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Nursing home report

San Simeon by the Sound Center for Nursing and Rehabilitation

Registered name: San Simeon By The Sound Center for Nursing & Rehab

Greenport, NY · Medicare-certified · 120 beds

Needs attention
For-profit
Data as of July 1, 2026
1 of 5 overall

1 out of 5 stars overall. This home has a 1-star health inspection rating, a recent federal penalty with $69,992 in fines over the last 24 months, and reported staffing of 3.46 hours per resident per day, below the federal benchmark of 4.1.

Facility ratings

Health inspections

Staffing

3.4645 hrs/resident/day

Quality measures

Last inspection: October 16, 2025Penalties, last 24 months: $69,992recent federal penalty

Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.4645.

Staffing detail

Registered nurses
1.22
Licensed practical nurses
0.63
Nurse aides
1.61
Weekend nursing
3.25

Hours per resident per day.

Total staff turnover: 62%
Registered nurse turnover: 69%

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

11.5%12.5%Worsening

Residents with a fall causing major injury

1.2%2.7%Worsening

Residents with pressure ulcers (bedsores)

5.9%2.3%Improving

Residents with a urinary tract infection

0%0%No change

Residents who lost too much weight

6.3%5.3%Improving

Residents who were physically restrained

0%0%No change

Residents needing more help with daily activities

7%4.5%Improving

Residents whose ability to walk got worse

0%6.9%Worsening

Long-stay residents on antianxiety or sleep medication

19.5%14.7%Improving

Short-stay residents newly given an antipsychotic

2.6%0%Improving

Residents with a long-term catheter

0%0%No change

Residents with new or worsening incontinence

14%20.8%Worsening

Residents with depressive symptoms

88.2%80.8%Improving

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

67.8%

Long-stay residents given the pneumonia vaccine

72%88%Improving

Short-stay residents given the seasonal flu vaccine

57.7%

Short-stay residents given the pneumonia vaccine

53.1%72.8%Improving

What the inspectors found

The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited September 2024 — widespread issue, immediate jeopardy to residents.

View the original federal record

F-Tag 689 — 42 CFR §483.25(d) — S/S: L

The home failed to promptly report suspected abuse, neglect, or theft and share the investigation results with the proper authorities. Cited December 2023 — isolated incident, immediate jeopardy to residents.

View the original federal record

F-Tag 609 — 42 CFR §483.12 — S/S: J

The home failed to respond appropriately to all reported abuse or neglect concerns. Cited December 2023 — isolated incident, immediate jeopardy to residents.

View the original federal record

F-Tag 610 — 42 CFR §483.12 — S/S: J

The home failed to ensure residents had a safe, clean, comfortable, homelike environment and daily care supports were provided safely. Cited September 2024 — limited pattern, potential for harm.

View the original federal record

F-Tag 584 — 42 CFR §483.10 — S/S: E

The home failed to properly label and securely store medications and biologicals. Cited September 2024 — limited pattern, potential for harm.

View the original federal record

F-Tag 761 — 42 CFR §483.45(g) — S/S: E

Recent history

  1. PENALTY

    A federal fine of $28,535 was recorded.

  2. STAFFING

    Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.

  3. PENALTY

    A federal fine of $43,900 was recorded.

  4. PENALTY

    A federal fine of $41,457 was recorded.

  5. INSPECTION

    Health inspection found 8 health deficiencies.

    See what inspectors found
  6. INSPECTION

    Health inspection found 2 health deficiencies.

    See what inspectors found
  7. INSPECTION

    Health inspection found 6 health deficiencies.

    See what inspectors found

Penalties & enforcement

On record with Medicare: 4 fines · $140,843 in total fines.

  • Federal fine

    Oct 16, 2025

    $28,535
  • Federal fine

    Sep 5, 2024

    $41,457
  • Federal fine

    Dec 26, 2023

    $66,618
  • Federal fine

    Dec 11, 2023

    $4,233

Operator & ownership

Ownership
For profit - Corporation
Occupancy
96.1 residents on an average day (80% of 120 beds)
Resident voice
Resident council
Medicare history
Certified for 57 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.