Island Nursing and Rehab Center

Name: Island Nursing and Rehab Center
Address: 5537 Expressway Drive North, Holtsville, NY, 11742, US
Telephone: 6317583336

5537 Expressway Drive North, Holtsville, NY 11742 · Suffolk County · 120 certified beds · avg 111 residents/day · certified since Nov 30, 2001

4/5

Health inspection rating (on-site)

Serious findings on record

Fines, last 3 years

3.10

Nurse hours/resident/day (adjusted)

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

Health inspection rating: ★★★★☆4/5 · CMS overall rating: 4/5

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 (13)

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
Aug 6, 2025	D · Potential for harm, one-off	The facility did not allow residents to take their own medications when a clinical review showed they could do so safely. Residents have this right if their care team determines it's appropriate.
Aug 6, 2025	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.
Aug 6, 2025	D · Potential for harm, one-off	The facility did not provide pharmacy services that meet each resident's needs, or did not employ or contract with a licensed pharmacist.
Aug 6, 2025	D · Potential for harm, one-off	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.
Jun 11, 2024	E · Potential for harm, repeated	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. · from a complaint
Jun 11, 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.
Jun 11, 2024	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.
Jun 11, 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.
Jun 11, 2024	D · Potential for harm, one-off	The facility admitted a resident without a doctor's order, or did not make sure each resident stayed under a doctor's ongoing care.
Jun 11, 2024	D · Potential for harm, one-off	The facility did not provide or arrange dental services for its residents. Nursing homes are responsible for making sure residents can get dental care. · from a complaint
Sep 13, 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.
Sep 13, 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.
Sep 13, 2022	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.

Inspection trend by year

Citations from standard inspections decreased between the last two inspection cycles (6 → 4).

Year	Citations	Worst severity that year
2022	3	E
2024	6	E
2025	4	D

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)	3.10	3.58	3.95	bottom 31% in New York; bottom 17% in the U.S.
Registered Nurse hours	0.65	0.68	0.69	top 38% in New York; top 41% in the U.S.
Weekend total nurse staffing	2.76	3.13	3.50	bottom 34% in New York; bottom 19% in the U.S.
Weekend RN hours (not acuity-adjusted)	0.49	0.48	0.48	top 29% in New York; top 33% in the U.S.
Total nursing staff turnover (%)	45.9	40.3	45.8	bottom 35% in New York; bottom 47% in the U.S.
RN turnover (%)	28.6	39.8	42.9	top 26% in New York; top 26% 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 3.40, RN 0.72, weekend 3.02. Staffing rating: 3/5.

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: 4/5 · long-stay residents: 3/5 · short-stay residents: 4/5

Who owns this facility

Non profit - Corporation

Owner / manager	Type	Role	Stake	Since
Gurwin Healthcare System, INC.	Organization	5% or Greater Direct Ownership Interest	100%	01/14/2021
Almer, Stuart	Individual	Corporate Director	NOT APPLICABLE	02/15/2021
Angowitz, Gerald	Individual	Corporate Director	NOT APPLICABLE	02/15/2021
Brodsky, Bert	Individual	Corporate Director	NOT APPLICABLE	02/15/2021
Butchma, Olaf	Individual	Operational/Managerial Control	NOT APPLICABLE	09/01/2022
Butchma, Olaf	Individual	ADP of the SNF	NOT APPLICABLE	02/13/2025
Finkel, Noah	Individual	Corporate Director	NOT APPLICABLE	02/15/2021
Launer, Lee	Individual	Corporate Director	NOT APPLICABLE	02/15/2021
Marchand, Audrey	Individual	Operational/Managerial Control	NOT APPLICABLE	02/15/2021
Marchand, Audrey	Individual	ADP of the SNF	NOT APPLICABLE	02/13/2025
Viteritti, Louis	Individual	Corporate Officer	NOT APPLICABLE	02/15/2021
Wolf, Cary	Individual	Corporate Director	NOT APPLICABLE	02/15/2021

Questions to ask on your visit

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

"If my family member is able to manage their own medications, would you allow it, and how is that decided?"
"Can you show me an example care plan, and how are families included when it's created and updated?"
"How does your pharmacist review residents' medications, and how quickly can you fill new or urgent prescriptions?"
"Can you show me how medications are stored and secured on the units, including controlled drugs?"
"What is your nurse and aide staffing ratio on each shift, including nights and weekends?"
"Who completes resident assessments here, and how do you check them for accuracy?"
"Who is on the team that builds each resident's care plan, and how quickly is it in place after admission?"
"Who would be my family member's attending doctor here, and how often would they be seen?"
"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	Flags
Medford Multicare Center for Living	2.1 mi	Medford, NY	★★☆☆☆	3/5
Swan Lake Nursing and Rehabilitation	4.0 mi	Patchogue, NY	★★☆☆☆	1/5
Brookhaven Health Care Facility, LLC	4.1 mi	East Patchogue, NY	★★★☆☆	3/5
Sayville Nursing and Rehabilitation Center	4.6 mi	Sayville, NY	★★★★★	4/5
Quantum Rehabilitation and Nursing LLC	5.6 mi	Middle Island, NY	★★★★★	4/5
Surge Rehabilitation and Nursing LLC	5.6 mi	Middle Island, NY	★★☆☆☆	1/5
Jefferson's Ferry	5.9 mi	South Setauket, NY	★★★★★	5/5
Bellhaven Center for Rehab and Nursing Care	6.0 mi	Brookhaven, NY	★★☆☆☆	1/5
Allegria Nursing & Rehab Center of Port Jefferson	6.0 mi	Port Jefferson Stati, NY	★☆☆☆☆	1/5
Affinity Skilled Living and Rehabilitation Center	7.2 mi	Oakdale, NY	★★☆☆☆	1/5	abuseSFF
St James Rehabilitation & Healthcare Center	7.2 mi	St James, NY	★★★★☆	3/5
Luxor Nursing & Rehabilitation at Mills Pond	7.2 mi	St James, NY	★★★★★	4/5

Compare this facility with the 3 closest →

All facilities in Holtsville →

Facility data as of CMS processing date 2026-08-01. CCN 335835.

The Care File

Visit checklist — Island Nursing and Rehab Center

5537 Expressway Drive North, Holtsville, NY 11742 · 6317583336

Health inspection rating 4/5 · CMS overall 4/5· Fines (3y): $0

Questions for the administrator:

☐ "If my family member is able to manage their own medications, would you allow it, and how is that decided?"
☐ "Can you show me an example care plan, and how are families included when it's created and updated?"
☐ "How does your pharmacist review residents' medications, and how quickly can you fill new or urgent prescriptions?"
☐ "Can you show me how medications are stored and secured on the units, including controlled drugs?"
☐ "What is your nurse and aide staffing ratio on each shift, including nights and weekends?"
☐ "Who completes resident assessments here, and how do you check them for accuracy?"
☐ "Who is on the team that builds each resident's care plan, and how quickly is it in place after admission?"
☐ "Who would be my family member's attending doctor here, and how often would they be seen?"
☐ "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 335835 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)