5 health deficiencies
Top issue: Quality of Life and Care (2 deficiencies)
5 fire-safety deficiencies
Top issue: Miscellaneous (2 deficiencies)
Massapequa, NY
4-star overall rating with 4-star inspections with 5 recent health deficiencies with 5 fire-safety deficiencies in the latest cycle
5353 Merrick Road, Massapequa, NY
(516) 798-1800
Overall
4 / 5
CMS overall stars
Health inspections
4 / 5
Survey and complaint cycles
Staffing
2 / 5
RN + nurse staffing
Quality measures
4 / 5
Resident outcomes and process measures
Quick facts
Beds
169
Certified beds
Average residents
156
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
Philosophy Care Centers
Operator or chain grouping
Approved since
1971-01-01
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Chain footprint
5 facilities
Chain averages 3 overall / 3 health / 2 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
RN hours / resident day
0.36
Registered nurse staffing · state 0.70 · national 0.68
LPN hours / resident day
0.69
Licensed practical nurse staffing · state 0.78 · national 0.87
Aide hours / resident day
1.97
Nurse aide staffing · state 2.20 · national 2.35
Total nurse hours
3.02
All reported nurse hours · state 3.65 · national 3.89
Licensed hours
1.05
RN + LPN hours · state 1.47 · national 1.54
Weekend hours
2.76
Weekend nurse staffing · state 3.16 · national 3.43
Weekend RN hours
0.16
Weekend registered nurse coverage · state 0.47 · national 0.47
Physical therapist
0.14
Reported PT staffing · state 0.11 · national 0.07
Adjusted RN hours
0.33
CMS adjusted RN staffing hours
Adjusted total hours
2.76
CMS adjusted total nurse staffing hours
Case-mix index
1.50
Higher values indicate more complex resident acuity
RN turnover
40%
Annual RN turnover · state 41% · national 45%
Total nurse turnover
29%
Annual nurse turnover · state 41% · national 46%
SNF VBP
Program rank
8,072
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
27.91
Composite VBP score used to determine payment impact.
Payment multiplier
0.9848
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
Readmission
4.32
Baseline 19.69% · Performance 19.43% · Measure score 4.32 · Achievement 4.32 · Improvement 0.48
Healthcare-associated infections
0
Baseline 5.93% · Performance 8.41% · Measure score 0 · Achievement 0 · Improvement 0
Total nurse turnover
5.98
Baseline 26.04% · Performance 39.23% · Measure score 5.98 · Achievement 5.98 · Improvement 0
Adjusted total nurse staffing
0.86
Baseline 3.49 hours · Performance 3.32 hours · Measure score 0.86 · Achievement 0.86 · Improvement 0
SNF QRP
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 9.51% |
10.72%
1.2 pts better
|
No Different than the National Rate · Eligible stays 195 · Observed rate 7.69% · Lower 95% interval 7% |
| Discharge to community | 46.47% |
50.57%
4.1 pts worse
|
No Different than the National Rate · Eligible stays 217 · Observed rate 38.71% · Lower 95% interval 39.45% |
| Medicare spending per beneficiary | 1.34 |
1.02
0.3 pts worse
|
|
| Drug regimen review with follow-up | 100% |
95.27%
4.7 pts better
|
Numerator 213 · Denominator 213 |
| Falls with major injury | 0.47% |
0.77%
0.3 pts better
|
Numerator 1 · Denominator 213 |
| Discharge self-care score | 56.39% |
53.69%
2.7 pts better
|
Numerator 75 · Denominator 133 |
| Discharge mobility score | 60.9% |
50.94%
10 pts better
|
Numerator 81 · Denominator 133 |
| Pressure ulcers or injuries, new or worsened | 2.82% |
2.29%
0.5 pts worse
|
Numerator 6 · Denominator 213 · Adjusted rate 1.94% |
| Healthcare-associated infections requiring hospitalization | 8.41% |
7.12%
1.3 pts worse
|
No Different than the National Rate · Eligible stays 191 · Observed rate 9.42% · Lower 95% interval 5.7% |
| Staff COVID-19 vaccination coverage | 1.14% |
8.2%
7.1 pts worse
|
Numerator 2 · Denominator 176 |
| Staff flu vaccination coverage | 42.44% |
42%
0.4 pts better
|
Numerator 115 · Denominator 271 |
| Discharge function score | 54.14% |
56.45%
2.3 pts worse
|
Numerator 72 · Denominator 133 |
| Transfer of health information to provider | 100% |
95.95%
4 pts better
|
Numerator 72 · Denominator 72 |
| Transfer of health information to patient | 97.44% |
96.28%
1.2 pts better
|
Numerator 76 · Denominator 78 |
| Resident COVID-19 vaccinations up to date | 13.71% |
25.2%
11.5 pts worse
|
Numerator 17 · Denominator 124 |
Quality measures
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 2.2 |
1.7
0.5 pts worse
|
1.9
0.3 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 2.2 · Observed 2.5 · Expected 2.1 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 1.3 |
1.3
About the same
|
1.8
0.5 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.3 · Observed 1.3 · Expected 1.7 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 95.9% |
91.2%
4.7 pts better
|
93.4%
2.5 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 89.9% · Q2 93.5% · Q3 100.0% · Q4 99.2% · 4Q avg 95.9% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 93.4% |
95.3%
1.9 pts worse
|
95.5%
2.1 pts worse
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 93.4% |
| 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 3.4% · Q2 3.2% · Q3 4.5% · Q4 3.0% · 4Q avg 3.6% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 20.6% |
18.5%
2.1 pts worse
|
11.4%
9.2 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 28.3% · Q2 20.7% · Q3 19.7% · Q4 14.5% · 4Q avg 20.6% |
| Percentage of long-stay residents who lose too much weight | 9.1% |
6.1%
3 pts worse
|
5.4%
3.7 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 13.6% · Q2 12.2% · Q3 6.7% · Q4 4.9% · 4Q avg 9.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 26.7% |
13.5%
13.2 pts worse
|
19.6%
7.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 29.4% · Q2 26.8% · Q3 25.8% · Q4 25.0% · 4Q avg 26.7% |
| Percentage of long-stay residents who received an antipsychotic medication | 6.3% |
14.8%
8.5 pts better
|
16.7%
10.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 5.3% · Q2 8.3% · Q3 6.9% · Q4 4.9% · 4Q avg 6.3% · 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 | 10.0% |
15.1%
5.1 pts better
|
16.3%
6.3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 9.1% · Q2 17.1% · Q3 6.6% · Q4 7.5% · 4Q avg 10.0% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 12.5% |
15.5%
3 pts better
|
14.9%
2.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 12.8% · Q2 17.1% · Q3 10.8% · Q4 9.8% · 4Q avg 12.5% · 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 · 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 a urinary tract infection | 0.6% |
1.4%
0.8 pts better
|
1.7%
1.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 2.7% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.6% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 14.0% |
20.8%
6.8 pts better
|
19.8%
5.8 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 21.6% · Q2 16.1% · Q3 10.4% · Q4 9.3% · 4Q avg 14.0% |
| Percentage of long-stay residents with pressure ulcers | 10.4% |
6.9%
3.5 pts worse
|
5.1%
5.3 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 10.3% · Q2 12.0% · Q3 9.3% · Q4 10.0% · 4Q avg 10.4% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 61.1% |
76.7%
15.6 pts worse
|
81.7%
20.6 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 39.6% · Q2 46.0% · Q3 75.2% · Q4 89.2% · 4Q avg 61.1% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 12.8% |
9.7%
3.1 pts worse
|
12.0%
0.8 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 12.8% · Observed 11.6% · Expected 10.1% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 0.6% |
1.2%
0.6 pts better
|
1.6%
1 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 2.6% · 4Q avg 0.6% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 56.6% |
78.8%
22.2 pts worse
|
79.7%
23.1 pts worse
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 56.6% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 26.5% |
20.6%
5.9 pts worse
|
23.9%
2.6 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 26.5% · Observed 28.4% · Expected 25.5% · Used in QM five-star |
Survey summary
Top issue: Quality of Life and Care (2 deficiencies)
5 fire-safety deficiencies
Top issue: Miscellaneous (2 deficiencies)
Top issue: Resident Assessment and Care Planning (3 deficiencies)
3 fire-safety deficiencies
Top issue: Smoke (2 deficiencies)
Top issue: Freedom from Abuse and Neglect and Exploitation (1 deficiency)
2 fire-safety deficiencies
Top issue: Egress (1 deficiency)
Fire safety
Fire Safety
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Corrected 2025-05-30
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2025-05-06
Fire Safety
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Corrected 2025-04-24
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 2025-04-24
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2025-05-21
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2024-01-08
Fire Safety
Address subsistence needs for staff and patients.
Corrected 2024-01-08
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2024-01-08
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 2022-01-17
Fire Safety
Construct fire resistant interior walls.
Corrected 2022-01-17
Inspection history
Health
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
Corrected 2025-05-23
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2025-05-23
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2025-05-23
Health
Assist a resident in gaining access to vision and hearing services.
Corrected 2025-05-23
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 2025-05-23
Health
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Corrected 2024-01-08
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2024-01-08
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 2024-01-08
Health
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Corrected 2024-01-08
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 2024-01-08
Health
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2022-01-14
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2022-01-14
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2022-01-14
Health
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected 2022-01-14
Penalties and ownership
5% Or Greater Direct Ownership Interest · Individual
5% Or Greater Direct Ownership Interest · Individual
5% Or Greater Direct Ownership Interest · Individual
5% Or Greater Direct Ownership Interest · Individual
5% Or Greater Direct Ownership Interest · Individual
Corporate Officer · Individual
Corporate Officer · Individual
W-2 Managing Employee · Individual
5% Or Greater Security Interest · Organization
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