Cycle 1
Health 2025-08-11 · Fire 2025-08-11
9 health deficiencies
Top issue: Quality of Life and Care (3 deficiencies)
2 fire-safety deficiencies
Top issue: Construction (1 deficiency)
Port Jefferson, NY
Waters Edge At Port Jefferson For Rehab And Nrsg
2-star overall rating with 1-star inspections with $153,911 in total fines with 9 recent health deficiencies with 2 fire-safety deficiencies in the latest cycle
150 Dark Hollow Road, Port Jefferson, NY
(631) 473-5400
Overall
2 / 5
CMS overall stars
Health inspections
1 / 5
Survey and complaint cycles
Staffing
1 / 5
RN + nurse staffing
Quality measures
5 / 5
Resident outcomes and process measures
Quick facts
Facility snapshot
Beds
120
Certified beds
Average residents
105
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
Carerite Centers
Operator or chain grouping
Approved since
1974-12-01
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
0.84
Licensed practical nurse staffing · state 0.78 · national 0.87
Aide hours / resident day
1.94
Nurse aide staffing · state 2.20 · national 2.35
Total nurse hours
3.32
All reported nurse hours · state 3.65 · national 3.89
Licensed hours
1.38
RN + LPN hours · state 1.47 · national 1.54
Weekend hours
3.01
Weekend nurse staffing · state 3.16 · national 3.43
Weekend RN hours
0.31
Weekend registered nurse coverage · state 0.47 · national 0.47
Physical therapist
0.08
Reported PT staffing · state 0.11 · national 0.07
Adjusted RN hours
0.44
CMS adjusted RN staffing hours
Adjusted total hours
2.73
CMS adjusted total nurse staffing hours
Case-mix index
1.66
Higher values indicate more complex resident acuity
RN turnover
59%
Annual RN turnover · state 41% · national 45%
Total nurse turnover
52%
Annual nurse turnover · state 41% · national 46%
SNF VBP
Value-based purchasing
Program rank
8,313
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
27.16
Composite VBP score used to determine payment impact.
Payment multiplier
0.9844
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
4.49
Baseline 18.36% · Performance 19.35% · Measure score 4.49 · Achievement 4.49 · Improvement 0
Healthcare-associated infections
1.94
Baseline 8.88% · Performance 7.94% · Measure score 1.94 · Achievement 0 · Improvement 1.94
Total nurse turnover
4.44
Baseline 52.00% · Performance 45.54% · Measure score 4.44 · Achievement 4.44 · Improvement 1.88
Adjusted total nurse staffing
0
Baseline 3.01 hours · Performance 2.68 hours · Measure score 0 · Achievement 0 · Improvement 0
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 13.63% |
10.72%
2.9 pts worse
|
Worse than the National Rate · Eligible stays 307 · Observed rate 14.98% · Lower 95% interval 10.85% |
| Discharge to community | 58.02% |
50.57%
7.5 pts better
|
Better than the National Rate · Eligible stays 318 · Observed rate 50.94% · Lower 95% interval 52.14% |
| Medicare spending per beneficiary | 1.34 |
1.02
0.3 pts worse
|
|
| Drug regimen review with follow-up | 100% |
95.27%
4.7 pts better
|
Numerator 253 · Denominator 253 |
| Falls with major injury | 1.98% |
0.77%
1.2 pts worse
|
Numerator 5 · Denominator 253 |
| Discharge self-care score | 67.06% |
53.69%
13.4 pts better
|
Numerator 114 · Denominator 170 |
| Discharge mobility score | 64.12% |
50.94%
13.2 pts better
|
Numerator 109 · Denominator 170 |
| Pressure ulcers or injuries, new or worsened | 3.16% |
2.29%
0.9 pts worse
|
Numerator 8 · Denominator 253 · Adjusted rate 3.55% |
| Healthcare-associated infections requiring hospitalization | 7.94% |
7.12%
0.8 pts worse
|
No Different than the National Rate · Eligible stays 226 · Observed rate 8.85% · Lower 95% interval 5.3% |
| Staff COVID-19 vaccination coverage | 1.94% |
8.2%
6.3 pts worse
|
Numerator 3 · Denominator 155 |
| Staff flu vaccination coverage | 76.09% |
42%
34.1 pts better
|
Numerator 175 · Denominator 230 |
| Discharge function score | 68.82% |
56.45%
12.4 pts better
|
Numerator 117 · Denominator 170 |
| Transfer of health information to provider | 100% |
95.95%
4 pts better
|
Numerator 70 · Denominator 70 |
| Transfer of health information to patient | 99.32% |
96.28%
3 pts better
|
Numerator 147 · Denominator 148 |
| Resident COVID-19 vaccinations up to date | 17.93% |
25.2%
7.3 pts worse
|
Numerator 26 · Denominator 145 |
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 2.1 · Expected 2.4 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 1.0 |
1.3
0.3 pts better
|
1.8
0.8 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.0 · Observed 1.1 · Expected 1.8 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 99.0% |
91.2%
7.8 pts better
|
93.4%
5.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 98.7% · Q2 100.0% · Q3 97.5% · Q4 100.0% · 4Q avg 99.0% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 96.4% |
95.3%
1.1 pts better
|
95.5%
0.9 pts better
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 96.4% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 3.2% |
3.0%
0.2 pts worse
|
3.3%
0.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 2.6% · Q2 3.9% · Q3 3.7% · Q4 2.6% · 4Q avg 3.2% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 4.5% |
18.5%
14 pts better
|
11.4%
6.9 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 5.8% · Q2 5.4% · Q3 3.9% · Q4 2.9% · 4Q avg 4.5% |
| Percentage of long-stay residents who lose too much weight | 8.6% |
6.1%
2.5 pts worse
|
5.4%
3.2 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 3.9% · Q2 6.7% · Q3 10.5% · Q4 13.7% · 4Q avg 8.6% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 23.6% |
13.5%
10.1 pts worse
|
19.6%
4 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 26.0% · Q2 21.1% · Q3 22.5% · Q4 25.0% · 4Q avg 23.6% |
| Percentage of long-stay residents who received an antipsychotic medication | 9.3% |
14.8%
5.5 pts better
|
16.7%
7.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 9.4% · Q2 9.8% · Q3 8.6% · Q4 9.5% · 4Q avg 9.3% · 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 | 7.8% |
15.1%
7.3 pts better
|
16.3%
8.5 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 9.6% · Q2 5.9% · Q3 2.5% · Q4 13.6% · 4Q avg 7.8% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 12.9% |
15.5%
2.6 pts better
|
14.9%
2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 10.3% · Q2 11.8% · Q3 5.5% · Q4 24.3% · 4Q avg 12.9% · 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 | 0.0% |
1.4%
1.4 pts better
|
1.7%
1.7 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 new or worsened bowel or bladder incontinence | 30.6% |
20.8%
9.8 pts worse
|
19.8%
10.8 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 36.4% · Q2 28.4% · Q3 29.0% · Q4 28.8% · 4Q avg 30.6% |
| Percentage of long-stay residents with pressure ulcers | 9.8% |
6.9%
2.9 pts worse
|
5.1%
4.7 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 7.0% · Q2 6.9% · Q3 13.0% · Q4 12.2% · 4Q avg 9.8% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 92.1% |
76.7%
15.4 pts better
|
81.7%
10.4 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 94.1% · Q2 92.1% · Q3 92.3% · Q4 89.7% · 4Q avg 92.1% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 4.2% |
9.7%
5.5 pts better
|
12.0%
7.8 pts better
|
Short Stay · 20240701-20250630 · Adjusted 4.2% · Observed 4.7% · Expected 12.5% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 0.0% |
1.2%
1.2 pts better
|
1.6%
1.6 pts better
|
Short 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 short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 80.0% |
78.8%
1.2 pts better
|
79.7%
0.3 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 80.0% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 22.9% |
20.6%
2.3 pts worse
|
23.9%
1 pts better
|
Short Stay · 20240701-20250630 · Adjusted 22.9% · Observed 25.9% · Expected 27.0% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2024-02-15 · Fire 2024-02-15
8 health deficiencies
Top issue: Quality of Life and Care (3 deficiencies)
9 fire-safety deficiencies
Top issue: Smoke (4 deficiencies)
Cycle 3
Health 2022-02-28 · Fire 2022-02-28
9 health deficiencies
Top issue: Quality of Life and Care (3 deficiencies)
2 fire-safety deficiencies
Top issue: Construction (1 deficiency)
Fire safety
Fire-safety citations
F · Potential for more than minimal harm
2025-08-11
K161 · Construction Deficiencies
Fire Safety
Use approved construction type or materials.
Corrected 2025-08-18
D · Potential for more than minimal harm
2025-08-11
K531 · Services Deficiencies
Fire Safety
Have elevators that firefighters can control in the event of a fire.
Corrected 2025-08-18
F · Potential for more than minimal harm
2024-02-15
K161 · Construction Deficiencies
Fire Safety
Use approved construction type or materials.
Corrected 2024-03-08
E · Potential for more than minimal harm
2024-02-15
K916 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Have a battery powered remote alarm panel in a location accessible by operating personnel.
Corrected 2024-04-04
E · Potential for more than minimal harm
2024-02-15
K918 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2024-04-04
D · Potential for more than minimal harm
2024-02-15
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 2024-04-04
D · Potential for more than minimal harm
2024-02-15
K351 · Smoke Deficiencies
Fire Safety
Install an approved automatic sprinkler system.
Corrected 2024-04-04
D · Potential for more than minimal harm
2024-02-15
K362 · Smoke Deficiencies
Fire Safety
Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke.
Corrected 2024-04-04
D · Potential for more than minimal harm
2024-02-15
K374 · Smoke Deficiencies
Fire Safety
Install smoke barrier doors that can resist smoke for at least 20 minutes.
Corrected 2024-04-04
D · Potential for more than minimal harm
2024-02-15
K712 · Miscellaneous Deficiencies
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2024-04-04
D · Potential for more than minimal harm
2024-02-15
K911 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Meet requirements for the installation and maintenance of electrical systems.
Corrected 2024-04-04
F · Potential for more than minimal harm
2022-02-28
K161 · Construction Deficiencies
Fire Safety
Use approved construction type or materials.
Corrected 2022-06-28
E · Potential for more than minimal harm
2022-02-28
K225 · Egress Deficiencies
Fire Safety
Have stairways and smokeproof enclosures used as exits that meet safety requirements.
Corrected 2022-04-27
Inspection history
Recent health citations
K · Immediate jeopardy
2025-08-11
F695 · Quality of Life and Care Deficiencies
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2025-09-26
E · Potential for more than minimal harm
2025-08-11
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 2025-09-26
E · Potential for more than minimal harm
2025-08-11
F835 · Administration Deficiencies
Health
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
Corrected 2025-09-26
D · Potential for more than minimal harm
2025-08-11
F558 · Resident Rights Deficiencies
Health
Reasonably accommodate the needs and preferences of each resident.
Corrected 2025-09-26
D · Potential for more than minimal harm
2025-08-11
F658 · Resident Assessment and Care Planning Deficiencies
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2025-09-26
D · Potential for more than minimal harm
2025-08-11
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 2025-09-26
D · Potential for more than minimal harm
2025-08-11
F686 · Quality of Life and Care Deficiencies
Health
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2025-09-26
D · Potential for more than minimal harm
2025-08-11
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 2025-09-26
D · Potential for more than minimal harm
2025-08-11
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2025-09-26
J · Immediate jeopardy
2025-02-21
F684 · Quality of Life and Care Deficiencies
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2025-04-01
E · Potential for more than minimal harm
2025-02-21
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 2025-04-01
E · Potential for more than minimal harm
2025-02-21
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 2025-04-01
D · Potential for more than minimal harm
2025-02-21
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 2025-04-01
E · Potential for more than minimal harm
2025-01-22
F684 · Quality of Life and Care Deficiencies
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2025-02-01
E · Potential for more than minimal harm
2024-02-15
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 2024-04-03
E · Potential for more than minimal harm
2024-02-15
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 2024-04-03
E · Potential for more than minimal harm
2024-02-15
F842 · Resident Assessment and Care Planning Deficiencies
Health
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2024-04-03
D · Potential for more than minimal harm
2023-06-14
F555 · Resident Rights Deficiencies
Health
Honor the resident's right to choose his or her attending physician.
Corrected 2023-06-23
D · Potential for more than minimal harm
2023-06-14
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 2023-06-23
D · Potential for more than minimal harm
2023-06-08
F745 · Quality of Life and Care Deficiencies
Health
Provide medically-related social services to help each resident achieve the highest possible quality of life.
Corrected 2023-07-14
E · Potential for more than minimal harm
2022-02-28
F686 · Quality of Life and Care Deficiencies
Health
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2022-04-11
D · Potential for more than minimal harm
2022-02-28
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 2022-04-11
D · Potential for more than minimal harm
2022-02-28
F610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Health
Respond appropriately to all alleged violations.
Corrected 2022-04-11
D · Potential for more than minimal harm
2022-02-28
F658 · Resident Assessment and Care Planning Deficiencies
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2022-04-11
D · Potential for more than minimal harm
2022-02-28
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 2022-04-11
B · Minimal harm
2022-02-28
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 2022-04-11
Penalties and ownership
What sits behind the stars
$153,911
2025-08-11
Fine
Fine · fine $153,911
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
Mandelbaum, Jeffrey
Operational/Managerial Control · Individual
Marcena, Nadgeffrena
Operational/Managerial Control · Individual
Rudner, Akiva
5% Or Greater Direct Ownership Interest · Individual
Sax, Steven
5% Or Greater Direct Ownership Interest · Individual
Whang, Sung
Operational/Managerial Control · Individual
Nearby options
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John T Mather Memorial Hosp T C U
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5-star overall rating with 3-star inspections with 7 recent health deficiencies
#2
Allegria Nursing & Rehab Center Of Port Jefferson
Port Jefferson Stati, NY
2-star overall rating with 1-star inspections with 12 recent health deficiencies with 1 fire-safety deficiencies in the latest cycle
#3
Jefferson's Ferry
South Setauket, NY
5-star overall rating with 5-star inspections with 1 fire-safety deficiencies in the latest cycle
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