ElderGrade
B

83.5/100

Above average

Highfield Gardens Care Center Of Great Neck

199 Community Drive, Great Neck, NY 11021

CMS 4/5 stars #5 of 36 in Nassau County (516) 365-9229
Certified beds
200
Occupancy
98%
Ownership
For-profit
Accepts
Medicare + Medicaid

What to ask about before you visit

These are findings in the public CMS record for this home. They are not our opinion — each one comes straight from a federal inspection or enforcement file.

  • $4,922 in federal fines

    CMS has fined this facility across 2 penalty action(s).

How this grade was calculated

Every point is shown. Nothing is weighted behind the scenes — the full formula is on How we grade.

Inspection 30/30 Staffing 18.5/30 Stability 12/15 Outcomes 15/15 Enforcement 8/10

A full pentagon is full marks. The shape shows what kind of good or bad a home is — two homes can share a score and look nothing alike.

Inspection safety

30/30

Citations from state health inspections over the last three surveys, weighted by how much harm CMS says they caused.

Staffing

18.5/30

Nursing hours per resident per day, adjusted for how sick the residents are, plus RN cover and weekend consistency.

  • 3.88 total nurse hours per resident per day (national median 3.77)
  • 0.61 RN hours per resident per day
  • Weekend staffing drops 19% against weekdays

Staff stability

12/15

How much of the nursing team leaves in a year. High turnover means a resident rarely sees the same face twice.

  • 35% of nursing staff left in the last year

Resident outcomes

15/15

The CMS quality-measure rating, built from resident outcomes like falls, pressure ulcers, infections and antipsychotic use.

  • 5 of 5 stars on the CMS quality-measure rating

Enforcement history

8/10

Fines and payment denials CMS has imposed. A denial of payment means CMS stopped paying for new admissions.

  • $4,922 in federal fines across 2 action(s)

Staffing, against the national average

Full detail

Hours of nursing care each resident receives per day. The marker on each bar is the national average.

Total nurse hours per resident per day 3.80 hrs
National average 3.86 hrs Below average
Registered nurse (RN) hours 0.61 hrs
National average 0.69 hrs Below average

RNs are the licence level most likely to catch a resident deteriorating.

Weekend nurse hours 3.09 hrs
National average 3.42 hrs Below average

The shift most families visit, and the one thinned first.

Nursing staff turnover 35.40%
National average 45.80% Better than average

The share of nursing staff who left over the last year.

Recent inspection findings

All 15 citations

Last standard health inspection: February 3, 2025 (1 year ago).

E Feb 3, 2025 F0804

Nutrition and Dietary Deficiencies

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

No actual harm, potential for more than minimal harm

E Feb 3, 2025 F0812

Nutrition and Dietary Deficiencies

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

No actual harm, potential for more than minimal harm

E Feb 3, 2025 F0925

Environmental Deficiencies

Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.

No actual harm, potential for more than minimal harm

D Feb 3, 2025 F0645

Resident Assessment and Care Planning Deficiencies

PASARR screening for Mental disorders or Intellectual Disabilities

No actual harm, potential for more than minimal harm

D Feb 3, 2025 F0656

Resident Assessment and Care Planning Deficiencies

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

No actual harm, potential for more than minimal harm

D Feb 3, 2025 F0686

Quality of Life and Care Deficiencies

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

No actual harm, potential for more than minimal harm

D Feb 3, 2025 F0761

Pharmacy Service Deficiencies

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...

No actual harm, potential for more than minimal harm

B Feb 3, 2025 F0838

Administration Deficiencies

Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.

No actual harm, minimal potential

Who owns this home

Full record

Part of JONATHAN BLEIER, which operates 18 homes. Staffing budgets are usually set at chain level, not in the building.

Owner Type Role Since
MALIANGOS, NICOLET Individual W-2 MANAGING EMPLOYEE
BLEIER, JONATHAN Individual 5% OR GREATER DIRECT OWNERSHIP INTEREST
BLEIER, SORAH Individual 5% OR GREATER DIRECT OWNERSHIP INTEREST
SCHIFFER, SAMUEL Individual 5% OR GREATER INDIRECT OWNERSHIP INTEREST

What families say

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Common questions about Highfield Gardens Care Center Of Great Neck

What is the ElderGrade for Highfield Gardens Care Center Of Great Neck? +

Highfield Gardens Care Center Of Great Neck holds an ElderGrade of B (83.5 out of 100), which we describe as "above average". The grade combines its inspection citations, nurse staffing levels, staff turnover, resident outcomes and enforcement history from the federal CMS record.

How many nursing hours does each resident get at Highfield Gardens Care Center Of Great Neck? +

Residents receive an average of 3.80 nursing hours per day across all nursing staff, against a national average of 3.86 hours.

Has Highfield Gardens Care Center Of Great Neck been cited for harming residents? +

No. None of the 15 citations on record were scored at the levels CMS uses to indicate actual harm or immediate jeopardy.

Does Highfield Gardens Care Center Of Great Neck accept Medicaid? +

Yes, Highfield Gardens Care Center Of Great Neck is certified to accept Medicaid, which is the programme that pays for long-term custodial care once a resident meets their state's income and asset limits.