The home failed to properly label and securely store medications and biologicals. Cited June 2024 — limited pattern, potential for harm.
View the original federal record
F-Tag 761 — 42 CFR §483.45(g) — S/S: E
Nursing home report
Brookside Multicare Nursing Center
Smithtown, NY · Medicare-certified · 353 beds
In good standing
For-profitChain member
Data as of July 1, 2026
5 of 5 overall
Brookside Multicare Nursing Center has an overall 5-star rating, with 4 stars for health inspections and staffing and 5 stars for quality measures. It reported 3.91 nurse staffing hours per resident per day versus the 4.1-hour federal benchmark, had $0 in fines in the last 24 months, and recent inspection citations included medication storage, resident environment, and accident-prevention issues.
Facility ratings
Health inspections
Staffing
3.9115 hrs/resident/day
Quality measures
Last inspection: November 25, 2025Penalties, last 24 months: $0
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.9115.
Staffing detail
- Registered nurses
- 0.90
- Licensed practical nurses
- 0.69
- Nurse aides
- 2.33
- Weekend nursing
- 3.44
Hours per resident per day.
Total staff turnover: 22%
Registered nurse turnover: 19%
Resident outcomes
Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.
Negative outcomes
Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).
Long-stay residents on antipsychotic medication
23.5%22.4%Improving
Residents with a fall causing major injury
2.1%2.6%Worsening
Residents with pressure ulcers (bedsores)
4.9%3.7%Improving
Residents with a urinary tract infection
0%0%No change
Residents who lost too much weight
2.9%3.9%Worsening
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
12.1%9.8%Improving
Residents whose ability to walk got worse
10.9%6.6%Improving
Long-stay residents on antianxiety or sleep medication
22.7%22.3%No change
Short-stay residents newly given an antipsychotic
1.4%2.5%Worsening
Residents with a long-term catheter
0%0%No change
Residents with new or worsening incontinence
13.9%17.8%Worsening
Residents with depressive symptoms
12.8%13.2%No change
Positive outcomes
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Long-stay residents given the seasonal flu vaccine
—99%—
Long-stay residents given the pneumonia vaccine
99.6%99.2%No change
Short-stay residents given the seasonal flu vaccine
—94.3%—
Short-stay residents given the pneumonia vaccine
99.1%98.1%Worsening
What the inspectors found
The home failed to ensure residents had a safe, clean, comfortable, homelike environment and daily care supports were provided safely. Cited November 2022 — limited pattern, potential for harm.
View the original federal record
F-Tag 584 — 42 CFR §483.10 — S/S: E
The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited November 2022 — limited pattern, potential for harm.
View the original federal record
F-Tag 689 — 42 CFR §483.25(d) — S/S: E
The nursing home failed to ensure a working call system was available in each resident’s bathroom and bathing area. Cited November 2022 — limited pattern, potential for harm.
View the original federal record
F-Tag 919 — 42 CFR §483.90 — S/S: E
The home failed to ensure residents were treated with dignity and could make their own choices and communicate freely. Cited November 2025 — isolated incident, potential for harm.
View the original federal record
F-Tag 550 — 42 CFR §483.10(a) — S/S: D
Recent history
- STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
- INSPECTION
Health inspection found 3 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 4 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 8 health deficiencies.
See what inspectors found
Penalties & enforcement
On record with Medicare: 1 fine · $3,145 in total fines.
- $3,145
Federal fine
Jul 31, 2023
Operator & ownership
Recent ownership change · Jan 24, 2018
Now operated by Optima Care Smithtown LLC, previously Avalon Gardens Rehabilitation and Health Care Center LLC.
- Ownership
- For profit - Limited Liability company
- Chain
- Part of OPTIMA CARE · 8 homes · 2.9 stars avg
- Occupancy
- 298.5 residents on an average day (85% of 353 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 48 years
Things at a nursing home change — inspections, staffing, ownership, news.
Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.