Overview

Address
275 MORICHES ROAD, ST JAMES, NY 11780
Phone
6318628000
Certified beds
230
Avg daily residents
222 (97% of beds filled)
Ownership
For-profit LLC
Provider type
Medicare and Medicaid
Medicare/Medicaid since
1970-01-29
Setting
Urban
4 /5
CMS Overall Rating

CMS 5-Star Ratings

CMS rates every Medicare/Medicaid-certified nursing home on four domains. The Overall rating is driven primarily by Health Inspection results, then adjusted up or down by Staffing and Quality Measures.

Overall Rating
Composite of Health Inspection, Staffing, and Quality Measures.
4/5
Health Inspection
Based on the three most recent standard surveys, with more weight on recent results.
3/5
Staffing
Weighted combination of RN and total nurse staffing hours per resident per day, case-mix adjusted.
2/5
Quality Measures
15 resident-level quality measures split between long-stay and short-stay (post-acute) residents.
5/5
Quality Measures breakdown
Long-Stay Quality Measures 5/5
Short-Stay Quality Measures 4/5

Staffing & Workforce

Direct-care staffing is the strongest operational driver of quality in nursing homes. Values are hours per resident per day, derived from payroll-based journal (PBJ) submissions. "Case-mix" adjusts for resident acuity; "Adjusted" is the CMS rating-input value.

Role Reported Case-mix expected Adjusted Federal floor
Total nurse
All nursing staff combined: RN + LPN + Aide
3.39 4.17 3.14 ≥ 3.48 Below floor
Registered Nurse (RN)
Licensed RN hours. Strongest driver of clinical outcomes.
0.55 0.73 0.51 ≥ 0.55
Licensed Practical Nurse (LPN)
LPN/LVN hours. Often handles medication administration.
0.82 0.93 0.76
Nurse aide
CNA hours. Bulk of direct resident care — bathing, feeding, mobility.
2.02 2.51 1.87
Licensed (RN + LPN)
Combined licensed nurse coverage.
1.37
Physical therapist
Rehabilitation therapist hours — important for post-acute / rehab admissions.
0.11

Federal minimums (phasing in under the CMS 2024 minimum staffing rule) shown for reference. RN: 0.55 hrs/resident/day. Total nurse: 3.48 hrs/resident/day.

Weekend staffing

Total nurse (weekend)
2.80
hrs / resident / day
RN (weekend)
0.28
hrs / resident / day
Total nurse (adjusted, weekend)
2.59
hrs / resident / day

Weekend under-staffing is a common quality-of-care concern — adverse events are more frequent when licensed coverage drops.

Staff turnover

Total nursing staff turnover
24.9%
annual
RN turnover
37.9%
annual
Administrators departed
0
last 12 months

Resident acuity

Nursing Case-Mix Index
1.48
higher acuity than avg
Case-Mix Index Ratio
1.07
facility / state ratio

Health Inspections

CMS weights three inspection cycles to compute the Health Inspection rating: the most recent (50%), the second most recent (33%), and the oldest (17%). Each standard-survey deficiency is assigned a score based on scope and severity; complaint-survey findings and revisit scores are added to produce the cycle total.

Cycle Date Total defs. Standard Complaint Deficiency score Revisits Total score
Cycle 1 (most recent) 2025-12-09 9 9 0 36 1 36
Cycle 2/3 (prior) 2024-05-09 4 4 0 20 1 20
Total weighted health score
32.0
lower is better

Deficiencies (15)

Individual survey findings. Scope/severity uses the CMS A–L matrix: letters further down the alphabet indicate greater harm and wider scope, up through J–L (immediate jeopardy).

15 D/E/F Actual harm — potential for minor
Tag Description Scope/Severity Survey date Corrected
0656 Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. D 2025-12-09 2026-02-04
0658 Ensure services provided by the nursing facility meet professional standards of quality. D 2025-12-09 2026-02-04
0686 Provide appropriate pressure ulcer care and prevent new ulcers from developing. D 2025-12-09 2026-02-04
0710 Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care. D 2025-12-09 2026-02-04
0726 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. D 2025-12-09 2026-02-04
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. D 2025-12-09 2026-02-04
0808 Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law. D 2025-12-09 2026-02-04
0812 Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. D 2025-12-09 2026-02-04
0880 Provide and implement an infection prevention and control program. D 2025-12-09 2026-02-04
0561 Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. D 2024-05-09 2024-07-05
0760 Ensure that residents are free from significant medication errors. D 2024-05-09 2024-07-05
0812 Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. E 2024-05-09 2024-07-05
0921 Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. D 2024-05-09 2024-07-05
0656 Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. D 2022-06-27 2022-07-29
0758 Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. D 2022-06-27 2022-07-29

Financial Health (FY 2023)

Payer mix (share of resident days)

Medicare 31.6% Medicaid 52.3% Other 16.0%

Operating performance

Operating Margin
-1.1%
Total Margin
-1.7%
Occupancy Rate
98.5%
Cost per Resident Day
$61

Revenue & costs

Net Patient Revenue
$39.5M
Total Costs
$5.0M
Net Income
-$662K

Balance sheet

Total Assets
$124.0M
Total Liabilities
$121.0M
Fund Balance
$3.1M
Current Ratio
0.61

Source: CMS SNF Cost Report (FY 2023). Cost report data lags by ~2 years.

Ownership & Corporate Structure

Chain: CARERITE CENTERS

Chain ID
110
Facilities in chain
34
Legal business name
ST JAMES OPERATING LLC
Chain-average star ratings (for peer context)
Overall
3.4
Health
2.7
Staffing
2.0
QM
4.8

Owner / manager individuals (17)

Name Role Association
EINHORN, SHARON 5% OR GREATER DIRECT OWNERSHIP INTEREST since 09/01/2012
FRIEDMAN, DEVORAH 5% OR GREATER DIRECT OWNERSHIP INTEREST since 09/01/2012
GOLDBERGER, ELLIOT 5% OR GREATER DIRECT OWNERSHIP INTEREST since 09/01/2012
MAYBRUCH, MERYL 5% OR GREATER DIRECT OWNERSHIP INTEREST since 09/01/2012
MINSER, DOV 5% OR GREATER DIRECT OWNERSHIP INTEREST since 09/01/2012
MINZER, ISRAEL 5% OR GREATER DIRECT OWNERSHIP INTEREST since 09/01/2012
MINZER, NAFTALI 5% OR GREATER DIRECT OWNERSHIP INTEREST since 09/01/2012
RUDNER, AKIVA 5% OR GREATER DIRECT OWNERSHIP INTEREST since 09/01/2012
SAX, STEVEN 5% OR GREATER DIRECT OWNERSHIP INTEREST since 09/01/2012
SCHLESINGER, ERNEST 5% OR GREATER DIRECT OWNERSHIP INTEREST since 09/01/2012
SCHLOSSER, AARON 5% OR GREATER DIRECT OWNERSHIP INTEREST since 09/01/2012
SUSSMAN, RIVKA 5% OR GREATER DIRECT OWNERSHIP INTEREST since 09/01/2012
WEINSTEIN, HAROLD 5% OR GREATER DIRECT OWNERSHIP INTEREST since 09/01/2012
ZUCKER, YOSSIE 5% OR GREATER DIRECT OWNERSHIP INTEREST since 09/01/2012
GOLD, RICHARD OPERATIONAL/MANAGERIAL CONTROL since 07/01/2018
MICHEL, NICOLE OPERATIONAL/MANAGERIAL CONTROL since 02/14/2009
WEI, CRISTEN OPERATIONAL/MANAGERIAL CONTROL since 05/15/2006

Source: CMS Nursing Home Ownership. Percent ownership is rarely disclosed — CMS only requires it for specific roles.

Facility Features

CCRC
No
Hospital-based
No
Resident / family council
Resident
Sprinkler systems
Yes
Abuse citation flag
No
Methodology & sources

Full methodology →

All Data

Every labeled field shipped for this facility by CMS. No national median or percentile context is available for SNFs in the current release.

Download CSV

Show 113 rows
Source Metric Value Raw key
Cost Report Cost per Resident Day ($) $61 metrics.cost_per_resident_day
Cost Report Current Ratio 0.61 metrics.current_ratio
Cost Report fiscal_year 2,023 fiscal_year
Cost Report Medicaid Day Share (%) 52.3% metrics.medicaid_day_share
Cost Report Medicare Day Share (%) 31.6% metrics.medicare_day_share
Cost Report Net Income ($) $-661,908 metrics.net_income
Cost Report Net Patient Revenue ($) $39,514,802 metrics.net_patient_revenue
Cost Report Occupancy Rate (%) 98.5% metrics.occupancy_rate
Cost Report Operating Margin (%) -1.1% metrics.operating_margin
Cost Report Total Assets ($) $124,012,058 metrics.total_assets
Cost Report Total Costs ($) $5,042,217 metrics.total_costs
Cost Report Total Fund Balances ($) $3,060,814 metrics.fund_balance
Cost Report Total Liabilities ($) $120,951,244 metrics.total_liabilities
Cost Report Total Margin (%) -1.7% metrics.total_margin
Provider Information Abuse Icon N Abuse Icon
Provider Information Adjusted LPN Staffing Hours per Resident per Day 0.76078 Adjusted LPN Staffing Hours per Resident per Day
Provider Information Adjusted Nurse Aide Staffing Hours per Resident per Day 1.86649 Adjusted Nurse Aide Staffing Hours per Resident per Day
Provider Information Adjusted RN Staffing Hours per Resident per Day 0.51107 Adjusted RN Staffing Hours per Resident per Day
Provider Information Adjusted Total Nurse Staffing Hours per Resident per Day 3.13833 Adjusted Total Nurse Staffing Hours per Resident per Day
Provider Information Adjusted Weekend Total Nurse Staffing Hours per Resident per Day 2.58971 Adjusted Weekend Total Nurse Staffing Hours per Resident per Day
Provider Information Administrator turnover footnote Administrator turnover footnote
Provider Information Automatic Sprinkler Systems in All Required Areas Yes Automatic Sprinkler Systems in All Required Areas
Provider Information Average Number of Residents per Day 222.2 Average Number of Residents per Day
Provider Information Average Number of Residents per Day Footnote Average Number of Residents per Day Footnote
Provider Information Case-Mix LPN Staffing Hours per Resident per Day 0.92529 Case-Mix LPN Staffing Hours per Resident per Day
Provider Information Case-Mix Nurse Aide Staffing Hours per Resident per Day 2.51474 Case-Mix Nurse Aide Staffing Hours per Resident per Day
Provider Information Case-Mix RN Staffing Hours per Resident per Day 0.72933 Case-Mix RN Staffing Hours per Resident per Day
Provider Information Case-Mix Total Nurse Staffing Hours per Resident per Day 4.16937 Case-Mix Total Nurse Staffing Hours per Resident per Day
Provider Information Case-Mix Weekend Total Nurse Staffing Hours per Resident per Day 3.67486 Case-Mix Weekend Total Nurse Staffing Hours per Resident per Day
Provider Information Chain Average Health Inspection Rating 2.7 Chain Average Health Inspection Rating
Provider Information Chain Average Overall 5-star Rating 3.4 Chain Average Overall 5-star Rating
Provider Information Chain Average QM Rating 4.8 Chain Average QM Rating
Provider Information Chain Average Staffing Rating 2.0 Chain Average Staffing Rating
Provider Information Chain ID 110 Chain ID
Provider Information Chain Name CARERITE CENTERS Chain Name
Provider Information City/Town ST JAMES City/Town
Provider Information CMS Certification Number (CCN) 335301 CMS Certification Number (CCN)
Provider Information Continuing Care Retirement Community N Continuing Care Retirement Community
Provider Information County/Parish Suffolk County/Parish
Provider Information Date First Approved to Provide Medicare and Medicaid Services 1970-01-29 Date First Approved to Provide Medicare and Medicaid Services
Provider Information Geocoding Footnote Geocoding Footnote
Provider Information Health Inspection Rating 3 Health Inspection Rating
Provider Information Health Inspection Rating Footnote Health Inspection Rating Footnote
Provider Information Latitude 40.8789 Latitude
Provider Information Legal Business Name ST JAMES OPERATING LLC Legal Business Name
Provider Information Location 275 MORICHES ROAD,ST JAMES,NY,11780 Location
Provider Information Long-Stay QM Rating 5 Long-Stay QM Rating
Provider Information Long-Stay QM Rating Footnote Long-Stay QM Rating Footnote
Provider Information Longitude -73.142 Longitude
Provider Information Most Recent Health Inspection More Than 2 Years Ago N Most Recent Health Inspection More Than 2 Years Ago
Provider Information Number of administrators who have left the nursing home 0 Number of administrators who have left the nursing home
Provider Information Number of Certified Beds 230 Number of Certified Beds
Provider Information Number of Citations from Infection Control Inspections Number of Citations from Infection Control Inspections
Provider Information Number of Facilities in Chain 34 Number of Facilities in Chain
Provider Information Number of Fines 0 Number of Fines
Provider Information Number of Payment Denials 0 Number of Payment Denials
Provider Information Nursing Case-Mix Index 1.47702 Nursing Case-Mix Index
Provider Information Nursing Case-Mix Index Ratio 1.07213 Nursing Case-Mix Index Ratio
Provider Information Overall Rating 4 Overall Rating
Provider Information Overall Rating Footnote Overall Rating Footnote
Provider Information Ownership Type For profit - Limited Liability company Ownership Type
Provider Information Physical Therapist Staffing Footnote Physical Therapist Staffing Footnote
Provider Information Processing Date 2026-03-01 Processing Date
Provider Information Provider Address 275 MORICHES ROAD Provider Address
Provider Information Provider Changed Ownership in Last 12 Months N Provider Changed Ownership in Last 12 Months
Provider Information Provider Name ST JAMES REHABILITATION & HEALTHCARE CENTER Provider Name
Provider Information Provider Resides in Hospital N Provider Resides in Hospital
Provider Information Provider SSA County Code 700 Provider SSA County Code
Provider Information Provider Type Medicare and Medicaid Provider Type
Provider Information QM Rating 5 QM Rating
Provider Information QM Rating Footnote QM Rating Footnote
Provider Information Rating Cycle 1 Health Deficiency Score 36 Rating Cycle 1 Health Deficiency Score
Provider Information Rating Cycle 1 Health Revisit Score 0 Rating Cycle 1 Health Revisit Score
Provider Information Rating Cycle 1 Number of Complaint Health Deficiencies 0 Rating Cycle 1 Number of Complaint Health Deficiencies
Provider Information Rating Cycle 1 Number of Health Revisits 1 Rating Cycle 1 Number of Health Revisits
Provider Information Rating Cycle 1 Number of Standard Health Deficiencies 9 Rating Cycle 1 Number of Standard Health Deficiencies
Provider Information Rating Cycle 1 Standard Survey Health Date 2025-12-09 Rating Cycle 1 Standard Survey Health Date
Provider Information Rating Cycle 1 Total Health Score 36 Rating Cycle 1 Total Health Score
Provider Information Rating Cycle 1 Total Number of Health Deficiencies 9 Rating Cycle 1 Total Number of Health Deficiencies
Provider Information Rating Cycle 2 Number of Standard Health Deficiencies 4 Rating Cycle 2 Number of Standard Health Deficiencies
Provider Information Rating Cycle 2 Standard Health Survey Date 2024-05-09 Rating Cycle 2 Standard Health Survey Date
Provider Information Rating Cycle 2/3 Health Deficiency Score 20 Rating Cycle 2/3 Health Deficiency Score
Provider Information Rating Cycle 2/3 Health Revisit Score 0 Rating Cycle 2/3 Health Revisit Score
Provider Information Rating Cycle 2/3 Number of Complaint Health Deficiencies 0 Rating Cycle 2/3 Number of Complaint Health Deficiencies
Provider Information Rating Cycle 2/3 Number of Health Revisits 1 Rating Cycle 2/3 Number of Health Revisits
Provider Information Rating Cycle 2/3 Total Health Score 20 Rating Cycle 2/3 Total Health Score
Provider Information Rating Cycle 2/3 Total Number of Health Deficiencies 4 Rating Cycle 2/3 Total Number of Health Deficiencies
Provider Information Registered Nurse hours per resident per day on the weekend 0.27522 Registered Nurse hours per resident per day on the weekend
Provider Information Registered Nurse turnover 37.9 Registered Nurse turnover
Provider Information Registered Nurse turnover footnote Registered Nurse turnover footnote
Provider Information Reported Licensed Staffing Hours per Resident per Day 1.37345 Reported Licensed Staffing Hours per Resident per Day
Provider Information Reported LPN Staffing Hours per Resident per Day 0.82155 Reported LPN Staffing Hours per Resident per Day
Provider Information Reported Nurse Aide Staffing Hours per Resident per Day 2.01560 Reported Nurse Aide Staffing Hours per Resident per Day
Provider Information Reported Physical Therapist Staffing Hours per Resident Per Day 0.10874 Reported Physical Therapist Staffing Hours per Resident Per Day
Provider Information Reported RN Staffing Hours per Resident per Day 0.55190 Reported RN Staffing Hours per Resident per Day
Provider Information Reported Staffing Footnote Reported Staffing Footnote
Provider Information Reported Total Nurse Staffing Hours per Resident per Day 3.38905 Reported Total Nurse Staffing Hours per Resident per Day
Provider Information Short-Stay QM Rating 4 Short-Stay QM Rating
Provider Information Short-Stay QM Rating Footnote Short-Stay QM Rating Footnote
Provider Information Special Focus Status Special Focus Status
Provider Information Staffing Rating 2 Staffing Rating
Provider Information Staffing Rating Footnote Staffing Rating Footnote
Provider Information State NY State
Provider Information Telephone Number 6318628000 Telephone Number
Provider Information Total Amount of Fines in Dollars 0.00 Total Amount of Fines in Dollars
Provider Information Total number of nurse staff hours per resident per day on the weekend 2.79660 Total number of nurse staff hours per resident per day on the weekend
Provider Information Total Number of Penalties 0 Total Number of Penalties
Provider Information Total nursing staff turnover 24.9 Total nursing staff turnover
Provider Information Total nursing staff turnover footnote Total nursing staff turnover footnote
Provider Information Total Weighted Health Survey Score 32.000 Total Weighted Health Survey Score
Provider Information Urban Y Urban
Provider Information With a Resident and Family Council Resident With a Resident and Family Council
Provider Information ZIP Code 11780 ZIP Code