Nursing homes across Suffolk County, New York, graded on the federal inspection
record, nurse staffing and staff turnover. County rank is shown on each home's profile.
Pine Forest Car Center runs on 3.15 nursing hours per resident day, roughly 18% under the national average, and weekends drop about 15% below its own weekday levels. That staffing score still comes out strong on CMS's scale because turnover is just 16.1%, well below the 45.8% national figure, so the hours it does budget tend to go to people who stay. The inspection record is the problem: a 1/5 health inspection rating, 21 deficiencies including two at harm or jeopardy level and four tied to abuse, plus one fine of $15,733. The most recent inspection was February 2025.
Carillon runs 315 beds in Huntington under for-profit LLC ownership, and its nurse staffing sits at 3.40 hours per resident day, about 12 percent under the national figure of 3.86. Weekends dip roughly another 10 percent below what the home itself staffs on weekdays, so coverage thins out exactly when families tend to visit. Turnover lands at 39.7 percent, better than the 45.8 percent national rate, which suggests some stability in the workforce. The inspection record is where caution creeps in: ten deficiencies, including one at the harm level and two tied to abuse, with a $22,523 fine and a May 2025 inspection. Strong quality measures and middling staffing and inspection scores tell a mixed story.
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.
Westhampton Care Center runs 180 beds under corporate ownership, and its inspection record is genuinely strong, a 4 out of 5 on health inspections, with the most recent visit in June 2025. The catch is staffing. At 3.57 nurse hours per resident day, it sits roughly 8% under the national average, and weekends drop another 9% below its own weekday levels, which matters when aides are already stretched. Sixteen deficiencies are on the current record, including one at the harm level and two tied to abuse. Turnover at 40.9% is slightly better than the national 45.8%, so the problem isn't retention so much as how many hands are scheduled per shift.
St Catherine of Siena runs a 240-bed nonprofit home in Smithtown, and its staffing sits right at the national average, 3.88 nurse hours per resident day against 3.86, so don't expect more hands on deck than a typical facility. Weekend coverage drops about 10% below its own weekday level, which is worth asking about if your family visits on Saturdays. Turnover is the real bright spot: 28% versus a national 45.8%. On the other side, 13 deficiencies are on record, one at harm or jeopardy level and three abuse-related, plus a $64,496 fine, with the last inspection in August 2025.
Allegria runs 3.65 nursing hours per resident day, about 6% under the national average, and weekends drop roughly 18% below its own weekday staffing. That thin weekend coverage matters because the home carries 23 deficiencies on its current record, 4 of them abuse-related, none flagged at harm or jeopardy level, but that's still a meaningful cluster. Its last inspection was May 2025, so the record is fairly current. Ownership is for-profit and individual. The staffing star sits at 2 out of 5 while quality measures score 4 out of 5, which is a real split: the care processes look decent on paper, but the people-hours behind them run light. Ask about weekend nurse coverage specifically.
Berkshire runs 175 beds in West Babylon under for-profit LLC ownership, and the numbers pull in different directions. The 3.81 nurse hours per resident day sits just under the national average, and weekends drop roughly 7% below the home's own weekday staffing, a gap families often feel on Saturday and Sunday. Turnover at 24.5% is genuinely low against a 45.8% national rate, which matters for whether your parent sees the same aides month to month. Against that, ten deficiencies are on record, two at harm or jeopardy level and two abuse-related, with $31,770 in fines. Inspections are current, and quality measures score well, but staffing depth and those harm-level findings are what hold the grade back.
Bellhaven runs 240 certified beds in Brookhaven, and the numbers pull in different directions. Nurse staffing sits at 3.23 hours per resident day, roughly 16 percent under the national average, with weekends running about 13 percent thinner than weekdays, a pattern that matters when families visit on Saturdays and Sundays. The inspection record is the harder read: 17 deficiencies, two at harm or jeopardy level, four tied to abuse, and a one-star health inspection rating, though staff turnover at 38 percent actually beats the national 45.8 percent. Ownership is for-profit partnership. Quality measures rate five stars, but that's self-reported data, and the last inspection was August 2024.
Smithtown Center runs 162 certified beds under corporate ownership, and its staffing is the weak spot: 3.51 nurse hours per resident day sits about 9% under the national average, and weekends drop roughly 11% below its own weekday levels. The federal staffing rating reflects that, one star out of five. Turnover lands at 34.7%, which is better than the 45.8% national figure, so the people who stay tend to stay. On inspections, the record shows 17 deficiencies with nothing at the harm or jeopardy level and no abuse citations, and the most recent survey was April 2025. Quality measures score well. The shortfall here is coverage, not conduct, especially on Saturdays and Sundays, when your family member is most likely to need someone nearby.
Acadia Center has 181 beds and runs on a for-profit corporate model, and the numbers say the care is decent but the staffing is thin. Total nurse time comes in at 4.16 hours per resident day, about 8% above the national average, but weekends drop roughly 9% below weekdays, and annual turnover hits 49.6%, higher than the 45.8% national figure. The inspection record is genuinely clean: 10 deficiencies, none at harm or jeopardy level, no abuse citations, and the last visit was September 2024. So the building itself isn't the problem. Keeping consistent nurses on the floor is.
Swan Lake's staffing looks fine on paper, 3.88 nurse hours per resident day, basically level with the national average, but the details underneath tell a different story. Weekend coverage drops about 12% below what the home staffs on weekdays, and 47.3% of nurses leave each year, a bit worse than the 45.8% national rate. The inspection record is the real concern: 15 deficiencies, including one at the harm level and one tied to abuse, with the most recent survey in October 2025. That combination explains why CMS gives it one star each for health inspections and staffing even though its quality measures score well.
The Hamlet runs 3.39 nurse hours per resident day, roughly 12% under the national average, and weekends dip about 15% below its own weekday levels, that thin weekend coverage matters most when families visit and when problems are likeliest to surface. Staff turnover is 31%, better than the 45.8% national figure, so the people who are there tend to stay. But the record shows 13 deficiencies, two at harm or jeopardy level and one abuse-related, plus $92,770 in fines across two penalties. Inspectors were last in on February 20, 2025. Quality measures score well, but staffing and the harm-level findings are what pull the overall picture down to a middling grade.
Quantum Rehabilitation and Nursing in Middle Island runs a 120-bed for-profit operation, and the numbers tell a mixed story. Its last inspection in February came back clean on the serious stuff, six deficiencies total, none involving harm or abuse, which is why the inspection rating sits at four stars. Staffing is where the cracks show: 3.93 nurse hours per resident day edges out the national average by a hair, but weekends drop roughly 16% below weekdays, and nearly half the staff turns over each year, slightly worse than the 45.8% national figure. You're looking at a home that inspects well but asks a lot of a workforce that doesn't stay long.
Island Nursing and Rehab runs 120 beds in Holtsville as a nonprofit, and its inspection record is genuinely clean, 13 deficiencies on the books, none reaching harm or jeopardy level, no abuse citations, with a survey as recent as August 2025. Where it gives ground is staffing: 3.40 nurse hours per resident day sits roughly 12 percent under the national average, and weekends dip about 11 percent below the home's own weekday coverage. Turnover lands at 45.9 percent, essentially identical to the national figure, so retention isn't the problem, the raw number of hands is. Ask how weekend coverage actually looks on the unit your family member would live on.
Sunrise Manor runs about 3.06 nurse hours per resident day, roughly a fifth below the national average, and weekends dip even further below its own weekday staffing. That thin coverage shows up in the staffing rating it received from CMS, which sits at the bottom of the scale, even though its quality measure score looks strong on paper. The inspection record is more troubling than the quality score suggests: 13 deficiencies on file, including one involving actual harm or jeopardy and one tied to abuse, with the most recent survey completed in April 2025. Corporate for-profit ownership, 84 beds, and a recent inspection mean the paperwork is current, but current doesn't mean clean here.
San Simeon By The Sound sits in Greenport, and its numbers tell a split story. The quality measures look decent at 4 out of 5 stars, but that's where the good news mostly stops: nurse staffing runs 3.46 hours per resident day, roughly 10% under the national average, and weekends dip another 6% below its own weekday levels. Turnover hits 61.5% against a national 45.8%, which means the people caring for residents are constantly changing.
The inspection record is the real concern. Sixteen deficiencies, four at harm or jeopardy level, four tied to abuse, and $140,843 in fines across four penalties. Its last inspection was September 2024. For-profit corporate ownership. Ask about direct-care staffing on weekends and how they handle the abuse-related findings before you decide.
St Johnland runs a 250-bed nonprofit home in Kings Park, and the staffing numbers are better than average: 4.14 nurse hours per resident day, about 7 percent above the national figure, with turnover at 39 percent versus 45.8 percent nationally. Weekends dip roughly 9 percent below weekday coverage, though. What pulls the record down is inspection history, 21 deficiencies on file, including two at the harm level and three tied to abuse, plus a $30,817 fine and a one-star health inspection rating, with the last survey in December 2024. The quality measure score is strong and staffing is decent, but the enforcement record is where a family should focus questions.
Medford Multicare Center for Living runs 320 beds under corporate ownership, and its numbers pull in opposite directions. Nurse staffing sits at 3.91 hours per resident day, barely above the national average, but weekends drop about 12% below its own weekday levels, and CMS rates staffing just 1 out of 5. Turnover is 36.2%, better than the 45.8% national figure, so the people who stay tend to stay. What weighs heaviest is the inspection record: 31 deficiencies, including 2 at harm or jeopardy level and 5 tied to abuse, with a $134,713 fine and a February 2025 inspection. Quality measures score well, but that's self-reported data. The state's findings are the ones worth trusting here.
Nurse staffing at The Hamptons Center runs 2.93 hours per resident day against a national average of 3.86, roughly a quarter less hands-on time than the typical home. Weekends are thinner still, about 8% below the home's own weekday level, and a 37.4% annual turnover rate, though better than the national 45.8%, means a lot of the people providing that care are new to the building. The state inspection record is where the real trouble sits: 23 deficiencies, three serious enough to put residents in harm's way, five tied to abuse, and a $150,990 fine. A 5/5 on quality measures doesn't offset a 1/5 on inspections.
Waters Edge runs on 2.95 nursing hours per resident day, roughly a quarter below the national average of 3.86, and weekend coverage drops about 8% below what it manages on weekdays. That thin staffing shows up against a 55.6% annual turnover rate, meaning more than half the nursing staff leaves each year. Its current record carries 23 deficiencies, including two at the harm or jeopardy level and one tied to abuse, plus a $153,911 fine. The quality measure score is high, but inspectors last visited in August 2025 and rated the health inspection side 1 out of 5. For a family weighing this one, the staffing and inspection numbers are the ones to sit with.