The home failed to respond appropriately to all reported abuse or neglect concerns. Cited December 2025 — isolated incident, immediate jeopardy to residents.
View the original federal record
F-Tag 610 — 42 CFR §483.12 — S/S: J
Nursing home report
SURGE REHABILITATION AND NURSING LLC
MIDDLE ISLAND, NY · Medicare-certified · 164 beds
Needs attention
For-profitChain member
Data as of July 1, 2026
2 of 5 overall
SURGE REHABILITATION AND NURSING LLC (Middle Island, NY) has a 2-star overall rating, with a 1-star health inspection rating, 3-star staffing, and 5-star quality measures. It also has a recent federal penalty with $70,480 in fines over the last 24 months, and reported nurse staffing is slightly below the federal benchmark (3.99 vs. 4.1 hours per resident per day).
Facility ratings
Health inspections
Staffing
3.9858 hrs/resident/day
Quality measures
Last inspection: December 22, 2025Penalties, last 24 months: $70,480recent federal penalty
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.9858.
Staffing detail
- Registered nurses
- 0.60
- Licensed practical nurses
- 0.98
- Nurse aides
- 2.40
- Weekend nursing
- 3.57
Hours per resident per day.
Total staff turnover: 39%
Registered nurse turnover: 44%
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
15.9%14.3%Improving
Residents with a fall causing major injury
2.8%3.1%No change
Residents with pressure ulcers (bedsores)
6.3%2.9%Improving
Residents with a urinary tract infection
0%0%No change
Residents who lost too much weight
7%3.2%Improving
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
11.1%10.1%Improving
Residents whose ability to walk got worse
10.7%12.3%Worsening
Long-stay residents on antianxiety or sleep medication
22.6%20.6%Improving
Short-stay residents newly given an antipsychotic
1.7%1%Improving
Residents with a long-term catheter
0%0%No change
Residents with new or worsening incontinence
7.1%18.8%Worsening
Residents with depressive symptoms
17%4.3%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
—95.7%—
Long-stay residents given the pneumonia vaccine
100%100%No change
Short-stay residents given the seasonal flu vaccine
—77.6%—
Short-stay residents given the pneumonia vaccine
90.9%78.9%Worsening
What the inspectors found
The nursing home failed to ensure a qualified person was assigned to oversee infection prevention and control. Cited December 2022 — widespread issue, potential for harm.
View the original federal record
F-Tag 882 — 42 CFR §483.80 — S/S: F
The home failed to provide pharmacy services and a licensed pharmacist needed to meet each resident’s medication needs. Cited December 2025 — limited pattern, potential for harm.
View the original federal record
F-Tag 755 — 42 CFR §483.45 — S/S: E
The home failed to keep residents’ personal and medical records private and confidential. Cited December 2025 — isolated incident, potential for harm.
View the original federal record
F-Tag 583 — 42 CFR §483.10 — S/S: D
The home failed to promptly report suspected abuse, neglect, or theft and share the investigation results with the proper authorities. Cited December 2025 — isolated incident, potential for harm.
View the original federal record
F-Tag 609 — 42 CFR §483.12 — S/S: D
Recent history
- STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
- PENALTY
A federal fine of $70,480 was recorded.
- STAFFING
Reported nurse staffing met or exceeded the federal recommendation.
- INSPECTION
Health inspection found 10 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
Penalties & enforcement
On record with Medicare: 1 fine · $70,480 in total fines.
- $70,480
Federal fine
Dec 22, 2025
Operator & ownership
- Ownership
- For profit - Limited Liability company
- Chain
- Part of PARAGON HEALTHNET · 11 homes · 4.5 stars avg
- Occupancy
- 142.1 residents on an average day (87% of 164 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 53 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.