm
2020-09-15
F812 · Nutrition and Dietary Deficiencies
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2020-11-13
D · Potential for more than minimal harm
2020-09-15
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2020-11-13
Penalties and ownership
What sits behind the stars
$1,748
2023-10-10
Fine
Fine · fine $1,748
Fine
$3,174
2023-09-18
Fine
Fine · fine $3,174
Fine
Ownership
Bleier, Jonathan
5% Or Greater Direct Ownership Interest · Individual
Bleier, Sorah
5% Or Greater Direct Ownership Interest · Individual
Schiffer, Samuel
5% Or Greater Indirect Ownership Interest · Individual
Maliangos, Nicolet
W-2 Managing Employee · Individual
Nearby options
Other facilities in reach
#1
Northwell Health Stern Family Center For Rehab
Manhasset, NY
5-star overall rating with 3-star inspections with 8 recent health deficiencies
#2
Parker Jewish Institute For Health Care & Rehab
New Hyde Park, NY
5-star overall rating with 5-star inspections with 1 recent health deficiencies with 1 fire-safety deficiencies in the latest cycle
#3
The Grand Rehabilitation And Nursing At Great Neck
Great Neck, NY
2-star overall rating with 1-star inspections with 8 recent health deficiencies with 4 fire-safety deficiencies in the latest cycle
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