Cycle 1
Health 2025-02-20 · Fire 2025-02-20
3 health deficiencies
Top issue: Quality of Life and Care (3 deficiencies)
1 fire-safety deficiencies
Top issue: Egress (1 deficiency)
Nesconset, NY
The Hamlet Rehabilitation And Healthcare Center At
5-star overall rating with 4-star inspections with $92,770 in total fines with 3 recent health deficiencies with 1 fire-safety deficiencies in the latest cycle
100 Southern Boulevard, Nesconset, NY
(631) 361-8800
Overall
5 / 5
CMS overall stars
Health inspections
4 / 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
240
Certified beds
Average residents
234
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
Carerite Centers
Operator or chain grouping
Approved since
1984-08-06
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
0.54
Registered nurse staffing · state 0.70 · national 0.68
LPN hours / resident day
0.83
Licensed practical nurse staffing · state 0.78 · national 0.87
Aide hours / resident day
1.98
Nurse aide staffing · state 2.20 · national 2.35
Total nurse hours
3.35
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
2.76
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
0.17
Reported PT staffing · state 0.11 · national 0.07
Adjusted RN hours
0.44
CMS adjusted RN staffing hours
Adjusted total hours
2.76
CMS adjusted total nurse staffing hours
Case-mix index
1.66
Higher values indicate more complex resident acuity
RN turnover
41%
Annual RN turnover · state 41% · national 45%
Total nurse turnover
32%
Annual nurse turnover · state 41% · national 46%
SNF VBP
Value-based purchasing
Program rank
1,459
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
56.55
Composite VBP score used to determine payment impact.
Payment multiplier
1.0117
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
10
Baseline 17.32% · Performance 16.84% · Measure score 10 · Achievement 10 · Improvement 9
Healthcare-associated infections
4.77
Baseline 9.78% · Performance 7.26% · Measure score 4.77 · Achievement 1.93 · Improvement 4.77
Total nurse turnover
7.85
Baseline 44.93% · Performance 31.60% · Measure score 7.85 · Achievement 7.85 · Improvement 6.14
Adjusted total nurse staffing
0
Baseline 3.02 hours · Performance 3.01 hours · Measure score 0 · Achievement 0 · Improvement 0
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 11.69% |
10.72%
1 pts worse
|
No Different than the National Rate · Eligible stays 747 · Observed rate 10.84% · Lower 95% interval 9.96% |
| Discharge to community | 57.98% |
50.57%
7.4 pts better
|
Better than the National Rate · Eligible stays 879 · Observed rate 48.58% · Lower 95% interval 55.11% |
| Medicare spending per beneficiary | 1.4 |
1.02
0.4 pts worse
|
|
| Drug regimen review with follow-up | 100% |
95.27%
4.7 pts better
|
Numerator 629 · Denominator 629 |
| Falls with major injury | 0.79% |
0.77%
About the same
|
Numerator 5 · Denominator 629 |
| Discharge self-care score | 68.51% |
53.69%
14.8 pts better
|
Numerator 298 · Denominator 435 |
| Discharge mobility score | 67.59% |
50.94%
16.7 pts better
|
Numerator 294 · Denominator 435 |
| Pressure ulcers or injuries, new or worsened | 1.75% |
2.29%
0.5 pts better
|
Numerator 11 · Denominator 629 · Adjusted rate 1.6% |
| Healthcare-associated infections requiring hospitalization | 7.26% |
7.12%
0.1 pts worse
|
No Different than the National Rate · Eligible stays 586 · Observed rate 7% · Lower 95% interval 5.48% |
| Staff COVID-19 vaccination coverage | 0.64% |
8.2%
7.6 pts worse
|
Numerator 2 · Denominator 314 |
| Staff flu vaccination coverage | 75% |
42%
33 pts better
|
Numerator 270 · Denominator 360 |
| Discharge function score | 65.52% |
56.45%
9.1 pts better
|
Numerator 285 · Denominator 435 |
| Transfer of health information to provider | 99.27% |
95.95%
3.3 pts better
|
Numerator 136 · Denominator 137 |
| Transfer of health information to patient | 99.73% |
96.28%
3.5 pts better
|
Numerator 371 · Denominator 372 |
| Resident COVID-19 vaccinations up to date | 13.29% |
25.2%
11.9 pts worse
|
Numerator 44 · Denominator 331 |
Quality measures
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 0.8 |
1.7
0.9 pts better
|
1.9
1.1 pts better
|
Long Stay · 20240701-20250630 · Adjusted 0.8 · Observed 1.1 · Expected 2.7 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 0.2 |
1.3
1.1 pts better
|
1.8
1.6 pts better
|
Long Stay · 20240701-20250630 · Adjusted 0.2 · Observed 0.3 · Expected 2.0 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 79.1% |
91.2%
12.1 pts worse
|
93.4%
14.3 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 81.0% · Q2 72.0% · Q3 83.1% · Q4 80.7% · 4Q avg 79.1% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 91.0% |
95.3%
4.3 pts worse
|
95.5%
4.5 pts worse
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 91.0% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 5.5% |
3.0%
2.5 pts worse
|
3.3%
2.2 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 5.5% · Q2 4.9% · Q3 6.1% · Q4 5.6% · 4Q avg 5.5% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 5.1% |
18.5%
13.4 pts better
|
11.4%
6.3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 2.0% · Q2 1.3% · Q3 8.2% · Q4 9.2% · 4Q avg 5.1% |
| Percentage of long-stay residents who lose too much weight | 9.1% |
6.1%
3 pts worse
|
5.4%
3.7 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 10.5% · Q2 12.3% · Q3 7.9% · Q4 5.8% · 4Q avg 9.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 29.3% |
13.5%
15.8 pts worse
|
19.6%
9.7 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 32.5% · Q2 32.7% · Q3 28.3% · Q4 23.8% · 4Q avg 29.3% |
| 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 11.1% · Q2 12.0% · Q3 10.2% · Q4 11.5% · 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 | 11.9% |
15.1%
3.2 pts better
|
16.3%
4.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 20.0% · Q2 17.7% · Q3 4.9% · Q4 4.7% · 4Q avg 11.9% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 18.1% |
15.5%
2.6 pts worse
|
14.9%
3.2 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 23.0% · Q2 22.9% · Q3 12.5% · Q4 13.1% · 4Q avg 18.1% · 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 | 0.5% |
1.4%
0.9 pts better
|
1.7%
1.2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 1.3% · Q2 0.0% · Q3 0.7% · Q4 0.0% · 4Q avg 0.5% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 20.1% |
20.8%
0.7 pts better
|
19.8%
0.3 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 21.5% · Q2 21.6% · Q3 15.5% · Q4 21.5% · 4Q avg 20.1% |
| Percentage of long-stay residents with pressure ulcers | 5.1% |
6.9%
1.8 pts better
|
5.1%
About the same
|
Long Stay · 2024Q4-2025Q3 · Q1 4.9% · Q2 6.8% · Q3 4.0% · Q4 4.5% · 4Q avg 5.1% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 48.1% |
76.7%
28.6 pts worse
|
81.7%
33.6 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 57.2% · Q2 52.7% · Q3 44.1% · Q4 38.8% · 4Q avg 48.1% |
| 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 5.1% · Expected 10.9% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 1.0% |
1.2%
0.2 pts better
|
1.6%
0.6 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 0.4% · Q2 0.9% · Q3 1.8% · Q4 0.9% · 4Q avg 1.0% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 55.3% |
78.8%
23.5 pts worse
|
79.7%
24.4 pts worse
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 55.3% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 16.8% |
20.6%
3.8 pts better
|
23.9%
7.1 pts better
|
Short Stay · 20240701-20250630 · Adjusted 16.8% · Observed 17.6% · Expected 25.0% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2023-11-22 · Fire 2023-11-22
5 health deficiencies
Top issue: Resident Assessment and Care Planning (2 deficiencies)
3 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (2 deficiencies)
Cycle 3
Health 2021-07-22 · Fire 2021-07-22
5 health deficiencies
Top issue: Quality of Life and Care (4 deficiencies)
3 fire-safety deficiencies
Top issue: Egress (1 deficiency)
Fire safety
Fire-safety citations
E · Potential for more than minimal harm
2025-02-20
K222 · Egress Deficiencies
Fire Safety
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
Corrected 2025-04-07
E · Potential for more than minimal harm
2023-11-22
K915 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Have proper power supply for life support equipment.
Corrected 2024-01-05
D · Potential for more than minimal harm
2023-11-22
K293 · Egress Deficiencies
Fire Safety
Have properly located and lighted "Exit" signs.
Corrected 2024-01-05
D · Potential for more than minimal harm
2023-11-22
K923 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Have proper medical gas storage and administration areas.
Corrected 2024-01-05
E · Potential for more than minimal harm
2021-07-22
K363 · Smoke Deficiencies
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2021-08-31
D · Potential for more than minimal harm
2021-07-22
K211 · Egress Deficiencies
Fire Safety
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Corrected 2021-08-31
D · Potential for more than minimal harm
2021-07-22
K923 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Have proper medical gas storage and administration areas.
Corrected 2021-08-31
Inspection history
Recent health citations
D · Potential for more than minimal harm
2025-02-20
F686 · Quality of Life and Care Deficiencies
Health
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2025-04-11
D · Potential for more than minimal harm
2025-02-20
F694 · Quality of Life and Care Deficiencies
Health
Provide for the safe, appropriate administration of IV fluids for a resident when needed.
Corrected 2025-04-11
D · Potential for more than minimal harm
2025-02-20
F695 · Quality of Life and Care Deficiencies
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2025-04-11
G · Actual harm
2024-04-05
F600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Health
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2024-05-02
E · Potential for more than minimal harm
2023-11-22
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 2024-01-05
D · Potential for more than minimal harm
2023-11-22
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 2024-01-05
D · Potential for more than minimal harm
2023-11-22
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 2024-01-05
D · Potential for more than minimal harm
2023-11-22
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 2024-01-05
J · Immediate jeopardy
2023-09-08
F684 · Quality of Life and Care Deficiencies
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2023-10-11
D · Potential for more than minimal harm
2021-07-22
F658 · Resident Assessment and Care Planning Deficiencies
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2021-09-10
D · Potential for more than minimal harm
2021-07-22
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 2021-09-10
D · Potential for more than minimal harm
2021-07-22
F677 · Quality of Life and Care Deficiencies
Health
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2021-09-10
D · Potential for more than minimal harm
2021-07-22
F695 · Quality of Life and Care Deficiencies
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2021-09-10
Penalties and ownership
What sits behind the stars
$43,610
2024-04-05
Fine
Fine · fine $43,610
Fine
$49,160
2023-09-08
Fine
Fine · fine $49,160
Fine
Ownership
Einhorn, Neal
5% Or Greater Direct Ownership Interest · Individual
Friedman, Mark
5% Or Greater Direct Ownership Interest · Individual
Zucker, Yossie
5% Or Greater Direct Ownership Interest · Individual
Einhorn, Neal
Corporate Officer · Individual
Friedman, Mark
Corporate Officer · Individual
Goldstein, Avrohom
W-2 Managing Employee · Individual
Rudner, Akiva
5% Or Greater Direct Ownership Interest · Individual
Sax, Steven
5% Or Greater Direct Ownership Interest · Individual
Nearby options
Other facilities in reach
#1
Smithtown Center For Rehabilitation & Nursing Care
Smithtown, NY
4-star overall rating with 3-star inspections with 11 recent health deficiencies with 2 fire-safety deficiencies in the latest cycle
#2
Brookside Multicare Nursing Center
Smithtown, NY
4-star overall rating with 4-star inspections with $3,145 in total fines with 3 recent health deficiencies
#3
St Catherine Of Siena Nrsg And Rehab Care Center
Smithtown, NY
3-star overall rating with 3-star inspections with $64,496 in total fines with 5 recent health deficiencies
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