San Simeon by the Sound Center for Nursing & Rehab
61700 Route 48, Greenport, NY 11944 · Suffolk County · 120 certified beds · avg 96 residents/day · certified since Nov 1, 1968
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★☆☆☆☆1/5 · CMS overall rating: 1/5
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, facility-wide · Sep 5, 2024 · F-0689
The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.
Why it matters: This is one of the most common citations and directly relates to falls and injuries, which can be devastating for older adults.
Severity (L): A life-threatening or extremely dangerous situation existed throughout the facility. The single most serious citation CMS can issue.
Corrected: Oct 29, 2024 (Deficient, Provider has date of correction)
▲ Immediate jeopardy, one-off · Dec 26, 2023 · F-0609 · triggered by a complaint
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.
Why it matters: When incidents aren't reported promptly, abusers may continue harming residents and outside authorities can't step in.
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: Feb 14, 2024 (Deficient, Provider has date of correction)
▲ Immediate jeopardy, one-off · Dec 26, 2023 · F-0610 · triggered by a complaint
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.
Why it matters: When allegations aren't investigated, harm to residents can continue unchecked.
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: Feb 14, 2024 (Deficient, Provider has date of correction)
▲ Actual harm, one-off · Nov 23, 2022 · F-0689
The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.
Why it matters: This is one of the most common citations and directly relates to falls and injuries, which can be devastating for older adults.
Severity (G): One or a few residents were actually harmed — physically or emotionally — though not put in immediate danger of serious injury or death.
Corrected: Jan 18, 2023 (Deficient, Provider has date of correction)
All citations in the current public record (16)
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 |
|---|---|---|
| Sep 5, 2024 | ▲ L · Immediate jeopardy, facility-wide | The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. |
| Sep 5, 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. |
| Sep 5, 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. |
| Sep 5, 2024 | E · Potential for harm, repeated | 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. |
| Sep 5, 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. |
| Sep 5, 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 |
| Sep 5, 2024 | D · Potential for harm, one-off | The facility did not provide enough food and fluids to keep residents healthy, such as preventing unplanned weight loss or dehydration. |
| Sep 5, 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. |
| Dec 26, 2023 | ▲ J · Immediate jeopardy, 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 |
| Dec 26, 2023 | ▲ J · Immediate jeopardy, 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. · from a complaint |
| Nov 23, 2022 | ▲ G · Actual 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. |
| Nov 23, 2022 | 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. |
| Nov 23, 2022 | 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. |
| Nov 23, 2022 | 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. |
| Nov 23, 2022 | D · Potential for harm, one-off | The facility allowed residents to lose the ability to do daily activities — like bathing, dressing, and eating — when there was no medical reason for the decline. Good care helps residents keep the abilities they have. |
| Nov 23, 2022 | D · Potential for harm, one-off | The facility did not provide appropriate care related to bladder and bowel needs — including care for residents who use catheters and steps to prevent urinary tract infections. |
Inspection trend by year
Citations from standard inspections increased between the last two inspection cycles (6 → 8).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2022 | 6 | 1 | G ▲ |
| 2023 | 2 | 2 | J ▲ |
| 2024 | 8 | 1 | L ▲ |
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)
4 fines totaling $140,843.
| Date | Type | Amount / length |
|---|---|---|
| Oct 16, 2025 | Fine | $28,535 |
| Sep 5, 2024 | Fine | $41,457 |
| Dec 26, 2023 | Fine | $66,618 |
| Dec 11, 2023 | Fine | $4,233 |
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) | 3.46 | 3.58 | 3.95 | top 48% in New York; bottom 35% in the U.S. |
| Registered Nurse hours | 1.22 | 0.68 | 0.69 | top 6% in New York; top 9% in the U.S. |
| Weekend total nurse staffing | 3.25 | 3.13 | 3.50 | top 36% in New York; bottom 44% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 1.05 | 0.48 | 0.48 | top 5% in New York; top 5% in the U.S. |
| Total nursing staff turnover (%) | 61.5 | 40.3 | 45.8 | bottom 9% in New York; bottom 14% in the U.S. |
| RN turnover (%) | 69.0 | 39.8 | 42.9 | bottom 6% in New York; bottom 12% 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 3.46, RN 1.22, weekend 3.25. 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: 5/5 · short-stay residents: 3/5
Who owns this facility
For profit - Corporation
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Anreder, Lewis | Individual | Operational/Managerial Control | NOT APPLICABLE | 01/01/2025 |
| Anreder, Lewis | Individual | ADP of the SNF | NOT APPLICABLE | 07/28/2025 |
| Heinemann, Arnold | Individual | Corporate Director | NOT APPLICABLE | 05/08/2024 |
| Kushner, Chaim | Individual | Managing Control - Governing Body | NOT APPLICABLE | 01/01/2025 |
| Kushner, Chaim | Individual | Operational/Managerial Control | NOT APPLICABLE | 01/01/2025 |
| Kushner, Chaim | Individual | ADP of the SNF | NOT APPLICABLE | 04/21/2025 |
| Motechin, Abraham | Individual | Corporate Director | NOT APPLICABLE | 05/28/2024 |
| Scheiner, Moshe | Individual | Corporate Director | NOT APPLICABLE | 05/08/2024 |
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 is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
- "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 we tour the resident rooms, bathrooms, and common areas today, including areas not on the usual tour route?"
- "Can you show me how medications are stored and secured on the units, including controlled drugs?"
- "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
- "Can you show me an example care plan, and how are families included when it's created and updated?"
- "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 | Flags |
|---|---|---|---|---|---|
| Peconic Landing at Southhold | 5.2 mi | Greenport, NY | ★★★★★ | 4/5 | |
| The Hamptons Center for Rehabilitation and Nursing | 11.3 mi | South Hampton, NY | ★★☆☆☆ | 1/5 | abuse |
| Acadia Center for Nursing and Rehabilitation | 16.1 mi | Riverhead, NY | ★★★★★ | 4/5 | |
| Apple Rehab Saybrook | 16.2 mi | Old Saybrook, CT | ★★★☆☆ | 3/5 | |
| Gladeview Health Care Center | 17.2 mi | Old Saybrook, CT | ★★★☆☆ | 3/5 | |
| Autumn Lake Healthcare at Madison | 18.4 mi | Madison, CT | ★★☆☆☆ | 2/5 | |
| Essex Meadows Health Center | 18.5 mi | Essex, CT | ★★★★★ | 4/5 | |
| Apple Rehab Guilford | 18.6 mi | Guilford, CT | ★★☆☆☆ | 2/5 | abuse |
| Bride Brook Rehabilitation & Nursing Center | 19.9 mi | Niantic, CT | ★★★★★ | 5/5 |
Compare this facility with the 3 closest →
Facility data as of CMS processing date 2026-08-01. CCN 335274.