Apex Rehabilitation & Care Center — nursing home in Huntington Station, NY

Facility type: Nursing home · SNF / NF
CMS provider type: Medicare and Medicaid
Certified beds: 195 CMS-certified beds (not state-licensed beds)
Licensed beds: 195 state-licensed beds · New York State Department of Health
State license: 5153311N active · licensee S&L Birchwood,LLC
Average residents per day: 178.9 CMS, MDS-derived
CMS Certification Number: 335067
Certification status: Active CMS certification Verified
First approved (Medicare/Medicaid): Jan 1, 1967
Ownership type: For profit - Limited Liability company
Operator (legal business name): S & L Birchwood LLC
CMS chain: Not part of a CMS-reported chain
Phone: (631) 423-3200
Resident & family council: Resident
Sprinklers in all required areas: Yes
Official profile: Medicare Care Compare ↗

Inspection record · CMS window

Verified

Inspections

7

latest Apr 16, 2025

Citations

32

31 health · 1 fire

Harm or worse

0

no immediate jeopardy

Severity	Isolated	Pattern	Widespread
Immediate jeopardy	J·	K·	L·
Actual harm	G·	H·	I·
Potential harm	D23	E8	F1
Minimal	A·	B·	C·

CMS publishes about the three most recent standard surveys plus complaint and infection-control inspections from the prior three years. Older findings leave the dataset; their absence is not evidence they never happened.

CMS Five-Star ratings

Federal · CMS

Overall

Health inspections

Staffing

Quality measures

Penalties · about the last 3 years

Fines

0

$0

Payment denials

0

Latest

—

Federal certification

Federal · CMS

Authority: Centers for Medicare & Medicaid Services (CMS), surveyed by the state survey agency
CCN: 335067
Program: Medicare and Medicaid
Medicare (SNF): Certified
Medicaid (NF): Certified
Certified beds: 195
First approved: Jan 1, 1967
Located in a hospital: No
Status: Active CMS certification as of CMS release Nov 1, 2026
Evidence: Verified

State license

Authority: New York State Department of Health (NYSDOH)
License number: 5153311N
State facility ID: 919
License type: Residential Health Care Facility - SNF
License status: active
Licensed beds: 195
Bed certifications: RHCF: 195
Link to CMS record: Linked by exact street address + ZIP Inferred
Licensee: S&L Birchwood,LLC · LLC
Initially licensed: Feb 1, 1989
As of: Oct 23, 2026
Evidence: Inferred source ↗

Federal certification and the state license are different records. A nursing home is licensed by the state and, separately, certified by CMS to bill Medicare and/or Medicaid. We link them by the CCN when the state publishes it; otherwise by exact address, house number and street, or exact name within the same ZIP, and label that link as inferred. Never by name alone.

CMS publishes about the three most recent standard surveys plus complaint and infection-control inspections from the prior three years. Older findings leave the dataset; their absence is not evidence they never happened.

Date	Domain	Survey types	Citations	Most severe	Open
Apr 16, 2025	Fire safety	Fire Safety Standard	0	No citations	—	Open →
Apr 16, 2025	Health	Health Complaint, Health Standard	12	Potential harm	—	Open →
Feb 27, 2024	Health	Health Complaint	1	Potential harm	—	Open →
Feb 14, 2024	Fire safety	Fire Safety Standard	1	Potential harm	—	Open →
Feb 14, 2024	Health	Health Complaint, Health Standard	13	Potential harm	—	Open →
Feb 14, 2022	Fire safety	Fire Safety Standard	0	No citations	—	Open →
Feb 14, 2022	Health	Health Standard	5	Potential harm	—	Open →

Enforcement

Penalties

Civil money penalties and denials of payment for new admissions, as published by CMS (about the last three years). Amounts may change on appeal.

No fines or payment denials in the CMS Penalties file for this CCN.

Scope × severity

Severity	Isolated	Pattern	Widespread
Immediate jeopardy	J·	K·	L·
Actual harm	G·	H·	I·
Potential harm	D23	E8	F1
Minimal	A·	B·	C·

By concept

Date	Tag	Deficiency	Scope / severity	Correction	Flags
Apr 16, 2025	F-0550	Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Resident Rights Deficiencies · Resident rights & abuse/neglect	D · Potential harm Isolated	Corrected May 23, 2025
Apr 16, 2025	F-0609	Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect	D · Potential harm Isolated	Corrected May 23, 2025	Complaint
Apr 16, 2025	F-0610	Respond appropriately to all alleged violations. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect	D · Potential harm Isolated	Corrected May 23, 2025
Apr 16, 2025	F-0684	Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Clinical care	D · Potential harm Isolated	Corrected May 23, 2025
Apr 16, 2025	F-0686	Provide appropriate pressure ulcer care and prevent new ulcers from developing. Quality of Life and Care Deficiencies · Clinical care	E · Potential harm Pattern	Corrected May 23, 2025
Apr 16, 2025	F-0689	Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Clinical care	D · Potential harm Isolated	Corrected May 23, 2025
Apr 16, 2025	F-0790	Provide routine and 24-hour emergency dental care for each resident. Quality of Life and Care Deficiencies · Clinical care	D · Potential harm Isolated	Corrected May 23, 2025
Apr 16, 2025	F-0812	Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Food, nutrition & hydration	F · Potential harm Widespread	Corrected May 23, 2025
Apr 16, 2025	F-0835	Administer the facility in a manner that enables it to use its resources effectively and efficiently. Administration Deficiencies · Administration & records	E · Potential harm Pattern	Corrected May 23, 2025	Complaint
Apr 16, 2025	F-0839	Employ staff that are licensed, certified, or registered in accordance with state laws. Administration Deficiencies · Administration & records	E · Potential harm Pattern	Corrected May 23, 2025	Complaint
Apr 16, 2025	F-0842	Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Resident Assessment and Care Planning Deficiencies · Clinical care	D · Potential harm Isolated	Corrected May 23, 2025
Apr 16, 2025	F-0880	Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention	D · Potential harm Isolated	Corrected May 23, 2025
Feb 27, 2024	F-0697	Provide safe, appropriate pain management for a resident who requires such services. Quality of Life and Care Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Mar 30, 2024	Complaint
Feb 14, 2024	E-0015	Address subsistence needs for staff and patients. Emergency Preparedness Deficiencies · Emergency preparedness	E · Potential harm Pattern	Corrected Mar 30, 2024
Feb 14, 2024	F-0584	Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. Resident Rights Deficiencies · Resident rights & abuse/neglect	E · Potential harm Pattern	Corrected Mar 30, 2024	Complaint
Feb 14, 2024	F-0609	Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect	D · Potential harm Isolated	Corrected Mar 30, 2024
Feb 14, 2024	F-0610	Respond appropriately to all alleged violations. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect	D · Potential harm Isolated	Corrected Mar 30, 2024
Feb 14, 2024	F-0641	Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Mar 30, 2024
Feb 14, 2024	F-0657	Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. Resident Assessment and Care Planning Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Mar 30, 2024
Feb 14, 2024	F-0677	Provide care and assistance to perform activities of daily living for any resident who is unable. Quality of Life and Care Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Mar 30, 2024
Feb 14, 2024	F-0689	Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Clinical care	E · Potential harm Pattern	Corrected Mar 30, 2024	Complaint
Feb 14, 2024	F-0725	Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. Nursing and Physician Services Deficiencies · Staffing & supervision	D · Potential harm Isolated	Corrected Mar 30, 2024
Feb 14, 2024	F-0726	Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. Nursing and Physician Services Deficiencies · Staffing & supervision	D · Potential harm Isolated	Corrected Mar 30, 2024
Feb 14, 2024	F-0761	Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. Pharmacy Service Deficiencies · Medication management	E · Potential harm Pattern	Corrected Mar 30, 2024
Feb 14, 2024	F-0776	Provide timely, approved x-ray services, or have an agreement with an approved provider to obtain them. Administration Deficiencies · Administration & records	D · Potential harm Isolated	Corrected Mar 30, 2024
Feb 14, 2024	F-0790	Provide routine and 24-hour emergency dental care for each resident. Quality of Life and Care Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Mar 30, 2024
Feb 14, 2024	F-0880	Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention	D · Potential harm Isolated	Corrected Mar 30, 2024
Feb 14, 2022	F-0656	Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Apr 11, 2022
Feb 14, 2022	F-0684	Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Apr 11, 2022
Feb 14, 2022	F-0689	Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Apr 11, 2022
Feb 14, 2022	F-0695	Provide safe and appropriate respiratory care for a resident when needed. Quality of Life and Care Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Apr 11, 2022
Feb 14, 2022	F-0880	Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention	E · Potential harm Pattern	Corrected Apr 11, 2022

“Corrected” does not erase a citation: the historical finding stays listed with its disposition. Narrative statements of deficiencies are not part of the CMS dataset; see Care Compare for the official inspection report.

Five-Star ratings

Federal · CMS

Overallstate 3.1

Health inspectionsstate 2.7

Staffingstate 2.9

Quality measuresstate 3.9

Long-stay QM

Short-stay QM

CMS ratings apply to CMS-certified nursing homes only and are relative within each state. They are not a guarantee of any individual resident’s experience.

Nurse staffing · hours per resident per day

Total nurse staffing3.87

State avg 3.69US avg 3.90

Registered nurse (RN)1.08

State avg 0.73US avg 0.69

Licensed practical nurse0.35

State avg 0.76US avg 0.86

Nurse aide2.44

State avg 2.20US avg 2.35

Weekend total nurse3.47

State avg 3.20US avg 3.43

Reported from Payroll-Based Journal (PBJ) data, as published by CMS. Case-mix adjusted total: 3.82 (case-mix index 1.42).

Staff turnover

Total nursing staff turnover32.9%

State avg 40.3%US avg 45.3%

Registered nurse turnover49.0%

State avg 39.6%US avg 42.5%

Administrators who left0

State avg 1US avg 1

Health survey score

Cycle 1 standard survey: Apr 16, 2025
Cycle 1 health score: 72
Total weighted score: 71

Operating entity

S & L Birchwood LLC

CMS legal business name of the certified provider. Operates this facility only.

VerifiedLinked by exact legal name

CMS chain

Not part of a CMS-reported chain.

Ownership disclosures

Disclosures

2

Organizations

0

Individuals

2

Direct & indirect ownership

Owners of record

Name	Type	Role (Carefield group)	CMS role text	Share	Since
Zalmen Oberlander	Individual	Direct owner	5% OR GREATER DIRECT OWNERSHIP INTEREST	100%	Feb 16, 2007

CMS Ownership file

All disclosed roles

Operator, owners, managers, officers and lenders are distinct roles and are never flattened into one entity. Organizations link across facilities by exact normalized legal name; individuals are listed per facility only.

Name	Type	Role (Carefield group)	CMS role text	Share	Since
Zalmen Oberlander	Individual	Direct owner	5% OR GREATER DIRECT OWNERSHIP INTEREST	100%	Feb 16, 2007
David Efroymson	Individual	Managing employee	W-2 MANAGING EMPLOYEE	not provided	Apr 1, 2016

No building or property record is linked to this facility yet. Parcel, assessor and building-permit joins will be added only where a valid site match exists.

Coordinates as published by CMS.

Address: 78 Birchwood Dr, Huntington Station, NY 11746
ZIP: 11746
County: Suffolk County FIPS 36103
State: New York
Urban / rural (CMS): Urban

Within ~25 km

Nearby nursing homes

Facility	Distance	Beds	Last inspection	Citations (window)	Fines
Huntington Hills Center for Health and Rehabilitat 400 South Service Road, Melville, NY 11747 CCN 335818	2.7 km	320	Jul 17, 2026	16	—
Carillon Nursing and Rehabilitation Center 830 Park Avenue, Huntington, NY 11743 CCN 335286	3.1 km	315	May 19, 2025	211 harm	$23k
Pine Forest Care Center for Rehab & Healthcare 9 Hilaire Drive, Huntington, NY 11743 CCN 335040	4.8 km	76	Nov 14, 2025	432 IJ	$16k
White Oaks Rehabilitation and Nursing Center 8565 Jericho Turnpike, Woodbury, NY 11797 CCN 335690	5.7 km	200	Nov 20, 2025	371 harm	$8,404
Excel at Woodbury for Rehabilitation and Nursing, 8533 Jericho Tpke, Woodbury, NY 11797 CCN 335231	5.8 km	123	Jul 22, 2025	23	—
Woodbury Heights Nursing and Rehabilitation Center 378 Syosset Woodbury Road, Woodbury, NY 11797 CCN 335555	6.5 km	606	Apr 16, 2026	812 IJ2 harm1 open	$118k
Gurwin Jewish Nursing and Rehabilitation Center 68 Hauppauge Road, Commack, NY 11725 CCN 335696	7.8 km	460	Jan 8, 2026	221 harm	—
Central Island Healthcare 825 Old Country Rd, Plainview, NY 11803 CCN 335284	9.4 km	202	Jun 16, 2025	38	—

Source	Record	Facts	Evidence	Source release	Retrieved
CMS Provider Information US-CMS	335067	name, address, phone, certification, certified_beds, ownership_type, legal_business_name, chain	Verified	Oct 1, 2026	Nov 7, 2026
CMS Provider Information US-CMS	335067	ratings, staffing, health_survey_score Five-Star ratings and PBJ staffing apply to the CMS-certified universe only.	Verified	Oct 1, 2026	Nov 7, 2026
New York DOH Health Facility Information NY	919	state_license, licensed_beds, licensee Linked to the CMS record by exact normalized street address and ZIP (the state roster does not publish the CCN).	Inferred	Oct 23, 2026	Nov 7, 2026
New York DOH Bed Certifications NY	919	capacity, bed_certifications	Verified	Nov 1, 2026	Nov 7, 2026

Record-level source links for CCN 335067

First seen by Carefield Nov 7, 2026 · last changed Nov 7, 2026. This record as JSON · Report a correction