The Hamlet Rehabilitation and Healthcare Center at
100 Southern Boulevard, Nesconset, NY 11767 · Suffolk County · 240 certified beds · avg 236 residents/day · certified since Aug 6, 1984
Part of chain: CARERITE CENTERS (34 facilities, chain avg rating 3.6★)
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★★★★☆4/5 · CMS overall rating: 5/5
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 · Sep 8, 2023 · F-0684 · triggered by a complaint
The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals.
Why it matters: Care that strays from doctor's orders or ignores the resident's wishes can lead to declining health and avoidable harm.
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: Oct 11, 2023 (Deficient, Provider has date of correction)
▲ Actual harm, one-off · Apr 5, 2024 · F-0600 · triggered by a complaint
The facility did not protect residents from abuse or neglect. This covers physical, mental, and sexual abuse, physical punishment, and neglect, by anyone — staff, other residents, or visitors.
Why it matters: Abuse and neglect cause direct physical and emotional harm and are among the most serious failures a nursing home can have.
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: May 2, 2024 (Deficient, Provider has date of correction)
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 |
|---|---|---|
| Feb 20, 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. |
| Feb 20, 2025 | D · Potential for harm, one-off | The facility did not safely and appropriately administer IV fluids (fluids given through a vein) for residents who needed them. |
| Feb 20, 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. |
| Apr 5, 2024 | ▲ G · Actual harm, one-off | The facility did not protect residents from abuse or neglect. This covers physical, mental, and sexual abuse, physical punishment, and neglect, by anyone — staff, other residents, or visitors. · from a complaint |
| Nov 22, 2023 | E · Potential for harm, repeated | 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. · from a complaint |
| Nov 22, 2023 | 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. |
| Nov 22, 2023 | D · Potential for 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 22, 2023 | 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. · from a complaint |
| Sep 8, 2023 | ▲ J · Immediate jeopardy, 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 |
| Jul 22, 2021 | 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. |
| Jul 22, 2021 | 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. |
| Jul 22, 2021 | D · Potential for harm, one-off | The facility did not provide the help residents need with basic daily activities — like bathing, dressing, eating, and using the bathroom — for residents who cannot do these things on their own. |
| Jul 22, 2021 | 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. |
Inspection trend by year
Citations from standard inspections stayed about the same across the last two inspection cycles (4 → 3).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2021 | 4 | 0 | D |
| 2023 | 5 | 1 | J ▲ |
| 2024 | 1 | 1 | G ▲ |
| 2025 | 3 | 0 | 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)
2 fines totaling $92,770.
| Date | Type | Amount / length |
|---|---|---|
| Apr 5, 2024 | Fine | $43,610 |
| Sep 8, 2023 | Fine | $49,160 |
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) | 2.87 | 3.58 | 3.95 | bottom 17% in New York; bottom 10% in the U.S. |
| Registered Nurse hours | 0.41 | 0.68 | 0.69 | bottom 16% in New York; bottom 23% in the U.S. |
| Weekend total nurse staffing | 2.45 | 3.13 | 3.50 | bottom 11% in New York; bottom 8% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.24 | 0.48 | 0.48 | bottom 25% in New York; bottom 20% in the U.S. |
| Total nursing staff turnover (%) | 31.0 | 40.3 | 45.8 | top 31% in New York; top 16% in the U.S. |
| RN turnover (%) | 31.3 | 39.8 | 42.9 | top 34% in New York; top 32% 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 3.39, RN 0.48, weekend 2.89. Staffing rating: 2/5.
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 - Corporation
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Einhorn, Neal | Individual | 5% or Greater Direct Ownership Interest | 44% | 08/22/2017 |
| Friedman, Mark | Individual | 5% or Greater Direct Ownership Interest | 44% | 08/22/2017 |
| Rudner, Akiva | Individual | 5% or Greater Direct Ownership Interest | — | 08/22/2017 |
| Sax, Steven | Individual | 5% or Greater Direct Ownership Interest | — | 08/22/2017 |
| Desire, Nathaniel | Individual | Operational/Managerial Control | NOT APPLICABLE | 03/01/2024 |
| Desire, Nathaniel | Individual | ADP of the SNF | NOT APPLICABLE | 03/01/2024 |
| Einhorn, Neal | Individual | Managing Control - Governing Body | NOT APPLICABLE | 08/22/2017 |
| Espinal, Santa | Individual | Operational/Managerial Control | NOT APPLICABLE | 02/15/2021 |
| Espinal, Santa | Individual | ADP of the SNF | NOT APPLICABLE | 02/15/2021 |
| Friedman, Mark | Individual | Managing Control - Governing Body | NOT APPLICABLE | 08/22/2017 |
| Malone, Stephanie | Individual | Operational/Managerial Control | NOT APPLICABLE | 11/16/2020 |
| Malone, Stephanie | Individual | ADP of the SNF | NOT APPLICABLE | 11/16/2020 |
| Zucker, Yossie | Individual | ADP of the SNF | NOT APPLICABLE | 08/22/2017 |
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
- "Tell me about this abuse or neglect citation — what happened, and what specific changes did you make afterward?"
- "How do you prevent bedsores for residents who can't move themselves, and how often are at-risk residents repositioned?"
- "Who on your staff manages IV therapy, and what training and monitoring is in place?"
- "How many residents here use oxygen or breathing equipment, and who checks that equipment each shift?"
- "Can you show me an example care plan, and how are families included when it's created and updated?"
- "Who is on the team that builds each resident's care plan, and how quickly is it in place after admission?"
- "What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
- "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 |
|---|---|---|---|---|---|
| Smithtown Center for Rehabilitation & Nursing Care | 1.7 mi | Smithtown, NY | ★★☆☆☆ | 3/5 | |
| Brookside Multicare Nursing Center | 1.9 mi | Smithtown, NY | ★★★★★ | 4/5 | |
| St Catherine of Siena Nursing and Rehabilitation C | 2.0 mi | Smithtown, NY | ★★★☆☆ | 3/5 | |
| St James Rehabilitation & Healthcare Center | 2.2 mi | St James, NY | ★★★★☆ | 3/5 | |
| Luxor Nursing & Rehabilitation at Mills Pond | 2.2 mi | St James, NY | ★★★★★ | 4/5 | |
| Long Island State Veterans Home | 4.7 mi | Stonybrook, NY | ★★★★★ | 5/5 | |
| Jefferson's Ferry | 5.3 mi | South Setauket, NY | ★★★★★ | 5/5 | |
| St Johnland Nursing Center | 5.4 mi | Kings Park, NY | ★☆☆☆☆ | 1/5 | abuse |
| Ross Center for Nursing and Rehabilitation | 6.3 mi | Brentwood, NY | ★★★☆☆ | 2/5 | |
| Maria Regina Rehabilitation and Nursing | 7.0 mi | Brentwood, NY | ★★★★★ | 4/5 | |
| Island Nursing and Rehab Center | 7.2 mi | Holtsville, NY | ★★★★☆ | 4/5 | |
| Allegria Nursing & Rehab Center of Port Jefferson | 7.2 mi | Port Jefferson Stati, NY | ★☆☆☆☆ | 1/5 |
Compare this facility with the 3 closest →
Facility data as of CMS processing date 2026-08-01. CCN 335674.