Cycle 1
Health 2024-07-29 · Fire 2024-07-29
4 health deficiencies
Top issue: Resident Assessment and Care Planning (2 deficiencies)
1 fire-safety deficiencies
Top issue: Smoke (1 deficiency)
Freeport, NY
Meadowbrook Care Center
5-star overall rating with 4-star inspections with 4 recent health deficiencies with 1 fire-safety deficiencies in the latest cycle
320 West Merrick Road, Freeport, NY
(516) 377-8200
Overall
5 / 5
CMS overall stars
Health inspections
4 / 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
280
Certified beds
Average residents
267
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
No chain reported
Operator or chain grouping
Approved since
1996-07-02
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
Hours and turnover
RN hours / resident day
0.74
Registered nurse staffing · state 0.70 · national 0.68
LPN hours / resident day
0.59
Licensed practical nurse staffing · state 0.78 · national 0.87
Aide hours / resident day
2.33
Nurse aide staffing · state 2.20 · national 2.35
Total nurse hours
3.66
All reported nurse hours · state 3.65 · national 3.89
Licensed hours
1.33
RN + LPN hours · state 1.47 · national 1.54
Weekend hours
3.12
Weekend nurse staffing · state 3.16 · national 3.43
Weekend RN hours
0.38
Weekend registered nurse coverage · state 0.47 · national 0.47
Physical therapist
0.10
Reported PT staffing · state 0.11 · national 0.07
Adjusted RN hours
0.59
CMS adjusted RN staffing hours
Adjusted total hours
2.94
CMS adjusted total nurse staffing hours
Case-mix index
1.70
Higher values indicate more complex resident acuity
RN turnover
24%
Annual RN turnover · state 41% · national 45%
Total nurse turnover
21%
Annual nurse turnover · state 41% · national 46%
SNF VBP
Value-based purchasing
Program rank
855
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
62.96
Composite VBP score used to determine payment impact.
Payment multiplier
1.0178
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
8.84
Baseline 18.27% · Performance 17.33% · Measure score 8.84 · Achievement 8.84 · Improvement 7.04
Healthcare-associated infections
8.02
Baseline 11.87% · Performance 6.01% · Measure score 8.02 · Achievement 6.10 · Improvement 8.02
Total nurse turnover
8.32
Baseline 29.11% · Performance 29.66% · Measure score 8.32 · Achievement 8.32 · Improvement 0
Adjusted total nurse staffing
0
Baseline 3.04 hours · Performance 2.91 hours · Measure score 0 · Achievement 0 · Improvement 0
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 10.64% |
10.72%
0.1 pts better
|
No Different than the National Rate · Eligible stays 680 · Observed rate 10.44% · Lower 95% interval 8.96% |
| Discharge to community | 62.61% |
50.57%
12 pts better
|
Better than the National Rate · Eligible stays 779 · Observed rate 51.09% · Lower 95% interval 58.4% |
| Medicare spending per beneficiary | 1.37 |
1.02
0.4 pts worse
|
|
| Drug regimen review with follow-up | 99.51% |
95.27%
4.2 pts better
|
Numerator 609 · Denominator 612 |
| Falls with major injury | 0.33% |
0.77%
0.4 pts better
|
Numerator 2 · Denominator 612 |
| Discharge self-care score | 38.94% |
53.69%
14.8 pts worse
|
Numerator 169 · Denominator 434 |
| Discharge mobility score | 56.45% |
50.94%
5.5 pts better
|
Numerator 245 · Denominator 434 |
| Pressure ulcers or injuries, new or worsened | 0.16% |
2.29%
2.1 pts better
|
Numerator 1 · Denominator 612 · Adjusted rate 0.13% |
| Healthcare-associated infections requiring hospitalization | 6.01% |
7.12%
1.1 pts better
|
No Different than the National Rate · Eligible stays 524 · Observed rate 6.11% · Lower 95% interval 4.62% |
| Staff COVID-19 vaccination coverage | 0% |
8.2%
8.2 pts worse
|
Numerator 0 · Denominator 479 |
| Staff flu vaccination coverage | 80.98% |
42%
39 pts better
|
Numerator 315 · Denominator 389 |
| Discharge function score | 39.86% |
56.45%
16.6 pts worse
|
Numerator 173 · Denominator 434 |
| Transfer of health information to provider | 98.97% |
95.95%
3 pts better
|
Numerator 384 · Denominator 388 |
| Transfer of health information to patient | 97.44% |
96.28%
1.2 pts better
|
Numerator 152 · Denominator 156 |
| Resident COVID-19 vaccinations up to date | 16.86% |
25.2%
8.3 pts worse
|
Numerator 58 · Denominator 344 |
Quality measures
Resident outcomes and process scores
| 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 1.5 · Expected 1.9 · 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 1.5 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 99.9% |
91.2%
8.7 pts better
|
93.4%
6.5 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 99.5% · Q2 100.0% · Q3 100.0% · Q4 100.0% · 4Q avg 99.9% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 96.1% |
95.3%
0.8 pts better
|
95.5%
0.6 pts better
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 96.1% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 1.8% |
3.0%
1.2 pts better
|
3.3%
1.5 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 3.3% · Q2 2.1% · Q3 0.5% · Q4 1.1% · 4Q avg 1.8% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 60.2% |
18.5%
41.7 pts worse
|
11.4%
48.8 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 71.1% · Q2 72.0% · Q3 48.0% · Q4 49.4% · 4Q avg 60.2% |
| Percentage of long-stay residents who lose too much weight | 3.9% |
6.1%
2.2 pts better
|
5.4%
1.5 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 2.9% · Q2 4.5% · Q3 4.1% · Q4 4.1% · 4Q avg 3.9% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 7.5% |
13.5%
6 pts better
|
19.6%
12.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 8.4% · Q2 8.6% · Q3 6.1% · Q4 6.9% · 4Q avg 7.5% |
| Percentage of long-stay residents who received an antipsychotic medication | 11.1% |
14.8%
3.7 pts better
|
16.7%
5.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 12.0% · Q2 13.0% · Q3 10.3% · Q4 9.2% · 4Q avg 11.1% · Used in QM five-star |
| Percentage of long-stay residents who were physically restrained | 1.1% |
0.2%
0.9 pts worse
|
0.1%
1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 1.1% · Q2 0.5% · Q3 1.6% · Q4 1.1% · 4Q avg 1.1% |
| Percentage of long-stay residents whose ability to walk independently worsened | 20.8% |
15.1%
5.7 pts worse
|
16.3%
4.5 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 22.5% · Q2 27.1% · Q3 20.0% · Q4 12.4% · 4Q avg 20.8% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 18.6% |
15.5%
3.1 pts worse
|
14.9%
3.7 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 13.5% · Q2 23.3% · Q3 21.3% · Q4 15.8% · 4Q avg 18.6% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.3% |
0.6%
0.3 pts better
|
1.0%
0.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.9% · Q4 0.4% · 4Q avg 0.3% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 2.2% |
1.4%
0.8 pts worse
|
1.7%
0.5 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 2.2% · Q2 1.1% · Q3 3.4% · Q4 2.3% · 4Q avg 2.2% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 21.1% |
20.8%
0.3 pts worse
|
19.8%
1.3 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 28.2% · Q2 12.8% · Q3 20.1% · Q4 23.5% · 4Q avg 21.1% |
| Percentage of long-stay residents with pressure ulcers | 6.4% |
6.9%
0.5 pts better
|
5.1%
1.3 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 5.5% · Q2 6.2% · Q3 7.1% · Q4 6.9% · 4Q avg 6.4% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 97.1% |
76.7%
20.4 pts better
|
81.7%
15.4 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 96.7% · Q2 95.7% · Q3 97.2% · Q4 98.8% · 4Q avg 97.1% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 4.7% |
9.7%
5 pts better
|
12.0%
7.3 pts better
|
Short Stay · 20240701-20250630 · Adjusted 4.7% · Observed 4.4% · Expected 10.5% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 1.0% |
1.2%
0.2 pts better
|
1.6%
0.6 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 1.3% · Q2 1.0% · Q3 0.8% · Q4 0.7% · 4Q avg 1.0% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 93.5% |
78.8%
14.7 pts better
|
79.7%
13.8 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 93.5% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 17.2% |
20.6%
3.4 pts better
|
23.9%
6.7 pts better
|
Short Stay · 20240701-20250630 · Adjusted 17.2% · Observed 19.7% · Expected 27.3% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2022-11-14 · Fire 2022-11-14
4 health deficiencies
Top issue: Freedom from Abuse and Neglect and Exploitation (2 deficiencies)
5 fire-safety deficiencies
Top issue: Emergency Preparedness (2 deficiencies)
Cycle 3
Health 2020-01-06 · Fire 2020-01-06
5 health deficiencies
Top issue: Freedom from Abuse and Neglect and Exploitation (1 deficiency)
3 fire-safety deficiencies
Top issue: Egress (2 deficiencies)
Fire safety
Fire-safety citations
E · Potential for more than minimal harm
2024-07-29
K353 · Smoke Deficiencies
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2024-09-23
F · Potential for more than minimal harm
2022-11-14
K161 · Construction Deficiencies
Fire Safety
Use approved construction type or materials.
Corrected 2022-12-02
D · Potential for more than minimal harm
2022-11-14
K211 · Egress Deficiencies
Fire Safety
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Corrected 2022-12-06
D · Potential for more than minimal harm
2022-11-14
K351 · Smoke Deficiencies
Fire Safety
Install an approved automatic sprinkler system.
Corrected 2023-01-04
C · Minimal harm
2022-11-14
E15 · Emergency Preparedness Deficiencies
Fire Safety
Address subsistence needs for staff and patients.
Corrected 2023-01-12
C · Minimal harm
2022-11-14
E41 · Emergency Preparedness Deficiencies
Fire Safety
Implement emergency and standby power systems.
Corrected 2023-01-12
D · Potential for more than minimal harm
2020-01-06
K211 · Egress Deficiencies
Fire Safety
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Corrected 2020-01-20
B · Minimal harm
2020-01-06
K271 · Egress Deficiencies
Fire Safety
Have exits that are accessible at all times.
Corrected 2020-01-20
B · Minimal harm
2020-01-06
K363 · Smoke Deficiencies
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2020-01-20
Inspection history
Recent health citations
D · Potential for more than minimal harm
2024-07-29
F755 · Pharmacy Service Deficiencies
Health
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected 2024-09-23
D · Potential for more than minimal harm
2024-07-29
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 2024-09-23
D · Potential for more than minimal harm
2024-07-29
F842 · Resident Assessment and Care Planning Deficiencies
Health
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2024-09-23
B · Minimal harm
2024-07-29
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 2024-09-25
E · Potential for more than minimal harm
2022-11-14
F690 · Quality of Life and Care Deficiencies
Health
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected 2023-01-12
D · Potential for more than minimal harm
2022-11-14
F609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Health
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2023-01-12
D · Potential for more than minimal harm
2022-11-14
F610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Health
Respond appropriately to all alleged violations.
Corrected 2023-01-12
D · Potential for more than minimal harm
2022-11-14
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 2023-01-12
D · Potential for more than minimal harm
2020-01-06
F610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Health
Respond appropriately to all alleged violations.
Corrected 2020-02-22
D · Potential for more than minimal harm
2020-01-06
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 2020-02-22
D · Potential for more than minimal harm
2020-01-06
F676 · Quality of Life and Care Deficiencies
Health
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
Corrected 2020-02-22
D · Potential for more than minimal harm
2020-01-06
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 2020-02-22
D · Potential for more than minimal harm
2020-01-06
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2020-02-22
Penalties and ownership
What sits behind the stars
Ownership
Zakheim, Suzanne
5% Or Greater Direct Ownership Interest · Individual
Pelman, Simon
5% Or Greater Direct Ownership Interest · Individual
Pelman, Jonathan
5% Or Greater Direct Ownership Interest · Individual
Berkowitz, Dov
5% Or Greater Direct Ownership Interest · Individual
Zimmerman, Susan
5% Or Greater Direct Ownership Interest · Individual
Fried, Golda
5% Or Greater Direct Ownership Interest · Individual
Friedman, Ari
5% Or Greater Direct Ownership Interest · Individual
Friedman, Ellen
5% Or Greater Direct Ownership Interest · Individual
Mermelstein, Elisa
5% Or Greater Direct Ownership Interest · Individual
Kreiger, Betty
5% Or Greater Direct Ownership Interest · Individual
Diamond, Gilad
Operational/Managerial Control · Individual
Fried, Golda
Operational/Managerial Control · Individual
Friedman, Ari
Corporate Director · Individual
Friedman, Ari
Corporate Officer · Individual
Goldberg, Ayelet
General Partnership Interest · Individual
Goldberg, Ayelet
Operational/Managerial Control · Individual
Neuman, William
General Partnership Interest · Individual
Ostrow, Ashira
General Partnership Interest · Individual
Pelman, Jonathan
Operational/Managerial Control · Individual
Pelman, Jonathan
Corporate Officer · Individual
Pelman, Simon
Corporate Director · Individual
Pelman, Simon
Corporate Officer · Individual
Raju, Rama
Operational/Managerial Control · Individual
The Estate Of Norman Rabenstein
General Partnership Interest · Organization
Wiederkerh, Chephzibah
General Partnership Interest · Individual
Nearby options
Other facilities in reach
#1
South Shore Rehabilitation And Nursing Center
Freeport, NY
2-star overall rating with 2-star inspections with 10 recent health deficiencies
#2
Mount Sinai South Nassau T C U
Oceanside, NY
5-star overall rating with 5-star inspections with 1 recent health deficiencies
#3
Oceanside Care Center Inc
Oceanside, NY
5-star overall rating with 4-star inspections with 3 recent health deficiencies with 1 fire-safety deficiencies in the latest cycle
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