Cycle 1
Health 2024-03-21 · Fire 2024-03-21
10 health deficiencies
Top issue: Quality of Life and Care (5 deficiencies)
11 fire-safety deficiencies
Top issue: Smoke (4 deficiencies)
Roslyn Heights, NY
Sunharbor Manor
2-star overall rating with 2-star inspections with 10 recent health deficiencies with 11 fire-safety deficiencies in the latest cycle
255 Warner Avenue, Roslyn Heights, NY
(516) 621-5400
Overall
2 / 5
CMS overall stars
Health inspections
2 / 5
Survey and complaint cycles
Staffing
3 / 5
RN + nurse staffing
Quality measures
3 / 5
Resident outcomes and process measures
Quick facts
Facility snapshot
Beds
266
Certified beds
Average residents
246
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
The Sherman Family
Operator or chain grouping
Approved since
1975-07-15
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Chain footprint
7 facilities
Chain averages 2 overall / 2 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
0.54
Registered nurse staffing · state 0.70 · national 0.68
LPN hours / resident day
0.91
Licensed practical nurse staffing · state 0.78 · national 0.87
Aide hours / resident day
2.11
Nurse aide staffing · state 2.20 · national 2.35
Total nurse hours
3.56
All reported nurse hours · state 3.65 · national 3.89
Licensed hours
1.45
RN + LPN hours · state 1.47 · national 1.54
Weekend hours
3.16
Weekend nurse staffing · state 3.16 · national 3.43
Weekend RN hours
0.40
Weekend registered nurse coverage · state 0.47 · national 0.47
Physical therapist
0.13
Reported PT staffing · state 0.11 · national 0.07
Adjusted RN hours
0.49
CMS adjusted RN staffing hours
Adjusted total hours
3.26
CMS adjusted total nurse staffing hours
Case-mix index
1.49
Higher values indicate more complex resident acuity
RN turnover
25%
Annual RN turnover · state 41% · national 45%
Total nurse turnover
31%
Annual nurse turnover · state 41% · national 46%
SNF VBP
Value-based purchasing
Program rank
9,789
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
22.54
Composite VBP score used to determine payment impact.
Payment multiplier
0.9829
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
0
Baseline 17.51% · Performance 22.33% · Measure score 0 · Achievement 0 · Improvement 0
Healthcare-associated infections
0
Baseline 7.96% · Performance 9.64% · Measure score 0 · Achievement 0 · Improvement 0
Total nurse turnover
8.45
Performance 29.13% · Measure score 8.45 · Achievement 8.45 · This facility did not have sufficient data to calculate a baseline period measure result.
Adjusted total nurse staffing
0.56
Baseline 2.79 hours · Performance 3.11 hours · Measure score 0.56 · Achievement 0 · Improvement 0.56
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 10.96% |
10.72%
0.2 pts worse
|
No Different than the National Rate · Eligible stays 437 · Observed rate 10.3% · Lower 95% interval 8.65% |
| Discharge to community | 38.2% |
50.57%
12.4 pts worse
|
Worse than the National Rate · Eligible stays 522 · Observed rate 33.91% · Lower 95% interval 33.76% |
| Medicare spending per beneficiary | 1.41 |
1.02
0.4 pts worse
|
|
| Drug regimen review with follow-up | 97.29% |
95.27%
2 pts better
|
Numerator 431 · Denominator 443 |
| Falls with major injury | 0.45% |
0.77%
0.3 pts better
|
Numerator 2 · Denominator 443 |
| Discharge self-care score | 67.99% |
53.69%
14.3 pts better
|
Numerator 189 · Denominator 278 |
| Discharge mobility score | 71.94% |
50.94%
21 pts better
|
Numerator 200 · Denominator 278 |
| Pressure ulcers or injuries, new or worsened | 2.71% |
2.29%
0.4 pts worse
|
Numerator 12 · Denominator 443 · Adjusted rate 1.62% |
| Healthcare-associated infections requiring hospitalization | 9.64% |
7.12%
2.5 pts worse
|
No Different than the National Rate · Eligible stays 351 · Observed rate 10.83% · Lower 95% interval 6.7% |
| Staff COVID-19 vaccination coverage | 100% |
8.2%
91.8 pts better
|
Numerator 279 · Denominator 279 |
| Staff flu vaccination coverage | 79.87% |
42%
37.9 pts better
|
Numerator 238 · Denominator 298 |
| Discharge function score | 69.78% |
56.45%
13.3 pts better
|
Numerator 194 · Denominator 278 |
| Transfer of health information to provider | 99.37% |
95.95%
3.4 pts better
|
Numerator 158 · Denominator 159 |
| Transfer of health information to patient | 100% |
96.28%
3.7 pts better
|
Numerator 176 · Denominator 176 |
| Resident COVID-19 vaccinations up to date | 46.46% |
25.2%
21.3 pts better
|
Numerator 105 · Denominator 226 |
Quality measures
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 3.3 |
1.7
1.6 pts worse
|
1.9
1.4 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 3.3 · Observed 4.7 · Expected 2.7 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 0.7 |
1.3
0.6 pts better
|
1.8
1.1 pts better
|
Long Stay · 20240701-20250630 · Adjusted 0.7 · Observed 0.8 · Expected 2.0 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 98.6% |
91.2%
7.4 pts better
|
93.4%
5.2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 98.5% · Q2 97.1% · Q3 99.1% · Q4 99.5% · 4Q avg 98.6% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 98.2% |
95.3%
2.9 pts better
|
95.5%
2.7 pts better
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 98.2% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 3.0% |
3.0%
About the same
|
3.3%
0.3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 2.4% · Q2 2.9% · Q3 3.3% · Q4 3.2% · 4Q avg 3.0% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 63.0% |
18.5%
44.5 pts worse
|
11.4%
51.6 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 70.7% · Q2 73.4% · Q3 63.3% · Q4 45.3% · 4Q avg 63.0% |
| Percentage of long-stay residents who lose too much weight | 4.6% |
6.1%
1.5 pts better
|
5.4%
0.8 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 4.5% · Q2 5.0% · Q3 4.3% · Q4 4.6% · 4Q avg 4.6% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 9.6% |
13.5%
3.9 pts better
|
19.6%
10 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 9.6% · Q2 8.0% · Q3 10.2% · Q4 10.4% · 4Q avg 9.6% |
| Percentage of long-stay residents who received an antipsychotic medication | 15.2% |
14.8%
0.4 pts worse
|
16.7%
1.5 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 12.4% · Q2 17.5% · Q3 15.2% · Q4 15.5% · 4Q avg 15.2% · 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 | 32.7% |
15.1%
17.6 pts worse
|
16.3%
16.4 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 39.6% · Q2 33.8% · Q3 24.0% · Q4 32.9% · 4Q avg 32.7% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 28.5% |
15.5%
13 pts worse
|
14.9%
13.6 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 32.4% · Q2 28.9% · Q3 23.5% · Q4 29.5% · 4Q avg 28.5% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 1.1% |
0.6%
0.5 pts worse
|
1.0%
0.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 2.8% · Q2 1.3% · Q3 0.0% · Q4 0.3% · 4Q avg 1.1% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 4.6% |
1.4%
3.2 pts worse
|
1.7%
2.9 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 2.0% · Q2 7.5% · Q3 4.5% · Q4 4.2% · 4Q avg 4.6% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 22.3% |
20.8%
1.5 pts worse
|
19.8%
2.5 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 24.0% · Q2 25.6% · Q3 19.7% · Q4 20.1% · 4Q avg 22.3% |
| Percentage of long-stay residents with pressure ulcers | 7.3% |
6.9%
0.4 pts worse
|
5.1%
2.2 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 9.5% · Q2 6.6% · Q3 7.1% · Q4 6.1% · 4Q avg 7.3% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 91.3% |
76.7%
14.6 pts better
|
81.7%
9.6 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 88.2% · Q2 91.6% · Q3 92.9% · Q4 93.1% · 4Q avg 91.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 5.3% |
9.7%
4.4 pts better
|
12.0%
6.7 pts better
|
Short Stay · 20240701-20250630 · Adjusted 5.3% · Observed 5.2% · Expected 10.9% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 1.7% |
1.2%
0.5 pts worse
|
1.6%
0.1 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 0.6% · Q2 1.9% · Q3 2.8% · Q4 1.6% · 4Q avg 1.7% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 95.0% |
78.8%
16.2 pts better
|
79.7%
15.3 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 95.0% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 29.1% |
20.6%
8.5 pts worse
|
23.9%
5.2 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 29.1% · Observed 32.6% · Expected 26.7% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2022-05-25 · Fire 2022-05-25
8 health deficiencies
Top issue: Nursing and Physician Services (2 deficiencies)
4 fire-safety deficiencies
Top issue: Construction (1 deficiency)
Cycle 3
Health 2019-11-05 · Fire 2019-11-05
9 health deficiencies
Top issue: Resident Assessment and Care Planning (3 deficiencies)
6 fire-safety deficiencies
Top issue: Smoke (2 deficiencies)
Fire safety
Fire-safety citations
F · Potential for more than minimal harm
2024-03-21
K161 · Construction Deficiencies
Fire Safety
Use approved construction type or materials.
Corrected 2024-05-14
F · Potential for more than minimal harm
2024-03-21
K711 · Miscellaneous Deficiencies
Fire Safety
Provide a written emergency evacuation plan.
Corrected 2024-05-14
E · Potential for more than minimal harm
2024-03-21
K225 · Egress Deficiencies
Fire Safety
Have stairways and smokeproof enclosures used as exits that meet safety requirements.
Corrected 2024-05-14
E · Potential for more than minimal harm
2024-03-21
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 2024-05-14
E · Potential for more than minimal harm
2024-03-21
K353 · Smoke Deficiencies
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2024-05-14
E · Potential for more than minimal harm
2024-03-21
K761 · Miscellaneous Deficiencies
Fire Safety
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Corrected 2024-05-14
D · Potential for more than minimal harm
2024-03-21
K271 · Egress Deficiencies
Fire Safety
Have exits that are accessible at all times.
Corrected 2024-05-14
D · Potential for more than minimal harm
2024-03-21
K324 · Smoke Deficiencies
Fire Safety
Provide properly protected cooking facilities.
Corrected 2024-05-14
D · Potential for more than minimal harm
2024-03-21
K331 · Smoke Deficiencies
Fire Safety
Construct fire resistant interior walls.
Corrected 2024-05-14
D · Potential for more than minimal harm
2024-03-21
K901 · Electrical Deficiencies
Fire Safety
Ensure that building systems meet requirements determined by risk assessment procedures performed by qualified personnel.
Corrected 2024-05-14
D · Potential for more than minimal harm
2024-03-21
K918 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2024-05-14
F · Potential for more than minimal harm
2022-05-25
K161 · Construction Deficiencies
Fire Safety
Use approved construction type or materials.
Corrected 2022-10-28
E · Potential for more than minimal harm
2022-05-25
K211 · Egress Deficiencies
Fire Safety
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Corrected 2022-06-14
E · Potential for more than minimal harm
2022-05-25
K351 · Smoke Deficiencies
Fire Safety
Install an approved automatic sprinkler system.
Corrected 2022-06-14
D · Potential for more than minimal harm
2022-05-25
K531 · Services Deficiencies
Fire Safety
Have elevators that firefighters can control in the event of a fire.
Corrected 2022-06-14
C · Minimal harm
2019-11-05
K353 · Smoke Deficiencies
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2019-12-26
C · Minimal harm
2019-11-05
K712 · Miscellaneous Deficiencies
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2019-12-26
C · Minimal harm
2019-11-05
K918 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2019-12-26
B · Minimal harm
2019-11-05
K161 · Construction Deficiencies
Fire Safety
Use approved construction type or materials.
Corrected 2019-12-26
B · Minimal harm
2019-11-05
K271 · Egress Deficiencies
Fire Safety
Have exits that are accessible at all times.
Corrected 2019-12-26
B · Minimal harm
2019-11-05
K372 · Smoke Deficiencies
Fire Safety
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected 2019-12-26
Inspection history
Recent health citations
D · Potential for more than minimal harm
2024-03-21
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 2024-05-07
D · Potential for more than minimal harm
2024-03-21
F660 · Resident Assessment and Care Planning Deficiencies
Health
Plan the resident's discharge to meet the resident's goals and needs.
Corrected 2024-05-07
D · Potential for more than minimal harm
2024-03-21
F685 · Quality of Life and Care Deficiencies
Health
Assist a resident in gaining access to vision and hearing services.
Corrected 2024-05-07
D · Potential for more than minimal harm
2024-03-21
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 2024-05-07
D · Potential for more than minimal harm
2024-03-21
F693 · Quality of Life and Care Deficiencies
Health
Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
Corrected 2024-05-07
D · Potential for more than minimal harm
2024-03-21
F694 · Quality of Life and Care Deficiencies
Health
Provide for the safe, appropriate administration of IV fluids for a resident when needed.
Corrected 2024-05-07
D · Potential for more than minimal harm
2024-03-21
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 2024-05-07
D · Potential for more than minimal harm
2024-03-21
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 2024-05-07
D · Potential for more than minimal harm
2024-03-21
F791 · Quality of Life and Care Deficiencies
Health
Provide or obtain dental services for each resident.
Corrected 2024-05-07
D · Potential for more than minimal harm
2024-03-21
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2024-05-07
E · Potential for more than minimal harm
2022-05-25
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 2022-07-21
E · Potential for more than minimal harm
2022-05-25
F888 · Infection Control Deficiencies
Health
Ensure staff are vaccinated for COVID-19
Corrected 2022-07-21
D · Potential for more than minimal harm
2022-05-25
F610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Health
Respond appropriately to all alleged violations.
Corrected 2022-07-21
D · Potential for more than minimal harm
2022-05-25
F658 · Resident Assessment and Care Planning Deficiencies
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2022-07-21
D · Potential for more than minimal harm
2022-05-25
F686 · Quality of Life and Care Deficiencies
Health
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2022-07-21
D · Potential for more than minimal harm
2022-05-25
F759 · Pharmacy Service Deficiencies
Health
Ensure medication error rates are not 5 percent or greater.
Corrected 2022-07-21
D · Potential for more than minimal harm
2022-05-25
F760 · Pharmacy Service Deficiencies
Health
Ensure that residents are free from significant medication errors.
Corrected 2022-07-21
B · Minimal harm
2022-05-25
F732 · Nursing and Physician Services Deficiencies
Health
Post nurse staffing information every day.
Corrected 2022-07-21
D · Potential for more than minimal harm
2019-11-05
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 2019-12-19
D · Potential for more than minimal harm
2019-11-05
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 2019-12-19
D · Potential for more than minimal harm
2019-11-05
F692 · Quality of Life and Care Deficiencies
Health
Provide enough food/fluids to maintain a resident's health.
Corrected 2019-12-19
D · Potential for more than minimal harm
2019-11-05
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 2019-12-19
D · Potential for more than minimal harm
2019-11-05
F756 · Pharmacy Service Deficiencies
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 2019-12-19
D · Potential for more than minimal harm
2019-11-05
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 2019-12-19
D · Potential for more than minimal harm
2019-11-05
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2019-12-19
C · Minimal harm
2019-11-05
F813 · Nutrition and Dietary Deficiencies
Health
Have a policy regarding use and storage of foods brought to residents by family and other visitors.
Corrected 2019-12-19
B · Minimal harm
2019-11-05
F640 · Resident Assessment and Care Planning Deficiencies
Health
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
Corrected 2019-12-19
Penalties and ownership
What sits behind the stars
Ownership
Sherman, Israel
5% Or Greater Direct Ownership Interest · Individual
Sherman, Samuel
5% Or Greater Direct Ownership Interest · Individual
Aryeh, Elliot
W-2 Managing Employee · Individual
Sherman, Samuel
Operational/Managerial Control · Individual
Nearby options
Other facilities in reach
#1
Northwell Health Stern Family Center For Rehab
Manhasset, NY
5-star overall rating with 3-star inspections with 8 recent health deficiencies
#2
Highfield Gardens Care Center Of Great Neck
Great Neck, NY
4-star overall rating with 3-star inspections with $4,922 in total fines with 8 recent health deficiencies with 3 fire-safety deficiencies in the latest cycle
#3
The Grand Rehabilitation And Nursing At Great Neck
Great Neck, NY
2-star overall rating with 1-star inspections with 8 recent health deficiencies with 4 fire-safety deficiencies in the latest cycle
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