49 Oakcrest Ave, Middle Island, NY 11953 (opens Google Maps) · Suffolk County · (631) 924-8820· 164 certified beds · avg 142 residents/day · certified since Jun 25, 1973 · Medicare and Medicaid certified
Certified for both programmes. Certification means the facility can bill Medicaid — it does not mean a Medicaid-funded bed is free right now, so ask directly. Who pays for nursing home care →
Part of chain: PARAGON HEALTHNET (11 facilities, chain avg rating 4.5★)
New to these records? How to read an inspection report →
Health inspection rating: ★☆☆☆☆1/5 · CMS overall rating: 2/5 · how star ratings work →
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 quality measures from resident assessments and claims.
▲ Immediate jeopardy, isolated · 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): Immediate jeopardy to resident health or safety was cited. The scope was isolated: limited residents, staff, or locations were affected. Scope describes the extent of the deficiency, not whether it happened on previous inspections.
Corrected: Feb 11, 2026 (Deficient, Provider has date of correction)
Showing the latest 3 of 14 inspection findings. Open the full record below to read every finding.
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. F-0610
The facility did not provide pharmacy services that meet each resident's needs, or did not employ or contract with a licensed pharmacist. F-0755
The facility did not keep residents' personal and medical information private and confidential. F-0583
CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed — that window is CMS's, not ours. Within it, every citation CMS publishes for this facility is listed here: none excluded.
| Date | Severity | What the facility was cited for |
|---|---|---|
| Dec 22, 2025 | ▲ J · Immediate jeopardy, isolated | 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. · F-0610 |
| Dec 22, 2025 | E · Potential for more than minimal harm, pattern | The facility did not provide pharmacy services that meet each resident's needs, or did not employ or contract with a licensed pharmacist. · F-0755 |
| Dec 22, 2025 | D · Potential for more than minimal harm, isolated | The facility did not keep residents' personal and medical information private and confidential. · F-0583 |
| Dec 22, 2025 | D · Potential for more than minimal harm, isolated | 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. · F-0609 |
| Dec 22, 2025 | D · Potential for more than minimal harm, isolated | 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). · F-0628 |
| Dec 22, 2025 | D · Potential for more than minimal harm, isolated | 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. · F-0656 |
| Dec 22, 2025 | D · Potential for more than minimal harm, isolated | The facility provided care that did not meet professional standards of quality — the accepted standards that nurses and other clinicians are expected to follow. · F-0658 |
| Dec 22, 2025 | D · Potential for more than minimal harm, isolated | 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. · F-0693 |
| Dec 22, 2025 | D · Potential for more than minimal harm, isolated | 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. · F-0695 |
| Dec 22, 2025 | D · Potential for more than minimal harm, isolated | 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. · F-0880 |
| Aug 13, 2025 | D · Potential for more than minimal harm, isolated | 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 · F-0602 |
| Aug 9, 2024 | D · Potential for more than minimal harm, isolated | 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. · F-0656 |
| Dec 6, 2022 | F · Potential for more than minimal harm, widespread | The facility did not designate a qualified infection preventionist — a trained person responsible for running the infection prevention and control program. · F-0882 |
| Dec 6, 2022 | D · Potential for more than minimal harm, isolated | 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. · F-0656 |
Citations from standard inspections increased between the last two inspection cycles (1 → 10).
All bars start at zero. Exact values and supporting details remain below.
| 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.
How to file a complaint about care →
1 fine totaling $70,480.
Every penalty CMS publishes for this facility in the 3-year window is listed —none excluded. The count and the dollar total come from two different CMS datasets and agree for this facility. Penalties older than the window are dropped by CMS before publication, not by us.
| Date | Type | Amount / length |
|---|---|---|
| Dec 22, 2025 | Fine | $70,480 |
What these staffing numbers mean →
All bars start at zero. Exact values and supporting details remain below.
| 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 for the most recent quarter of payroll data in this CMS release (2026-08-01) — the same quarter for every facility — 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.Comparing with Medicare Care Compare? Care Compare shows the raw figure (3.99 here, displayed there as hours and minutes), not the adjusted one above. Both are correct; they answer different questions. Staffing rating: 3/5.
Note: CMS combines facility-reported resident assessments (MDS) with claims-based measures. These are different sources from on-site inspection findings. Read the measures alongside inspection and staffing records; a high QM rating does not establish that a home is safe.
Quality measures rating: 5/5 · long-stay residents: 5/5 · short-stay residents: 5/5
Price evidence · separate from quality
No verified facility-specific private-pay price is available in our data for Surge Rehabilitation and Nursing LLC. CMS inspection and staffing records do not tell us what this home will charge you.
Use a written private-pay quote. This worksheet adds only the amounts you enter; it does not calculate Medicare, Medicaid or insurance benefits.
Formula: (room rate + daily extras) × days + one-time charges. A 30-day scenario is not a calendar-month quote. Refundable deposits, rate changes and charges you omit are not automatically included. Entries are not saved or sent to our server.
Understand who pays for care · How we handle price evidence · Report an incorrect price
How to read ownership records →
Ownership records as published by CMS on 2026-08-01. CMS records when an owner joined but not when they left. Listed here and no longer involved? Tell us →
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 |
All 9 owning or managing parties CMS has on file are shown — none excluded.
CMS lists this facility under the chain Paragon Healthnet — 11 facilities in the current records. Chain membership says who operates these homes. It says nothing about how any individual one of them was inspected; each has its own record.
Listed by state, then facility name — not a ranking. Showing 8 of the 10 others, continuing from this facility's own place in that list.
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
| Facility | Distance | City | Overall | Inspection | Flags |
|---|---|---|---|---|---|
| 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 →
CMS records place this facility in Suffolk, NY — 41 certified facilities there. These are outside the 20-mile list above, or far enough down it not to appear.
Listed by facility name — not a ranking. Homes already in the table above are not repeated here.
Facility data as of CMS processing date 2026-08-01. CCN 335390.
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