60 Merrick Avenue, East Meadow, NY 11554 · Nassau County · (516) 222-9300
280 certified beds, about 272 residents a day · For profit - Corporation · Medicare and Medicaid since 2001
CMS Care Compare ratings, data as of September 1, 2026 · CCN 335831 · See it on Medicare.gov · Compare with other homes
At its most recent standard inspection, on December 23, 2024, inspectors cited 7 health deficiencies (the New York average is 8.1, the national average 9.2).
Of 20 health citations since October 2020, 1 was rated as actual harm or immediate jeopardy to residents.
CMS lists 1 fine totaling $8,401 in the last three years; the largest was $8,401, and the latest is dated April 2, 2025.
Nurses and nurse aides worked 3.83 hours per resident per day, against 3.63 across New York and 3.86 nationally. Registered nurses accounted for 0.47 of those hours.
21.6% of nursing staff left within the year CMS measured (New York average 40.3%).
CMS links it to The Grand Healthcare, an affiliated group of 16 nursing homes.
Federal rules call for a standard inspection at least every 15 months, plus a visit whenever a complaint is filed. Each mark below is one citation, colored by how serious inspectors rated it. How to read a citation.
Under each citation, the quoted text is the inspector's own summary from the federal statement of deficiencies (CMS form 2567), word for word apart from a privacy scrub; CMS removes residents' and staff names before it publishes the text. The full notes are on Medicare.gov.
CMS rates every citation by how much harm it caused (rows) and how many residents it touched (columns). The count in each box is this home's, across all 20 health citations on file.
Inspectors wroteBased on observation, record review and interviews conducted during an abbreviated survey (NY00369337) the facility did not ensure each resident received adequate supervision consistent with resident's needs to prevent accidents. This was evident for one (1) (Resident #1) of three (3) residents reviewed for accidents. Specifically, Resident #1 was assessed to be at high risk for falls upon admission. Resident #1 sustained multiple falls (10 falls between 12/10/2024 and 12/17/2024 and four (4) falls between 12/31/2024 and 1/9/2025) while in the facility. On 12/17/2024, the resident sustained a fall resulting in an injury to the left eye and was transferred to the hospital. The resident was readmitted on [DATE] with recommendations for enhanced 1:2 (one staff member to two residents) supervision to prevent falls. [...]
Inspectors wroteBased on record review and interviews during the Recertification Survey initiated on 12/15/2024 and completed on 12/23/2024, the facility did not ensure sufficient nursing staff were available to provide nursing services to attain or maintain the highest practicable physical, mental, and psychosocial well-being of each resident. This was identified for seven of seven units reviewed for the Sufficient Nursing Staffing Task. Specifically, 1) a review of the Payroll-Based Journal (PBJ) Staffing Data Report Quarter Three, 2024 (April 1- June 30) indicated excessively low weekend staffing and One Star Staffing Rating 2) a review of the daily staffing sheets revealed the facility did not provide sufficient numbers of Certified Nursing Assistants as indicated in the Facility Assessment. This is a repeat deficiency. The finding is: [...]
Inspectors wroteBased on record review and staff interviews during the Recertification Survey initiated on 12/15/2024 and completed on 12/23/2024, the facility did not ensure that each resident had the right to participate in the development and implementation of their person-centered plan of care. This was identified for one (Resident #93) of four residents reviewed for Choices. Specifically, Resident #93, a cognitively intact resident with no known family or designated representative, was not invited to their Comprehensive Care Plan meeting. The finding is: The Care Planning-Interdisciplinary Team Policy and Procedure last reviewed in January 2024 documented that the resident, the resident's family, and/or legal representative/guardian or surrogate are encouraged to participate in the development of and revisions to the resident's care plan. [...]
Inspectors wroteBased on record review and staff interviews during the Recertification Survey initiated on 12/15/2024 and completed on 12/23/2024, the facility did not develop and implement an effective discharge planning process that focused on the resident's discharge goals. This was identified for one (Resident #93) of four residents reviewed for Choices. Specifically, Resident #93, a cognitively intact resident with no known family or designated representative, requested a transfer to another nursing facility; however, the facility did not address the resident's request to meet the resident's discharge goals. The finding is: [...]
Inspectors wroteBased on observations, record review, and interviews conducted during the Recertification Survey completed on 12/23/2024, the facility did not ensure that residents received proper assistive devices to maintain hearing abilities. This was identified for one (Resident #59) of two residents reviewed for Communication. Specifically, Resident #59, with highly impaired hearing had a Physician's order to use the hearing aids for both ears. The facility staff did not recharge the hearing aids consequently Resident #59 was not able to use the hearing aids to effectively communicate with staff and peers. The finding is: The facility's Policy titled Hearing Aid; Rechargeable Type dated 1/2024 documented guidelines including: storing the resident's hearing aids in the charger, away from direct sunlight or very warm temperatures when not in use. [...]
Inspectors wroteBased on record review and staff interviews during the Recertification Survey initiated on 12/15/2024 and completed on 12/23/2024, the facility did not ensure that the medical care of each resident was supervised by the Physician including monitoring changes in the resident's medical status. This was identified for one (Resident #93) of four residents reviewed for Choices. Specifically, The Psychiatrist's consultation dated 10/21/2024 included recommendations to explore options with the resident for transfer to another facility of the resident's choice and for the resident to receive behavior therapy and counseling. Nurse Practioner #1 reviewed the recommendations provided by the Psychiatrist; however, did not agree, disagree, or implement the recommendations. The finding is: [...]
Inspectors wroteBased on record review and staff interviews during the Recertification Survey initiated on 12/15/2024 and completed on 12/23/2024, the facility did not ensure each resident received the necessary behavioral health care and services according to the resident's comprehensive assessment and plan of care to attain or maintain the highest practicable physical, mental, and psychosocial well-being. This was identified for one (Resident #93) of four residents reviewed for Choices. Specifically, Resident #93 was not offered behavioral or psychological counseling when the resident expressed feeling down, depressed, and hopeless to Social Worker #1. Additionally, the Psychiatrist's consultation dated 10/21/2024 recommended providing behavior therapy. Nurse Practioner #1 reviewed the recommendations provided by the Psychiatrist; however, did not agree, disagree, or implement the recommendations. [...]
Inspectors wroteBased on observations, record review, and interviews during the Recertification Survey initiated on 12/15/2024 and completed on 12/23/2024, the facility did not ensure that drug records were in order and accounted for all controlled drugs. This was identified on one (Unit 1 East) of seven units reviewed during the Medication Storage Task. Specifically, the Pharmacy delivered 56 tablets of Oxycodone 10 milligrams for Resident #162 on 12/17/2024; however, the Individual Resident's Controlled Substance Record documented that 46 tablets were received. Additionally, on 12/18/2024, the Individual Resident's Controlled Substance Record documented that 41 tablets of Oxycodone 10 milligrams were available, although the blister packs contained 50 tablets due to an inaccurate reconciliation of the total medication received from the Pharmacy on 12/17/2024. The finding is: [...]
Inspectors wroteBased on observation, record review and interviews during the abbreviated survey (NY00307264), the facility did not ensure that each resident had a Comprehensive Care Plan (CCP) developed that included measurable objectives and interventions to meet the resident's medical and nursing needs to attain or maintain the resident's highest practicable well-being. This was identified for 2 of 3 residents (Resident #2 and Resident #3) reviewed for falls. Specifically, Resident #2 experienced multiple falls and there was no CCP developed with goals and interventions to address the falls, and Resident #3 had multiple falls without goals or interventions to address the falls.
Inspectors wroteBased on observation, record review and interviews during the abbreviated survey (NY00307264), the facility did not ensure each resident received adequate supervision and assistance devices to prevent accidents for two of three residents (Resident #2 and Resident #3) reviewed for falls. Specifically, the facility failed to identify issues that placed Resident #2 and Resident #3 at risk for falls and implement steps to address those risks in a manner that enabled Resident #2 and Resident #3 to achieve or maintain their highest practicable physical, mental, and psychosocial well-being. As a result, Resident #2, and Resident #3 experienced multiple falls.
Inspectors wroteBased on record review and staff interviews during the Recertification Survey initiated on 4/24/2023 and completed on 4/28/2023, the facility did not ensure that within 14 days after the facility completes a resident's Minimum Data Set (MDS) assessments, the facility must electronically transmit encoded, accurate, and complete MDS data to the Center for Medicare and Medicaid System (CMS). This was identified for 10 (Resident #170, #75, #94, #2, #78, #74, #70, #60, #76, and #151) of 11 residents reviewed during the Resident Assessment Facility Task.
Inspectors wroteBased on record review and interviews during the Recertification Survey and Abbreviated Survey (NY00309735) initiated on 4/24/2023 and completed on 4/28/2023, the facility did not ensure that a person-centered care plan for each resident that includes measurable objectives and timeframes was developed. This was identified for one (Resident #126) of twelve residents reviewed for Activities of Daily Living (ADLs). Specifically, Resident #126 was admitted to the facility in May of 2022 and there was no Comprehensive Care Plan (CCP) developed for the resident's ADLs as of 4/27/2023. The finding is: The facility's Person Centered Care Plan policy and procedure last revised on 1/2023 documented the comprehensive person-centered care plan is developed within seven (7) days of the completion of the required comprehensive Minimum Data Set (MDS) assessment. [...]
Inspectors wroteBased on record review and staff interviews during the Recertification Survey and Abbreviated Survey (Complaint #NY00307520) initiated on 4/24/2023 and completed on 4/28/2023, the facility did not provide the necessary care and services to ensure that a resident's abilities in activities of daily living (ADLs) do not diminish unless circumstances of the individual's clinical condition demonstrate that such diminution was unavoidable. This was identified for one (Resident #59) of nine residents reviewed for ADLs. Specifically, Resident #59 was not assisted out of bed on 12/2/2022, 12/3/2022 and 12/4/2022 due to their Hoyer pad being wet and having to wait for it to dry. The finding is: [...]
Inspectors wroteBased on observation, record review and interviews during the Recertification survey and Abbreviated survey (NY00308230), the facility did not ensure that each resident receives adequate supervision to prevent accidents. This was identified for one (Resident #245) of three residents reviewed for Accidents. Specifically, Resident #245 with moderately impaired cognition was admitted on [DATE] and was assessed as high risk for elopement. The facility staff did not initiate interventions related to the identified high risk of elopement. On 1/6/2023 Resident # 245 exited the facility undetected by the facility staff and was found approximately 45 minutes later at approximately one mile away from the facility. The finding is: [...]
Inspectors wroteBased on observation, record review, and interviews during the Recertification Survey initiated on 4/24/2023 and completed on 4/28/2023 the facility did not ensure that each resident with an indwelling urinary catheter received appropriate care and services. This was identified for one (Resident #122) of two residents reviewed for Urinary Catheter. Specifically, Resident #122 had an indwelling urinary catheter inserted in the facility on 3/21/2023; however, there was no physician order obtained for insertion of the catheter or catheter care until 4/24/2023. Additionally, there was no documented evidence in the medical record of an assessment and plan for the removal of the catheter as soon as possible. The finding is: [...]
Inspectors wroteBased on record review and staff interviews during the Recertification Survey initiated on 4/24/2023 and completed on 4/28/2023, the facility did not ensure that each resident who required dialysis received such services, consistent with professional standards of practice, the comprehensive person-centered care plan, and the residents goals and preferences. This was identified for one (Resident #121) of one resident reviewed for Dialysis. Specifically, 1) a recommendation by the Registered Dietician (RD) to discontinue a liquid supplement was not addressed. 2) A laboratory report forwarded by the Dialysis Center was not addressed by the resident's Physician. 3) Resident #121 was on a fluid restriction of 1,200 cubic centimeters (cc) of fluid per day, with 900 ccs of fluid to be provided by the dietary department and 300 ccs of fluid to be provided by nursing staff. [...]
Inspectors wroteBased on record review and staff interviews during the Recertification Survey initiated on 4/24/2023 and completed on 4/28/2023, the facility did not ensure that the medical care of each resident was supervised by the Physician including monitoring changes in the resident's medical status. This was identified for one (Resident #16) of six residents reviewed for Nutrition. Specifically, Resident #16 had an 8.0% significant weight loss in 30 days and a 9.5% significant weight loss in 90 days identified in March 2023. The significant weight loss was not addressed by the resident's Primary Care Physician (PCP) in their Monthly Progress Notes. The finding is: The facility's policy titled, Weight Assessment and Intervention last reviewed in 1/2023 documented that the threshold for significant unplanned and undesirable weight loss will be based on the following criteria: [...]
Inspectors wroteBased on record review and staff interviews during the Recertification Survey and Abbreviated Survey (Complaint #NY00307520) initiated on 4/24/2023 and completed on 4/28/2023, the facility did not ensure that there was sufficient nursing staff with the appropriate competencies and skills sets to provide nursing and related services to assure resident safety and attain or maintain the highest practicable physical, mental, and psychosocial well-being of each resident, as determined by resident assessments and individual plans of care and considering the number, acuity and diagnoses of the facility's resident population in accordance with the facility assessment. This was identified for one (Resident #59) of nine residents reviewed for Activities of Daily Living (ADLs). [...]
Inspectors wroteBased on record review and staff interviews during the Recertification Survey initiated on 4/24/2023 and completed on 4/28/2023 the facility did not ensure that for each resident the attending physician reviewed and responded to the recommendations made by the Pharmacist on the medication regimen reviews. This was identified for two (Resident #122 and Resident #98) of five residents reviewed for Unnecessary Medications. Specifically, 1) Resident #122's pharmacy medication regimen review dated 3/19/2023 recommended to add parameters for when to administer as needed (PRN) pain medications. The resident's attending physician did not review and respond to the recommendation; and 2) Resident #98 was seen by the Pharmacy Consultant on 1/14/2023 and recommended a benefit/risk evaluation for Gabapentin (an anticonvulsant medication). [...]
Inspectors wroteBased on observation, record review, and interviews during the Recertification Survey initiated on 4/24/2023 and completed on 4/28/2023 the facility did not ensure that resident records were accurately documented in accordance with professional standards of practice. This was identified for one (Resident #69) of three residents reviewed for position and mobility. Specifically, the Occupational Therapist did not accurately document in the resident's medical record a failed trial and reversal of the recommendation for a hand splint. The finding is: Resident # 69 was admitted with diagnoses that include Adult Failure to Thrive, Type 2 Diabetes Mellitus and Osteoarthritis. The Quarterly Minimum Data Set (MDS) assessment dated [DATE] documented the resident had short and long-term memory problems and was severely impaired for daily decision-making. [...]
11 fire safety citations on file: 2 on December 23, 2024, 8 on April 28, 2023, 1 on October 20, 2020.
| Date | Penalty | Amount or length |
|---|---|---|
| April 2, 2025 | Fine | $8,401 |
A payment denial means Medicare and Medicaid stopped paying for new admissions for that period.
Hours of care per resident per day, from the payroll records every home sends CMS. Higher means more staff time with each resident.
| Measure | This home | New York | United States |
|---|---|---|---|
| All nursing staff (RN, LPN and aides) | 3.83 | 3.63 | 3.86 |
| Registered nurses | 0.47 | 0.71 | 0.69 |
| All nursing staff on weekends | 3.63 | 3.18 | 3.42 |
| Nurse aides | 2.61 | ||
| Licensed practical nurses | 0.75 | ||
| Nursing staff turnover (share who left in a year) | 21.6% | 40.3% | 45.8% |
| Registered nurse turnover | 11.8% | 39.8% | 42.9% |
| Administrators who left | 0 |
CMS expects 4.16 hours a day for residents as sick as this home's (its case-mix figure). The staffing star compares the two.
Every nursing home sends CMS its staff hours for each day (the Payroll Based Journal). Here they are added up by quarter. The latest quarter is the one behind the figures above. In January to March 2026, nursing staff hours per resident were 3.92 on weekdays and 3.63 on weekends, 7% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 0.0% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.64 in April to June 2025 to 3.83 in January to March 2026.
| Quarter | All nursing staff | Registered nurses | Weekdays | Weekends | Contract staff share | Days with no RN hours | Residents a day |
|---|---|---|---|---|---|---|---|
| Jan to Mar 2026 | 3.83 | 0.47 | 3.92 | 3.63 | 0.0% | 0 of 90 | 272 |
| Oct to Dec 2025 | 3.78 | 0.49 | 3.84 | 3.62 | 0.1% | 0 of 92 | 268 |
| Jul to Sep 2025 | 3.75 | 0.48 | 3.81 | 3.59 | 0.0% | 0 of 92 | 273 |
| Apr to Jun 2025 | 3.64 | 0.43 | 3.72 | 3.42 | 0.0% | 0 of 91 | 275 |
| United States, Jan to Mar 2026 | 3.75 | 0.62 | 3.92 | 3.33 | 5.3% | 0.5% of days | |
| New York, Jan to Mar 2026 | 3.55 | 0.68 | 3.72 | 3.13 | 9.8% | 0.1% of days |
Hours per resident per day: staff hours in the quarter divided by resident days (the daily census CMS derives from resident assessments). Registered nurses include the director of nursing and RNs with administrative duties; aides include nurse aides in training and medication aides, as in CMS's own staffing measure. How these are calculated.
Staff pay reports
No staff pay figure for this home has passed review yet. A figure appears only after at least 5 reports from at least 3 different people, sent over at least 60 days, have passed review. If you work here, your report helps start one.
| Job | Median | Middle half | Employed |
|---|---|---|---|
| New York, all employers | |||
| CNAs (nursing assistants) | $23.36 | $21.04 to $24.99 | 87,990 |
| LPNs and LVNs | $32.30 | $29.52 to $37.00 | 39,400 |
| Registered nurses | $52.62 | $45.60 to $62.34 | 205,810 |
| United States, nursing care facilities | |||
| CNAs (nursing assistants) | $20.67 | $17.91 to $22.55 | 534,270 |
| LPNs and LVNs | $33.86 | $30.05 to $37.40 | 188,210 |
| Registered nurses | $41.11 | $37.85 to $47.68 | 142,270 |
Hourly wages; the middle half runs from the 25th to the 75th percentile. Source: U.S. Bureau of Labor Statistics, Occupational Employment and Wage Statistics, May 2025. BLS has no separate estimate for medication aides. These are survey estimates for whole occupations, not figures for any one home.
The measures CMS uses for the quality star. Lower is better for every one of them.
| Measure | This home | New York | US |
|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased Long Stay residents, 2025Q2-2026Q1 | 17.6 | 14.1 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 0.8 | 0.5 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 0.1 | 1.3 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 1.4 | 3.1 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 3.3 | 1.2 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 11.7 | 12.5 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 8.4 | 6.5 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 28.6 | 13.7 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 25.9 | 20.6 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 7.3 | 9.6 | 12.0 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 2.5 | 1.7 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.2 | 1.4 | 1.8 |
For a stay to recover after a hospital visit, these are the results CMS publishes for Fulton Commons Care Center Inc's Medicare short-stay residents. On returning residents home or to the community, CMS rates it worse than the national rate (41.8% of residents, after adjusting for how sick they were). How to read these, and what Medicare pays for.
41.8% this home
Worse than the national rate
US median of homes 51.5% · New York: 101 better, 157 worse
Rate of successful return to home or community from a SNF (risk-standardized discharge to community rate). Higher is better. October 2022 to September 2024. 382 eligible stays.
10.1% this home
No different from the national rate
US median of homes 10.7% · New York: 12 better, 5 worse
Rate of potentially preventable hospital readmissions 30 days after discharge from a SNF (risk-standardized rate). Lower is better. October 2022 to September 2024. 371 eligible stays.
6.1% this home
No different from the national rate
US median of homes 7.1% · New York: 7 better, 21 worse
Percentage of infections residents got during their SNF stay that resulted in hospitalization (risk-standardized rate). Lower is better. October 2023 to September 2024. 240 eligible stays.
53.5% this home
Median of homes: New York60.6% · US 56.6%
Percentage of residents who are at or above an expected ability to care for themselves and move around at discharge. Higher is better. October 2024 to September 2025. 200 residents counted.
0.3% this home
Median of homes: New York0.6% · US 0.0%
Percentage of SNF residents who experience one or more falls with major injury during their SNF stay. Lower is better. October 2024 to September 2025. 331 residents counted.
2.5% this home
Median of homes: New York2.0% · US 1.7%
Percentage of residents with pressure ulcers or pressure injuries that are new or worsened (adjusted rate). Lower is better. October 2024 to September 2025. 331 residents counted.
96.9% this home
Median of homes: New York98.5% · US 98.7%
Percentage of residents where the SNF provided a current medication list to the resident, family, and/or caregiver at final discharge. Higher is better. October 2024 to September 2025. 96 residents counted.
Source: CMS Skilled Nursing Facility Quality Reporting Program - Provider Data, released 2026-09-30. Better, no different and worse are CMS's own comparisons with the national rate, after adjusting for how sick residents were. Medians of homes and the state counts are worked out by us from the same file.
Legal business name: FULTON COMMONS CARE CENTER, INC.. CMS links this home to The Grand Healthcare, a group of 16 nursing homes averaging 1.8 stars overall.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Fogel, Esther | 5% or greater direct ownership interest | Individual | 10% | 12/10/1999 |
| Kalter, Frady | 5% or greater direct ownership interest | Individual | 10% | 12/10/1999 |
| Kalter, Moshe | 5% or greater direct ownership interest | Individual | 50% | 12/10/1999 |
| Kalter, Moshe | W-2 managing employee | Individual | 04/30/2015 |
As listed in the CMS ownership file, which names owners with a 5% or greater stake and the people and companies with operational or managerial control.
Chosen from this home's own inspection record.
Licensed assisted living homes in the same town or within 5 miles, each with its New York inspection record.
These are the official offices in New York. NursingHomeClear cannot take or act on complaints.