77/100
Above average
Surge Rehabilitation And Nursing Llc
49 Oakcrest Ave, Middle Island, NY 11953
- Certified beds
- 164
- Occupancy
- 87%
- 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.
$70,480 in federal fines
CMS has fined this facility across 1 penalty action(s).
Our read on Surge Rehabilitation And Nursing Llc
Surge Rehabilitation and Nursing has 164 certified beds in Middle Island and runs on a for-profit LLC structure. The staffing numbers look decent on paper, 3.99 nurse hours per resident day, a bit above the national average, but weekends drop about 10% below the home's own weekday coverage, and that's when families tend to visit. Turnover sits at 39.4%, better than the national 45.8%, which matters for consistency of care. The real concern is the inspection record: a 1-out-of-5 health inspection rating, 14 deficiencies including one at harm or jeopardy level and three tied to abuse, plus a $70,480 fine. A recent December 2025 inspection means the record is current, not stale. Strong quality measures don't cancel out those findings.
Written from the CMS figures for this home shown further down this page. Nothing here is paid for or supplied by the home.
How this grade was calculated
Every point is shown. Nothing is weighted behind the scenes, the full formula is on How we grade.
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
30/30Citations from state health inspections over the last three surveys, weighted by how much harm CMS says they caused.
- →No citations recorded in the last 3 years
Staffing
15/30Nursing hours per resident per day, adjusted for how sick the residents are, plus RN cover and weekend consistency.
- →3.42 total nurse hours per resident per day (national median 3.77)
- →0.6 RN hours per resident per day
- →Weekend staffing drops 10% against weekdays
Staff stability
12/15How much of the nursing team leaves in a year. High turnover means a resident rarely sees the same face twice.
- →39% of nursing staff left in the last year
Resident outcomes
15/15The 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
5/10Fines and payment denials CMS has imposed. A denial of payment means CMS stopped paying for new admissions.
- →$70,480 in federal fines across 1 action(s)
Staffing, against the national average
Full detailHours of nursing care each resident receives per day. The marker on each bar is the national average.
RNs are the licence level most likely to catch a resident deteriorating.
The shift most families visit, and the one thinned first.
The share of nursing staff who left over the last year.
Recent inspection findings
Last standard health inspection: December 22, 2025 (10 months ago). No citations were recorded.
No health-inspection citations on record for this facility in the current CMS release.
Who owns this home
Full recordPart of PARAGON HEALTHNET, which operates 11 homes. Staffing budgets are usually set at chain level, not in the building.
What families say
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Common questions about Surge Rehabilitation And Nursing Llc
What is the ElderGrade for Surge Rehabilitation And Nursing Llc? +
Surge Rehabilitation And Nursing Llc holds an ElderGrade of B (77 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 Surge Rehabilitation And Nursing Llc? +
Residents receive an average of 3.99 nursing hours per day across all nursing staff, against a national average of 3.86 hours.
Has Surge Rehabilitation And Nursing Llc been cited for harming residents? +
No. None of the 0 citations on record were scored at the levels CMS uses to indicate actual harm or immediate jeopardy.
Does Surge Rehabilitation And Nursing Llc accept Medicaid? +
Yes, Surge Rehabilitation And Nursing Llc 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.
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