Elder Care Record

New York › Suffolk County › Middle Island

Surge Rehabilitation and Nursing LLC

49 Oakcrest Ave, Middle Island, NY 11953

CCN 335390 · For-profit, limited liability company · 164 certified beds · chain Paragon Healthnet

Overall★★★★★
Health inspection★★★★★
Staffing★★★★★
Quality measures★★★★★

Ratings are based on the most recent data available; a facility's ratings may have changed since the last update. The health inspection rating is based on the three most recent standard surveys and complaint investigations. CMS processed this record on 1 Aug 2026. View the Care Compare record.

Surge Rehabilitation and Nursing LLC is a For-profit, limited liability company nursing home in Middle Island, New York, certified for 164 beds and caring for about 142 residents a day.

CMS gives it 2 of 5 stars overall, below the New York median of 3; the health inspection rating is 1, staffing 3 and quality measures 5.

Inspectors recorded 14 health deficiencies across the three most recent survey cycles (11, 1, 2 by cycle, most recent first), 1 of them at the actual-harm or immediate-jeopardy level. That is 8.5 per 100 beds, fewer than the state median of 11.0.

CMS lists 1 penalty in the period covered: fines totalling $70K.

Reported nurse staffing is 4.0 hours per resident per day (0.6 RN), close to the New York median of 3.5; nursing staff turnover is 39.4%.

14health deficiencies, 3 survey cycles1 at actual harm or worse
$70Kfines listed by CMS1 penalty in period
4.0nurse hours per resident per daystate median 3.5
87%occupancy (residents ÷ beds)142 residents a day

Compared with county, state and nation

MeasureThis facilitySuffolk Co. medianNew York medianUS average
Overall star rating2433.0
Health citations, 3 cycles14151728.7
Citations per 100 beds8.58.011.026.8
Total nurse hours per resident day4.03.73.53.9
RN hours per resident day0.60.60.60.7
Nursing staff turnover39.4%31.4%38.4%45.8%
Fines listed$70,480$0$0—

County and state figures are medians across facilities (41 in the county, 593 in the state); the US column is the CMS national average where CMS publishes one.

Citations by survey cycle

Cycle 1 (latest)11
Cycle 21
Cycle 32

Dark bar: this facility. Grey bar: New York average per facility for the same cycle, as published by CMS. Standard health survey dates: 22 Dec 2025, 9 Aug 2024.

Severity mix: J ×1 D ×11 E ×1 F ×1

Health deficiencies

Every health citation in the current CMS record (three survey cycles), most recent first. Tag text is the CMS requirement summary, not the inspection narrative.

Scope and severity letters (A–L)
Isolated
Pattern
Widespread
Immediate jeopardy
J
K
L
Actual harm
G
H
I
Potential for more than minimal harm
D
E
F
Potential for minimal harm
A
B
C

Survey dateTagWhat the tag requiresSeverityTypeCorrected
22 Dec 2025F0610Respond appropriately to all alleged violations.JStandard survey11 Feb 2026
22 Dec 2025F0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.EStandard survey11 Feb 2026
22 Dec 2025F0583Keep residents' personal and medical records private and confidential.DStandard survey11 Feb 2026
22 Dec 2025F0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DStandard survey11 Feb 2026
22 Dec 2025F0628Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.DStandard survey11 Feb 2026
22 Dec 2025F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DStandard survey11 Feb 2026
22 Dec 2025F0658Ensure services provided by the nursing facility meet professional standards of quality.DStandard survey11 Feb 2026
22 Dec 2025F0693Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.DStandard survey11 Feb 2026
22 Dec 2025F0695Provide safe and appropriate respiratory care for a resident when needed.DStandard survey11 Feb 2026
22 Dec 2025F0880Provide and implement an infection prevention and control program.DStandard survey11 Feb 2026
13 Aug 2025F0602Protect each resident from the wrongful use of the resident's belongings or money.DComplaint investigation8 Oct 2025
9 Aug 2024F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DStandard survey3 Oct 2024
6 Dec 2022F0882Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.FStandard survey31 Jan 2023
6 Dec 2022F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DStandard survey31 Jan 2023

Penalties

DateTypeAmountDetail
22 Dec 2025Fine$70,480

Staffing

Total nursing3.99 h
Nurse aides2.4 h
LPN0.98 h
RN0.6 h
Weekend total3.57 h

Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the New York average. Turnover: nursing staff 39.4%, RNs 44.4%; 1 administrator left in the reporting year.

Quality measures

MeasureResidentsThis facilityNew York medianUS median
Percentage of long-stay residents whose need for help with daily activities has increasedLong Stay13.8%13.2%12.6%
Percentage of long-stay residents with a catheter inserted and left in their bladderLong Stay0.2%0.3%0.3%
Percentage of long-stay residents with a urinary tract infectionLong Stay0.3%0.8%0.9%
Percentage of long-stay residents experiencing one or more falls with major injuryLong Stay2.5%2.7%2.8%
Percentage of short-stay residents who newly received an antipsychotic medicationShort Stay1.6%0.9%1.0%
Percentage of long-stay residents whose ability to walk independently worsenedLong Stay13.7%11.1%12.5%
Percentage of long-stay residents with pressure ulcersLong Stay5.1%6.2%4.2%
Percentage of long-stay residents who received an antipsychotic medicationLong Stay14.6%12.4%13.4%

Four-quarter averages for the measures CMS uses in the quality-measure star rating (2025Q2-2026Q1). Lower is better for every measure listed. Medians are computed across facilities on this site.

Ownership

Ownership type: for-profit, limited liability company. Legal business name: Surge Rehabilitation And Nursing Llc. Chain: Paragon Healthnet (11 facilities).

No organisations are listed in the CMS ownership record for this facility.

Only organisations are shown. CMS also records individual owners, officers and managing employees; this site does not publish people's names.

Other nursing homes in Suffolk County

FacilityCityBedsOverallHealthStaffingCitationsPer 100 bedsFinesLast survey
Acadia Center For Nursing and RehabilitationRiverhead181542105.5—18 Sep 2024
Berkshire Nursing & Rehabilitation CenterWest Babylon175542105.7$32K18 Feb 2026
Brookside Multicare Nursing CenterSmithtown353544154.2—25 Nov 2025
Good Samaritan Nursing and Rehabilitation Care CtrSayville10054388.0—7 Apr 2026
Gurwin Jewish Nursing and Rehabilitation CenterCommack460543173.7—8 Jan 2026
Jefferson'S FerrySouth Setauket6055446.7—13 Jun 2025
John T Mather Memorial Hosp T C UPort Jefferson165351275.0—23 May 2025
Long Island State Veterans HomeStonybrook350555102.9—11 Mar 2025

All 41 facilities in Suffolk County

Questions and answers

How many deficiencies has Surge Rehabilitation and Nursing LLC been cited for?

14 health deficiencies across the three most recent survey cycles, 1 at the actual-harm or immediate-jeopardy level. The New York median is 17 per facility.

Has Surge Rehabilitation and Nursing LLC been fined?

Yes. CMS lists fines totalling $70K in the period covered.

How does staffing at Surge Rehabilitation and Nursing LLC compare?

Reported total nurse staffing is 4.0 hours per resident per day against a New York median of 3.5 and a national average of 3.9.

Who operates Surge Rehabilitation and Nursing LLC?

It is part of the Paragon Healthnet chain. Ownership type is for-profit, limited liability company. Individual owners and managers are not listed on this site.

When was Surge Rehabilitation and Nursing LLC last inspected?

The most recent survey or investigation in the CMS record is dated 22 Dec 2025; the most recent standard health survey was 22 Dec 2025.

Where does this data come from?

All figures are from the Centers for Medicare & Medicaid Services Care Compare datasets (provider information, health deficiencies, penalties, ownership and quality measures), processed 1 Aug 2026. Ratings and citations may change; the Care Compare record is authoritative.

Provenance

Source: Centers for Medicare & Medicaid Services, Care Compare nursing home datasets (provider information, health deficiencies, penalties, ownership, MDS quality measures, state and national averages), public domain, processed by CMS on 1 Aug 2026. Facility record: Care Compare. Errors in processing are corrected at the next daily build; see corrections.