Highfield Gardens Care Center of Great Neck
199 Community Drive · Great Neck, NY · 11021 · 5163659229
200 certified beds For profit - Corporation Chain: Jonathan Bleier
Why this verdict
- Inspection results are getting worse cycle over cycle, not better.
The complete Safety Report — $19
Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
Red flags
No red flags in the current CMS record. Genuinely good news — pair it with an in-person tour before deciding.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 4 of 5 Inspections: 3 of 5 Staffing: 3 of 5 Quality measures: 5 of 5
| Total nurse hours / resident-day | 3.77 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.56 | 0.55–0.75 |
| Weekend hours / resident-day | 3.22 | ≈ weekday level |
| Nursing turnover / year | 34% | median 45% |
| Fines (3-yr window) | 2 · $4,922 |
Inspection citations (15 in the current record)
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Potential for harm · D February 3, 2025
PASARR screening for Mental disorders or Intellectual Disabilities
Corrected April 1, 2025 · Resident Assessment and Care Planning
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Potential for harm · D February 3, 2025
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected April 1, 2025 · Resident Assessment and Care Planning
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Potential for harm · D February 3, 2025
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected April 1, 2025 · Quality of Life and Care
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Potential for harm · D February 3, 2025
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.
Corrected April 1, 2025 · Pharmacy Service
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Potential for harm · E February 3, 2025
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected April 1, 2025 · Nutrition and Dietary
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Potential for harm · E February 3, 2025
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected April 1, 2025 · Nutrition and Dietary
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Potential for harm · E February 3, 2025
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Corrected April 1, 2025 · Environmental
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No harm found · B February 3, 2025
Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.
Corrected April 1, 2025 · Administration
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Potential for harm · D April 11, 2023
Provide enough food/fluids to maintain a resident's health.
Corrected June 9, 2023 · Quality of Life and Care
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Potential for harm · D April 11, 2023
Provide safe and appropriate respiratory care for a resident when needed.
Corrected June 9, 2023 · Quality of Life and Care
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Potential for harm · D April 11, 2023
Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care.
Corrected June 9, 2023 · Nursing and Physician Services
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Potential for harm · D April 11, 2023
Ensure that the resident and his/her doctor meet face-to-face at all required visits.
Corrected June 9, 2023 · Nursing and Physician Services
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Potential for harm · E April 11, 2023
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected June 9, 2023 · Nutrition and Dietary
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Potential for harm · D September 15, 2020
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected November 13, 2020 · Nutrition and Dietary
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Potential for harm · D September 15, 2020
Provide and implement an infection prevention and control program.
Corrected November 13, 2020 · Infection Control
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| October 10, 2023 | Fine | $1,748 |
| September 18, 2023 | Fine | $3,174 |
Family & resident reviews — a separate signal, never mixed into the score
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 335250 · certified since June 1, 1977. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.