Nursing HomeInspections

Highfield Gardens Care Center of Great Neck

Nursing home in Great Neck, NY

Medicare & Medicaid certified4★ overall (CMS)

Call (516) 365-9229Send a messageMap ↗

Public-record details

Address
199 Community Drive, Great Neck, NY 11021
Phone
(516) 365-9229
Listed under
For-profit, 4–5 star overall rating
Medicare CCN
335250
Overall star rating
4 of 5 ★★★★☆
Health inspection rating
3 of 5
Staffing rating
4 of 5
Quality measures rating
5 of 5
Certified beds
200
Average residents per day
197
Ownership
For-profit, corporation
Legal business name
Wedgewood Care Center INC
Chain
Jonathan Bleier (18 facilities)
Certified for
Medicare and Medicaid
First approved by Medicare/Medicaid
Jun 1, 1977
Changed ownership in last 12 months
No
Continuing care retirement community
No
Located inside a hospital
No
Resident or family council
Resident council
Sprinklers in all required areas
Yes

CMS certification number 335250. Source: CMS Nursing Home Provider Information, Health Deficiencies and Penalties (record). Data as of 2026-09-30.

Inspection record

Most recent standard health inspection: Feb 3, 2025. CMS lists 15 health citations for this facility across its last three standard inspection cycles and complaint inspections (Sep 15, 2020 to Feb 3, 2025): 0 from complaint inspections, 0 at the “actual harm” level or higher.

InspectionCitationSeverity
Feb 3, 2025Conduct 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…
Administration
B
Potential for minimal harm, pattern
Feb 3, 2025PASARR screening for Mental disorders or Intellectual Disabilities
Resident Assessment and Care Planning
D
Potential for more than minimal harm, isolated
Feb 3, 2025Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Assessment and Care Planning
D
Potential for more than minimal harm, isolated
Feb 3, 2025Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Quality of Life and Care
D
Potential for more than minimal harm, isolated
Feb 3, 2025Ensure 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…
Pharmacy Service
D
Potential for more than minimal harm, isolated
Feb 3, 2025Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Nutrition and Dietary
E
Potential for more than minimal harm, pattern
Feb 3, 2025Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary
E
Potential for more than minimal harm, pattern
Feb 3, 2025Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Environmental
E
Potential for more than minimal harm, pattern
Apr 11, 2023Provide enough food/fluids to maintain a resident's health.
Quality of Life and Care
D
Potential for more than minimal harm, isolated
Apr 11, 2023Provide safe and appropriate respiratory care for a resident when needed.
Quality of Life and Care
D
Potential for more than minimal harm, isolated
Apr 11, 2023Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care.
Nursing and Physician Services
D
Potential for more than minimal harm, isolated
Apr 11, 2023Ensure that the resident and his/her doctor meet face-to-face at all required visits.
Nursing and Physician Services
D
Potential for more than minimal harm, isolated

Showing the 12 most recent of 15. Full inspection reports are on Medicare Care Compare.

Severity letters follow CMS's scope-and-severity grid: A–C potential for minimal harm, D–F potential for more than minimal harm, G–I actual harm, J–L immediate jeopardy. Most citations are corrected; a citation is what inspectors found on that date. Source: CMS Health Deficiencies file, processed Aug 1, 2026.

Fines and payment denials

CMS records 2 fines totalling $4,922 in the last three years.

Oct 10, 2023Fine: $1,748
Sep 18, 2023Fine: $3,174

Source: CMS Penalties file, processed Aug 1, 2026. Amounts are as CMS reports them and may reflect later reductions or appeals.

Staffing

Total nurse staffing per resident per day
3.80 hours
Registered nurse (RN) time per resident per day
0.61 hours
Nurse aide time per resident per day
2.59 hours
Total nurse staffing on weekends
3.09 hours
Nursing staff turnover (yearly)
35%
RN turnover (yearly)
39%
Administrators who left in the past year
0

From payroll-based staffing data the facility submits to CMS. Hours are per resident per day.

A citation is what inspectors found on one date; most are corrected within weeks. Look for patterns — the same problem cited in several inspections — and for anything at the G–L level (actual harm or immediate jeopardy). The full inspection narrative (Form CMS-2567) is linked from Medicare Care Compare, and your state long-term care ombudsman can tell you about complaints.

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