Smithtown, NY

Smithtown Center For Rehabilitation & Nursing Care

4-star overall rating with 3-star inspections with 11 recent health deficiencies with 2 fire-safety deficiencies in the latest cycle

391 North Country Road, Smithtown, NY

(631) 361-2020

Compare this facility

Overall

4 / 5

CMS overall stars

Health inspections

3 / 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

162

Certified beds

Average residents

160

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

Center Management Group

Operator or chain grouping

Approved since

1992-02-26

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Chain footprint

17 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

Hours and turnover

RN hours / resident day

0.60

Registered nurse staffing · state 0.70 · national 0.68

LPN hours / resident day

0.76

Licensed practical nurse staffing · state 0.78 · national 0.87

Aide hours / resident day

2.07

Nurse aide staffing · state 2.20 · national 2.35

Total nurse hours

3.43

All reported nurse hours · state 3.65 · national 3.89

Licensed hours

1.36

RN + LPN hours · state 1.47 · national 1.54

Weekend hours

3.05

Weekend nurse staffing · state 3.16 · national 3.43

Weekend RN hours

0.39

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

0.43

CMS adjusted RN staffing hours

Adjusted total hours

2.47

CMS adjusted total nurse staffing hours

Case-mix index

1.90

Higher values indicate more complex resident acuity

RN turnover

29%

Annual RN turnover · state 41% · national 45%

Total nurse turnover

33%

Annual nurse turnover · state 41% · national 46%

SNF VBP

Value-based purchasing

Program rank

3,584

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

Performance score

43.66

Composite VBP score used to determine payment impact.

Payment multiplier

0.9967

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

4.27

Baseline 26.75% · Performance 22.11% · Measure score 4.27 · Achievement 0 · Improvement 4.27

Healthcare-associated infections

4.37

Baseline 12.02% · Performance 8.60% · Measure score 4.37 · Achievement 0 · Improvement 4.37

Total nurse turnover

8.82

Baseline 43.31% · Performance 27.61% · Measure score 8.82 · Achievement 8.82 · Improvement 8

Adjusted total nurse staffing

0

Baseline 2.74 hours · Performance 2.75 hours · Measure score 0 · Achievement 0 · Improvement 0

SNF QRP

Medicare quality reporting measures

Measure	Facility	National	Note
Potentially preventable 30-day readmission	10.49%	10.72% 0.2 pts better	No Different than the National Rate · Eligible stays 586 · Observed rate 9.56% · Lower 95% interval 8.36%
Discharge to community	41.61%	50.57% 9 pts worse	Worse than the National Rate · Eligible stays 725 · Observed rate 36% · Lower 95% interval 37.68%
Medicare spending per beneficiary	1.33	1.02 0.3 pts worse
Drug regimen review with follow-up	99.77%	95.27% 4.5 pts better	Numerator 428 · Denominator 429
Falls with major injury	0.93%	0.77% 0.2 pts worse	Numerator 4 · Denominator 429
Discharge self-care score	58.06%	53.69% 4.4 pts better	Numerator 162 · Denominator 279
Discharge mobility score	65.23%	50.94% 14.3 pts better	Numerator 182 · Denominator 279
Pressure ulcers or injuries, new or worsened	0.23%	2.29% 2.1 pts better	Numerator 1 · Denominator 429 · Adjusted rate 0.22%
Healthcare-associated infections requiring hospitalization	8.6%	7.12% 1.5 pts worse	No Different than the National Rate · Eligible stays 387 · Observed rate 9.04% · Lower 95% interval 6.45%
Staff COVID-19 vaccination coverage	0.82%	8.2% 7.4 pts worse	Numerator 2 · Denominator 244
Staff flu vaccination coverage	94.42%	42% 52.4 pts better	Numerator 254 · Denominator 269
Discharge function score	59.86%	56.45% 3.4 pts better	Numerator 167 · Denominator 279
Transfer of health information to provider	99.2%	95.95% 3.2 pts better	Numerator 124 · Denominator 125
Transfer of health information to patient	98.12%	96.28% 1.8 pts better	Numerator 209 · Denominator 213
Resident COVID-19 vaccinations up to date	93.67%	25.2% 68.5 pts better	Numerator 207 · Denominator 221

Quality measures

Resident outcomes and process scores

Measure	Facility	State	National	Note
Number of hospitalizations per 1000 long-stay resident days	1.7	1.7 About the same	1.9 0.2 pts better	Long Stay · 20240701-20250630 · Adjusted 1.7 · Observed 1.8 · Expected 2.0 · Used in QM five-star
Number of outpatient emergency department visits per 1000 long-stay resident days	0.3	1.3 1 pts better	1.8 1.5 pts better	Long Stay · 20240701-20250630 · Adjusted 0.3 · Observed 0.3 · Expected 1.6 · Used in QM five-star
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine	98.7%	91.2% 7.5 pts better	93.4% 5.3 pts better	Long Stay · 2024Q4-2025Q3 · Q1 97.4% · Q2 98.3% · Q3 99.1% · Q4 100.0% · 4Q avg 98.7%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine	97.7%	95.3% 2.4 pts better	95.5% 2.2 pts better	Long Stay · 2024Q3-2025Q2 · 4Q avg 97.7%
Percentage of long-stay residents experiencing one or more falls with major injury	4.2%	3.0% 1.2 pts worse	3.3% 0.9 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 4.3% · Q2 4.3% · Q3 5.5% · Q4 2.6% · 4Q avg 4.2% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms	89.6%	18.5% 71.1 pts worse	11.4% 78.2 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 90.2% · Q2 85.6% · Q3 90.1% · Q4 92.7% · 4Q avg 89.6%
Percentage of long-stay residents who lose too much weight	4.1%	6.1% 2 pts better	5.4% 1.3 pts better	Long Stay · 2024Q4-2025Q3 · Q1 6.2% · Q2 3.5% · Q3 2.9% · Q4 3.5% · 4Q avg 4.1%
Percentage of long-stay residents who received an antianxiety or hypnotic medication	24.3%	13.5% 10.8 pts worse	19.6% 4.7 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 19.1% · Q2 23.3% · Q3 27.4% · Q4 27.8% · 4Q avg 24.3%
Percentage of long-stay residents who received an antipsychotic medication	4.5%	14.8% 10.3 pts better	16.7% 12.2 pts better	Long Stay · 2024Q4-2025Q3 · Q1 6.2% · Q2 4.4% · Q3 4.5% · Q4 2.6% · 4Q avg 4.5% · 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 6.9% · Q2 5.9% · Q3 8.0% · Q4 7.4% · 4Q avg 7.0% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased	9.8%	15.5% 5.7 pts better	14.9% 5.1 pts better	Long Stay · 2024Q4-2025Q3 · Q1 7.5% · Q2 7.2% · Q3 9.9% · Q4 14.8% · 4Q avg 9.8% · 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	0.2%	1.4% 1.2 pts better	1.7% 1.5 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.9% · 4Q avg 0.2% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence	6.0%	20.8% 14.8 pts better	19.8% 13.8 pts better	Long Stay · 2024Q4-2025Q3 · Q1 6.7% · Q2 3.6% · Q3 5.7% · Q4 8.1% · 4Q avg 6.0%
Percentage of long-stay residents with pressure ulcers	4.1%	6.9% 2.8 pts better	5.1% 1 pts better	Long Stay · 2024Q4-2025Q3 · Q1 4.0% · Q2 4.3% · Q3 3.1% · Q4 4.9% · 4Q avg 4.1% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine	85.7%	76.7% 9 pts better	81.7% 4 pts better	Short Stay · 2024Q4-2025Q3 · Q1 87.9% · Q2 91.1% · Q3 88.7% · Q4 75.1% · 4Q avg 85.7%
Percentage of short-stay residents who had an outpatient emergency department visit	7.0%	9.7% 2.7 pts better	12.0% 5 pts better	Short Stay · 20240701-20250630 · Adjusted 7.0% · Observed 6.7% · Expected 10.7% · Used in QM five-star
Percentage of short-stay residents who newly received an antipsychotic medication	1.4%	1.2% 0.2 pts worse	1.6% 0.2 pts better	Short Stay · 2024Q4-2025Q3 · Q1 0.6% · Q2 0.0% · Q3 1.9% · Q4 3.1% · 4Q avg 1.4% · Used in QM five-star
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine	92.9%	78.8% 14.1 pts better	79.7% 13.2 pts better	Short Stay · 2024Q3-2025Q2 · 4Q avg 92.9%
Percentage of short-stay residents who were rehospitalized after a nursing home admission	23.5%	20.6% 2.9 pts worse	23.9% 0.4 pts better	Short Stay · 20240701-20250630 · Adjusted 23.5% · Observed 24.7% · Expected 25.1% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-04-29 · Fire 2025-04-29

11 health deficiencies

Top issue: Resident Assessment and Care Planning (4 deficiencies)

2 fire-safety deficiencies

Top issue: Egress (1 deficiency)

Cycle 2 Health 2024-02-27 · Fire 2024-02-27

2 health deficiencies

Top issue: Infection Control (1 deficiency)

7 fire-safety deficiencies

Top issue: Gas and Vacuum and Electrical Systems (4 deficiencies)

Cycle 3 Health 2022-04-22 · Fire 2022-04-22

5 health deficiencies

Top issue: Freedom from Abuse and Neglect and Exploitation (1 deficiency)

3 fire-safety deficiencies

Top issue: Smoke (2 deficiencies)

Fire safety

Fire-safety citations

E · Potential for more than minimal harm 2025-04-29

K281 · Egress Deficiencies

Fire Safety

Install proper backup exit lighting.

Corrected 2025-05-01

D · Potential for more than minimal harm 2025-04-29

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2025-06-06

E · Potential for more than minimal harm 2024-02-27

E15 · Emergency Preparedness Deficiencies

Fire Safety

Address subsistence needs for staff and patients.

Corrected 2024-04-12

D · Potential for more than minimal harm 2024-02-27

K291 · Egress Deficiencies

Fire Safety

Install emergency lighting that can last at least 1 1/2 hours.

Corrected 2024-04-01

D · Potential for more than minimal harm 2024-02-27

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2024-04-01

D · Potential for more than minimal harm 2024-02-27

K908 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure gas and vacuum systems are inspected and tested as part of a maintenance program.

Corrected 2024-04-01

D · Potential for more than minimal harm 2024-02-27

K911 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Meet requirements for the installation and maintenance of electrical systems.

Corrected 2024-04-01

D · Potential for more than minimal harm 2024-02-27

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

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

Corrected 2024-04-01

D · Potential for more than minimal harm 2024-02-27

K919 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Meet requirements for the use of electrical equipment.

Corrected 2024-04-01

D · Potential for more than minimal harm 2022-04-22

K324 · Smoke Deficiencies

Fire Safety

Provide properly protected cooking facilities.

Corrected 2022-05-30

D · Potential for more than minimal harm 2022-04-22

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2022-05-30

D · Potential for more than minimal harm 2022-04-22

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

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

Corrected 2022-05-30

Inspection history

Recent health citations

D · Potential for more than minimal harm 2026-01-23

F580 · Resident Rights Deficiencies

Health

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Corrected 2026-03-09

D · Potential for more than minimal harm 2026-01-23

F641 · Resident Assessment and Care Planning Deficiencies

Health

Ensure each resident receives an accurate assessment.

Corrected 2026-03-09

D · Potential for more than minimal harm 2026-01-23

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 2026-03-09

D · Potential for more than minimal harm 2025-04-29

F554 · Resident Rights Deficiencies

Health

Allow residents to self-administer drugs if determined clinically appropriate.

Corrected 2025-06-27

D · Potential for more than minimal harm 2025-04-29

F645 · Resident Assessment and Care Planning Deficiencies

Health

PASARR screening for Mental disorders or Intellectual Disabilities

Corrected 2025-06-27

D · Potential for more than minimal harm 2025-04-29

F658 · Resident Assessment and Care Planning Deficiencies

Health

Ensure services provided by the nursing facility meet professional standards of quality.

Corrected 2025-06-27

D · Potential for more than minimal harm 2025-04-29

F686 · Quality of Life and Care Deficiencies

Health

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Corrected 2025-06-27

D · Potential for more than minimal harm 2025-04-29

F695 · Quality of Life and Care Deficiencies

Health

Provide safe and appropriate respiratory care for a resident when needed.

Corrected 2025-06-27

D · Potential for more than minimal harm 2025-04-29

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 2025-06-27

D · Potential for more than minimal harm 2025-04-29

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 2025-06-27

D · Potential for more than minimal harm 2025-04-29

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2025-06-27

D · Potential for more than minimal harm 2024-02-27

F711 · Nursing and Physician Services Deficiencies

Health

Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit.

Corrected 2024-04-12

D · Potential for more than minimal harm 2024-02-27

F881 · Infection Control Deficiencies

Health

Implement a program that monitors antibiotic use.

Corrected 2024-04-12

D · Potential for more than minimal harm 2023-04-04

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 2023-05-26

D · Potential for more than minimal harm 2022-04-22

F583 · Resident Rights Deficiencies

Health

Keep residents' personal and medical records private and confidential.

Corrected 2022-06-17

D · Potential for more than minimal harm 2022-04-22

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 2022-06-17

D · Potential for more than minimal harm 2022-04-22

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 2022-06-17

D · Potential for more than minimal harm 2022-04-22

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 2022-06-17

Penalties and ownership