North Shore - Lij Orzac Center for Rehabilitation
900 Franklin Avenue, Valley Stream, NY 11580 · Nassau County · 120 certified beds · avg 92 residents/day · certified since Jan 13, 1989
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.
Most serious findings (actual harm or immediate jeopardy)
▲ Immediate jeopardy, one-off · Aug 2, 2024 · F-0760 · triggered by a complaint
The facility did not keep residents free from significant medication errors — such as giving the wrong drug, the wrong dose, or missing a critical medication.
Why it matters: A serious medication error can cause real harm, hospitalization, or worse.
Severity (J): Inspectors found a situation that put a resident's life or safety in immediate danger, affecting one or a few residents. The facility must fix it immediately — these citations often come with large fines.
Corrected: Sep 10, 2024 (Deficient, Provider has date of correction)
All citations in the current public record (11)
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 |
|---|---|---|
| May 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. |
| May 16, 2025 | D · Potential for harm, one-off | 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. |
| May 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. |
| Aug 2, 2024 | ▲ J · Immediate jeopardy, one-off | The facility did not keep residents free from significant medication errors — such as giving the wrong drug, the wrong dose, or missing a critical medication. · from a complaint |
| Aug 2, 2024 | 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. · from a complaint |
| Jan 31, 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. |
| Jan 31, 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. |
| Jan 31, 2024 | D · Potential for harm, one-off | The facility provided care that did not meet professional standards of quality — the accepted standards that nurses and other clinicians are expected to follow. · from a complaint |
| Jan 31, 2024 | D · Potential for harm, one-off | The facility did not provide appropriate treatment and services to residents with a mental health condition, difficulty adjusting emotionally, or a history of trauma or post-traumatic stress disorder (PTSD). |
| Jan 31, 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. |
| Jan 31, 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. |
Inspection trend by year
Citations from standard inspections decreased between the last two inspection cycles (5 → 3).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2022 | 1 | 0 | D |
| 2024 | 7 | 1 | J ▲ |
| 2025 | 3 | 0 | 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)
1 fine totaling $41,575.
| Date | Type | Amount / length |
|---|---|---|
| Aug 2, 2024 | Fine | $41,575 |
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) | 5.28 | 3.58 | 3.95 | top 3% in New York; top 10% in the U.S. |
| Registered Nurse hours | 2.07 | 0.68 | 0.69 | top 2% in New York; top 2% in the U.S. |
| Weekend total nurse staffing | 4.87 | 3.13 | 3.50 | top 2% in New York; top 7% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 1.96 | 0.48 | 0.48 | top 2% in New York; top 1% in the U.S. |
| Total nursing staff turnover (%) | 29.9 | 40.3 | 45.8 | top 29% in New York; top 14% in the U.S. |
| RN turnover (%) | 33.8 | 39.8 | 42.9 | top 43% in New York; top 38% 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 5.95, RN 2.33, weekend 5.49. Staffing rating: 5/5.
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: 4/5 · short-stay residents: 5/5
Who owns this facility
Non profit - Corporation
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Northwell Healthcare INC | Organization | 5% or Greater Direct Ownership Interest | 100% | 07/01/2015 |
| Battinelli, David | Individual | Corporate Officer | NOT APPLICABLE | 01/01/2021 |
| Claster, Mark | Individual | Corporate Officer | NOT APPLICABLE | 07/01/2015 |
| Costalas, Konstantine | Individual | Corporate Officer | NOT APPLICABLE | 01/01/2021 |
| Crotty, Margaret | Individual | Corporate Officer | NOT APPLICABLE | 01/01/2021 |
| Cusack, Michele | Individual | W-2 Managing Employee | NOT APPLICABLE | 09/12/2017 |
| Cusack, Michele | Individual | Corporate Officer | NOT APPLICABLE | 09/12/2017 |
| Dowling, Michael | Individual | W-2 Managing Employee | NOT APPLICABLE | 07/01/2015 |
| Dowling, Michael | Individual | Corporate Director | NOT APPLICABLE | 07/01/2015 |
| Drummond, Donna | Individual | Corporate Officer | NOT APPLICABLE | 01/01/2021 |
| Epstein, Michael | Individual | Corporate Officer | NOT APPLICABLE | 01/01/2021 |
| Gallo, Kathleen | Individual | Corporate Officer | NOT APPLICABLE | 01/01/2021 |
| Gindi, Harry | Individual | Corporate Officer | NOT APPLICABLE | 01/01/2021 |
| Gloade, Mark | Individual | Corporate Officer | NOT APPLICABLE | 01/01/2021 |
| Goldstein, Richard | Individual | Corporate Officer | NOT APPLICABLE | 07/01/2015 |
| Kraemer, Laurence | Individual | Corporate Officer | NOT APPLICABLE | 01/01/2021 |
| Kraut, Jeffrey | Individual | Corporate Officer | NOT APPLICABLE | 01/01/2021 |
| Lynch, Christopher | Individual | W-2 Managing Employee | NOT APPLICABLE | 01/01/2000 |
| Mack, William | Individual | Corporate Officer | NOT APPLICABLE | 07/01/2015 |
| Miller, Richard | Individual | Corporate Officer | NOT APPLICABLE | 09/01/2017 |
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 systems do you use to prevent medication errors, and what happens when one occurs?"
- "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?"
- "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
- "How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
- "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?"
- "Can you tell me what this citation involved and what steps you took to bring care back up to standard?"
- "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 |
|---|---|---|---|---|---|
| Garden Care Center | 1.6 mi | Franklin Square, NY | ★★★★★ | 4/5 | |
| The Grand Pavilion for Rehab & Nursing at Rockvill | 2.2 mi | Rockville Centre, NY | ★★★☆☆ | 2/5 | |
| Rockville Skilled Nursing & Rehabilitation Center, | 2.3 mi | Rockville Center, NY | ★★★★★ | 4/5 | |
| Lynbrook Restorative Therapy and Nursing | 2.4 mi | Lunbrook, NY | ★★★★★ | 4/5 | |
| Queen of Peace Residence | 3.1 mi | Queens Village, NY | ★★★★★ | 4/5 | |
| Mount Sinai South Nassau T C U | 3.5 mi | Oceanside, NY | ★★★★★ | 5/5 | |
| The Five Towns Premier Rehabilitation & Nursing Ce | 3.6 mi | Woodmere, NY | ★★☆☆☆ | 2/5 | |
| Oceanside Care Center INC | 3.7 mi | Oceanside, NY | ★★★★★ | 4/5 | |
| Nassau Rehabilitation & Nursing Center | 3.7 mi | Hempstead, NY | ★★★☆☆ | 3/5 | |
| Mayfair Care Center | 3.8 mi | Hempstead, NY | ★☆☆☆☆ | 2/5 | |
| Nys Veterans Home in Nyc | 4.5 mi | Jamaica, NY | ★★★★☆ | 4/5 | |
| Windsor Park Rehab & Nursing Center | 4.6 mi | Queens Village, NY | ★★☆☆☆ | 1/5 |
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Facility data as of CMS processing date 2026-08-01. CCN 335700.