Cycle 1
Health 2025-05-16 · Fire 2025-05-16
3 health deficiencies
Top issue: Infection Control (1 deficiency)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Valley Stream, NY
North Shore - L I J Orzac Ctr For Rehabilitation
3-star overall rating with 2-star inspections with $41,575 in total fines with 3 recent health deficiencies
900 Franklin Avenue, Valley Stream, NY
(516) 256-6700
Overall
3 / 5
CMS overall stars
Health inspections
2 / 5
Survey and complaint cycles
Staffing
5 / 5
RN + nurse staffing
Quality measures
4 / 5
Resident outcomes and process measures
Quick facts
Facility snapshot
Beds
120
Certified beds
Average residents
112
Average occupied residents
Ownership
Non-Profit
Publicly displayed owner type
Chain
No chain reported
Operator or chain grouping
Approved since
1989-01-13
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
2.06
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
2.71
Nurse aide staffing · state 2.20 · national 2.35
Total nurse hours
5.46
All reported nurse hours · state 3.65 · national 3.89
Licensed hours
2.75
RN + LPN hours · state 1.47 · national 1.54
Weekend hours
4.95
Weekend nurse staffing · state 3.16 · national 3.43
Weekend RN hours
1.67
Weekend registered nurse coverage · state 0.47 · national 0.47
Physical therapist
0.34
Reported PT staffing · state 0.11 · national 0.07
Adjusted RN hours
1.86
CMS adjusted RN staffing hours
Adjusted total hours
4.93
CMS adjusted total nurse staffing hours
Case-mix index
1.52
Higher values indicate more complex resident acuity
RN turnover
40%
Annual RN turnover · state 41% · national 45%
Total nurse turnover
35%
Annual nurse turnover · state 41% · national 46%
SNF VBP
Value-based purchasing
Program rank
4,505
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
39.68
Composite VBP score used to determine payment impact.
Payment multiplier
0.9926
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
0
Baseline 21.50% · Performance 22.68% · Measure score 0 · Achievement 0 · Improvement 0
Healthcare-associated infections
0.63
Baseline 6.18% · Performance 7.65% · Measure score 0.63 · Achievement 0.63 · Improvement 0
Total nurse turnover
6.66
Baseline 39.52% · Performance 36.45% · Measure score 6.66 · Achievement 6.66 · Improvement 1.59
Adjusted total nurse staffing
8.58
Baseline 5.78 hours · Performance 5.52 hours · Measure score 8.58 · Achievement 8.58 · Improvement 0
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 10.77% |
10.72%
About the same
|
No Different than the National Rate · Eligible stays 855 · Observed rate 8.3% · Lower 95% interval 8.86% |
| Discharge to community | 67.54% |
50.57%
17 pts better
|
Better than the National Rate · Eligible stays 955 · Observed rate 67.64% · Lower 95% interval 64.89% |
| Medicare spending per beneficiary | 1.03 |
1.02
About the same
|
|
| Drug regimen review with follow-up | 99.44% |
95.27%
4.2 pts better
|
Numerator 533 · Denominator 536 |
| Falls with major injury | 0.19% |
0.77%
0.6 pts better
|
Numerator 1 · Denominator 536 |
| Discharge self-care score | 74.39% |
53.69%
20.7 pts better
|
Numerator 305 · Denominator 410 |
| Discharge mobility score | 82.44% |
50.94%
31.5 pts better
|
Numerator 338 · Denominator 410 |
| Pressure ulcers or injuries, new or worsened | 1.87% |
2.29%
0.4 pts better
|
Numerator 10 · Denominator 536 · Adjusted rate 2.19% |
| Healthcare-associated infections requiring hospitalization | 7.65% |
7.12%
0.5 pts worse
|
No Different than the National Rate · Eligible stays 503 · Observed rate 6.16% · Lower 95% interval 5.73% |
| Staff COVID-19 vaccination coverage | 1.04% |
8.2%
7.2 pts worse
|
Numerator 5 · Denominator 482 |
| Staff flu vaccination coverage | Not Available |
42%
|
Numerator Not Available · Denominator Not Available · No data were submitted for this measure. |
| Discharge function score | 81.22% |
56.45%
24.8 pts better
|
Numerator 333 · Denominator 410 |
| Transfer of health information to provider | 100% |
95.95%
4 pts better
|
Numerator 121 · Denominator 121 |
| Transfer of health information to patient | 98.75% |
96.28%
2.5 pts better
|
Numerator 394 · Denominator 399 |
| Resident COVID-19 vaccinations up to date | 29.23% |
25.2%
4 pts better
|
Numerator 83 · Denominator 284 |
Quality measures
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| 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 · Q2 100.0% · Q4 100.0% · 4Q avg 100.0% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 88.0% |
95.3%
7.3 pts worse
|
95.5%
7.5 pts worse
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 88.0% |
| 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 · Q2 4.8% · Q4 0.0% · 4Q avg 2.5% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 24.7% |
18.5%
6.2 pts worse
|
11.4%
13.3 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q2 23.8% · 4Q avg 24.7% |
| Percentage of long-stay residents who lose too much weight | 1.3% |
6.1%
4.8 pts better
|
5.4%
4.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q2 4.8% · Q4 0.0% · 4Q avg 1.3% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 7.6% |
13.5%
5.9 pts better
|
19.6%
12 pts better
|
Long Stay · 2024Q4-2025Q3 · Q2 4.8% · Q4 10.0% · 4Q avg 7.6% |
| 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 · 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 · Q2 0.0% · Q4 0.0% · 4Q avg 0.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | 25.3% |
15.1%
10.2 pts worse
|
16.3%
9 pts worse
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 25.3% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 9.1% |
15.5%
6.4 pts better
|
14.9%
5.8 pts better
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 9.1% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.0% |
0.6%
0.6 pts better
|
1.0%
1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q2 0.0% · Q4 0.0% · 4Q avg 0.0% · 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 · Q2 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 | 24.5% |
20.8%
3.7 pts worse
|
19.8%
4.7 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q2 29.5% · Q4 18.7% · 4Q avg 24.5% |
| Percentage of long-stay residents with pressure ulcers | 14.8% |
6.9%
7.9 pts worse
|
5.1%
9.7 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q2 16.6% · Q4 15.3% · 4Q avg 14.8% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 99.2% |
76.7%
22.5 pts better
|
81.7%
17.5 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 98.9% · Q2 98.9% · Q3 99.5% · Q4 99.4% · 4Q avg 99.2% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 17.2% |
9.7%
7.5 pts worse
|
12.0%
5.2 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 17.2% · Observed 14.8% · Expected 9.6% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 0.4% |
1.2%
0.8 pts better
|
1.6%
1.2 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 0.2% · Q2 0.4% · Q3 0.6% · Q4 0.2% · 4Q avg 0.4% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 97.7% |
78.8%
18.9 pts better
|
79.7%
18 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 97.7% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 27.5% |
20.6%
6.9 pts worse
|
23.9%
3.6 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 27.5% · Observed 22.2% · Expected 19.3% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2024-01-31 · Fire 2024-01-31
7 health deficiencies
Top issue: Freedom from Abuse and Neglect and Exploitation (2 deficiencies)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Cycle 3
Health 2022-01-31 · Fire 2022-01-31
1 health deficiencies
Top issue: Resident Assessment and Care Planning (1 deficiency)
1 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (1 deficiency)
Fire safety
Fire-safety citations
E · Potential for more than minimal harm
2022-01-31
K918 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2022-03-18
Inspection history
Recent health citations
F · Potential for more than minimal harm
2025-05-16
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 2025-07-09
D · Potential for more than minimal harm
2025-05-16
F686 · Quality of Life and Care Deficiencies
Health
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2025-07-09
D · Potential for more than minimal harm
2025-05-16
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2025-07-09
J · Immediate jeopardy
2024-08-02
F760 · Pharmacy Service Deficiencies
Health
Ensure that residents are free from significant medication errors.
Corrected 2024-09-10
D · Potential for more than minimal harm
2024-08-02
F684 · Quality of Life and Care Deficiencies
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2024-09-10
D · Potential for more than minimal harm
2024-01-31
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 2024-03-31
D · Potential for more than minimal harm
2024-01-31
F610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Health
Respond appropriately to all alleged violations.
Corrected 2024-03-31
D · Potential for more than minimal harm
2024-01-31
F658 · Resident Assessment and Care Planning Deficiencies
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2024-03-31
D · Potential for more than minimal harm
2024-01-31
F742 · Quality of Life and Care Deficiencies
Health
Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder.
Corrected 2024-03-31
D · Potential for more than minimal harm
2024-01-31
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2024-03-31
D · Potential for more than minimal harm
2022-01-31
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 2022-03-20
Penalties and ownership
What sits behind the stars
$41,575
2024-08-02
Fine
Fine · fine $41,575
Fine
Ownership
Northwell Healthcare Inc
5% Or Greater Direct Ownership Interest · Organization
Battinelli, David
Corporate Officer · Individual
Claster, Mark
Corporate Officer · Individual
Costalas, Konstantine
Corporate Officer · Individual
Crotty, Margaret
Corporate Officer · Individual
Cusack, Michele
Corporate Officer · Individual
Cusack, Michele
W-2 Managing Employee · Individual
Dowling, Michael
Corporate Director · Individual
Dowling, Michael
W-2 Managing Employee · Individual
Drummond, Donna
Corporate Officer · Individual
Epstein, Michael
Corporate Officer · Individual
Gallo, Kathleen
Corporate Officer · Individual
Gindi, Harry
Corporate Officer · Individual
Gloade, Mark
Corporate Officer · Individual
Goldstein, Richard
Corporate Officer · Individual
Kraemer, Laurence
Corporate Officer · Individual
Kraut, Jeffrey
Corporate Officer · Individual
Lynch, Christopher
W-2 Managing Employee · Individual
Mack, William
Corporate Officer · Individual
Miller, Richard
Corporate Officer · Individual
Moscola, Joseph
Corporate Officer · Individual
Nappi, Ralph
Corporate Officer · Individual
Philip, Arpan
W-2 Managing Employee · Individual
Rosenthal, Robert
Corporate Officer · Individual
Rubenstein, Barry
Corporate Officer · Individual
Solazzo, Mark
Corporate Director · Individual
Solazzo, Mark
W-2 Managing Employee · Individual
Tangney, Eugene
Corporate Officer · Individual
Zucker, Donald
Corporate Officer · Individual
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#2
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#3
Rockville Skilled Nursing & Rehab Center, L L C
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4-star overall rating with 4-star inspections with 3 recent health deficiencies
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