★★★★★CMS 5/5353 bedsFor-profitMedicaid
- Nurse hours
- 3.91 /day
- Staff turnover
- 22%
- Serious cites
- 0
Brookside Multicare runs 353 certified beds in Smithtown under for-profit LLC ownership, and the numbers mostly hold up. Nurse staffing sits at 3.91 hours per resident day, barely above the national average of 3.86, so this isn't a home running rich on direct care, and weekend coverage drops about 12% below its own weekday level. What stands out is retention: 21.9% annual turnover against a national average of 45.8%, meaning far fewer caregivers cycling through than at the typical home. Fifteen deficiencies on record, none at harm or jeopardy level and none abuse-related, with a single $3,145 fine and an inspection as recent as November 2025.
★★★☆☆CMS 3/5240 bedsNon-profitMedicaid
- Nurse hours
- 3.88 /day
- Staff turnover
- 28%
- Serious cites
- 0
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.
★★☆☆☆CMS 2/5162 bedsFor-profitMedicaid
- Nurse hours
- 3.51 /day
- Staff turnover
- 35%
- Serious cites
- 0
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.