01 / INSPECTION LEDGER
Survey cycles in this release
| Cycle | Health date | Health deficiencies | Fire date | Fire deficiencies |
|---|---|---|---|---|
| Cycle 1 | 2025-05-23 | 7 | 2025-05-23 | 0 |
| Cycle 2 | 2024-06-20 | 3 | 2024-06-20 | 1 |
| Cycle 3 | 2022-10-05 | 2 | 2022-10-05 | 2 |
CMS CCN 3358532026-08-01 PROCESSING DATE
NURSING HOME PUBLIC RECORD
John T Mather Memorial Hosp T C U
75 North Country Road · Port Jefferson, NY 11777 · Suffolk County
Certified beds16CMS provider file
Recent citation rows15current CMS citation release
Penalty rows0current CMS penalties file
Read this record carefully.
The citation files cover the three most recent standard inspections plus qualifying complaint and infection-control inspections in the prior three years. A correction date is a CMS field; this site does not independently verify conditions. Absence from a file is not proof that no issue exists.
02 / CITATION DETAIL
15 rows in the current release
0 rows carry G–L scope/severity codes; 0 carry J–L. 3 tag codes appear on more than one survey date. These counts describe citation rows, not residents or incidents.
2025-05-23 · HEALTHF0635Severity D · isolated; potential for more than minimal harm
Resident Assessment and Care Planning Deficiencies
Provide doctor's orders for the resident's immediate care at the time the resident was admitted.
Correction field: Deficient, Provider has date of correction · 2025-07-182025-05-23 · HEALTHF0655Severity D · isolated; potential for more than minimal harm
Resident Assessment and Care Planning Deficiencies
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Correction field: Deficient, Provider has date of correction · 2025-07-182025-05-23 · HEALTHF0695Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide safe and appropriate respiratory care for a resident when needed.
Correction field: Deficient, Provider has date of correction · 2025-07-182025-05-23 · HEALTHF0812Severity F · widespread; potential for more than minimal harm
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Correction field: Deficient, Provider has date of correction · 2025-07-212025-05-23 · HEALTHF0868Severity C · widespread; potential for minimal harm
Administration Deficiencies
Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
Correction field: Deficient, Provider has date of correction · 2025-07-182025-05-23 · HEALTHF0880Severity D · isolated; potential for more than minimal harm
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Correction field: Deficient, Provider has date of correction · 2025-07-182025-05-23 · HEALTHF0882Severity D · isolated; potential for more than minimal harm
Infection Control Deficiencies
Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.
Correction field: Deficient, Provider has date of correction · 2025-07-182024-06-20 · HEALTHF0812Severity D · isolated; potential for more than minimal harm
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Correction field: Deficient, Provider has date of correction · 2024-08-152024-06-20 · HEALTHF0813Severity D · isolated; potential for more than minimal harm
Nutrition and Dietary Deficiencies
Have a policy regarding use and storage of foods brought to residents by family and other visitors.
Correction field: Deficient, Provider has date of correction · 2024-08-152024-06-20 · HEALTHF0880Severity D · isolated; potential for more than minimal harm
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Correction field: Deficient, Provider has date of correction · 2024-08-152024-06-20 · FIREK0918Severity D · isolated; potential for more than minimal harm
Gas, Vacuum, and Electrical Systems Deficiencies
Have generator or other power source capable of supplying service within 10 seconds.
Correction field: Deficient, Provider has date of correction · 2024-09-052022-10-05 · HEALTHF0623Severity C · widespread; potential for minimal harm
Resident Rights Deficiencies
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Correction field: Deficient, Provider has date of correction · 2022-11-212022-10-05 · HEALTHF0812Severity E · pattern; potential for more than minimal harm
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Correction field: Deficient, Provider has date of correction · 2022-11-212022-10-05 · FIREK0351Severity D · isolated; potential for more than minimal harm
Smoke Deficiencies
Install an approved automatic sprinkler system.
Correction field: Deficient, Provider has date of correction · 2022-11-022022-10-05 · FIREK0918Severity D · isolated; potential for more than minimal harm
Gas, Vacuum, and Electrical Systems Deficiencies
Have generator or other power source capable of supplying service within 10 seconds.
Correction field: Deficient, Provider has date of correction · 2022-11-0203 / ENFORCEMENT FILE
Penalties reported by CMS
Fine amounts and payment-denial days are shown exactly as aggregated from the current penalties file. They do not imply an unpaid balance.
| Date | Type | Fine amount | Payment-denial days |
|---|---|---|---|
| No penalty row appeared in the August 2026 penalties file. | |||
04 / OWNERSHIP DISCLOSURES
Who appears in the CMS file
- NORTHWELL HEALTHCARE INCOrganization · 5% OR GREATER DIRECT OWNERSHIP INTEREST100% · since 01/01/2018
- DONNELLY, SHARONIndividual · W-2 MANAGING EMPLOYEENOT APPLICABLE · since 09/12/2016
- IADANZA, CHRISTINAIndividual · W-2 MANAGING EMPLOYEENOT APPLICABLE · since 09/12/2016
- LIVRERI, CHRISTINEIndividual · W-2 MANAGING EMPLOYEENOT APPLICABLE · since 09/12/2016
- MADER, WILLIAMIndividual · W-2 MANAGING EMPLOYEENOT APPLICABLE · since 08/01/2023
- NG, JOSEPHIndividual · W-2 MANAGING EMPLOYEENOT APPLICABLE · since 08/01/2023
- ROBERTS, KENNETHIndividual · W-2 MANAGING EMPLOYEENOT APPLICABLE · since 05/01/1986
- WISNOSKI, JOSEPHIndividual · W-2 MANAGING EMPLOYEENOT APPLICABLE · since 07/12/2016
- BELLO, STEPHENIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 09/01/2019
- BLUMENCRANZ, ROGERIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 02/01/2018
- BRITTON, BETSYIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 05/01/1979
- COLSON, MARVINIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 07/01/2019
- CRAIG, NICHOLASIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 01/01/2017
- DANOWSKI, JAMESIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 11/01/2004
- DIAZ, SYLVIAIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 07/01/2019
- DIVINEY, JOHNIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 04/01/2019
- DONNELLY, SHARONIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 09/12/2016
- ENGELHARDT, DEBRAIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 09/01/2015
Names and roles are self-reported CMS disclosure fields. Exact-name pages do not prove that similarly named people or organizations are the same entity.
05 / CMS STAFFING FIELDS
Reported hours and turnover
Staffing fields are provider-reported and case-mix context matters. CMS applies footnotes and exclusions not reproduced as a new score here.
Total nurse hours7.99per resident day
RN hours4.81per resident day
Weekend nurse hours7.14per resident day
Staff turnover3.4%CMS reported field
06 / LOCAL RECORDS
Open the Port Jefferson ledger →