Surge Rehabilitation and Nursing LLC
49 Oakcrest Ave · Middle Island, NY · 11953 · 6319248820
164 certified beds For profit - Limited Liability company Chain: Paragon Healthnet
Why this verdict
- Inspectors found immediate jeopardy — danger of serious harm or death — in the most recent cycle (1 citation).
- Inspection results are getting worse cycle over cycle, not better.
- Staffing hours comfortably above national benchmarks.
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Red flags
1 immediate-jeopardy citation in the most recent inspection cycle
Immediate jeopardy is the most serious finding an inspector can make: a situation likely to cause serious injury, harm, or death.
1 abuse-related citation at the actual-harm level
Inspectors cited failures in the abuse-prevention rules (F600–F610) that resulted in actual harm to a resident.
$70,480 in federal fines in the last 24 months
1 fine — CMS fines are reserved for verified, serious non-compliance.
If someone you love was harmed at a facility with findings like these, you have options — read this.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 2 of 5 Inspections: 1 of 5 Staffing: 3 of 5 Quality measures: 5 of 5
| Total nurse hours / resident-day | 4.34 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.73 | 0.55–0.75 |
| Weekend hours / resident-day | 3.95 | ≈ weekday level |
| Nursing turnover / year | 35% | median 45% |
| Fines (3-yr window) | 1 · $70,480 |
Inspection citations (14 in the current record)
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Immediate jeopardy · J December 22, 2025
Respond appropriately to all alleged violations.
Corrected February 11, 2026 · Freedom from Abuse, Neglect, and Exploitation
-
Potential for harm · D December 22, 2025
Keep residents' personal and medical records private and confidential.
Corrected February 11, 2026 · Resident Rights
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Potential for harm · D December 22, 2025
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected February 11, 2026 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D December 22, 2025
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Corrected February 11, 2026 · Resident Rights
-
Potential for harm · D December 22, 2025
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected February 11, 2026 · Resident Assessment and Care Planning
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Potential for harm · D December 22, 2025
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected February 11, 2026 · Resident Assessment and Care Planning
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Potential for harm · D December 22, 2025
Ensure 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.
Corrected February 11, 2026 · Quality of Life and Care
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Potential for harm · D December 22, 2025
Provide safe and appropriate respiratory care for a resident when needed.
Corrected February 11, 2026 · Quality of Life and Care
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Potential for harm · E December 22, 2025
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected February 11, 2026 · Pharmacy Service
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Potential for harm · D December 22, 2025
Provide and implement an infection prevention and control program.
Corrected February 11, 2026 · Infection Control
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Potential for harm · D August 13, 2025 · found via complaint
Protect each resident from the wrongful use of the resident's belongings or money.
Corrected October 8, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D August 9, 2024
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected October 3, 2024 · Resident Assessment and Care Planning
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Potential for harm · D December 6, 2022
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected January 31, 2023 · Resident Assessment and Care Planning
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Potential for harm · F December 6, 2022
Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.
Corrected January 31, 2023 · Infection Control
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| December 22, 2025 | Fine | $70,480 |
Family & resident reviews — a separate signal, never mixed into the score
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 335390 · certified since June 25, 1973. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.