Above average — CMS composite of the measures below.
Past the typical resurvey interval — a standard survey could occur at any time
Estimate from public CMS data, current as of July 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Luxor Nursing & Rehabilitation At Mills Pond during CMS and state inspections, most recent first.
The facility failed to serve food at safe temperatures, as observed during a survey. Residents complained about cold hot meals, and test trays confirmed food was served below the required temperature. The outdated kitchen equipment was identified as a contributing factor, but no new equipment had been ordered.
The facility failed to maintain food service safety standards, serving hot meals at temperatures below 135°F across three units. Residents complained about cold meals, and the issue was attributed to outdated kitchen equipment and insufficient metal pellets. Despite awareness of these issues, no corrective orders had been placed.
A facility failed to implement proper infection control measures for a resident on contact precautions due to Conjunctivitis. Despite a physician's order and facility policy requiring PPE, an OT and a PTA ambulated the resident without gowns and gloves. The therapists misunderstood the necessity of PPE, thinking it was not required for returning the resident to their room. The DON and Infection Control Preventionist confirmed the breach in protocol.
Deficiency in Serving Food at Safe Temperatures
Penalty
Summary
The facility failed to ensure that residents were served food and drinks at a palatable, attractive, and safe temperature, as observed during a Recertification Survey. During a Resident Council meeting, ten residents unanimously complained about hot food being served cold. On a subsequent lunch meal service, test trays from three units showed that hot food items were served below the required temperature of 135 degrees Fahrenheit, with some items as low as 100 degrees Fahrenheit. The facility's policy requires potentially hazardous foods to be maintained at specific temperatures, but the survey found that the food service equipment was outdated and inefficient. The Food Service Director acknowledged the issues with the pellet heating system and steamer, which were not adequately maintaining food temperatures. Despite being aware of these concerns, the facility had not yet finalized any solutions or equipment replacements. Interviews with the Food Service Director and the Administrator revealed that the administration was aware of the temperature issues since 2023. They initially believed the problem was due to staff not distributing meals timely and implemented an all-hands-on-deck approach. However, the outdated kitchen equipment was identified as a contributing factor, and discussions about purchasing new equipment were ongoing, but no orders had been placed at the time of the survey.
Deficiency in Food Service Safety Standards
Penalty
Summary
The facility failed to distribute and serve food in accordance with professional standards for food service safety, as observed during a recertification survey. During the lunch meal service, hot food items were served at temperatures below the required 135 degrees Fahrenheit across three units. The facility's policy mandates that potentially hazardous foods must be maintained at temperatures above 135 degrees Fahrenheit, and previously cooked food must be reheated to an internal temperature of 165 degrees Fahrenheit. However, test tray temperatures revealed that the food served was below these standards, with protein entrees and vegetables served at temperatures ranging from 100 to 131 degrees Fahrenheit. The deficiency was further highlighted during a Resident Council meeting where all ten residents in attendance complained about hot food being served cold. The Food Service Director acknowledged the issue, attributing it to outdated kitchen equipment, including an old pellet heating system and an inefficient steamer. Additionally, the facility lacked enough metal pellets to maintain the temperature for each meal plate, with only 200 pellets available instead of the required 250. This shortage meant that meal trays prepared last might not maintain appropriate food temperatures. The Administrator was aware of the residents' complaints since 2023 and believed that timeliness was a factor in the low food temperatures. An 'All Hands on Deck' approach was implemented to improve meal delivery timeliness, involving non-nursing staff in meal services. Despite being aware of the mechanical issues with the pellet warmer system and the need for new kitchen equipment, no orders had been placed to address these concerns. The Administrator was also unaware of the insufficient number of metal pellets available for meal service.
Failure to Implement Infection Control Precautions for Resident with Conjunctivitis
Penalty
Summary
The facility failed to implement an effective infection prevention and control program, as evidenced by the improper handling of a resident on contact precautions due to Conjunctivitis. Resident #208, who had intact cognition and utilized a wheelchair for mobility, was placed on contact precautions with a physician's order for Tobramycin Ophthalmic Solution to treat the infection. Despite the precautions, Occupational Therapist #1 and Physical Therapy Assistant #1 were observed ambulating the resident without wearing the required Personal Protective Equipment (PPE), such as gowns and gloves, as mandated by the facility's Transmission Based Precautions policy. The incident occurred when the therapists decided to walk the resident back to their room from the Rehabilitation Therapy gym, despite being informed of the resident's contact precaution status. Both therapists admitted to not wearing PPE, mistakenly believing it was unnecessary since they were only returning the resident to their room. The Director of Nursing Service and the Infection Control Preventionist confirmed that the therapists should have adhered to the facility's policy by using appropriate PPE to prevent the transmission of infection.
What surveyors are citing around you — mapped
All 10 risk areas, ranked with evidence
Repeat citations, what's rising near you, and quality measures — ranked so department heads know exactly where to look first.
Illustrative
What surveyors actually found near you
We read the 293 citations issued within 25 miles in the last 12 months — including the 9 immediate-jeopardy cases — and tell you exactly what happened, in plain English, matched to your record.
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.
Illustrative
A prioritized, do-first checklist
Every risk area becomes concrete audit steps drawn from real citations at facilities like yours — run them this week, before your window opens.
Illustrative
Risk indicators are statistical estimates from public CMS data — not predictions, findings, or compliance advice.
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) |
|---|---|---|---|---|
| St James Rehabilitation & Healthcare Center | 0 mi | ★★★★★ | 10 | 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 |
Every risk area ranked, a do-first checklist, and your local survey patterns
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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 July 2026) and official state health department websites.