Good Samaritan Nursing and Rehabilitation Care Ctr — nursing home in Sayville, NY

Facility type: Nursing home · SNF / NF
CMS provider type: Medicare and Medicaid
Certified beds: 100 CMS-certified beds (not state-licensed beds)
Licensed beds: 100 state-licensed beds · New York State Department of Health
State license: 5154310N active · licensee Good Samaritan University Hospital
Average residents per day: 77.1 CMS, MDS-derived
CMS Certification Number: 335636
Certification status: Active CMS certification Verified
First approved (Medicare/Medicaid): Jan 17, 1980
Ownership type: Non profit - Church related
Operator (legal business name): Good Samaritan Hospital Medical Center
CMS chain: Not part of a CMS-reported chain
Phone: (631) 244-2400
Resident & family council: Resident
Sprinklers in all required areas: Yes
Official profile: Medicare Care Compare ↗

Inspection record · CMS window

Verified

Inspections

7

latest Apr 7, 2026

Citations

11

8 health · 3 fire

Harm or worse

0

no immediate jeopardy

Severity	Isolated	Pattern	Widespread
Immediate jeopardy	J·	K·	L·
Actual harm	G·	H·	I·
Potential harm	D10	E·	F·
Minimal	A·	B·	C1

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: 335636
Program: Medicare and Medicaid
Medicare (SNF): Certified
Medicaid (NF): Certified
Certified beds: 100
First approved: Jan 17, 1980
Located in a hospital: Yes
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: 5154310N
State facility ID: 3041
License type: Residential Health Care Facility - SNF
License status: active
Licensed beds: 100
Bed certifications: RHCF: 100
Link to CMS record: Linked by exact street address + ZIP Inferred
Licensee: Good Samaritan University Hospital · Not for Profit Corporation
Initially licensed: Jan 17, 1980
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 7, 2026	Fire safety	Fire Safety Standard	1	Potential harm	—	Open →
Apr 7, 2026	Health	Health Standard	4	Potential harm	—	Open →
Mar 19, 2025	Fire safety	Fire Safety Standard	1	Potential harm	—	Open →
Mar 19, 2025	Health	Health Standard	2	Potential harm	—	Open →
Jan 3, 2025	Health	Health Complaint	1	Potential harm	—	Open →
Dec 4, 2023	Fire safety	Fire Safety Standard	1	Minimal	—	Open →
Dec 4, 2023	Health	Health Standard	1	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	D10	E·	F·
Minimal	A·	B·	C1

By concept

Date	Tag	Deficiency	Scope / severity	Correction	Flags
Apr 7, 2026	K-0353	Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected Apr 30, 2026
Apr 7, 2026	F-0641	Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · Clinical care	D · Potential harm Isolated	Corrected May 25, 2026
Apr 7, 2026	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 May 25, 2026
Apr 7, 2026	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	D · Potential harm Isolated	Corrected May 25, 2026
Apr 7, 2026	F-0880	Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention	D · Potential harm Isolated	Corrected May 25, 2026
Mar 19, 2025	K-0222	Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. Egress Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected May 2, 2025
Mar 19, 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 2, 2025
Mar 19, 2025	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	D · Potential harm Isolated	Corrected May 2, 2025
Jan 3, 2025	F-0600	Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect	D · Potential harm Isolated	Corrected Feb 3, 2025	Complaint
Dec 4, 2023	F-0711	Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit. Nursing and Physician Services Deficiencies · Staffing & supervision	D · Potential harm Isolated	Corrected Jan 31, 2024
Dec 4, 2023	K-0712	Have simulated fire drills held at unexpected times. Miscellaneous Deficiencies · Environment & life safety	C · Minimal Widespread	Corrected Jan 9, 2024

“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 staffing3.09

State avg 3.69US avg 3.90

Registered nurse (RN)0.58

State avg 0.73US avg 0.69

Licensed practical nurse0.78

State avg 0.76US avg 0.86

Nurse aide1.73

State avg 2.20US avg 2.35

Weekend total nurse2.82

State avg 3.20US avg 3.43

Reported from Payroll-Based Journal (PBJ) data, as published by CMS. Case-mix adjusted total: 3.11 (case-mix index 1.39).

Staff turnover

Total nursing staff turnover28.2%

State avg 40.3%US avg 45.3%

Registered nurse turnover18.2%

State avg 39.6%US avg 42.5%

Administrators who left1

State avg 1US avg 1

Health survey score

Cycle 1 standard survey: Apr 7, 2026
Cycle 1 health score: 16
Total weighted score: 15

Operating entity

Good Samaritan Hospital Medical Center

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

25

Organizations

0

Individuals

25

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
Barbara Black	Individual	Corporate officer / director	CORPORATE DIRECTOR	not provided	Jan 1, 2017
Thomas Christman	Individual	Corporate officer / director	CORPORATE DIRECTOR	not provided	Jan 1, 2017
Kevin Conway	Individual	Corporate officer / director	CORPORATE DIRECTOR	not provided	Jan 1, 2017
Peter D'angelo	Individual	Corporate officer / director	CORPORATE DIRECTOR	not provided	Jan 1, 2017
Peter Dugandzic	Individual	Corporate officer / director	CORPORATE DIRECTOR	not provided	Jan 1, 2017
Virginia Ewen	Individual	Corporate officer / director	CORPORATE DIRECTOR	not provided	Jan 1, 2017
John Francfort	Individual	Corporate officer / director	CORPORATE DIRECTOR	not provided	Jan 1, 2017
Alexander Hazelton	Individual	Corporate officer / director	CORPORATE DIRECTOR	not provided	Jan 1, 2017
Frank Kurre	Individual	Corporate officer / director	CORPORATE DIRECTOR	not provided	Jan 1, 2017
Anthony Marano	Individual	Corporate officer / director	CORPORATE DIRECTOR	not provided	Jan 1, 2017
Brian Mcguire	Individual	Corporate officer / director	CORPORATE DIRECTOR	not provided	Jan 1, 2017
Stephen Mclouglin	Individual	Corporate officer / director	CORPORATE DIRECTOR	not provided	Jan 1, 2017
Robert Morrissey	Individual	Corporate officer / director	CORPORATE DIRECTOR	not provided	Jan 1, 2017
Christopher Pascucci	Individual	Corporate officer / director	CORPORATE DIRECTOR	not provided	Jan 1, 2017
Jerome Poller	Individual	Corporate officer / director	CORPORATE DIRECTOR	not provided	Jan 1, 2011
Peter Quick	Individual	Corporate officer / director	CORPORATE DIRECTOR	not provided	Jan 1, 2017
Daniel Rowe	Individual	Corporate officer / director	CORPORATE DIRECTOR	not provided	Jan 1, 2017
Salvatore Sodano	Individual	Corporate officer / director	CORPORATE DIRECTOR	not provided	Jan 1, 2011
James Vlaun	Individual	Corporate officer / director	CORPORATE DIRECTOR	not provided	Jan 1, 2017
John Wagner	Individual	Corporate officer / director	CORPORATE DIRECTOR	not provided	Jan 1, 2017
William Ward	Individual	Corporate officer / director	CORPORATE DIRECTOR	not provided	Jan 1, 2017
Robert Zuccaro	Individual	Corporate officer / director	CORPORATE DIRECTOR	not provided	Jan 1, 2017
Alan Guerci	Individual	Corporate officer / director	CORPORATE OFFICER	not provided	Jan 1, 2017
John Haight	Individual	Corporate officer / director	CORPORATE OFFICER	not provided	Sep 1, 2011
Frank Misiano	Individual	Managing employee	W-2 MANAGING EMPLOYEE	not provided	Jan 1, 2017

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: 101 Elm St, Sayville, NY 11782
ZIP: 11782
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
Affinity Skilled Living and Rehabilitation Center 305 Locust Avenue, Oakdale, NY 11769 CCN 335839SFF CandidateAbuse icon	3.3 km	280	Jul 2, 2026	483 IJ2 harm	—
Luxor at Sayville Rehabilitation and Nursing Cente 300 Broadway Avenue, Sayville, NY 11782 CCN 335761	4.5 km	180	May 2, 2025	21	—
Momentum at South Bay for Rehabilation and Nursing 340 East Montauk Highway, East Islip, NY 11730 CCN 335401	8.1 km	160	Sep 9, 2025	12	—
Swan Lake Nursing and Rehabilitation 25 Schoenfeld Blvd, Patchogue, NY 11772 CCN 335596	8.7 km	120	Oct 1, 2025	201 IJ	—
Brookhaven Health Care Facility, LLC 801 Gazzola Blvd, East Patchogue, NY 11772 CCN 335694	11 km	160	Mar 4, 2026	151 harm	—
Island Nursing and Rehab Center 5537 Expressway Drive North, Holtsville, NY 11742 CCN 335835	11.8 km	120	Jul 15, 2026	171 open	—
Bellhaven Center for Rehab and Nursing Care 110 Beaver Dam Road, Brookhaven, NY 11719 CCN 335755	13.4 km	240	May 20, 2026	361 IJ1 harm	—
Medford Multicare Center for Living 3115 Horseblock Road, Medford, NY 11763 CCN 335840	13.7 km	320	Jun 2, 2026	252 IJ1 harm	$135k

Source	Record	Facts	Evidence	Source release	Retrieved
CMS Provider Information US-CMS	335636	name, address, phone, certification, certified_beds, ownership_type, legal_business_name, chain	Verified	Oct 1, 2026	Nov 7, 2026
CMS Provider Information US-CMS	335636	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	3041	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	3041	capacity, bed_certifications	Verified	Nov 1, 2026	Nov 7, 2026

Record-level source links for CCN 335636

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