Island Nursing and Rehab Center

5537 Expressway Drive North · Holtsville, NY · 11742 · 6317583336

120 certified beds Non profit - Corporation

  • No federal fines or payment denials in CMS’s 3-year window.
  • Inspection results have improved across recent cycles.

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.

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Red flags

No red flags in the current CMS record. Genuinely good news — pair it with an in-person tour before deciding.

Score breakdown

Inspection record 30% of score 74
Serious harm & abuse 20% 100
Staffing 20% 69
Federal penalties 15% 100
Trend 10% 75
Context 5% 100

Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.

CMS ratings & staffing

Overall: 4 of 5 Inspections: 4 of 5 Staffing: 3 of 5 Quality measures: 4 of 5

Total nurse hours / resident-day3.443.48 min · 4.1 strong
RN hours / resident-day0.780.55–0.75
Weekend hours / resident-day3.03≈ weekday level
Nursing turnover / year49%median 45%
Fines (3-yr window)none

Inspection citations (13 in the current record)

  • Potential for harm · D August 6, 2025

    Allow residents to self-administer drugs if determined clinically appropriate.

    Corrected October 1, 2025 · Resident Rights

  • Potential for harm · D August 6, 2025

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    Corrected October 1, 2025 · Resident Assessment and Care Planning

  • Potential for harm · D August 6, 2025

    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

    Corrected October 1, 2025 · Pharmacy Service

  • Potential for harm · D August 6, 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 October 1, 2025 · Pharmacy Service

  • Potential for harm · D June 11, 2024

    Ensure each resident receives an accurate assessment.

    Corrected August 8, 2024 · Resident Assessment and Care Planning

  • Potential for harm · D June 11, 2024

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    Corrected August 8, 2024 · Resident Assessment and Care Planning

  • Potential for harm · D June 11, 2024

    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

    Corrected August 8, 2024 · Resident Assessment and Care Planning

  • Potential for harm · D June 11, 2024

    Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care.

    Corrected August 8, 2024 · Nursing and Physician Services

  • Potential for harm · E June 11, 2024 · found via complaint

    Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

    Corrected August 8, 2024 · Nursing and Physician Services

  • Potential for harm · D June 11, 2024 · found via complaint

    Provide or obtain dental services for each resident.

    Corrected August 8, 2024 · Quality of Life and Care

  • Potential for harm · D September 13, 2022

    Provide safe and appropriate respiratory care for a resident when needed.

    Corrected October 20, 2022 · Quality of Life and Care

  • Potential for harm · D September 13, 2022

    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.

    Corrected October 20, 2022 · Nursing and Physician Services

  • Potential for harm · E September 13, 2022

    Provide and implement an infection prevention and control program.

    Corrected October 27, 2022 · Infection Control

Family & resident reviews — a separate signal, never mixed into the score

No approved reviews yet. If your family has experience with this facility, yours could be the review that helps the next family decide.

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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 335835 · certified since November 30, 2001. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.