Nursing home
Island Nursing and Rehab Center
5537 Expressway Drive North, Holtsville, NY 11742 · Map
Non profit - Other · 120 certified beds
Island Nursing and Rehab Center is a Medicare-certified nursing home in Holtsville, New York. CMS rates it 4 out of 5 stars overall (3/5 for staffing, 4/5 for health inspections). Nurse staffing is 3.78 hours per resident per day, above the New York average of 3.65. Its most recent inspection on Aug 6, 2025 cited 4 deficiencies.
CMS quality ratings
Ratings from the Centers for Medicare & Medicaid Services (CMS), updated monthly. 5 stars is the highest quality.
How Island Nursing and Rehab Center compares
This facility vs. the New York and national averages, from CMS data. For staffing, higher is generally better; for turnover and deficiencies, lower is better.
| Metric | This facility | New York avg | National avg | Compared with the state |
|---|---|---|---|---|
| Total nurse staffing (hrs/resident/day) | 3.78 | 3.65 | 3.89 | above avg |
| RN staffing (hrs/resident/day) | 0.78 | 0.70 | 0.68 | above avg |
| Aide staffing (hrs/resident/day) | 2.35 | 2.18 | 2.34 | above avg |
| Nursing staff turnover | 49.1% | 40.5% | 46.4% | above avg |
| Deficiencies cited, last inspection | 4.0 | 7.6 | 9.5 | below avg |
Staffing
Hours per resident per day as reported to CMS. Higher numbers indicate more direct care time.
Staff turnover
Lower turnover typically indicates better working conditions and continuity of care. National average for nursing staff is 46.4%.
Recent health inspection
CMS inspects nursing facilities regularly. Deficiencies are categorized by severity.
What inspectors found at Island Nursing and Rehab Center
Specific deficiencies cited in recent CMS health inspections, most recent first. Severity follows the CMS scope/severity scale. Source: CMS Care Compare.
- Potential for harm
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.
Pharmacy Service Deficiencies · Aug 6, 2025 · Full report (PDF) - Potential for harm
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service Deficiencies · Aug 6, 2025 · Full report (PDF) - Potential for harm
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Assessment and Care Planning Deficiencies · Aug 6, 2025 · Full report (PDF) - Potential for harm
Allow residents to self-administer drugs if determined clinically appropriate.
Resident Rights Deficiencies · Aug 6, 2025 · Full report (PDF) - Potential for harm
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Nursing and Physician Services Deficiencies · Jun 11, 2024 · Full report (PDF)
Show all 12 deficiencies
- Potential for harm
Provide or obtain dental services for each resident.
Quality of Life and Care Deficiencies · Jun 11, 2024 · Full report (PDF) - Potential for harm
Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care.
Nursing and Physician Services Deficiencies · Jun 11, 2024 · Full report (PDF) - Potential for harm
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Resident Assessment and Care Planning Deficiencies · Jun 11, 2024 · Full report (PDF) - Potential for harm
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Assessment and Care Planning Deficiencies · Jun 11, 2024 · Full report (PDF) - Potential for harm
Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning Deficiencies · Jun 11, 2024 · Full report (PDF) - Potential for harm
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Sep 13, 2022 - Potential for harm
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.
Nursing and Physician Services Deficiencies · Sep 13, 2022
Read the full inspection reports on Medicare.gov Each inspection there has a “Read the full report” link with the inspectors’ written findings.
About this facility
- Address
- 5537 Expressway Drive North
Holtsville, NY 11742 - CMS certification #
- 335835
- Ownership
- Non profit - Other
- Certified beds
- 120
- Avg residents/day
- 104.6
- Provider type
- Medicare and Medicaid
- First certified
- 2001-11-30
- Setting
- Urban
Not SLA enrolled. This facility hasn’t enrolled in resident survey verification. Learn about enrollment →
Location and nearby
Explore the area around Island Nursing and Rehab Center using Google Maps.
Other public records
- Staff pay 1 federal wage case with violations found, since 2009
Full public records, with dates and sources
Staff pay and workplace safety
Federal records about how the employer here treats its staff.
Federal wage and hour cases
The Department of Labor checks that staff are paid minimum wage and overtime as the law requires.
- Findings for Apr 4, 2009 to Apr 2, 2011. Violations found: Overtime. Back wages: $11,138 owed to 5 employees. Employer as DOL recorded it: Island Nursing & Rehab Center (Island Rehabilitation and Nursing Center, Inc). Case 1613089.
Source: U.S. Department of Labor, Wage and Hour Division enforcement data, loaded Oct 15, 2026. Concluded cases only. The dates are the period in which DOL found violations, not when the case opened or closed. Back wages are what the employer agreed to pay; penalties are what DOL assessed. DOL does not publish a page for each case, so search the dataset by case number.
Location and nearby care
- Nearest hospital with an emergency room
- Long Island Community Hospital, Patchogue. 3.9 miles away, straight line. CMS overall hospital rating: 4 of 5 stars.
- Nearest Medicare nursing home
- Medford Multicare Center For Living, Medford. 2.1 miles away, straight line.
- Nearest home health agency office
- Tender Loving Care, An Amedisys Company, Medford. 2.3 miles away, straight line. Agencies travel to clients, so ask which ones serve this address.
- Nearest pharmacy
- Walgreens. 1.6 miles away, straight line. From OpenStreetMap, which does not list every pharmacy, so one may be closer.
- Area
- USDA classes ZIP code 11742 as metropolitan (metropolitan core).
- Dialysis within 15 miles
- Davita Medford Kidney Center, Medford, 0.7 miles away, straight line (has a shift starting after 5 pm; CMS rating 4 of 5 stars)
Davita Selden Dialysis, Selden, 3.0 miles away, straight line (CMS rating 5 of 5 stars)
Fmc Coram Dialysis Center, Centereach, 3.3 miles away, straight line (CMS rating 4 of 5 stars) - Hospice
- 5 Medicare hospices tell CMS they serve ZIP code 11742.
Nyu Langone Hospital - Suffolk Hospice, office in Patchogue, 4.0 miles away, straight line
Vns And Hospice Of Suffolk, Inc, office in East Northport, 16.2 miles away, straight line (CMS family survey rating 5 of 5 stars)
East End Hospice, Inc, office in Westhampton Beach, 20.0 miles away, straight line (CMS family survey rating 5 of 5 stars) - Nearest geriatric medicine practice
- City Medical Of Upper East Side PLLC, Selden. 3.0 miles away, straight line. 1 geriatric medicine doctor listed there.
Distances are straight lines from the community, not driving distance. Hospitals, home health, dialysis, hospice and doctors come from CMS provider data (CMS, hospital list updated Jul 22, 2026). Star ratings are CMS’s own.
Emergency and natural hazard risk
Public hazard maps for this location. Ask the community about its emergency plan, its generator and where residents would go in an evacuation.
- Flood zone
- Outside the high and moderate risk flood areas on FEMA's flood map (Zone X, minimal flood hazard, or not studied). (FEMA flood map)
- FEMA National Risk Index
- Overall: relatively low. By hazard: hurricane relatively low, inland flooding relatively low, wildfire very low, tornado very low, heat wave relatively low, earthquake relatively low. These are FEMA’s ratings for the census tract, compared with tracts nationwide. (FEMA, December 2025)
A flood zone describes the map at this point, not the building's elevation. In an emergency, follow the local emergency management agency.
What we checked
Every public source we searched for this community. “Nothing on record” means we found no record that matched it. A record can be missed when a name or address differs.
| Source | Data as of | What we found |
|---|---|---|
| U.S. Department of Labor wage and hour cases | Oct 15, 2026 | See above |
| OSHA workplace safety inspections since 2016 | Oct 15, 2026 | Nothing on record |
| Hurricane evacuation zone maps | Not in a mapped zone | |
| FEMA flood map | See above | |
| USDA wildfire risk | Apr 15, 2026 | Not shown: FEMA rates wildfire risk here very low |
| FEMA National Risk Index | See above | |
| CMS hospitals, home health, dialysis, hospice and doctors; OpenStreetMap pharmacies | See above | |
| HUD Multifamily Properties - Assisted | Jul 6, 2026 | Nothing on record |
| State Veterans Homes (NASVH directory) | Sep 20, 2026 | Nothing on record |
| CMS Hospice - General Information | Aug 19, 2026 | Nothing on record |
| CMS Home Health Care Agencies | May 27, 2026 | Nothing on record |
| The community’s own website | Could not read the site |
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Frequently asked questions
Is Island Nursing and Rehab Center a good nursing home?
CMS gives Island Nursing and Rehab Center an overall rating of 4 out of 5 stars, including 3/5 for staffing and 4/5 for health inspections. These ratings come from the Centers for Medicare & Medicaid Services and are updated monthly.
How is Island Nursing and Rehab Center staffed?
Island Nursing and Rehab Center reports 3.78 total nurse hours per resident per day, compared with the New York average of 3.65.
Has Island Nursing and Rehab Center had inspection problems?
Its most recent CMS inspection cited 4 deficiencies.
How many beds does Island Nursing and Rehab Center have?
Island Nursing and Rehab Center is certified for 120 beds.