Apex Rehabilitation & Care Center

Name: Apex Rehabilitation & Care Center
Address: 78 Birchwood Dr, Huntington Station, NY, 11746, US
Telephone: 6314233200

78 Birchwood Dr, Huntington Station, NY 11746 · Suffolk County · 195 certified beds · avg 184 residents/day · certified since Jan 1, 1967

2/5

Health inspection rating (on-site)

Serious findings on record

Fines, last 3 years

3.53

Nurse hours/resident/day (adjusted)

What health inspectors found (on-site government inspections — the most independent evidence available)

Health inspection rating: ★★☆☆☆2/5 · CMS overall rating: 3/5

The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and self-reported quality measures.

All citations in the current public record (31)

CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed.

Date	Severity	What the facility was cited for
Apr 16, 2025	F · Potential for harm, facility-wide	The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards.
Apr 16, 2025	E · Potential for harm, repeated	The facility did not provide proper care for pressure ulcers (bedsores) or did not do enough to prevent new ones from forming. Bedsores develop when residents stay in one position too long without help moving.
Apr 16, 2025	E · Potential for harm, repeated	The facility was not managed in a way that uses its money, staff, and resources effectively and efficiently to care for residents. · from a complaint
Apr 16, 2025	E · Potential for harm, repeated	The facility employed staff who were not licensed, certified, or registered as required by state law. · from a complaint
Apr 16, 2025	D · Potential for harm, one-off	The facility did not treat residents with dignity and respect, or did not honor their rights to make their own decisions and communicate freely. This is one of the most fundamental resident rights.
Apr 16, 2025	D · Potential for harm, one-off	The facility did not report suspected abuse, neglect, or theft to the proper authorities quickly enough, or did not report the results of its investigation. · from a complaint
Apr 16, 2025	D · Potential for harm, one-off	The facility did not respond appropriately to alleged violations, such as reports of abuse, neglect, or mistreatment. Facilities must investigate every allegation and protect residents while they do.
Apr 16, 2025	D · Potential for harm, one-off	The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals.
Apr 16, 2025	D · Potential for harm, one-off	The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.
Apr 16, 2025	D · Potential for harm, one-off	The facility did not provide routine dental care and 24-hour emergency dental care for residents.
Apr 16, 2025	D · Potential for harm, one-off	The facility did not protect residents' personal information or did not keep complete, accurate medical records that meet professional standards.
Apr 16, 2025	D · Potential for harm, one-off	The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide.
Feb 27, 2024	D · Potential for harm, one-off	The facility did not provide safe and appropriate pain management for a resident who needed it. · from a complaint
Feb 14, 2024	E · Potential for harm, repeated	The facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs. · from a complaint
Feb 14, 2024	E · Potential for harm, repeated	The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · from a complaint
Feb 14, 2024	E · Potential for harm, repeated	The facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock.
Feb 14, 2024	D · Potential for harm, one-off	The facility did not report suspected abuse, neglect, or theft to the proper authorities quickly enough, or did not report the results of its investigation.
Feb 14, 2024	D · Potential for harm, one-off	The facility did not respond appropriately to alleged violations, such as reports of abuse, neglect, or mistreatment. Facilities must investigate every allegation and protect residents while they do.
Feb 14, 2024	D · Potential for harm, one-off	The facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives.
Feb 14, 2024	D · Potential for harm, one-off	The facility did not develop a resident's complete plan of care within 7 days of the full assessment, or the plan wasn't prepared, reviewed, and updated by a team of health professionals as required.
Feb 14, 2024	D · Potential for harm, one-off	The facility did not provide the help residents need with basic daily activities — like bathing, dressing, eating, and using the bathroom — for residents who cannot do these things on their own.
Feb 14, 2024	D · Potential for harm, one-off	The facility did not have enough nursing staff each day to meet every resident's needs, or did not have a licensed nurse in charge on each shift. Adequate staffing is one of the strongest predictors of good care.
Feb 14, 2024	D · Potential for harm, one-off	The facility did not make sure its nurses and nurse aides had the skills and training needed to properly care for every resident.
Feb 14, 2024	D · Potential for harm, one-off	The facility did not provide timely, approved x-ray services or have an agreement with an approved provider to supply them.
Feb 14, 2024	D · Potential for harm, one-off	The facility did not provide routine dental care and 24-hour emergency dental care for residents.
Feb 14, 2024	D · Potential for harm, one-off	The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide.
Feb 14, 2022	E · Potential for harm, repeated	The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide.
Feb 14, 2022	D · Potential for harm, one-off	The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines.
Feb 14, 2022	D · Potential for harm, one-off	The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals.
Feb 14, 2022	D · Potential for harm, one-off	The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.
Feb 14, 2022	D · Potential for harm, one-off	The facility did not provide safe and appropriate respiratory care — such as oxygen, breathing treatments, or care for residents on breathing equipment — for residents who needed it.

Inspection trend by year

Citations from standard inspections stayed about the same across the last two inspection cycles (13 → 12).

Year	Citations	Worst severity that year
2022	5	E
2024	14	E
2025	12	F

Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.

Fines and enforcement (last 3 years)

No fines or payment denials in the published 3-year window.

Nurse staffing (from payroll records, adjusted for how much care residents need)

Measure	This facility	New York avg	U.S. avg	Where it stands
Total nurse staffing (hours per resident per day)	3.53	3.58	3.95	top 45% in New York; bottom 38% in the U.S.
Registered Nurse hours	1.02	0.68	0.69	top 10% in New York; top 15% in the U.S.
Weekend total nurse staffing	3.16	3.13	3.50	top 39% in New York; bottom 40% in the U.S.
Weekend RN hours (not acuity-adjusted)	0.79	0.48	0.48	top 12% in New York; top 12% in the U.S.
Total nursing staff turnover (%)	31.4	40.3	45.8	top 32% in New York; top 17% in the U.S.
RN turnover (%)	50.0	39.8	42.9	bottom 27% in New York; bottom 39% in the U.S.

Hours are per resident per day, case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 3.69, RN 1.07, weekend 3.30. Staffing rating: 4/5.

Self-reported quality measures

Note: these ratings are based on data the facility reports about itself to CMS. They are not independently verified by inspectors, and can look better than inspection findings. Give more weight to the inspection results above.

Quality measures rating: 5/5 · long-stay residents: 5/5 · short-stay residents: 5/5

Who owns this facility

For profit - Limited Liability company

Owner / manager	Type	Role	Stake	Since
Oberlander, Zalmen	Individual	5% or Greater Direct Ownership Interest	100%	02/16/2007
Efroymson, David	Individual	W-2 Managing Employee	NOT APPLICABLE	04/01/2016

Questions to ask on your visit

Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.

"What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
"How do you prevent bedsores for residents who can't move themselves, and how often are at-risk residents repositioned?"
"What were the findings behind this administration citation, and what has leadership changed since?"
"How do you verify licenses and certifications for every caregiver before they start, and how often do you recheck them?"
"Can you give me examples of how your staff protect residents' dignity in everyday care, like bathing and dressing?"
"When abuse or theft is suspected, who do you notify, how fast, and how do you inform the family?"
"If someone reports suspected abuse or neglect here, what happens in the first 24 hours?"
"How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
"What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
"Can I see the results and plan of correction from your most recent state inspection?"

Nearby facilities (within 20 miles)

Facility	Distance	City	Overall	Inspection
Huntington Hills Center for Health and Rehabilitat	1.7 mi	Melville, NY	★★★★☆	3/5
Carillon Nursing and Rehabilitation Center	1.9 mi	Huntington, NY	★★★★☆	3/5
Pine Forest Car Center for Rehab & Healthcare	3.0 mi	Huntington, NY	★☆☆☆☆	1/5
White Oaks Rehabilitation and Nursing Center	3.6 mi	Woodbury, NY	★★★☆☆	3/5
Excel at Woodbury for Rehabilitation and Nursing,	3.6 mi	Woodbury, NY	★★★★★	5/5
Woodbury Heights Nursing and Rehabilitation Center	4.0 mi	Woodbury, NY	★☆☆☆☆	1/5
Gurwin Jewish Nursing and Rehabilitation Center	4.9 mi	Commack, NY	★★★★★	4/5
Central Island Healthcare	5.8 mi	Plainview, NY	★★★★☆	3/5
Daleview Care Center	7.4 mi	East Farmingdale, NY	★★★★☆	3/5
Ross Center for Nursing and Rehabilitation	8.5 mi	Brentwood, NY	★★★☆☆	2/5
Maria Regina Rehabilitation and Nursing	8.6 mi	Brentwood, NY	★★★★★	4/5
Berkshire Nursing & Rehabilitation Center	8.7 mi	West Babylon, NY	★★★★★	4/5

Compare this facility with the 3 closest →

All facilities in Huntington Station →

Facility data as of CMS processing date 2026-08-01. CCN 335067.

The Care File

Visit checklist — Apex Rehabilitation & Care Center

78 Birchwood Dr, Huntington Station, NY 11746 · 6314233200

Health inspection rating 2/5 · CMS overall 3/5· Fines (3y): $0

Questions for the administrator:

☐ "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
☐ "How do you prevent bedsores for residents who can't move themselves, and how often are at-risk residents repositioned?"
☐ "What were the findings behind this administration citation, and what has leadership changed since?"
☐ "How do you verify licenses and certifications for every caregiver before they start, and how often do you recheck them?"
☐ "Can you give me examples of how your staff protect residents' dignity in everyday care, like bathing and dressing?"
☐ "When abuse or theft is suspected, who do you notify, how fast, and how do you inform the family?"
☐ "If someone reports suspected abuse or neglect here, what happens in the first 24 hours?"
☐ "How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
☐ "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
☐ "Can I see the results and plan of correction from your most recent state inspection?"

While you're there, notice:

☐ Smell and cleanliness in hallways, not just the lobby
☐ How staff speak to residents; call lights answered promptly
☐ Residents up, dressed, and engaged (visit mealtimes and a weekend if you can)

Data: CMS Provider Data Catalog, version 2026-08-01 · CCN 335067 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)