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.
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).
Last yrNowTrend
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).
Last yrNowTrend
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
PENALTY
A federal fine of $28,535 was recorded.
STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
PENALTY
A federal fine of $43,900 was recorded.
PENALTY
A federal fine of $41,457 was recorded.
INSPECTION
Health inspection found 8 health deficiencies.
See what inspectors found
INSPECTION
Health inspection found 2 health deficiencies.
See what inspectors found
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.