Surge Rehabilitation and Nursing LLC

Name: Surge Rehabilitation and Nursing LLC
Address: 49 Oakcrest Ave, Middle Island, NY, 11953, US
Telephone: 6319248820

49 Oakcrest Ave, Middle Island, NY 11953 · Suffolk County · 164 certified beds · avg 142 residents/day · certified since Jun 25, 1973

Part of chain: PARAGON HEALTHNET (11 facilities, chain avg rating 4.5★)

1/5

Health inspection rating (on-site)

Serious findings on record

$70,480

Fines, last 3 years

3.42

Nurse hours/resident/day (adjusted)

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

Health inspection rating: ★☆☆☆☆1/5 · CMS overall rating: 2/5

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 · Dec 22, 2025 · F-0610

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 11, 2026 (Deficient, Provider has date of correction)

All citations in the current public record (14)

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
Dec 22, 2025	▲ 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.
Dec 22, 2025	E · Potential for harm, repeated	The facility did not provide pharmacy services that meet each resident's needs, or did not employ or contract with a licensed pharmacist.
Dec 22, 2025	D · Potential for harm, one-off	The facility did not keep residents' personal and medical information private and confidential.
Dec 22, 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.
Dec 22, 2025	D · Potential for harm, one-off	The facility did not provide required paperwork or notices about a resident's needs, their right to appeal a transfer or discharge, or the facility's bed-hold policy (how long a bed is saved during a hospital stay).
Dec 22, 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.
Dec 22, 2025	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.
Dec 22, 2025	D · Potential for harm, one-off	The facility used feeding tubes without a valid medical reason or the resident's agreement, or did not provide proper care to residents who have feeding tubes.
Dec 22, 2025	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.
Dec 22, 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 13, 2025	D · Potential for harm, one-off	The facility did not protect residents from misuse of their belongings or money — this is called misappropriation, and it includes theft or improper use of a resident's property or funds. · from a complaint
Aug 9, 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.
Dec 6, 2022	F · Potential for harm, facility-wide	The facility did not designate a qualified infection preventionist — a trained person responsible for running the infection prevention and control program.
Dec 6, 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 increased between the last two inspection cycles (1 → 10).

Year	Citations	Serious (G–L)	Worst severity that year
2022	2	0	F
2024	1	0	D
2025	11	1	J ▲

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 $70,480.

Date	Type	Amount / length
Dec 22, 2025	Fine	$70,480

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)	3.42	3.58	3.95	top 50% in New York; bottom 33% in the U.S.
Registered Nurse hours	0.52	0.68	0.69	bottom 39% in New York; bottom 40% in the U.S.
Weekend total nurse staffing	3.07	3.13	3.50	top 45% in New York; bottom 35% in the U.S.
Weekend RN hours (not acuity-adjusted)	0.35	0.48	0.48	bottom 48% in New York; bottom 42% in the U.S.
Total nursing staff turnover (%)	39.4	40.3	45.8	bottom 47% in New York; top 35% in the U.S.
RN turnover (%)	44.4	39.8	42.9	bottom 36% in New York; bottom 45% 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 3.99, RN 0.60, weekend 3.57. 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: 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
Braver, Moshe	Individual	5% or Greater Direct Ownership Interest	17%	11/16/2016
Laufer, Issac	Individual	5% or Greater Direct Ownership Interest	50%	11/16/2016
Lebowitz, Chaim	Individual	5% or Greater Direct Ownership Interest	17%	11/16/2016
Lebowitz, Max	Individual	5% or Greater Direct Ownership Interest	17%	11/16/2016
Braver, Moshe	Individual	Corporate Officer	NOT APPLICABLE	11/16/2016
Laufer, Issac	Individual	Contracted Managing Employee	NOT APPLICABLE	01/01/2017
Laufer, Issac	Individual	Corporate Officer	NOT APPLICABLE	11/16/2016
Lebowitz, Chaim	Individual	Corporate Officer	NOT APPLICABLE	11/16/2016
Lebowitz, Max	Individual	Corporate Officer	NOT APPLICABLE	11/16/2016

Questions to ask on your visit

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

"If someone reports suspected abuse or neglect here, what happens in the first 24 hours?"
"How does your pharmacist review residents' medications, and how quickly can you fill new or urgent prescriptions?"
"How do you protect residents' privacy, both in their medical records and in day-to-day care?"
"When abuse or theft is suspected, who do you notify, how fast, and how do you inform the family?"
"What written notices do we get before any transfer or discharge, and what is your bed-hold policy?"
"Can you show me an example care plan, and how are families included when it's created and updated?"
"Can you tell me what this citation involved and what steps you took to bring care back up to standard?"
"How do you decide when a feeding tube is truly needed, and how do staff care for residents who have one?"
"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
Quantum Rehabilitation and Nursing LLC	0.0 mi	Middle Island, NY	★★★★★	4/5
Allegria Nursing & Rehab Center of Port Jefferson	4.3 mi	Port Jefferson Stati, NY	★☆☆☆☆	1/5
Medford Multicare Center for Living	4.7 mi	Medford, NY	★★☆☆☆	3/5
John T Mather Memorial Hosp T C U	5.2 mi	Port Jefferson, NY	★★★★★	3/5
Island Nursing and Rehab Center	5.6 mi	Holtsville, NY	★★★★☆	4/5
Jefferson's Ferry	5.9 mi	South Setauket, NY	★★★★★	5/5
Waters Edge at Port Jefferson for Rehabilitation a	6.2 mi	Port Jefferson, NY	★★☆☆☆	1/5
Long Island State Veterans Home	7.5 mi	Stonybrook, NY	★★★★★	5/5
Brookhaven Health Care Facility, LLC	7.7 mi	East Patchogue, NY	★★★☆☆	3/5
Bellhaven Center for Rehab and Nursing Care	8.4 mi	Brookhaven, NY	★★☆☆☆	1/5
Swan Lake Nursing and Rehabilitation	8.6 mi	Patchogue, NY	★★☆☆☆	1/5
St James Rehabilitation & Healthcare Center	9.1 mi	St James, NY	★★★★☆	3/5

Compare this facility with the 3 closest →

All facilities in Middle Island →

Facility data as of CMS processing date 2026-08-01. CCN 335390.

The Care File

Visit checklist — Surge Rehabilitation and Nursing LLC

49 Oakcrest Ave, Middle Island, NY 11953 · 6319248820

Health inspection rating 1/5 · CMS overall 2/5· Fines (3y): $70,480

Most serious findings on record:

▲ Dec 22, 2025 (F-0610, 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.

Questions for the administrator:

☐ "If someone reports suspected abuse or neglect here, what happens in the first 24 hours?"
☐ "How does your pharmacist review residents' medications, and how quickly can you fill new or urgent prescriptions?"
☐ "How do you protect residents' privacy, both in their medical records and in day-to-day care?"
☐ "When abuse or theft is suspected, who do you notify, how fast, and how do you inform the family?"
☐ "What written notices do we get before any transfer or discharge, and what is your bed-hold policy?"
☐ "Can you show me an example care plan, and how are families included when it's created and updated?"
☐ "Can you tell me what this citation involved and what steps you took to bring care back up to standard?"
☐ "How do you decide when a feeding tube is truly needed, and how do staff care for residents who have one?"
☐ "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 335390 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)