Greenport, NY

San Simeon By The Sound Center For Nursing & Rehab

1-star overall rating with 1-star inspections with $156,208 in total fines with 8 recent health deficiencies with 8 fire-safety deficiencies in the latest cycle

61700 Route 48, Greenport, NY

(631) 477-2110

Compare this facility

Overall

1 / 5

CMS overall stars

Health inspections

1 / 5

Survey and complaint cycles

Staffing

2 / 5

RN + nurse staffing

Quality measures

4 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

120

Certified beds

Average residents

115

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

No chain reported

Operator or chain grouping

Approved since

1968-11-01

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

0.64

Registered nurse staffing · state 0.70 · national 0.68

LPN hours / resident day

0.86

Licensed practical nurse staffing · state 0.78 · national 0.87

Aide hours / resident day

1.91

Nurse aide staffing · state 2.20 · national 2.35

Total nurse hours

3.41

All reported nurse hours · state 3.65 · national 3.89

Licensed hours

1.50

RN + LPN hours · state 1.47 · national 1.54

Weekend hours

3.03

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

0.04

Reported PT staffing · state 0.11 · national 0.07

Adjusted RN hours

0.63

CMS adjusted RN staffing hours

Adjusted total hours

3.38

CMS adjusted total nurse staffing hours

Case-mix index

1.38

Higher values indicate more complex resident acuity

RN turnover

56%

Annual RN turnover · state 41% · national 45%

Total nurse turnover

60%

Annual nurse turnover · state 41% · national 46%

SNF VBP

Value-based purchasing

Program rank

13,600

Lower is better among SNFs in the FY 2026 VBP program.

Performance score

3.10

Composite VBP score used to determine payment impact.

Payment multiplier

0.9804

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

0

Baseline 18.61% · Performance 21.79% · Measure score 0 · Achievement 0 · Improvement 0

Healthcare-associated infections

0

Baseline 4.89% · Performance 8.05% · Measure score 0 · Achievement 0 · Improvement 0

Total nurse turnover

0

Baseline 25.00% · Performance 76.77% · Measure score 0 · Achievement 0 · Improvement 0

Adjusted total nurse staffing

1.24

Baseline 3 hours · Performance 3.43 hours · Measure score 1.24 · Achievement 1.24 · Improvement 1.06

SNF QRP

Medicare quality reporting measures

Measure Facility National Note
Potentially preventable 30-day readmission 10.46%
10.72%
0.3 pts better
No Different than the National Rate · Eligible stays 271 · Observed rate 8.86% · Lower 95% interval 7.69%
Discharge to community 60.31%
50.57%
9.7 pts better
Better than the National Rate · Eligible stays 300 · Observed rate 54.67% · Lower 95% interval 52.28%
Medicare spending per beneficiary 1.19
1.02
0.2 pts worse
Drug regimen review with follow-up 90.59%
95.27%
4.7 pts worse
Numerator 183 · Denominator 202
Falls with major injury 1.49%
0.77%
0.7 pts worse
Numerator 3 · Denominator 202
Discharge self-care score 48.78%
53.69%
4.9 pts worse
Numerator 60 · Denominator 123
Discharge mobility score 56.91%
50.94%
6 pts better
Numerator 70 · Denominator 123
Pressure ulcers or injuries, new or worsened 1.98%
2.29%
0.3 pts better
Numerator 4 · Denominator 202 · Adjusted rate 1.42%
Healthcare-associated infections requiring hospitalization 8.05%
7.12%
0.9 pts worse
No Different than the National Rate · Eligible stays 194 · Observed rate 8.25% · Lower 95% interval 4.95%
Staff COVID-19 vaccination coverage 100%
8.2%
91.8 pts better
Numerator 131 · Denominator 131
Staff flu vaccination coverage 89.92%
42%
47.9 pts better
Numerator 116 · Denominator 129
Discharge function score 47.15%
56.45%
9.3 pts worse
Numerator 58 · Denominator 123
Transfer of health information to provider 98.59%
95.95%
2.6 pts better
Numerator 70 · Denominator 71
Transfer of health information to patient 93.1%
96.28%
3.2 pts worse
Numerator 81 · Denominator 87
Resident COVID-19 vaccinations up to date 7.92%
25.2%
17.3 pts worse
Numerator 8 · Denominator 101

Quality measures

Resident outcomes and process scores

Measure Facility State National Note
Number of hospitalizations per 1000 long-stay resident days 1.1
1.7
0.6 pts better
1.9
0.8 pts better
Long Stay · 20240701-20250630 · Adjusted 1.1 · Observed 1.2 · Expected 2.0 · Used in QM five-star
Number of outpatient emergency department visits per 1000 long-stay resident days 1.7
1.3
0.4 pts worse
1.8
0.1 pts better
Long Stay · 20240701-20250630 · Adjusted 1.7 · Observed 1.7 · Expected 1.7 · Used in QM five-star
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine 77.1%
91.2%
14.1 pts worse
93.4%
16.3 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 87.5% · Q2 83.3% · Q3 72.0% · Q4 66.3% · 4Q avg 77.1%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine 67.8%
95.3%
27.5 pts worse
95.5%
27.7 pts worse
Long Stay · 2024Q3-2025Q2 · 4Q avg 67.8%
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 5.0% · Q2 2.4% · Q3 1.2% · Q4 5.8% · 4Q avg 3.6% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms 78.8%
18.5%
60.3 pts worse
11.4%
67.4 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 52.6% · Q2 86.6% · Q3 88.2% · Q4 87.2% · 4Q avg 78.8%
Percentage of long-stay residents who lose too much weight 6.0%
6.1%
0.1 pts better
5.4%
0.6 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 7.9% · Q2 7.4% · Q3 6.3% · Q4 2.4% · 4Q avg 6.0%
Percentage of long-stay residents who received an antianxiety or hypnotic medication 17.5%
13.5%
4 pts worse
19.6%
2.1 pts better
Long Stay · 2024Q4-2025Q3 · Q1 15.0% · Q2 19.0% · Q3 19.5% · Q4 16.3% · 4Q avg 17.5%
Percentage of long-stay residents who received an antipsychotic medication 11.2%
14.8%
3.6 pts better
16.7%
5.5 pts better
Long Stay · 2024Q4-2025Q3 · Q1 6.3% · Q2 10.8% · Q3 11.9% · Q4 15.4% · 4Q avg 11.2% · 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 5.0%
15.1%
10.1 pts better
16.3%
11.3 pts better
Long Stay · 2024Q4-2025Q3 · Q1 11.5% · Q2 11.2% · Q3 0.0% · Q4 0.0% · 4Q avg 5.0% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased 9.0%
15.5%
6.5 pts better
14.9%
5.9 pts better
Long Stay · 2024Q4-2025Q3 · Q1 17.2% · Q2 7.1% · Q3 7.0% · Q4 5.6% · 4Q avg 9.0% · 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 1.3% · Q2 0.0% · Q3 0.0% · Q4 1.2% · 4Q avg 0.6% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence 21.7%
20.8%
0.9 pts worse
19.8%
1.9 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 26.7% · Q2 21.2% · Q3 14.0% · Q4 25.0% · 4Q avg 21.7%
Percentage of long-stay residents with pressure ulcers 4.2%
6.9%
2.7 pts better
5.1%
0.9 pts better
Long Stay · 2024Q4-2025Q3 · Q1 1.2% · Q2 6.1% · Q3 5.9% · Q4 3.4% · 4Q avg 4.2% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine 56.4%
76.7%
20.3 pts worse
81.7%
25.3 pts worse
Short Stay · 2024Q4-2025Q3 · Q1 70.1% · Q2 53.8% · Q3 53.1% · Q4 47.7% · 4Q avg 56.4%
Percentage of short-stay residents who had an outpatient emergency department visit 10.0%
9.7%
0.3 pts worse
12.0%
2 pts better
Short Stay · 20240701-20250630 · Adjusted 10.0% · Observed 9.6% · Expected 10.8% · Used in QM five-star
Percentage of short-stay residents who newly received an antipsychotic medication 3.3%
1.2%
2.1 pts worse
1.6%
1.7 pts worse
Short Stay · 2024Q4-2025Q3 · Q1 2.5% · Q2 5.8% · Q3 2.6% · Q4 2.5% · 4Q avg 3.3% · Used in QM five-star
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine 57.7%
78.8%
21.1 pts worse
79.7%
22 pts worse
Short Stay · 2024Q3-2025Q2 · 4Q avg 57.7%
Percentage of short-stay residents who were rehospitalized after a nursing home admission 24.3%
20.6%
3.7 pts worse
23.9%
0.4 pts worse
Short Stay · 20240701-20250630 · Adjusted 24.3% · Observed 23.5% · Expected 23.0% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2024-09-05 · Fire 2024-09-05

8 health deficiencies

Top issue: Quality of Life and Care (3 deficiencies)

8 fire-safety deficiencies

Top issue: Gas and Vacuum and Electrical Systems (2 deficiencies)

Cycle 2 Health 2022-11-23 · Fire 2022-11-23

6 health deficiencies

Top issue: Quality of Life and Care (3 deficiencies)

3 fire-safety deficiencies

Top issue: Construction (1 deficiency)

Cycle 3 Health 2020-11-17 · Fire 2020-11-17

2 health deficiencies

Top issue: Freedom from Abuse and Neglect and Exploitation (2 deficiencies)

3 fire-safety deficiencies

Top issue: Egress (2 deficiencies)

Fire safety

Fire-safety citations

L · Immediate jeopardy 2025-10-16

K712 · Miscellaneous Deficiencies

Fire Safety

Have simulated fire drills held at unexpected times.

Corrected 2025-11-14

F · Potential for more than minimal harm 2024-09-05

K161 · Construction Deficiencies

Fire Safety

Use approved construction type or materials.

Corrected 2024-11-04

F · Potential for more than minimal harm 2024-09-05

K345 · Smoke Deficiencies

Fire Safety

Have approved installation, maintenance and testing program for fire alarm systems.

Corrected 2024-11-04

F · Potential for more than minimal harm 2024-09-05

K521 · Services Deficiencies

Fire Safety

Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

Corrected 2024-10-16

F · Potential for more than minimal harm 2024-09-05

K531 · Services Deficiencies

Fire Safety

Have elevators that firefighters can control in the event of a fire.

Corrected 2024-11-04

E · Potential for more than minimal harm 2024-09-05

K712 · Miscellaneous Deficiencies

Fire Safety

Have simulated fire drills held at unexpected times.

Corrected 2024-10-30

E · Potential for more than minimal harm 2024-09-05

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have generator or other power source capable of supplying service within 10 seconds.

Corrected 2024-11-06

D · Potential for more than minimal harm 2024-09-05

K911 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Meet requirements for the installation and maintenance of electrical systems.

Corrected 2024-11-04

E · Potential for more than minimal harm 2022-11-23

K161 · Construction Deficiencies

Fire Safety

Use approved construction type or materials.

Corrected 2023-02-13

D · Potential for more than minimal harm 2022-11-23

K351 · Smoke Deficiencies

Fire Safety

Install an approved automatic sprinkler system.

Corrected 2022-12-31

C · Minimal harm 2022-11-23

K225 · Egress Deficiencies

Fire Safety

Have stairways and smokeproof enclosures used as exits that meet safety requirements.

Corrected 2022-12-31

D · Potential for more than minimal harm 2020-11-17

K293 · Egress Deficiencies

Fire Safety

Have properly located and lighted "Exit" signs.

Corrected 2020-12-04

D · Potential for more than minimal harm 2020-11-17

K363 · Smoke Deficiencies

Fire Safety

Install corridor and hallway doors that block smoke.

Corrected 2020-12-04

B · Minimal harm 2020-11-17

K211 · Egress Deficiencies

Fire Safety

Keep aisles, corridors, and exits free of obstruction in case of emergency.

Corrected 2020-11-23

Inspection history

Recent health citations

L · Immediate jeopardy 2024-09-05

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 2024-10-29

E · Potential for more than minimal harm 2024-09-05

F584 · Resident Rights Deficiencies

Health

Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

Corrected 2024-10-29

E · Potential for more than minimal harm 2024-09-05

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 2024-10-29

E · Potential for more than minimal harm 2024-09-05

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 2024-10-29

D · Potential for more than minimal harm 2024-09-05

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 2024-10-29

D · Potential for more than minimal harm 2024-09-05

F684 · Quality of Life and Care Deficiencies

Health

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Corrected 2024-10-29

D · Potential for more than minimal harm 2024-09-05

F692 · Quality of Life and Care Deficiencies

Health

Provide enough food/fluids to maintain a resident's health.

Corrected 2024-10-29

D · Potential for more than minimal harm 2024-09-05

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2024-10-29

J · Immediate jeopardy 2023-12-26

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 2024-02-14

J · Immediate jeopardy 2023-12-26

F610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Respond appropriately to all alleged violations.

Corrected 2024-02-14

G · Actual harm 2022-11-23

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 2023-01-18

E · Potential for more than minimal harm 2022-11-23

F725 · Nursing and Physician Services Deficiencies

Health

Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

Corrected 2023-01-18

D · Potential for more than minimal harm 2022-11-23

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 2023-01-18

D · Potential for more than minimal harm 2022-11-23

F610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Respond appropriately to all alleged violations.

Corrected 2023-01-18

D · Potential for more than minimal harm 2022-11-23

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 2023-01-18

D · Potential for more than minimal harm 2022-11-23

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 2023-01-18

Penalties and ownership

What sits behind the stars

$43,900 2025-10-16

Fine

Fine · fine $43,900

Fine

$41,457 2024-09-05

Fine

Fine · fine $41,457

Fine

$66,618 2023-12-26

Fine

Fine · fine $66,618

Fine

$4,233 2023-12-11

Fine

Fine · fine $4,233

Fine

Ownership

Anreder, Lewis

Operational/Managerial Control · Individual

0% 2 facilities 2025-01-01
Heinemann, Arnold

Corporate Director · Individual

0% 3 facilities 2024-05-08
Kushner, Chaim

Operational/Managerial Control · Individual

0% 1 facilities 2025-01-01
Motechin, Abraham

Corporate Director · Individual

0% 1 facilities 2024-05-28
Scheiner, Moshe

Corporate Director · Individual

0% 6 facilities 2024-05-08

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