St James, NY

St James Rehabilitation & Healthcare Center

4-star overall rating with 3-star inspections with 9 recent health deficiencies with 1 fire-safety deficiencies in the latest cycle

275 Moriches Road, St James, NY

(631) 862-8000

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

230

Certified beds

Average residents

222

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

Carerite Centers

Operator or chain grouping

Approved since

1970-01-29

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Chain footprint

34 facilities

Chain averages 3 overall / 3 health / 2 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

0.55

Registered nurse staffing · state 0.70 · national 0.68

LPN hours / resident day

0.82

Licensed practical nurse staffing · state 0.78 · national 0.87

Aide hours / resident day

2.02

Nurse aide staffing · state 2.20 · national 2.35

Total nurse hours

3.39

All reported nurse hours · state 3.65 · national 3.89

Licensed hours

1.37

RN + LPN hours · state 1.47 · national 1.54

Weekend hours

2.80

Weekend nurse staffing · state 3.16 · national 3.43

Weekend RN hours

0.28

Weekend registered nurse coverage · state 0.47 · national 0.47

Physical therapist

0.11

Reported PT staffing · state 0.11 · national 0.07

Adjusted RN hours

0.51

CMS adjusted RN staffing hours

Adjusted total hours

3.14

CMS adjusted total nurse staffing hours

Case-mix index

1.48

Higher values indicate more complex resident acuity

RN turnover

38%

Annual RN turnover · state 41% · national 45%

Total nurse turnover

25%

Annual nurse turnover · state 41% · national 46%

SNF VBP

Value-based purchasing

Program rank

1,749

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

Performance score

54.21

Composite VBP score used to determine payment impact.

Payment multiplier

1.0091

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

9.36

Baseline 20.85% · Performance 17.09% · Measure score 9.36 · Achievement 9.36 · Improvement 9

Healthcare-associated infections

3

Baseline 8.95% · Performance 7.56% · Measure score 3 · Achievement 0.91 · Improvement 3

Total nurse turnover

9.32

Baseline 26.01% · Performance 25.57% · Measure score 9.32 · Achievement 9.32 · Improvement 3.32

Adjusted total nurse staffing

0

Baseline 3.13 hours · Performance 2.95 hours · Measure score 0 · Achievement 0 · Improvement 0

SNF QRP

Medicare quality reporting measures

Measure	Facility	National	Note
Potentially preventable 30-day readmission	10.22%	10.72% 0.5 pts better	No Different than the National Rate · Eligible stays 601 · Observed rate 8.99% · Lower 95% interval 8.24%
Discharge to community	50.19%	50.57% 0.4 pts worse	No Different than the National Rate · Eligible stays 654 · Observed rate 44.8% · Lower 95% interval 46.64%
Medicare spending per beneficiary	1.32	1.02 0.3 pts worse
Drug regimen review with follow-up	100%	95.27% 4.7 pts better	Numerator 545 · Denominator 545
Falls with major injury	0.55%	0.77% 0.2 pts better	Numerator 3 · Denominator 545
Discharge self-care score	56.76%	53.69% 3.1 pts better	Numerator 214 · Denominator 377
Discharge mobility score	51.46%	50.94% 0.5 pts better	Numerator 194 · Denominator 377
Pressure ulcers or injuries, new or worsened	1.1%	2.29% 1.2 pts better	Numerator 6 · Denominator 545 · Adjusted rate 0.94%
Healthcare-associated infections requiring hospitalization	7.56%	7.12% 0.4 pts worse	No Different than the National Rate · Eligible stays 452 · Observed rate 7.3% · Lower 95% interval 5.73%
Staff COVID-19 vaccination coverage	2.55%	8.2% 5.6 pts worse	Numerator 9 · Denominator 353
Staff flu vaccination coverage	57.73%	42% 15.7 pts better	Numerator 198 · Denominator 343
Discharge function score	53.58%	56.45% 2.9 pts worse	Numerator 202 · Denominator 377
Transfer of health information to provider	100%	95.95% 4 pts better	Numerator 142 · Denominator 142
Transfer of health information to patient	98.86%	96.28% 2.6 pts better	Numerator 261 · Denominator 264
Resident COVID-19 vaccinations up to date	20.13%	25.2% 5.1 pts worse	Numerator 64 · Denominator 318

Quality measures

Resident outcomes and process scores

Measure	Facility	State	National	Note
Number of hospitalizations per 1000 long-stay resident days	1.8	1.7 0.1 pts worse	1.9 0.1 pts better	Long Stay · 20240701-20250630 · Adjusted 1.8 · Observed 1.7 · Expected 1.8 · 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 0.4 · Expected 1.5 · Used in QM five-star
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine	81.1%	91.2% 10.1 pts worse	93.4% 12.3 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 87.4% · Q2 83.8% · Q3 88.8% · Q4 64.2% · 4Q avg 81.1%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine	88.4%	95.3% 6.9 pts worse	95.5% 7.1 pts worse	Long Stay · 2024Q3-2025Q2 · 4Q avg 88.4%
Percentage of long-stay residents experiencing one or more falls with major injury	1.5%	3.0% 1.5 pts better	3.3% 1.8 pts better	Long Stay · 2024Q4-2025Q3 · Q1 2.3% · Q2 2.4% · Q3 1.2% · Q4 0.0% · 4Q avg 1.5% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms	3.6%	18.5% 14.9 pts better	11.4% 7.8 pts better	Long Stay · 2024Q4-2025Q3 · Q1 3.0% · Q2 3.7% · Q3 2.6% · Q4 5.0% · 4Q avg 3.6%
Percentage of long-stay residents who lose too much weight	8.5%	6.1% 2.4 pts worse	5.4% 3.1 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 10.5% · Q2 10.8% · Q3 6.9% · Q4 5.4% · 4Q avg 8.5%
Percentage of long-stay residents who received an antianxiety or hypnotic medication	20.4%	13.5% 6.9 pts worse	19.6% 0.8 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 18.9% · Q2 21.6% · Q3 20.5% · Q4 20.6% · 4Q avg 20.4%
Percentage of long-stay residents who received an antipsychotic medication	11.7%	14.8% 3.1 pts better	16.7% 5 pts better	Long Stay · 2024Q4-2025Q3 · Q1 12.3% · Q2 13.1% · Q3 10.9% · Q4 10.6% · 4Q avg 11.7% · 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	7.9%	15.1% 7.2 pts better	16.3% 8.4 pts better	Long Stay · 2024Q4-2025Q3 · Q1 1.3% · Q2 13.7% · Q3 8.8% · Q4 6.9% · 4Q avg 7.9% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased	11.9%	15.5% 3.6 pts better	14.9% 3 pts better	Long Stay · 2024Q4-2025Q3 · Q1 15.4% · Q2 12.0% · Q3 10.4% · Q4 9.6% · 4Q avg 11.9% · 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	0.8%	1.4% 0.6 pts better	1.7% 0.9 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.6% · Q3 1.3% · Q4 1.3% · 4Q avg 0.8% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence	31.6%	20.8% 10.8 pts worse	19.8% 11.8 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 39.1% · Q2 34.5% · Q3 21.6% · Q4 30.8% · 4Q avg 31.6%
Percentage of long-stay residents with pressure ulcers	4.5%	6.9% 2.4 pts better	5.1% 0.6 pts better	Long Stay · 2024Q4-2025Q3 · Q1 5.1% · Q2 4.3% · Q3 4.2% · Q4 4.5% · 4Q avg 4.5% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine	44.8%	76.7% 31.9 pts worse	81.7% 36.9 pts worse	Short Stay · 2024Q4-2025Q3 · Q1 44.9% · Q2 45.0% · Q3 44.8% · Q4 44.4% · 4Q avg 44.8%
Percentage of short-stay residents who had an outpatient emergency department visit	5.9%	9.7% 3.8 pts better	12.0% 6.1 pts better	Short Stay · 20240701-20250630 · Adjusted 5.9% · Observed 5.7% · Expected 10.8% · 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 1.6% · Q2 0.0% · Q3 0.0% · Q4 1.0% · 4Q avg 0.6% · Used in QM five-star
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine	47.5%	78.8% 31.3 pts worse	79.7% 32.2 pts worse	Short Stay · 2024Q3-2025Q2 · 4Q avg 47.5%
Percentage of short-stay residents who were rehospitalized after a nursing home admission	23.1%	20.6% 2.5 pts worse	23.9% 0.8 pts better	Short Stay · 20240701-20250630 · Adjusted 23.1% · Observed 23.5% · Expected 24.3% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-12-09 · Fire 2025-12-09

9 health deficiencies

Top issue: Nursing and Physician Services (2 deficiencies)

1 fire-safety deficiencies

Top issue: Gas and Vacuum and Electrical Systems (1 deficiency)

Cycle 2 Health 2024-05-09 · Fire 2024-05-09

4 health deficiencies

Top issue: Environmental (1 deficiency)

1 fire-safety deficiencies

Top issue: Miscellaneous (1 deficiency)

Cycle 3 Health 2022-06-27 · Fire 2022-06-27

2 health deficiencies

Top issue: Pharmacy Service (1 deficiency)

0 fire-safety deficiencies

No concentrated fire-safety issue counts in this cycle.

Fire safety

Fire-safety citations

D · Potential for more than minimal harm 2025-12-09

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

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

Corrected 2026-02-04

C · Minimal harm 2024-05-09

K712 · Miscellaneous Deficiencies

Fire Safety

Have simulated fire drills held at unexpected times.

Corrected 2024-05-29

Inspection history

Recent health citations

D · Potential for more than minimal harm 2025-12-09

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 2026-02-04

D · Potential for more than minimal harm 2025-12-09

F658 · Resident Assessment and Care Planning Deficiencies

Health

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

Corrected 2026-02-04

D · Potential for more than minimal harm 2025-12-09

F686 · Quality of Life and Care Deficiencies

Health

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

Corrected 2026-02-04

D · Potential for more than minimal harm 2025-12-09

F710 · Nursing and Physician Services Deficiencies

Health

Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care.

Corrected 2026-02-04

D · Potential for more than minimal harm 2025-12-09

F726 · Nursing and Physician Services Deficiencies

Health

Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.

Corrected 2026-02-04

D · Potential for more than minimal harm 2025-12-09

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 2026-02-04

D · Potential for more than minimal harm 2025-12-09

F808 · Nutrition and Dietary Deficiencies

Health

Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law.

Corrected 2026-02-04

D · Potential for more than minimal harm 2025-12-09

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 2026-02-04

D · Potential for more than minimal harm 2025-12-09

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2026-02-04

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

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 2024-07-05

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

F561 · Resident Rights Deficiencies

Health

Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.

Corrected 2024-07-05

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

F760 · Pharmacy Service Deficiencies

Health

Ensure that residents are free from significant medication errors.

Corrected 2024-07-05

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

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 2024-07-05

D · Potential for more than minimal harm 2022-06-27

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 2022-07-29

D · Potential for more than minimal harm 2022-06-27

F758 · Pharmacy Service Deficiencies

Health

Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

Corrected 2022-07-29

Penalties and ownership