Federal nursing home survey record · CMS-certified nursing home· Not a state assisted-living licensing record

JOHN T MATHER MEMORIAL HOSP T C U

PORT JEFFERSON, NY · 16 certified beds · Last Life Safety survey May 23, 2025

CMS Certification Number 335853 · first certified April 2007

Ownership

Independently operated (no chain recorded by CMS) · For profit - Individual

No change of ownership on CMS record since January 1, 2016, when the records begin.

3
Citations on file
Rolling three-year window
3
Life Safety surveys
In the same window
1
Tags cited more than once
Across separate surveys
2
Inspection & testing records
Of the citations on file

Position within NY

3 citations — more than 4% of the 593 certified nursing homes in NY. Compared within NY rather than nationally because which state a facility is in explains about 30% of the variation in citation counts between facilities, while bed count explains under 1%. State survey agencies differ far more than the buildings do. How this is calculated

Improvingfewer citations at the latest survey than at its earlier surveys in the window.

The latest survey found 0 citations; the earlier surveys in the window averaged 1.5. With 3 surveys on file this is a direction of travel, not a conclusion.

When is the next survey likely?

The window opens November 2026 — about 2 months from now. This facility’s last Life Safety survey was May 2025. Facilities in NY are typically surveyed 18–25 months after the last one (median 22), measured over 523 consecutive surveys in the last two years of CMS records.

A range the record supports, not a prediction of a date. State agencies vary widely — from about 11 months in Pennsylvania to three years in Maryland. How the window is measured

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Which alerts

1 inspection-and-testing tag has been cited here at more than one survey. Nationally, that pattern is common: about three quarters of cited facilities have at least one repeated tag, and half of the facilities ever cited for sprinkler inspection and testing are cited for it again. A repeat is usually a recordkeeping gap rather than a new hazard.

Physical environment (health survey)

2 physical-environment citations on the health survey. Cited by the health surveyors under Appendix PP, not the Life Safety Code surveyor: equipment in safe operating condition, the call system, bed rails, pest control, hazards, the environment. Counted separately from the 3 Life Safety citations above. The Physical Environment Index

  • F-0880 Provide and implement an infection prevention and control program.

How that compares

Citations on file over three years

Compared with the median facility in NY, and nationally. Surveyors differ markedly between states, so the NY figure is the meaningful one.

This facility3NY median13National median11
Citations on file over three years, compared
MeasureCitations
This facility3
Median facility in NY13
Median facility nationally11

Survey history

Citations at each Life Safety survey
22022-1012024-0602025-05
Citations at each Life Safety survey
Survey dateCitations
October 5, 20222
June 20, 20241
May 23, 20250

Most-cited tags

Most-cited tags at this facility
K-09182K-03511
Most-cited tags at this facility
TagWhat the surveyor checksTimes citedLast cited
K-0918Have generator or other power source capable of supplying service within 10 seconds.22024-06-20
K-0351Install an approved automatic sprinkler system.12022-10-05

What the citations cover

Citations by CMS category
  • Gas, Vacuum, and Electrical Systems Deficiencies 2
  • Smoke Deficiencies 1
Citations by CMS category
CategoryCitations
Gas, Vacuum, and Electrical Systems Deficiencies2
Smoke Deficiencies1

Every citation on file

As published by CMS, newest survey first. Descriptions are CMS’s own wording.

June 20, 2024 — 1 citation

Citations issued on June 20, 2024
TagWhat the surveyor checksStatus
K-0918Have generator or other power source capable of supplying service within 10 seconds.Deficient, Provider has date of correction (September 5, 2024)

October 5, 2022 — 2 citations

Citations issued on October 5, 2022
TagWhat the surveyor checksStatus
K-0351Install an approved automatic sprinkler system.Deficient, Provider has date of correction (November 2, 2022)
K-0918Have generator or other power source capable of supplying service within 10 seconds.Deficient, Provider has date of correction (November 2, 2022)

Reflects the CMS posting of August 1, 2026. Surveys conducted in the last few months may not appear yet.