Cycle 1
Health 2024-07-15 · Fire 2024-07-15
1 health deficiencies
Top issue: Resident Assessment and Care Planning (1 deficiency)
1 fire-safety deficiencies
Top issue: Construction (1 deficiency)
Middle Island, NY
Quantum Rehabilitation And Nursing L L C
5-star overall rating with 5-star inspections with 1 recent health deficiencies with 1 fire-safety deficiencies in the latest cycle
63 Oakcrest Avenue, Middle Island, NY
(631) 924-8830
Overall
5 / 5
CMS overall stars
Health inspections
5 / 5
Survey and complaint cycles
Staffing
2 / 5
RN + nurse staffing
Quality measures
5 / 5
Resident outcomes and process measures
Quick facts
Facility snapshot
Beds
120
Certified beds
Average residents
110
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
Paragon Healthnet
Operator or chain grouping
Approved since
1992-04-24
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Chain footprint
11 facilities
Chain averages 5 overall / 4 health / 3 staffing / 5 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
0.79
Registered nurse staffing · state 0.70 · national 0.68
LPN hours / resident day
0.93
Licensed practical nurse staffing · state 0.78 · national 0.87
Aide hours / resident day
2.04
Nurse aide staffing · state 2.20 · national 2.35
Total nurse hours
3.75
All reported nurse hours · state 3.65 · national 3.89
Licensed hours
1.72
RN + LPN hours · state 1.47 · national 1.54
Weekend hours
3.17
Weekend nurse staffing · state 3.16 · national 3.43
Weekend RN hours
0.45
Weekend registered nurse coverage · state 0.47 · national 0.47
Physical therapist
0.06
Reported PT staffing · state 0.11 · national 0.07
Adjusted RN hours
0.63
CMS adjusted RN staffing hours
Adjusted total hours
2.99
CMS adjusted total nurse staffing hours
Case-mix index
1.72
Higher values indicate more complex resident acuity
RN turnover
25%
Annual RN turnover · state 41% · national 45%
Total nurse turnover
43%
Annual nurse turnover · state 41% · national 46%
SNF VBP
Value-based purchasing
Program rank
1,515
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
56.04
Composite VBP score used to determine payment impact.
Payment multiplier
1.0111
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
10
Baseline 18.38% · Performance 15.55% · Measure score 10 · Achievement 10 · Improvement 9
Healthcare-associated infections
9.17
Baseline 7.28% · Performance 5.10% · Measure score 9.17 · Achievement 9.17 · Improvement 9
Total nurse turnover
3.25
Baseline 48.76% · Performance 50.41% · Measure score 3.25 · Achievement 3.25 · Improvement 0
Adjusted total nurse staffing
0
Baseline 2.99 hours · Performance 2.82 hours · Measure score 0 · Achievement 0 · Improvement 0
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 11.61% |
10.72%
0.9 pts worse
|
No Different than the National Rate · Eligible stays 307 · Observed rate 10.75% · Lower 95% interval 9.11% |
| Discharge to community | 63.6% |
50.57%
13 pts better
|
Better than the National Rate · Eligible stays 339 · Observed rate 56.05% · Lower 95% interval 58.22% |
| Medicare spending per beneficiary | 1.52 |
1.02
0.5 pts worse
|
|
| Drug regimen review with follow-up | 98.13% |
95.27%
2.9 pts better
|
Numerator 262 · Denominator 267 |
| Falls with major injury | 1.12% |
0.77%
0.4 pts worse
|
Numerator 3 · Denominator 267 |
| Discharge self-care score | 68.59% |
53.69%
14.9 pts better
|
Numerator 131 · Denominator 191 |
| Discharge mobility score | 76.44% |
50.94%
25.5 pts better
|
Numerator 146 · Denominator 191 |
| Pressure ulcers or injuries, new or worsened | 0.75% |
2.29%
1.5 pts better
|
Numerator 2 · Denominator 267 · Adjusted rate 0.7% |
| Healthcare-associated infections requiring hospitalization | 5.09% |
7.12%
2 pts better
|
No Different than the National Rate · Eligible stays 229 · Observed rate 3.06% · Lower 95% interval 3.19% |
| Staff COVID-19 vaccination coverage | 3.32% |
8.2%
4.9 pts worse
|
Numerator 10 · Denominator 301 |
| Staff flu vaccination coverage | 38.68% |
42%
3.3 pts worse
|
Numerator 152 · Denominator 393 |
| Discharge function score | 72.25% |
56.45%
15.8 pts better
|
Numerator 138 · Denominator 191 |
| Transfer of health information to provider | 100% |
95.95%
4 pts better
|
Numerator 137 · Denominator 137 |
| Transfer of health information to patient | 95.56% |
96.28%
0.7 pts worse
|
Numerator 86 · Denominator 90 |
| Resident COVID-19 vaccinations up to date | 37.97% |
25.2%
12.8 pts better
|
Numerator 60 · Denominator 158 |
Quality measures
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 1.6 |
1.7
0.1 pts better
|
1.9
0.3 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.6 · Observed 1.7 · Expected 2.0 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 0.5 |
1.3
0.8 pts better
|
1.8
1.3 pts better
|
Long Stay · 20240701-20250630 · Adjusted 0.5 · Observed 0.5 · Expected 1.6 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 99.7% |
91.2%
8.5 pts better
|
93.4%
6.3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 100.0% · Q3 100.0% · Q4 98.5% · 4Q avg 99.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 97.6% |
95.3%
2.3 pts better
|
95.5%
2.1 pts better
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 97.6% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 3.4% |
3.0%
0.4 pts worse
|
3.3%
0.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 5.3% · Q2 3.9% · Q3 1.4% · Q4 2.9% · 4Q avg 3.4% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 50.2% |
18.5%
31.7 pts worse
|
11.4%
38.8 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 59.7% · Q2 51.4% · Q3 45.6% · Q4 43.3% · 4Q avg 50.2% |
| Percentage of long-stay residents who lose too much weight | 3.6% |
6.1%
2.5 pts better
|
5.4%
1.8 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 5.6% · Q2 2.7% · Q3 1.5% · Q4 4.5% · 4Q avg 3.6% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 25.3% |
13.5%
11.8 pts worse
|
19.6%
5.7 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 22.4% · Q2 25.0% · Q3 28.8% · Q4 25.0% · 4Q avg 25.3% |
| Percentage of long-stay residents who received an antipsychotic medication | 21.8% |
14.8%
7 pts worse
|
16.7%
5.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 14.3% · Q2 24.5% · Q3 27.5% · Q4 21.7% · 4Q avg 21.8% · 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 | 7.0% |
15.1%
8.1 pts better
|
16.3%
9.3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 4.7% · Q2 11.2% · Q3 6.1% · Q4 5.9% · 4Q avg 7.0% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 12.4% |
15.5%
3.1 pts better
|
14.9%
2.5 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 15.2% · Q2 14.7% · Q3 12.3% · Q4 6.7% · 4Q avg 12.4% · 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 | 0.4% |
1.4%
1 pts better
|
1.7%
1.3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 1.4% · Q3 0.0% · Q4 0.0% · 4Q avg 0.4% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 9.5% |
20.8%
11.3 pts better
|
19.8%
10.3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 6.1% · Q2 11.0% · Q3 6.0% · Q4 15.0% · 4Q avg 9.5% |
| Percentage of long-stay residents with pressure ulcers | 4.6% |
6.9%
2.3 pts better
|
5.1%
0.5 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 6.3% · Q2 5.7% · Q3 3.6% · Q4 2.6% · 4Q avg 4.6% · 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 99.5% · Q3 100.0% · Q4 100.0% · 4Q avg 99.9% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 5.2% |
9.7%
4.5 pts better
|
12.0%
6.8 pts better
|
Short Stay · 20240701-20250630 · Adjusted 5.2% · Observed 5.4% · Expected 11.7% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 1.6% |
1.2%
0.4 pts worse
|
1.6%
About the same
|
Short Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 2.8% · Q4 3.5% · 4Q avg 1.6% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 99.0% |
78.8%
20.2 pts better
|
79.7%
19.3 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 99.0% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 15.8% |
20.6%
4.8 pts better
|
23.9%
8.1 pts better
|
Short Stay · 20240701-20250630 · Adjusted 15.8% · Observed 15.8% · Expected 23.8% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2023-06-26 · Fire 2023-06-26
3 health deficiencies
Top issue: Administration (1 deficiency)
2 fire-safety deficiencies
Top issue: Construction (1 deficiency)
Cycle 3
Health 2021-04-22 · Fire 2021-04-22
3 health deficiencies
Top issue: Environmental (1 deficiency)
4 fire-safety deficiencies
Top issue: Smoke (4 deficiencies)
Fire safety
Fire-safety citations
F · Potential for more than minimal harm
2024-07-15
K161 · Construction Deficiencies
Fire Safety
Use approved construction type or materials.
Corrected 2024-08-28
F · Potential for more than minimal harm
2023-06-26
K161 · Construction Deficiencies
Fire Safety
Use approved construction type or materials.
Corrected 2023-08-31
F · Potential for more than minimal harm
2023-06-26
K311 · Smoke Deficiencies
Fire Safety
Have an enclosure around a vertical opening shaft.
Corrected 2023-08-31
E · Potential for more than minimal harm
2021-04-22
K352 · Smoke Deficiencies
Fire Safety
Properly install and monitor supervisory attachments on automatic sprinkler systems.
Corrected 2021-05-22
D · Potential for more than minimal harm
2021-04-22
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 2021-05-22
D · Potential for more than minimal harm
2021-04-22
K351 · Smoke Deficiencies
Fire Safety
Install an approved automatic sprinkler system.
Corrected 2021-05-22
D · Potential for more than minimal harm
2021-04-22
K362 · Smoke Deficiencies
Fire Safety
Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke.
Corrected 2021-05-22
Inspection history
Recent health citations
D · Potential for more than minimal harm
2024-12-23
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 2025-03-03
D · Potential for more than minimal harm
2024-07-15
F657 · Resident Assessment and Care Planning Deficiencies
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 2024-09-11
D · Potential for more than minimal harm
2023-06-26
F684 · Quality of Life and Care Deficiencies
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2023-08-21
D · Potential for more than minimal harm
2023-06-26
F835 · Administration Deficiencies
Health
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
Corrected 2023-08-21
D · Potential for more than minimal harm
2021-04-22
F689 · Quality of Life and Care Deficiencies
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2021-06-06
D · Potential for more than minimal harm
2021-04-22
F757 · Pharmacy Service Deficiencies
Health
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Corrected 2021-06-06
D · Potential for more than minimal harm
2021-04-22
F921 · Environmental Deficiencies
Health
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Corrected 2021-06-06
Penalties and ownership
What sits behind the stars
Ownership
Laufer, Issac
5% Or Greater Direct Ownership Interest · Individual
Braver, Moshe
5% Or Greater Direct Ownership Interest · Individual
Lebowitz, Chaim
5% Or Greater Direct Ownership Interest · Individual
Lebowitz, Max
5% Or Greater Direct Ownership Interest · Individual
Alam, Mohammud
Contracted Managing Employee · Individual
Aplustille, Joseph
Contracted Managing Employee · Individual
Braver, Moshe
Corporate Officer · Individual
Laufer, Issac
Corporate Officer · Individual
Laufer, Issac
Contracted Managing Employee · Individual
Lebowitz, Chaim
Corporate Officer · Individual
Lebowitz, Max
Corporate Officer · Individual
Polimeni, Lisa
Operational/Managerial Control · Individual
Nearby options
Other facilities in reach
#1
Surge Rehabilitation And Nursing LLC
Middle Island, NY
5-star overall rating with 5-star inspections with 2 recent health deficiencies with 2 fire-safety deficiencies in the latest cycle
#2
Allegria Nursing & Rehab Center Of Port Jefferson
Port Jefferson Stati, NY
2-star overall rating with 1-star inspections with 12 recent health deficiencies with 1 fire-safety deficiencies in the latest cycle
#3
Medford Multicare Center For Living
Medford, NY
1-star overall rating with 1-star inspections with $134,713 in total fines with 7 recent health deficiencies with 1 fire-safety deficiencies in the latest cycle
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