San Simeon by the Sound Center for Nursing & Rehab
Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.
based on 92 Google reviews
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Quality Concerns Identified
Medicare inspection and quality data reveal areas that families should carefully evaluate before choosing this facility.
- Low overall rating (1/5 stars)
- Low staffing rating (2/5 stars)
- Above-median deficiencies (8 vs median 6.0)
- High staff turnover (60%)
- High RN turnover (56%)
Bottom 25% in NY · Below recommended RN staffing · $156,208 in fines
What this means for your family
While some families report successful rehabilitation outcomes, the facility has a concerning pattern of reports regarding cleanliness, pest issues, and neglectful care. If you consider this facility, we strongly recommend unannounced visits during weekends or evenings to observe actual staffing levels and facility hygiene for yourself.
Google Reviews
Google Reviews
92 reviews on Google“San Simeon by the Sound receives highly polarized feedback, with some families praising the rehabilitation department and individual staff members, while others describe severe neglect and unsanitary conditions. Recurring complaints focus on chronic understaffing, poor facility cleanliness, and inadequate communication regarding resident health status. Families considering this facility should be aware of the stark contrast between positive rehab experiences and reports of neglect.”
Quality Themes
Tap a score for detailsStrengths
- Effective physical therapy and rehabilitation department
- Select compassionate and attentive nursing staff
- Professional admissions and administrative support
Concerns
- Chronic understaffing leading to unanswered call bells (mentioned by 7 reviewers)
- Poor facility cleanliness and hygiene (bugs, mold, dirty rooms) (mentioned by 6 reviewers)
- Poor quality and unpalatable food (mentioned by 5 reviewers)
- Lack of communication with families regarding medical status (mentioned by 4 reviewers)
Rating Trends
Tap a year to see what changed
Distribution · 96 analyzed
How They Respond to Reviews
Questions for Your Tour
- 1We've heard great things about your physical therapy and rehab department; could you tell us more about how that team works with residents to regain their strength?
- 2How does the nursing team ensure that call bells are answered promptly, especially during the busier night shifts?
- 3What specific protocols do you have in place to ensure the facility remains deep-cleaned and hygienic every day?
- 4Could you describe the meal planning process and how you ensure the food is both nutritious and appetizing for the residents?
- 5How does the administrative team keep families updated on any changes to a resident's medical status or daily care needs?
- 6What is the process for managing medications to ensure everything is handled accurately and safely?
Personalized based on this facility's data
Key Review Excerpts
“My mother recently stayed at San Simeon by the Sound, and I can honestly say the care she received exceeded all expectations. From the moment we arrived, the staff made us feel like family.”
“This place is a dump, my father was taken in and left in a chair for hours . It is filthy the water cooler has black mold! Staff are awful it’s very sad, people asking for help and no one answers!”
“My mother was there for less than 24 hours...never came to her room, never gave her hear medicine, Blood pressure was so high and when my dad called lied to him and told him she was fine.”
Staffing
Staffing Hours
per resident/day · Medicare 2026Total nursing hours are below minimum, though RN coverage is adequate. This may mean fewer aides for daily tasks like bathing and mobility.
Quality Measures
Quality Measures
Resident outcomes compared with national, state, and local averages · 17 measures
6
measures
9
measures
2
measures
Residents with depression symptoms
Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.
Residents vaccinated for the flu
Residents vaccinated for pneumonia
Residents whose walking got worse
Residents whose bladder or bowel control got worse
Residents needing more daily help over time
Short-stay residents vaccinated for pneumonia
Short-stay residents vaccinated for the flu
Short-stay residents newly given antipsychotics
US average from Medicare published data
Inspection History
Medicare Inspection History
3-year lookback · Medicare 2026
This facility has 30 deficiencies across multiple surveys, with families filing complaints that triggered investigations into abuse reporting and care quality issues. The most recurring problems involve safety hazards, fire safety systems, and care planning. While all deficiencies show correction dates, the pattern reveals ongoing challenges with basic safety protocols and resident care standards that families should carefully evaluate during visits.
Oct 16, 2025Complaint1
Miscellaneous Deficiencies
Have simulated fire drills held at unexpected times.
Sep 5, 2024Routine14
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Construction Deficiencies
Use approved construction type or materials.
Smoke Deficiencies
Have approved installation, maintenance and testing program for fire alarm systems.
Services Deficiencies
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Services Deficiencies
Have elevators that firefighters can control in the event of a fire.
Resident Rights Deficiencies
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
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.
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Miscellaneous Deficiencies
Have simulated fire drills held at unexpected times.
Gas, Vacuum, and Electrical Systems Deficiencies
Have generator or other power source capable of supplying service within 10 seconds.
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.
Quality of Life and Care Deficiencies
Provide enough food/fluids to maintain a resident's health.
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Gas, Vacuum, and Electrical Systems Deficiencies
Meet requirements for the installation and maintenance of electrical systems.
Sep 5, 2024Complaint1
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Dec 26, 2023Complaint2
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Respond appropriately to all alleged violations.
Nov 23, 2022Routine9
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Construction Deficiencies
Use approved construction type or materials.
Nursing and Physician Services Deficiencies
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Respond appropriately to all alleged violations.
Quality of Life and Care Deficiencies
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
Quality of Life and Care Deficiencies
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Smoke Deficiencies
Install an approved automatic sprinkler system.
Egress Deficiencies
Have stairways and smokeproof enclosures used as exits that meet safety requirements.
Nov 17, 2020Routine3
Egress Deficiencies
Have properly located and lighted "Exit" signs.
Smoke Deficiencies
Install corridor and hallway doors that block smoke.
Egress Deficiencies
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Federal Penalties
Fine
Oct 16, 2025
$28,535
Fine
Sep 5, 2024
$41,457
Fine
Dec 26, 2023
$66,618
Fine
Dec 11, 2023
$4,233
Ownership & Operations
Who Operates This Facility
San Simeon by the Sound Center for Nursing & Rehab
for profit
Ownership & Management
Key personnel
Contact
Get in Touch
Contact this facility directly and verify the details that matter most to your family.
References & Resources
Medicare Care Compare
Official Medicare quality ratings, inspections & staffing data
Google Maps
Photos, directions & neighborhood info
Google Reviews
92 reviews from families & visitors
Official Website
Visit sansimeonbythesound.org
Medicare data downloads
Original nursing home datasets
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Safer Alternatives Nearby
Based on current clinical data, we identified 2 nearby facilities within 10 miles that may offer a stronger care environment. We encourage families to compare options carefully.