Not rated by CMS — ratings are suppressed for new or low-volume facilities.
The next survey window likely opens around November 2026
Estimate from public CMS data, current as of June 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at St James Rehabilitation & Healthcare Center during CMS and state inspections, most recent first.
The facility failed to ensure proper food storage and hand hygiene practices. Opened and undated food packages, debris, and food residue were found in the kitchen, and staff did not perform hand hygiene after touching a garbage can and fixing their hair before handling meal trays. These issues were confirmed through observations and staff interviews.
The facility did not ensure a resident's right to make choices about their life by not allowing access to outside food brought by a family member, despite the resident being competent to make informed medical decisions. The facility repeatedly educated the resident and family about dietary restrictions but chose to confiscate and return the food instead.
A resident with severely impaired cognition received the wrong type of insulin due to an LPN's error, despite the facility's policy requiring verification of insulin type and administration method. The resident's blood sugar level was below the threshold for administering the fast-acting insulin, leading to a significant medication error.
The facility failed to provide a sanitary and comfortable environment, as evidenced by the presence of live and dead roaches in the conference room and poor sanitation practices in the kitchen. Despite having a pest control policy, the facility did not effectively implement it, leading to multiple instances of insect activity and inadequate cleaning.
Food Storage and Hand Hygiene Deficiencies
Penalty
Summary
The facility did not ensure that food was stored, prepared, distributed, and served in accordance with professional standards for food service safety. During an initial tour of the kitchen, surveyors observed opened and undated packages of food in the walk-in freezer and refrigerator, debris and food spills in the walk-in refrigerators and freezer, and multiple food preparation surfaces with built-up food residue. Additionally, racks for can storage were found to have a layer of dust. Follow-up tours revealed further issues, including uncovered and undated raw burger patties, dirty racks containing food, and food residue and grease buildup under worktables. Interviews with the Food Service Director and Assistant Food Service Director confirmed that there were lapses in cleaning and food storage protocols, and that there was no cleaning schedule in place despite daily and special cleaning assignments being mentioned. The facility also failed to adhere to proper hand hygiene practices during meal service. During a dining observation, a Therapeutic Recreation Aide was seen touching a garbage can and then opening food containers on a resident's tray without performing hand hygiene. The same aide then served another meal tray without washing their hands. Additionally, a Registered Nurse Education Coordinator was observed fixing their hair and then setting up a resident meal tray without performing hand hygiene. Both staff members acknowledged that they should have performed hand hygiene before handling the meal trays. These deficiencies were identified during the Recertification survey, which was initiated on 5/1/2024 and completed on 5/9/2024. The facility's policies and procedures for cleaning, food storage, and hand hygiene were not followed, leading to unsanitary conditions in the kitchen and improper hand hygiene practices during meal service. These lapses were confirmed through observations, record reviews, and staff interviews.
Resident's Right to Make Choices Not Ensured
Penalty
Summary
The facility did not ensure that Resident #82 had the right to make choices about aspects of their life in the facility that were significant to them. Specifically, the facility did not allow Resident #82 to have access to outside food brought in by their family member. Despite the resident's cognitive impairment, the physician's evaluation indicated that Resident #82 was competent to make informed medical decisions. The resident had a history of noncompliance with dietary restrictions and preferred ordering takeout from pizzerias and fast food restaurants. The facility's policy required educating the resident and family about proper food safety and modifying food consistency to comply with diet orders, but the facility chose to confiscate and return the food brought by the family member instead. Interviews with the Registered Dietician, Social Worker, and Director of Nursing Services revealed that the facility had repeatedly educated the resident and their family about the dietary restrictions and the importance of adhering to the prescribed diet. Despite these efforts, the resident continued to be non-compliant, and the facility decided to send the food back with the family member. The Social Worker and Director of Nursing Services believed that the facility did not violate the resident's rights, even though the resident expressed upset over being denied access to the food brought by their family member.
Significant Medication Error in Insulin Administration
Penalty
Summary
The facility did not ensure that residents were free from significant medication errors, as observed during the Recertification Survey. Specifically, a Licensed Practical Nurse (LPN) administered the wrong type of insulin to a resident with severely impaired cognition. The resident, who had a documented blood sugar level of 137 milligrams per deciliter, was supposed to receive Semglee-insulin Glargine, a long-acting insulin, but instead received 10 units of Admelog insulin, a fast-acting insulin that should have been held if the blood sugar level was below 300 milligrams per deciliter. This error was identified during a medication pass observation and confirmed through record review and interviews with the involved staff and medical personnel. The facility's policy for insulin administration, which requires verification of the type, strength, and method of administration with the physician's order, was not followed. The LPN admitted to the error, stating that they were late in administering the insulin due to providing care to other residents. The Director of Nursing Services and the Medical Doctor both confirmed that the resident received the wrong type of insulin, which could potentially harm the resident. The incident highlights a significant lapse in medication administration protocols within the facility.
Sanitation and Pest Control Deficiency
Penalty
Summary
The facility did not provide a sanitary and comfortable environment for residents, staff, and the public. During the Recertification Survey, four live roaches, one dead roach, and one unidentified crushed insect were observed in the first-floor conference room. Additionally, the kitchen shelf where Styrofoam cups were stored had a heavy accumulation of dust and debris beneath it. The facility's Pest Control policy, dated 10/18/2022, documented an ongoing pest management program, but observations indicated that the program was not effectively implemented. On 5/1/2024, roaches were found floating in coffee served to the survey team, which was believed to have originated from the cups supplied by the facility kitchen. Pest Management Service Inspection Report Records from 5/3/2023 to 4/28/2024 showed multiple instances of roach activity and crawling bugs, with recommendations for better sanitation practices in the kitchen to prevent insect intrusion. Further inspection on 5/1/2024 revealed that the coffee/hot water urns in the kitchen had an accumulation of dust and were not cleaned properly by the incoming shift. The dry storage area where the Styrofoam cups were stored also had a heavy accumulation of dust and debris. Additionally, a cabinet below the coffee urns in the conference room contained one unidentified crushed insect and one dead roach in a glue trap. The Administrator was informed of these findings and stated that the glue trap was placed by the pest control company, denying any previous observations of roaches. Despite the facility's pest control policy, the presence of insects and poor sanitation practices were evident, leading to the deficiency.
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Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.
Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
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Nursing homes near St James
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Luxor Nursing And Rehabilitation At Mills Pond | 0 mi | — | 0 | 0 |
| Smithtown Center For Rehabilitation & Nursing Care | 1.6 mi | — | 3 | 0 |
| The Hamlet Rehabilitation And Healthcare Center At | 2.2 mi | — | 0 | 0 |
| Long Island State Veterans Home | 2.5 mi | — | 0 | 0 |
| Brookside Multicare Nursing Center | 3.2 mi | — | 3 | 0 |
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Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release August 2026) and official state health department websites.