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Nursing HomeMedicaid

Highfield Gardens Care Center of Great Neck

Strong Medicare quality ratings; families often praise highly effective physical and occupational therapy programs. Still worth an in-person visit.

199 Community Drive, Great Neck, NY 11021200 bedsLicensed & Active
4/5
Medicare
Inspection
Quality
Staffing
Google rating
4.2/5

based on 317 Google reviews

5
4
3
2
1
Highfield Gardens Care Center of Great Neck Nursing Home in Great Neck, NY — Street View
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What this means for your family

Highfield Gardens offers a highly effective rehabilitation program that has helped many patients regain mobility, making it a strong candidate for short-term recovery. However, families should be aware of significant reports regarding inconsistent nursing responsiveness and dietary errors; we strongly recommend conducting daily, unannounced visits to ensure your loved one's specific care and dietary needs are being met.

Google Reviews

Google Reviews

317 reviews on Google
Highfield Gardens Care Center receives polarized feedback, with many families praising the rehabilitation team and specific staff members for their dedication, while others report serious concerns regarding neglect, poor hygiene, and understaffing. While the facility is frequently described as clean and welcoming by some visitors, a significant number of reviewers cite issues with slow response times, poor food quality, and inadequate care for high-needs patients.

Quality Themes

Tap a score for details
Food3.0Staff6.0Clean7.0Activities9.0Meds3.0Memory4.0Comms5.0ValueN/A

Strengths

  • Highly effective physical and occupational therapy programs
  • Warm, attentive, and professional front-desk staff
  • Clean and well-maintained facility environment
  • Strong, personalized care from specific nurses and aides

Concerns

  • Slow or non-existent response to call bells/patient needs (mentioned by 6 reviewers)
  • Poor food quality and failure to follow dietary restrictions (mentioned by 5 reviewers)
  • Understaffing leading to neglect or hygiene issues (mentioned by 7 reviewers)
  • Inadequate communication regarding patient care/medical status (mentioned by 3 reviewers)

Rating Trends

Tap a year to see what changed

2344.72022(14)4.52023(22)4.72024(52)4.32025(89)4.32026(45)

Distribution · 222 analyzed

5
168
4
27
3
2
2
4
1
21

How They Respond to Reviews

0%response rate

Questions for Your Tour

  • 1I noticed your team is very active in responding to online feedback; what is your preferred process for families to communicate with staff regarding a loved one's daily medical status?
  • 2Given the importance of nutrition, how do you ensure that specific dietary restrictions are consistently met during meal service?
  • 3Could you walk me through the protocol for responding to call bells and how you ensure residents receive timely assistance when they need it?
  • 4Since your therapy programs are highly regarded, how are these sessions integrated into the daily routine for residents who need physical or occupational support?
  • 5With your current staffing levels, what steps are being taken to maintain high standards of hygiene and personalized attention for all residents?
  • 6How does your team manage medication administration to ensure accuracy and safety for residents throughout the day?

Personalized based on this facility's data


Key Review Excerpts

The rehab was excellent and got him walking again. The food could have been better but we didn’t go there first that. We brought him food. He said the nurses were all very nice.

Long-term resident's family · 2026★★★★★

The facility is grossly understaffed and most of the staff is unqualified to be taking care of people with dementia and Alzheimer’s.

Memory care family member · 2025☆☆☆☆

The therapy with Ariet and Chris helped get me stronger. Nurses Paola and Victor cared for me with so much love and attention. Stephanie from kitchen brought me fluffy pancakes and fresh pizza.

Rehab patient · 2025★★★★★
Source: 317 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
0.56hrs
75%
Registered nurses for medical care
Total Nursing
3.77hrs
92%
All nurses + aides combined
Staff Turnover
34%
Lower is better (< 30% = good)
RN Turnover
38%
Lower is better (< 30% = good)

Both RN and total nursing hours are below national benchmarks. This can mean less clinical attention per resident, so ask about their staffing plan.

Quality Measures

Quality Measures

Resident outcomes compared with national, state, and local averages · 17 measures

Medicare Rating
5/ 5
Better Than Avg

14

measures

Worse Than Avg

2

measures

Mixed Results

1

measures

Long-Stay Residents
😔

Residents with depression symptoms

↓ Lower is better
This Facility0.7%
Better than Avg
Here
0.7%
US
12.1%
NY
18.9%
Nassau
32.2%

Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.

🚿

Residents whose bladder or bowel control got worse

↓ Lower is better
This Facility4.3%
Better than Avg
Here
4.3%
US
19.4%
NY
20.2%
Nassau
16.0%
💊

Residents on anti-anxiety or sleep medication

↓ Lower is better
This Facility10.6%
Better than Avg
Here
10.6%
US
19.5%
NY
13.3%
Nassau
14.6%
💉

Residents vaccinated for pneumonia

↑ Higher is better
This Facility100.0%
Better than Avg
Here
100.0%
US
93.4%
NY
91.3%
Nassau
93.5%
🚶

Residents whose walking got worse

↓ Lower is better
This Facility6.9%
Better than Avg
Here
6.9%
US
15.3%
NY
13.8%
Nassau
11.4%
🩹

Residents with pressure sores (bedsores)

↓ Lower is better
This Facility2.7%
Better than Avg
Here
2.7%
US
4.9%
NY
6.8%
Nassau
7.6%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility99.9%
Better than Avg
Here
99.9%
US
81.8%
NY
77.0%
Nassau
80.7%
💉

Short-stay residents vaccinated for the flu

↑ Higher is better
This Facility100.0%
Better than Avg
Here
100.0%
US
79.8%
NY
78.8%
Nassau
82.4%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility1.7%
Worse than Avg
Here
1.7%
US
1.6%
NY
1.2%
Nassau
1.5%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

8deficiencies
2penalties
Above state avg (7.6)
$4,922 in fines

Highfield Gardens shows a pattern of recurring building safety and food service issues across multiple surveys, with deficiencies in fire safety systems, emergency exits, and food handling appearing repeatedly from 2020 to 2025. The facility has committed to correcting all identified problems, but the persistence of similar building safety and dietary concerns suggests ongoing operational challenges that families should discuss during visits.

Feb 3, 2025Routine
11
0161Potential for harm · Widespread

Construction Deficiencies

Use approved construction type or materials.

0804Potential for harm · PatternCorrected

Nutrition and Dietary Deficiencies

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

0812Potential for harm · PatternCorrected

Nutrition and Dietary Deficiencies

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

0925Potential for harm · PatternCorrected

Environmental Deficiencies

Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.

0374Potential for harm · PatternCorrected

Smoke Deficiencies

Install smoke barrier doors that can resist smoke for at least 20 minutes.

0645Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

PASARR screening for Mental disorders or Intellectual Disabilities

0656Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

0686Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

0761Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

0321Potential for harm · IsolatedCorrected

Smoke Deficiencies

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

0838Minimal · PatternCorrected

Administration Deficiencies

Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.

Apr 11, 2023Routine
19
0161Potential for harm · Widespread

Construction Deficiencies

Use approved construction type or materials.

0812Potential for harm · PatternCorrected

Nutrition and Dietary Deficiencies

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

0211Potential for harm · PatternCorrected

Egress Deficiencies

Keep aisles, corridors, and exits free of obstruction in case of emergency.

0223Potential for harm · PatternCorrected

Egress Deficiencies

Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.

0225Potential for harm · PatternCorrected

Egress Deficiencies

Have stairways and smokeproof enclosures used as exits that meet safety requirements.

0293Potential for harm · PatternCorrected

Egress Deficiencies

Have properly located and lighted "Exit" signs.

0351Potential for harm · PatternCorrected

Smoke Deficiencies

Install an approved automatic sprinkler system.

0353Potential for harm · PatternCorrected

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

0374Potential for harm · PatternCorrected

Smoke Deficiencies

Install smoke barrier doors that can resist smoke for at least 20 minutes.

0781Potential for harm · PatternCorrected

Miscellaneous Deficiencies

Have restrictions on the use of portable space heaters.

0692Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide enough food/fluids to maintain a resident's health.

0695Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide safe and appropriate respiratory care for a resident when needed.

0710Potential for harm · IsolatedCorrected

Nursing and Physician Services Deficiencies

Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care.

0712Potential for harm · IsolatedCorrected

Nursing and Physician Services Deficiencies

Ensure that the resident and his/her doctor meet face-to-face at all required visits.

0271Potential for harm · IsolatedCorrected

Egress Deficiencies

Have exits that are accessible at all times.

0321Potential for harm · IsolatedCorrected

Smoke Deficiencies

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

0355Potential for harm · IsolatedCorrected

Smoke Deficiencies

Properly select, install, inspect, or maintain portable fire extinguishes.

0371Potential for harm · IsolatedCorrected

Smoke Deficiencies

Have properly sized and located compartments to protect residents from smoke.

0900Potential for harm · IsolatedCorrected

Miscellaneous Deficiencies

Meet Health Care Facilities Code mechanical requirements.

Sep 15, 2020Routine
3
0812Potential for harm · IsolatedCorrected

Nutrition and Dietary Deficiencies

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

0880Potential for harm · IsolatedCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0211Potential for harm · IsolatedCorrected

Egress Deficiencies

Keep aisles, corridors, and exits free of obstruction in case of emergency.

Federal Penalties

Fine

Oct 10, 2023

$1,748

Fine

Sep 18, 2023

$3,174

Ownership & Operations

Who Operates This Facility

Owner / Operator

Highfield Gardens Care Center of Great Neck

Organization Type

for profit

Chain Affiliation

Chain Name

Jonathan Bleier

Chain Size

18 facilities nationwide

Chain avg rating: 2.6/5 · Rank 4 of 18

Ownership & Management

Owners

Bleier, Jonathan

Owner

81%

Bleier, Sorah

Owner

14%

Schiffer, Samuel

Owner (parent company)

10%

Key personnel

Maliangos, NicoletW-2 Managing Employee
Source: Medicare provider data

Contact

Get in Touch

Contact this facility directly and verify the details that matter most to your family.

References & Resources

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