Nassau County, New York · Nursing home
Highfield Gardens Care Center of Great Neck
4 of 5 overall from CMS
199 Community Drive, Great Neck, NY 11021
At a glance
- Overall rating 4 of 5 Above the state average of 3.0
- Nurse time per resident, per day 3.80 hours Above the state average of 3.63
- Nursing staff who left in a year 35.4% Below the state average of 40.3%
- Health citations, last 3 inspection cycles 15 None at the harm level or above
- Fines in 3 years $4,922 2 fines
- Certified beds in use 98.3% of 200 beds, on an average day
Arrows only show whether a figure is above or below the state average. They are not a judgment of the home.
Highfield Gardens Care Center of Great Neck is a 200-bed nursing home in Great Neck, New York (Nassau County). CMS rates it 4 of 5 stars overall as of Sep 2026. It reports 3.80 nurse staffing hours per resident per day, above the New York average of 3.63. CMS lists 2 fines totaling $4,922 in the past three years.
- Certified beds
- 200
- Residents per day (average)
- 196.6
- Certified since
- 1977 (49 yrs)
For profit - Corporation Participates in Medicare and MedicaidPart of Jonathan Bleier (18 homes)
Bed use is this site's calculation: average residents per day divided by certified beds. It is an average, so it does not show today's openings.
Terms used on this page
- CMS
- The Centers for Medicare & Medicaid Services, the federal agency that publishes the ratings, staffing figures, inspection results and penalties shown here.
- Certified beds
- The number of federally certified beds CMS lists for the home.
- Deficiency or citation
- A federal requirement that inspectors found the home did not meet. Each one gets a letter from A to L for how serious it was and how many residents were affected. What the letters mean
- Actual harm
- Letters G, H and I: actual harm to a resident that is not immediate jeopardy.
- Immediate jeopardy
- Letters J, K and L: the problem caused, or was likely to cause, serious injury, harm, impairment or death to a resident.
- Inspection cycle
- A standard inspection plus the complaint and infection-control citations CMS assigns to it. This page shows the three most recent cycles.
- Special Focus Facility (SFF)
- A home CMS has placed under closer oversight because of its inspection record. More about the program
Questions to ask Highfield Gardens Care Center of Great Neck
Chosen from this home's public data.
- CMS lists 2 fines totaling $4,922 in the past three years. What changed after the most recent one?Penalties in CMS data
- Reported nurse staffing is 3.09 hours per resident on weekends against 3.80 overall. Who covers Saturdays and Sundays?Weekend staffing in CMS data
- About 98.3% of certified beds are in use on an average day. Is there a waiting list, and how long is it?Certified beds and average residents in CMS data
More in what to ask on a nursing home tour.
CMS star ratings
- Overall 4 of 5 New York average 3.0
- Health inspections 3 of 5 New York average 2.7
- Staffing 4 of 5 New York average 2.8
- Quality measures 5 of 5 New York average 3.8
The vertical line marks the New York average. Ratings run from 1 to 5. How to read CMS star ratings
Nurse staffing
Hours of care per resident per day, as the home reported to CMS.
What these roles do
Nurse aides give most hands-on daily care, such as help with bathing, dressing and meals. Licensed practical nurses give medications and routine nursing care. Registered nurses assess residents and direct their care.
- All nursing staff 3.80 h New York average 3.63
- Nurse aides 2.59 h New York average 2.15
- Licensed practical nurses 0.60 h New York average 0.76
- Registered nurses 0.61 h New York average 0.71
- All staff, weekends 3.09 h New York average 3.18
How much nurse staffing is enough? All bars share one scale, 0 to 12 hours. The vertical line marks the New York average; the national average for all nursing staff is 3.86 hours.
- Nursing staff turnover35.4%
- New York average40.3%
- Registered nurse turnover39.4%
- New York average39.8%
- Administrators who left0
Quality measures
CMS calculates these from residents' assessments and Medicare claims. They are shown as published, next to the New York and national averages. marks the measures CMS uses in its quality star rating; for those, the rating gives more points for a lower rate.
Long-stay residents
| Measure | This home | New York | U.S. |
|---|---|---|---|
| ★ Percentage of long-stay residents whose need for help with daily activities has increased | 7.8% | 14.1% | 13.9% |
| Percentage of long-stay residents who lose too much weight | 4.3% | 5.8% | 5.2% |
| ★ Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.0% | 0.5% | 0.8% |
| ★ Percentage of long-stay residents with a urinary tract infection | 0.0% | 1.3% | 1.6% |
| Percentage of long-stay residents who have depressive symptoms | 1.1% | 19.5% | 12.8% |
| Percentage of long-stay residents who were physically restrained | 0.0% | 0.2% | 0.1% |
| ★ Percentage of long-stay residents experiencing one or more falls with major injury | 2.3% | 3.1% | 3.2% |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 100.0% | 91.5% | 93.6% |
| ★ Percentage of long-stay residents whose ability to walk independently worsened | 4.9% | 12.5% | 14.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 11.9% | 13.2% | 19.5% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 100.0% | 95.3% | 95.5% |
| ★ Percentage of long-stay residents with pressure ulcers | 2.3% | 6.5% | 4.6% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 2.4% | 19.5% | 19.0% |
| ★ Percentage of long-stay residents who received an antipsychotic medication | 17.7% | 13.7% | 15.4% |
| ★ Number of hospitalizations per 1000 long-stay resident days | 1.86 | 1.70 | 1.90 |
| ★ Number of outpatient emergency department visits per 1000 long-stay resident days | 0.43 | 1.36 | 1.78 |
Short-stay residents
| Measure | This home | New York | U.S. |
|---|---|---|---|
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 100.0% | 77.4% | 82.0% |
| ★ Percentage of short-stay residents who newly received an antipsychotic medication | 1.5% | 1.2% | 1.6% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 100.0% | 78.8% | 79.8% |
| ★ Percentage of short-stay residents who were rehospitalized after a nursing home admission | 21.7% | 20.6% | 23.8% |
| ★ Percentage of short-stay residents who had an outpatient emergency department visit | 6.3% | 9.6% | 12.0% |
Measure periods: April 2025 to March 2026 for most measures; July 2024 to June 2025 for the flu vaccine measures; January to December 2025 for the hospital and emergency department measures, which CMS risk-adjusts. See the measures on Medicare.gov
Inspection history
Inspectors cited 15 health deficiencies in the three most recent inspection cycles. None was graded as actual harm or immediate jeopardy.
| Standard inspection | Health | Fire safety |
|---|---|---|
| Feb 3, 2025 | 8 | 3 |
| Apr 11, 2023 | 5 | 14 |
| Sep 15, 2020 | 2 | 1 |
New York homes averaged 8.1 health deficiencies in the latest cycle; the national average is 9.2. Each cycle's health count covers the standard inspection on that date plus the complaint and infection-control citations CMS assigns to that cycle.
Health citations, three most recent inspection cycles (15)
-
EPotential for more than minimal harm, pattern
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Nutrition and Dietary · Deficient, Provider has date of correction (Apr 1, 2025)
-
EPotential for more than minimal harm, pattern
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary · Deficient, Provider has date of correction (Apr 1, 2025)
-
EPotential for more than minimal harm, pattern
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Environmental · Deficient, Provider has date of correction (Apr 1, 2025)
-
DPotential for more than minimal harm, isolated
PASARR screening for Mental disorders or Intellectual Disabilities
Resident Assessment and Care Planning · Deficient, Provider has date of correction (Apr 1, 2025)
-
DPotential for more than minimal harm, isolated
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 · Deficient, Provider has date of correction (Apr 1, 2025)
Show 10 more
-
DPotential for more than minimal harm, isolated
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Quality of Life and Care · Deficient, Provider has date of correction (Apr 1, 2025)
-
DPotential for more than minimal harm, isolated
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 · Deficient, Provider has date of correction (Apr 1, 2025)
-
BPotential for minimal harm, pattern
Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.
Administration · Deficient, Provider has date of correction (Apr 1, 2025)
-
EPotential for more than minimal harm, pattern
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary · Deficient, Provider has date of correction (Jun 9, 2023)
-
DPotential for more than minimal harm, isolated
Provide enough food/fluids to maintain a resident's health.
Quality of Life and Care · Deficient, Provider has date of correction (Jun 9, 2023)
-
DPotential for more than minimal harm, isolated
Provide safe and appropriate respiratory care for a resident when needed.
Quality of Life and Care · Deficient, Provider has date of correction (Jun 9, 2023)
-
DPotential for more than minimal harm, isolated
Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care.
Nursing and Physician Services · Deficient, Provider has date of correction (Jun 9, 2023)
-
DPotential for more than minimal harm, isolated
Ensure that the resident and his/her doctor meet face-to-face at all required visits.
Nursing and Physician Services · Deficient, Provider has date of correction (Jun 9, 2023)
-
DPotential for more than minimal harm, isolated
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary · Deficient, Provider has date of correction (Nov 13, 2020)
-
DPotential for more than minimal harm, isolated
Provide and implement an infection prevention and control program.
Infection Control · Deficient, Provider has date of correction (Nov 13, 2020)
What severity letters A to L mean
Each sentence above is the requirement that was not met, in CMS's wording. For the inspection results as Medicare publishes them, open this home's page on Medicare.gov and look under "Health inspections".
Penalties, past three years
| Date | Type | Amount |
|---|---|---|
| Oct 10, 2023 | Fine | $1,748 |
| Sep 18, 2023 | Fine | $3,174 |
New York homes averaged 0.5 fines and $23,070 in fine amounts; the national averages are 0.9 and $30,972.
Cost
Not in the public data. CMS does not publish what a nursing home charges.
Ask the home for its daily private-pay rate and whether a bed is open for your coverage. See what Medicare covers and how Medicaid pays for a nursing home.
Compared within New York
- Size189 of 593 by certified beds
- New York average residents per day168.0
- ChainJonathan Bleier
- Chain average overall rating2.4 of 5
- Resident or family councilResident
- Homes in Nassau County36
Common questions
What is the CMS star rating for Highfield Gardens Care Center of Great Neck?
Highfield Gardens Care Center of Great Neck has an overall rating of 4 of 5 stars from CMS as of Sep 2026. Its health inspection rating is 3, staffing is 4 and quality measures is 5.
How many beds does Highfield Gardens Care Center of Great Neck have?
Highfield Gardens Care Center of Great Neck has 200 certified beds. It averages 196.6 residents per day, about 98.3% of its certified beds.
How much nursing care do residents get at Highfield Gardens Care Center of Great Neck?
The home reports 3.80 hours of nurse staffing per resident per day, including 0.61 hours from registered nurses. The New York average is 3.63 hours and 0.71 hours from registered nurses.
Has Highfield Gardens Care Center of Great Neck been fined?
Yes. CMS lists 2 fines totaling $4,922 in the past three years.
Does Highfield Gardens Care Center of Great Neck accept Medicare or Medicaid?
CMS lists its participation as "Medicare and Medicaid". Ask the home whether a bed is open for your coverage.
Guides for families looking at this home
- Understanding the recordWhat to ask on a nursing home tourQuestions that turn a home's public record into a useful conversation when you tour, plus what to look for yourself.
- Understanding the recordInspection severity letters A to LHow inspectors grade each deficiency by harm and by how many residents were affected.
- Understanding the recordHow to read CMS star ratingsWhat the overall, health inspection, staffing and quality measure ratings cover, and what they leave out.
Nearest nursing homes
- 5 of 5 Northwell Health Stern Family Center for Rehabilit 256beds 92.9%in use 4.99nurse hours a day
- 5 of 5 Parker Jewish Institute for Health Care & Rehab 527beds 96.1%in use 3.81nurse hours a day
- 1 of 5 The Grand Rehabilitation and Nursing at Great Neck 214beds 98.5%in use 3.07nurse hours a day
Sorted by straight-line distance. This is not a ranking or a recommendation. Compare all homes in Nassau County
Who to call in New York
These offices serve residents of every nursing home in New York.
- Long-term care ombudsman New York State Long Term Care Ombudsman Program 1-855-582-6769 An advocate for residents and their families.
- File a complaint about a nursing home Nursing Home Complaint and Discharge Appeal Hotline 1-888-201-4563 (staffed 8:30 a.m. to 4:45 p.m. on weekdays) The state agency that inspects nursing homes.
New York staffing, bed-hold and Medicaid rules · Residents' rights in every state
Source: CMS Provider Data Catalog, nursing home datasets processed Sep 1, 2026. CMS Certification Number 335250. See this home's official record on Medicare.gov
See something shown incorrectly? Tell us. This site shows each record as CMS publishes it and cannot change the underlying record.