SAN SIMEON BY THE SOUND CENTER FOR NURSING & REHAB
GREENPORT, NY · Medicare-certified · 120 beds
Needs attention
For-profit
★★★★★2 of 5 overall
2-star nursing home overall. Health inspections are very weak at 1 star, staffing is 3 stars with reported nurse staffing below the federal benchmark (3.79 vs 4.1 hours/resident/day), and it has had $85,357 in fines in the last 24 months plus a recent federal penalty; quality measures are 5 stars.
Last inspection: October 16, 2025Penalties, last 24 months: $85,357recent federal penalty
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.7862.
Staffing detail
Registered nurses
0.86
Licensed practical nurses
0.87
Nurse aides
2.06
Weekend nursing
3.34
Hours per resident per day.
Total staff turnover: 57%
Registered nurse turnover: 63%
Resident outcomes
How often residents experience these outcomes, with the direction over the past year.
Long-stay residents on antipsychotic medication
12.1%Worsening
Residents with a fall causing major injury
4.1%Worsening
Residents with pressure ulcers (bedsores)
5.1%Improving
Residents with a urinary tract infection
0.3%Steady
Residents who lost too much weight
6%Steady
Residents who were physically restrained
0%Steady
Residents needing more help with daily activities
10.2%Worsening
Residents whose ability to walk got worse
6.3%Worsening
Show all measures
Long-stay residents on antianxiety or sleep medication
16.6%Improving
Short-stay residents newly given an antipsychotic
3.2%Improving
Residents with a long-term catheter
0.3%Worsening
Residents with new or worsening incontinence
24%Worsening
Residents with depressive symptoms
88.7%Worsening
Long-stay residents given the seasonal flu vaccine
67.8%Steady
Long-stay residents given the pneumonia vaccine
74.1%Worsening
Short-stay residents given the seasonal flu vaccine
57.7%Steady
Short-stay residents given the pneumonia vaccine
51.4%Worsening
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
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 · $156,208 in total fines.
Federal fine
Oct 16, 2025
$43,900
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
88.7 residents on an average day (74% 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.