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The Grand Rehabilitation and Nursing at Great Neck

15 St. Pauls Place, Great Neck, NY 11021 · Nassau County · (516) 466-3001

214 certified beds, about 211 residents a day · For profit - Corporation · Medicare and Medicaid since 1976

Last standard inspection more than 2 years ago Certified for Medicaid Certified for Medicare
Overall
1 of 5
Health inspections
1 of 5
Staffing
2 of 5
Quality measures
4 of 5

CMS Care Compare ratings, data as of September 1, 2026 · CCN 335483 · See it on Medicare.gov · Compare with other homes

The record in brief

At its most recent standard inspection, on July 18, 2024, inspectors cited 8 health deficiencies (the New York average is 8.1, the national average 9.2).

Of 24 health citations since October 2019, 1 was rated as actual harm or immediate jeopardy to residents (1 immediate jeopardy).

CMS lists no fines against this home in the last three years.

Nurses and nurse aides worked 3.07 hours per resident per day, against 3.63 across New York and 3.86 nationally. Registered nurses accounted for 0.39 of those hours.

15.2% 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.

Health inspections

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.

Potential for minimal harm Potential for more than minimal harm Actual harm Immediate jeopardy Found on a complaint visit

Where its citations fall on CMS's grid

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 24 health citations on file.

Severity
Isolated
Pattern
Widespread
Immediate jeopardy
1J
0K
0L
Actual harm
0G
0H
0I
Potential for more than minimal harm
17D
2E
0F
Potential for minimal harm
0A
3B
1C
July 18, 2024Standard inspection, Complaint inspection · 8 citations
  1. D
    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
    F657 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) September 13, 2024
    Inspectors wroteBased on observations, record review, and interviews during the Recertification Survey initiated on 7/11/2024 and completed on 7/18/2024, the facility did not ensure that a comprehensive person-centered care plan was reviewed and revised by the interdisciplinary team after each assessment. This was identified for one (Resident #71) of three residents reviewed for skin conditions. Specifically, Resident #71 was observed with tissues and rubber bands wrapped around two fingers on multiple occasions and Nursing staff did not revise the comprehensive care plan to address the resident's behavior. The finding is: The facility's policy, titled Behavioral Assessment, Intervention, and Monitoring, last reviewed in January 2024, documented behavior symptoms will be identified using a facility-approved behavior screening tool and a comprehensive assessment. [...]
  2. D
    Provide appropriate treatment and care according to orders, resident’s preferences and goals.
    F684 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) September 13, 2024
    Inspectors wroteBased on observation, record review, and interviews during the Recertification Survey initiated on 7/11/2024 and completed on 7/18/2024, the facility did not ensure that a resident received treatment and care in accordance with professional standards of practice. This was identified for one (Resident #260) of three residents reviewed for Choices. Specifically, Resident #260 was admitted on [DATE] after a Micra Leadless Pacemaker Implantation (electronic device that is implanted in the body to monitor heart rate and rhythm) and required pacemaker remote monitoring. The facility did not initiate the pacemaker remote monitoring until 7/11/2024 and there was no documented Physician Order for the monitoring until 7/15/2024, seven days after Resident #260 was admitted to the facility. The finding is: [...]
  3. D
    Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
    F688 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) September 13, 2024
    Inspectors wroteBased on observation, record review, and staff interviews during the Recertification Survey, initiated on 7/11/2024 and completed on 7/18/2024, the facility did not ensure that each resident with limited mobility received appropriate services, equipment, and assistance to maintain or improve mobility. This was identified for one (Resident #135) of two residents reviewed for Rehabilitation Services. Specifically, the Rehabilitation Department recommended a floor ambulation program for Resident #135, however, the floor ambulation program was not completed. The finding is: [...]
  4. D
    Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
    F690 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) September 13, 2024
    Inspectors wroteBased on observation, record review, and interviews during the Recertification Survey initiated on 7/11/2024 and completed on 7/18/2024, the facility did not ensure that residents who are incontinent of bowel and bladder received the appropriate treatment and services to prevent Urinary Tract Infection. This was evident for one (Resident #117) of three residents reviewed for Activities for Daily Living. Specifically, Resident #117 required total assistance from one caregiver for toileting and was frequently incontinent of bowel and bladder. Resident #117 was observed wearing a urine-soaked brief and had wet linens underneath them on 7/11/2024 at 11:11 AM. The resident was last changed on the 11:00 PM to 7:00 AM shift before the observation. The findings is: [...]
  5. D
    Provide safe and appropriate respiratory care for a resident when needed.
    F695 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) September 13, 2024
    Inspectors wroteBased on observations, record review, and interviews conducted during the Recertification Survey initiated on 7/11/2024 and completed on 7/18/2024, the facility did not ensure that a resident who needed respiratory care was provided such care consistent with professional standards of practice. This was identified for one (Resident #57) of four residents reviewed for Respiratory Care. Specifically, Resident #57 had a Physician's Order to receive 4 liters of oxygen therapy per minute via mist collar to a tracheostomy continuously. However, on multiple occasions, Resident #57 was observed receiving 6 liters of oxygen per minute via mist collar to their tracheostomy. The finding is: The facility's Assessing Oxygen Saturation Policy, last revised in January 2024, documented to assess the resident for the following signs and symptoms of impaired oxygen saturation: [...]
  6. D
    Provide timely, quality laboratory services/tests to meet the needs of residents.
    F770 · Administration · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) September 13, 2024
    Inspectors wroteBased on observation, record review, and interviews during the Recertification Survey initiated on 7/11/2024 and completed on 7/18/2024, the facility did not ensure it obtained laboratory services to meet the needs of each resident. This was identified for one (Resident #41) of three residents reviewed for Transmission-Based Precautions. Specifically, Resident #41 was receiving the antibiotic Vancomycin for Methicillin-Resistant Staphylococcus aureus (a bacteria that causes serious infection) in the urine and mastoid bone (the bone behind the ear) and the Physician ordered a Vancomycin trough level (a laboratory test used to determine therapeutic dosage) to be drawn on 7/9/2024. There was no documented evidence in the resident's medical record that the laboratory order was completed. The finding is: [...]
  7. D
    Provide and implement an infection prevention and control program.
    F880 · Infection Control · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) September 13, 2024
    Inspectors wroteBased on observation, record review, and interviews during the Recertification Survey initiated on 7/11/2024 and completed on 7/18/2024, the facility did not establish and maintain an infection prevention and control program designed to prevent the development and transmission of communicable diseases and infections. This was identified for one (Resident #112) of six residents reviewed in the Medication Administration Task. Specifically, Resident #112 had a physician's order for Strict Contact Precautions for Pseudomonas Aeruginosa (a type of bacteria) in the urine which required the use of Personal Protective Equipment including a gown and gloves. The Licensed Practical Nurse (Medication Nurse) #1 was observed on 7/12/2024 entering the room without wearing a gown and gloves and administered medications to Resident #112. The finding is: [...]
  8. B
    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
    F842 · Resident Assessment and Care Planning · No actual harm, potential for minimal harm, pattern · found on a complaint visit · Corrected (the home has a date of correction) September 13, 2024
    Inspectors wroteBased on observation, record review, and staff interviews during the Recertification and Abbreviated (NY00323936) Survey initiated on 7/11/2024 and completed on 7/18/2024, the facility did not maintain medical records on each resident that were complete and accurate for one (Resident #91) of one resident reviewed for Abuse. Specifically, Resident #91's family member reported bruising to Resident #91's left eye on 9/13/2023. However, the resident's skin assessment and medical evaluation to rule out trauma were not documented in the medical record. The finding is: The facility's Charting and Documentation policy, last reviewed in 1/2024, documented objective observations, treatments or services performed, events, incidents or accidents involving the resident are to be documented in the medical record. [...]
April 1, 2022Standard inspection · 12 citations
  1. J
    Provide enough food/fluids to maintain a resident's health.
    F692 · Quality of Life and Care · Immediate jeopardy to resident health or safety, isolated · Corrected (the home has a date of correction) May 3, 2022
    Inspectors wroteBased on observation, record review and interviews during a Recertification Survey and Abbreviated Survey initiated on 3/23/2022 and completed on 4/1/2022, the facility failed to Maintains acceptable parameters of nutritional status, such as usual body weight or desirable body weight range and electrolyte balance, unless the resident's clinical condition demonstrates that this is not possible or resident preferences indicate otherwise; the facility failed to reassess the resident after the weight loss was identified and failed to notify the Physician and the Dietician to implement interventions to address and monitor the unplanned weight loss. The facility's failure to implement an existing weight monitoring policy and failure to monitor each residents' nutritional intake was identified for two (Resident #45 and Resident #80) of seven residents reviewed for Nutrition. [...]
  2. E
    Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
    F725 · Nursing and Physician Services · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) May 30, 2022
    Inspectors wroteBased on observation, interviews, and record review during the Recertification Survey initiated on 3/23/2022 and completed on 4/1/2022, the facility did not ensure that there was sufficient nursing staff to provide nursing and related services to assure resident safety and to attain or maintain the highest practicable physical, mental and psychosocial wellbeing of each resident as determined by resident assessment and individual plans of care. This was identified through staff interviews, resident council task, review of facility assessment and staffing assignments. Specifically, 1) The facility nursing staffing assignments did not reflect the staffing needs as indicated in the facility assessment; [...]
  3. E
    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
    F755 · Pharmacy Service · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) June 23, 2022
    Inspectors wroteBased on observation, record review, and interviews during the Recertification Survey initiated on 3/23/2022 and completed on 4/1/2022 the facility did not ensure that pharmaceutical services including administration of all medications was provided to meet the needs of all residents. This was identified for one (Resident #358) of one resident reviewed for Pharmacy Services. Specifically, on 3/25/2022 Registered Nurse (RN) #3 did not administer 9 AM Physician-ordered medications to Resident #358 timely. The finding is: The facility's policy titled Administering Medications, revised on 1/2022, documented medications must be administered in accordance with the [Physician's] orders, including any required time frame, and medications must be administered within one (1) hour of their prescribed time, unless otherwise specified. [...]
  4. D
    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
    F600 · Freedom from Abuse, Neglect, and Exploitation · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) May 30, 2022
    Inspectors wroteBased on observations, record review, and interviews during the Recertification Survey initiated on 3/23/2022 and completed on 4/1/2022, the facility did not ensure resident rights to be free from neglect. This was identified for one (Resident #99) of five residents reviewed for Activity of Daily Living (ADL). Specifically, Resident #99 required staff assistance for ADL and incontinence care. The resident did not receive ADL and incontinence care on 3/25/2022 from 6:14 AM until 12:15 PM. The resident was observed in bed with a strong urine odor in their room. Resident #99 was visibly upset, clenching their lips and stated with an elevated loud tone that no one took care of them today. The resident stated they were wet and had been asking for staff assistance all morning; however, no staff came to assist. The finding is: [...]
  5. D
    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
    F656 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) May 30, 2022
    Inspectors wroteBased on record review and staff interviews during the Recertification Survey initiated on 3/23/2022 and completed on 4/1/2022, the facility did not ensure that the comprehensive person-centered care plan (CCP) for each resident was implemented. This was identified for one (Resident #110) of seven residents reviewed for nutrition. Specifically, Resident #110 had a Physician's (MD) order for daily weights for 3 days and weekly weights every 7 days for four weeks for weight monitoring. There was no documented evidence the weights were completed according to the Physician's order. The finding is: The facility Weight Assessment and Intervention policy reviewed on 1/2022 documented the nursing staff will measure resident weights on admission, the next day, and weekly for two weeks thereafter. If no weight concerns are noted at this point, weight will be measured monthly thereafter. [...]
  6. D
    Provide care and assistance to perform activities of daily living for any resident who is unable.
    F677 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) May 30, 2022
    Inspectors wroteBased on observations, record review, and interviews during the Recertification Survey initiated on 3/23/2022 and completed on 4/1/2022, the facility did not ensure that residents who are unable to carry out Activities of Daily Living (ADL) receive the necessary services to maintain grooming and personal hygiene. This was identified for one (Resident #99) of five residents reviewed for ADLs. Specifically, Resident #99, who was alert and oriented and required staff assistance for ADL care, did not receive morning care on 3/25/2022 during the 7 AM-3 PM nursing shift until 12:15 PM because no Certified Nursing Assistant (CNA) was assigned to provide care for the resident. The resident was observed in bed with a strong urine odor in their room. Resident #99 was visibly upset, clenching their lips and stated with an elevated loud tone that no one took care of them today. [...]
  7. D
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    F689 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) May 30, 2022
    Inspectors wroteBased on observation, interviews and record review during the Recertification Survey initiated on 3/23/2022 and completed on 4/1/2022, the facility did not ensure that all residents received adequate supervision to prevent Accidents. This was identified for one (Resident #85) of three residents reviewed for Accidents. Specifically, Resident #85 was observed shaving themselves with a razor without supervision and had blood on their face. The finding is: The facility Hazardous Areas, Devices and Equipment Policy dated July 2017, documented all hazardous devices in the facility will be identified and addressed appropriately to ensure resident safety and mitigate accident hazards to the extent possible. A hazard is defined as anything in the environment that has the potential to cause injury or illness. Examples of environmental hazards include but are not limited to: [...]
  8. D
    Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
    F690 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) May 30, 2022
    Inspectors wroteBased on observations, record review, and interviews during the Recertification Survey initiated on 3/23/2022 and completed on 4/1/2022, the facility did not ensure that residents who are incontinent of Bowel and Bladder receive appropriate treatment and services to prevent Urinary Tract Infections (UTI) and that a resident who enters the facility with an indwelling catheter is assessed for removal of the catheter as soon as possible unless the resident's clinical condition demonstrates that catheterization is necessary. This was identified for one (Resident #99) of five residents reviewed for ADLs and one (Resident #356) of three residents reviewed for Urinary Catheter. [...]
  9. D
    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.
    F761 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) May 30, 2022
    Inspectors wroteBased on observation, interviews, and record review, during the Recertification survey initiated on 3/23/2022 and completed on 4/1/2022, the facility did not ensure all medications and tube feedings were accurately labeled and medications were safely stored in 1 of 4 medication carts reviewed for Medication Storage Task and for 1 (Resident #110) of 3 residents reviewed for Tube Feeding. Specifically, 1) an unopened bottle of Latanoprost (glaucoma medication) eye drops was not refrigerated as per the pharmacy instructions; and an opened pro-source bottle was not labeled with the opened date. Additionally, two unmarked tablets were observed in the medication cart in an unlabeled souffle cup. 2) on 3/23/2022 Resident #110's tube feeding bottle was not labeled with the start time, the feeding rate, and the signature of nurse who initiated the feeding. [...]
  10. D
    Provide and implement an infection prevention and control program.
    F880 · Infection Control · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) June 23, 2022
    Inspectors wroteBased on observation, record review, and staff interviews during the Recertification Survey completed on 4/1/2022 the facility did not maintain an infection prevention and control program designed to provide a safe, sanitary and comfortable environment and to help prevent the development and transmission of communicable diseases and infections for one Resident (#357) of one resident reviewed for Infection Control and one (Resident #356) of three residents reviewed for urinary catheter. Specifically, 1) Resident #357 was a new admission and placed on droplet precautions due to partial COVID-19 vaccination status; on 3/24/2022 staff members were observed in the resident's room providing care and not wearing appropriate Personal Protective Equipment (PPE); [...]
  11. C
    Ensure staff are vaccinated for COVID-19
    F888 · Infection Control · No actual harm, potential for minimal harm, widespread · Corrected (the home has a date of correction) May 30, 2022
    Inspectors wroteBased on observation, record review and interviews during the Recertification Survey initiated on 3/23/2022 and completed on 4/1/2022, the facility did not implement policies and procedures to ensure that all staff were completely vaccinated for COVID-19 and did not include a process for ensuring the implementation of additional precautions, intended to mitigate the transmission, and spread of COVID-19. Specifically, the facility allowed one unvaccinated staff member (Registered Nurse (RN) #10) to provide direct resident care and one unvaccinated staff, the Food Service Director, to interact in close proximity to residents while not wearing an N95 mask. The finding is: The facility policy, Vaccination Compliance Plan dated 8/16/2021, did not include a contingency plan that addressed actions the facility would take for staff with valid medical exemptions. [...]
  12. B
    Administer the facility in a manner that enables it to use its resources effectively and efficiently.
    F835 · Administration · No actual harm, potential for minimal harm, pattern · Corrected (the home has a date of correction) May 30, 2022
    Inspectors wroteBased on observation and record review during the Recertification Survey and Abbreviated Survey (Complaint # NY 00290462) initiated on 3/23/2022 and completed on 4/1/2022 the facility did not ensure that the facility was administered in a manner that enables it to use its resources effectively and efficiently to attain or maintain the highest practicable, physical, mental, and psychosocial wellbeing. Specifically, the facility did not ensure adequate linen supplies were available to meet the residents' needs on two (Unit 1 and Unit 2) of four units observed. The finding is: Resident #30 was admitted with diagnoses that include Hypertension, Type II Diabetes Mellitus and was Legally Blind. The Minimum Data Set (MDS) assessment dated [DATE] documented the resident's Brief Interview for Mental Status (BIMS) score was 15, which indicated intact cognition. [...]
October 18, 2019Standard inspection · 4 citations
  1. D
    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
    F656 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) December 16, 2019
    Inspectors wroteBased on observation, record review, and staff interviews during the recertification survey, the facility did not ensure that a comprehensive person-centered care plan was developed and implemented for each resident that includes measurable objectives and interventions to meet each resident's medical, nursing, mental and psychosocial needs that are identified in the comprehensive assessment. This was identified for 1 (Resident #140) of 2 residents reviewed for vision/hearing. Specifically, Resident #140 was identified on the Minimum Data Set (MDS) assessment as having moderate difficulty with hearing. The CCP developed for hearing deficit did not include person-centered interventions to assist the resident to effectively communicate with staff. The finding is: The facility's policy and procedure dated March 2019 titled Care Plans, Comprehensive Person-Centered documented . 13. [...]
  2. D
    Have a policy regarding use and storage of foods brought to residents by family and other visitors.
    F813 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) December 16, 2019
    Inspectors wroteBased on facility record review and staff interview during the recertification survey, the facility did not ensure that their policy regarding use and storage of foods brought to residents by family and other visitors to ensure safe and sanitary storage, handling, and consumption specifically included how facility staff would ensure that: 1) a resident is assisted in accessing and consuming the food, if the resident is not able to do so on his or her own and 2) family and visitors understood safe food handling practices; such as safe cooling/reheating processes, hot/cold holding temperatures, preventing cross contamination, and hand hygiene. The finding is: The facility's Personal Food Policy dated 3/19/18 was reviewed on 10/16/19 at 9:20 AM. The policy did not specifically include how the facility would ensure that: [...]
  3. D
    Provide and implement an infection prevention and control program.
    F880 · Infection Control · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) December 16, 2019
    Inspectors wroteBased on observation and interviews during the Recertification Survey the facility did not ensure that for each resident infection control measures were employed to prevent the development and transmission of communicable diseases and infections. This was identified for one (Resident #149) of two residents reviewed for Respiratory Care. Specifically, during the tracheostomy (trach) care observation the nurse removed the old dressing, did not change gloves or wash hands before proceeding with the cleaning process, and then applied the clean dressing with the same gloved hands that were used to remove the old dressing. The finding is: The facility's policy and procedure titled Tracheostomy Care, revised 5/2017, documented that after the old dressing is removed the soiled glove should be pulled over the dressing and then discarded followed by hand washing. [...]
  4. B
    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.
    F584 · Resident Rights · No actual harm, potential for minimal harm, pattern · Corrected (the home has a date of correction) December 16, 2019
    Inspectors wroteBased on observations, record review, and staff interviews during the recertification survey, the facility did not ensure that each resident's environment was safe, clean, and homelike. This was identified for two (Residents #16 and #70) of two residents reviewed for environment. Specifically, the floor mats designated for Residents #16 and #70 were dirty and heavily stained with grayish colored materials.

Fire safety inspections

16 fire safety citations on file: 4 on July 18, 2024, 5 on April 1, 2022, 7 on October 18, 2019.

Every fire safety citation16 citations
  1. F
    Use approved construction type or materials.
    K 161 · July 18, 2024 · Corrected (the home has a date of correction)
  2. E
    Provide properly protected cooking facilities.
    K 324 · July 18, 2024 · Corrected (the home has a date of correction)
  3. E
    Inspect, test, and maintain automatic sprinkler systems.
    K 353 · July 18, 2024 · Corrected (the home has a date of correction)
  4. D
    Install an approved automatic sprinkler system.
    K 351 · July 18, 2024 · Corrected (the home has a date of correction)
  5. F
    Use approved construction type or materials.
    K 161 · April 1, 2022 · Waiver
  6. F
    Provide at least two remote exits on each floor or fire section of the building.
    K 252 · April 1, 2022 · Waiver
  7. F
    Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
    K 521 · April 1, 2022 · Waiver
  8. E
    Install smoke barrier doors that can resist smoke for at least 20 minutes.
    K 374 · April 1, 2022 · Corrected (the home has a date of correction)
  9. D
    Inspect, test, and maintain automatic sprinkler systems.
    K 353 · April 1, 2022 · Corrected (the home has a date of correction)
  10. E
    Use approved construction type or materials.
    K 161 · October 18, 2019 · Waiver
  11. E
    Properly select, install, inspect, or maintain portable fire extinguishes.
    K 355 · October 18, 2019 · Corrected (the home has a date of correction)
  12. D
    Keep aisles, corridors, and exits free of obstruction in case of emergency.
    K 211 · October 18, 2019 · Corrected (the home has a date of correction)
  13. D
    Install an approved automatic sprinkler system.
    K 351 · October 18, 2019 · Corrected (the home has a date of correction)
  14. C
    Inspect, test, and maintain automatic sprinkler systems.
    K 353 · October 18, 2019 · Corrected (the home has a date of correction)
  15. B
    Provide at least two remote exits on each floor or fire section of the building.
    K 252 · October 18, 2019 · Corrected (the home has a date of correction)
  16. B
    Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
    K 521 · October 18, 2019 · Corrected (the home has a date of correction)

Fines and payment denials

CMS lists no fines or payment denials against this home in the last three years. The national average is 0.9 fines per home.

Staffing

Hours of care per resident per day, from the payroll records every home sends CMS. Higher means more staff time with each resident.

MeasureThis homeNew YorkUnited States
All nursing staff (RN, LPN and aides)3.073.633.86
Registered nurses0.390.710.69
All nursing staff on weekends2.853.183.42
Nurse aides1.98
Licensed practical nurses0.70
Nursing staff turnover (share who left in a year)15.2%40.3%45.8%
Registered nurse turnover27.3%39.8%42.9%
Administrators who left0

CMS expects 4.12 hours a day for residents as sick as this home's (its case-mix figure). The staffing star compares the two.

Staffing by quarter, from daily payroll records

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 3.17 on weekdays and 2.85 on weekends, 10% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 2.9% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.16 in April to June 2025 to 3.07 in January to March 2026.

QuarterAll nursing staffRegistered nursesWeekdaysWeekendsContract staff shareDays with no RN hoursResidents a day
Jan to Mar 20263.070.393.172.85 2.9%0 of 90211
Oct to Dec 20253.180.423.262.95 2.7%0 of 92204
Jul to Sep 20253.140.443.212.94 3.0%0 of 92207
Apr to Jun 20253.160.463.233.01 4.4%0 of 91207
United States, Jan to Mar 20263.750.623.923.335.3%0.5% of days
New York, Jan to Mar 20263.550.683.723.139.8%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

Staff pay at this home

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.

Official wage estimates for New York

JobMedianMiddle halfEmployed
New York, all employers
CNAs (nursing assistants)$23.36$21.04 to $24.9987,990
LPNs and LVNs$32.30$29.52 to $37.0039,400
Registered nurses$52.62$45.60 to $62.34205,810
United States, nursing care facilities
CNAs (nursing assistants)$20.67$17.91 to $22.55534,270
LPNs and LVNs$33.86$30.05 to $37.40188,210
Registered nurses$41.11$37.85 to $47.68142,270

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.

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For The Grand Rehabilitation and Nursing at Great Neck. No name, email or phone, and nothing you could type about a resident: every answer is a number or a choice.

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Every report is reviewed before it counts; what it says about the home never decides whether it counts. How pay reports are handled.

How staff pay reports work · CNA pay by state

Quality measures

The measures CMS uses for the quality star. Lower is better for every one of them.

MeasureThis homeNew YorkUS
Percentage of long-stay residents whose need for help with daily activities has increased
Long Stay residents, 2025Q2-2026Q1
17.714.113.9
Percentage of long-stay residents with a catheter inserted and left in their bladder
Long Stay residents, 2025Q2-2026Q1
0.00.50.8
Percentage of long-stay residents with a urinary tract infection
Long Stay residents, 2025Q2-2026Q1
0.51.31.6
Percentage of long-stay residents experiencing one or more falls with major injury
Long Stay residents, 2025Q2-2026Q1
1.33.13.2
Percentage of short-stay residents who newly received an antipsychotic medication
Short Stay residents, 2025Q2-2026Q1
2.31.21.6
Percentage of long-stay residents whose ability to walk independently worsened
Long Stay residents, 2025Q2-2026Q1
11.612.514.1
Percentage of long-stay residents with pressure ulcers
Long Stay residents, 2025Q2-2026Q1
2.86.54.6
Percentage of long-stay residents who received an antipsychotic medication
Long Stay residents, 2025Q2-2026Q1
15.713.715.4
Percentage of short-stay residents who were rehospitalized after a nursing home admission
Short Stay residents, 20250101-20251231
21.820.623.8
Percentage of short-stay residents who had an outpatient emergency department visit
Short Stay residents, 20250101-20251231
6.39.612.0
Number of hospitalizations per 1000 long-stay resident days
Long Stay residents, 20250101-20251231
1.91.71.9
Number of outpatient emergency department visits per 1000 long-stay resident days
Long Stay residents, 20250101-20251231
1.11.41.8

Short-term rehab results

For a stay to recover after a hospital visit, these are the results CMS publishes for The Grand Rehabilitation and Nursing at Great Neck's Medicare short-stay residents. On returning residents home or to the community, CMS rates it no different from the national rate (53.7% of residents, after adjusting for how sick they were). How to read these, and what Medicare pays for.

Went home or back to the community

53.7% this home

No different from 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. 311 eligible stays.

Potentially preventable readmissions

8.6% 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. 297 eligible stays.

Infections that led to a hospital stay

4.6% 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. 229 eligible stays.

Self-care and mobility at discharge

44.4% 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. 205 residents counted.

Falls with major injury

0.6% 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. 329 residents counted.

New or worsened pressure ulcers

0.2% 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. 329 residents counted.

Medication list given at discharge

99.2% 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. 121 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.

Owners and operators

Legal business name: GRAND GREAT NECK LLC. CMS links this home to The Grand Healthcare, a group of 16 nursing homes averaging 1.8 stars overall.

NameRoleTypeShareSince
Strauss, Jeremy5% or greater direct ownership interestIndividual95%01/01/2019
Strauss, Meryl5% or greater direct ownership interestIndividual5%01/01/2019
Strauss, JeremyManaging control - governing bodyIndividual01/01/2019
Strauss, JeremyCorporate officerIndividual01/01/2019
Mozorosky, DanielOperational/managerial controlIndividual09/01/2022
Schwartz, ElliottOperational/managerial controlIndividual07/01/2025
Mozorosky, DanielAdp of the SNFIndividual09/01/2022
Schwartz, ElliottAdp of the SNFIndividual07/01/2025
Strauss, JeremyAdp of the SNFIndividual01/01/2019

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.

Questions to ask on a visit

Chosen from this home's own inspection record.

  1. How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 8 problems in this area, most recently on July 18, 2024: "Provide appropriate treatment and care according to orders, resident’s preferences and goals."
  2. When is the care plan meeting, and can family attend it?Inspectors cited 4 problems in this area, most recently on July 18, 2024: "Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals."
  3. What changed in infection control since the last inspection, and who on staff is the infection preventionist?Inspectors cited 4 problems in this area, most recently on July 18, 2024: "Provide and implement an infection prevention and control program."
  4. Who is the administrator and director of nursing, and how long have they been in the job?Inspectors cited 2 problems in this area, most recently on July 18, 2024: "Provide timely, quality laboratory services/tests to meet the needs of residents."
  5. Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 2.85 hours per resident per day, below the New York average of 3.18.

Other nursing homes nearby

Assisted living in Great Neck

Licensed assisted living homes in the same town or within 5 miles, each with its New York inspection record.

Assisted living in New York

New York contacts for a concern about a nursing home

These are the official offices in New York. NursingHomeClear cannot take or act on complaints.

Common questions

What is The Grand Rehabilitation and Nursing at Great Neck's Medicare star rating?
CMS rates The Grand Rehabilitation and Nursing at Great Neck 1 out of 5 stars overall, with 1 for health inspections, 2 for staffing and 4 for quality measures (CMS data as of September 1, 2026).
How many deficiencies did The Grand Rehabilitation and Nursing at Great Neck get at its last inspection?
8 health deficiencies at the standard inspection on July 18, 2024. The New York average is 8.1.
Has The Grand Rehabilitation and Nursing at Great Neck been fined?
CMS lists no fines in the last three years.
Does The Grand Rehabilitation and Nursing at Great Neck accept Medicaid?
It is certified to take Medicaid (CMS lists it as "Medicare and Medicaid"). Certification does not mean a Medicaid bed is open: ask the admissions office.
Who owns The Grand Rehabilitation and Nursing at Great Neck?
CMS lists 9 owners and managers, and links the home to The Grand Healthcare. Legal business name: GRAND GREAT NECK LLC.

Sources

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