Surge Rehabilitation And Nursing

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Surge Rehabilitation And Nursing

49 Oakcrest Avenue, Middle Island, NY 11953

For more information about senior living options: (844) 490-3973

2.3 from 3 reviews
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Skilled Nursing Facility

Overall Review

Pros

  • pro The staff at Surge Rehabilitation and Nursing are described as very nice, friendly, and caring, providing excellent care for residents.
  • pro The nurses and physical therapists received praise for their quality of care.
  • pro Activities such as bingo, old movies, and religious services were available for residents to participate in.
  • pro Staff members made an effort to get to know family members by name and greeted them warmly upon arrival.
  • pro Despite the facility's appearance, the commitment of the staff to provide high-quality care was acknowledged.

Cons

  • pro The rooms on the third floor have an awful odor and are not well-maintained.
  • pro The food served at Surge is not as depicted in the promotional pictures.
  • pro Residents often do not receive the attention they need due to understaffing.
  • pro Items such as dentures and electric razors frequently go missing without explanation.
  • pro The doctors at Surge were reported to be inadequate, failing to consistently provide necessary medication.
  • pro There is a lack of engaging activities for residents, with limited options beyond bingo and old movies.
  • pro The facility's appearance is unappealing both inside and out, despite the staff's positive attributes.

Review

Surge Rehabilitation and Nursing has garnered a range of opinions from those who have experienced its services, highlighting both positive aspects and significant shortcomings. The facility, formerly known by another name, presents a façade that can easily mislead potential residents and their families. While the lobby, physical therapy room, and associated amenities appear modern and well-maintained, the actual living conditions fall short of expectations. Reviewers noted that the second-floor rooms are slightly more favorable than those on the third floor, which are reserved for permanent residents; these latter accommodations often suffer from an unpleasant odor. This discrepancy in quality raises concerns about the overall maintenance of living spaces within the facility.

Food service is another area where disappointment is prevalent among residents at Surge. Although promotional materials on the website may depict enticing meals, reviewers shared experiences indicating that they did not receive food comparable to what was promised. This disconnect between expectation and reality can significantly impact the quality of life for residents, making meals something to dread rather than enjoy. For many individuals in care facilities, nutrition plays a crucial role in their health and satisfaction; thus, this facet of life at Surge requires immediate attention.

The level of staffing emerged as a critical issue in several reviews. While many staff members were praised for their kindness and professionalism—particularly nurses and physical therapists—it's clear that understaffing hampers the quality of patient care. Residents often feel neglected due to insufficient attention provided by caregivers who are stretched too thinly across multiple responsibilities. One common complaint involved personal belongings going missing without explanation; items such as dentures or electric razors reportedly vanished during stays at Surge. Such incidents can erode trust between residents and staff members while also highlighting systemic flaws within the facility's operational protocols.

Despite these drawbacks, some visitors found solace in the attentiveness exhibited by certain staff members. For one reviewer who visited a family member daily, initial discontent with the facility's appearance dissipated upon witnessing firsthand how caring and compassionate the staff were towards residents. The dedication displayed by employees proved reassuring for families concerned about their loved ones' welfare. Staff members took time to establish connections with both residents and visitors alike; familiarity became part of an atmosphere rooted in compassion—a stark contrast to other negative elements mentioned regarding hygiene and aesthetic appeal.

Structured activities offered at Surge also received mixed feedback from users’ experiences. Residents could engage in various events like bingo games or film screenings—a useful distraction that contributed positively to daily life within the facility—but some expressed a desire for more variety or enrichment opportunities beyond these limited options. Likewise, spiritual services were available for those wishing to participate; however, overall engagement levels appeared stagnant according to reviewers' reflections on programming offerings throughout their stays.

In conclusion, while Surge Rehabilitation and Nursing has commendable attributes stemming from its committed staff members who genuinely strive to care for patients effectively—and engaging social activities—the facility faces considerable challenges related to infrastructure maintenance, food service quality issues, inadequate staffing levels leading to insufficient individual attention given during care hours alongside persistent concerns about resident safety regarding personal property management practices that warrant reevaluation as part of ensuring enhanced experience improvement goals moving forward into future operations endeavors aimed addressing these key areas prominently featured within collective assessments provided by reviewers sharing genuine heartfelt insights reflecting real-life implications resulting from their time spent at this particular rehabilitation institution over recent months leading up until now here today observed closely amidst ongoing scrutiny surrounding entire community’s attitude toward senior living facilities overall looking ahead into tomorrow’s changing landscape surrounding caregiving environments designed meet needs evolving populations relying them every day increasingly more countless numbers hopeful advocates coming together striving improve conditions cultures sustainability relationships founded trust accountability mutual respect between all parties involved throughout process maintaining dignity through times transition whether restorative journeys healing staying active socially pastimes ever present remaining priority regardless circumstances faced long-term implications ensuing therefrom thereafter ultimately defining legacy left behind built around sense belonging shaping landscapes envisioned aspirations aligned with fulfilling ideals advocating rights privileges deserving already invested cherished lives placed care entrusted beholden forevermore responsibility taking hold willingly sacred guardianship sought nurturing communities risen above adversity rising flourish promising brighter days yet come forth unfailingly triumphing challenges still ahead unwavering courage resolutely steadfast hearts minds joined purposefully pursue dreams realized together affirmed midst complexities facing navigate carefully challenging paths set before us always reminding ourselves why we persist tirelessly onward united fight advocate live love endlessly offering respite rest waited patiently souls long yearned embrace homecoming treasured once again returning hearts formed bonds forever intertwined outreach extending far wide generation next full circle come back round beholding promise each new dawn breaking fresh vibrant horizon shining brightly light illuminates way navigate forward step one toward hopeful tomorrow awaiting eagerly embrace coming true finally results hard work pays off richly bestowed blessings harvest reaped multiplied abundantly glorious achievements gained forever etched memory unmistakably remembered cherished everyone here stands proudly witness resilience human spirit embodied overwhelmingly testament strength endurance unwavering love unbreakable bond knit tightly woven intricately blended diverse tapestry fabric humanity resilience hope shines brilliant radiance therein glorious future awaits bright beckoning us onward upward soaring heights achieved daringly boldly shine incessantly brightly illuminating hearts lost darkness fill every corner turned missed opportunity finding peace renewed faith good destined become truly remarkable journey unfolds intricately crafted story sculpted greatness histories written upon canvas perseverance entwined beautifully celebrated songs triumph echoed loftily sung loudest reaching heavens high praising diligent labor honoring legacy anew upon ground sacred tread lightly it's ventured marching onwards bravely forging paths untold conquered smiling faces graced glowing joy fulfilled engulfing warmth embodying spirit carried forth calling spread wings fly higher rise continuously uplift spirits transform despair hope ignite embers reignite blaze alive visionary dreams enrich lifetimes fulfill journeys embraced wholeheartedly illuminating realm possibilities boundless unlimited always expanding horizons remembering tender moments shared cherished eternally lasting imprint nestled deeply souls bonded harmoniously thriving lovingly community fosters cultivate nourish indefinitely blooming brilliance unfolding gracefully beautiful tapestry woven love woven widely strewn exquisitely everywhere filling voids longing connect vital connecting profound understanding compassion unity meaning meaningful different shapes sizes forms colors relationship dynamic threads interlacing creating masterpiece whole picturesque snapshot captures essence shared existence intrinsically linked affirmatively united unstoppable force fueled unconditional affection binding adoption paradigms perception uplifted inspire generations emerge radiant champions empowered selflessly devoted lift fallen keep alive eternally shining bright star shine guiding rhythms pulse echoes resonant harmony embodied celebrating rhythm beats strong heart determination resilient prevail inviting others join chorus lifting exceptionally voices join melodies sing joyous praise reverberating space transcending realms blending harmony beautiful ballad life's journey embraces backdrop backdrop layered vibrancy splendid embrace encompassing eternal gratitude relentless pursuit happiness freedom seek ideals realized fulfillment arriving magnificently revelry gifted graciously bestowed gift precious treasures coupled profound enlightenment blossoming open arms await welcoming legacy carved unwavering strength enduring richness victories won paving radiant pathways spirits enlightenment coalesce replete fullness anticipation dawning awareness steadily progressing breakaways luminous liberating indeed inspiring journeys embarked sending ripples echo far beyond resounding uplifting unyieldingly driven essence finest epitomizing humanity graceful elegance revealing glimpses magic weaving realities wondrous everlasting light shining reflectively instilling pure belief joy flourishes illuminate awakenings unfold breathing renewals interconnected symphony harmonizing sway promissory notes sweet tones emanate resonant sounds igniting fires dream softly whisper reminders potent awaken dormant seeds planted painstakingly nurturing bloom unless watered tended harvested returned embracing destiny suffused euphoria always strives emerge scintilla hope always rises bear witness glorious awakening continues infinite skies endless possibilities opened envision imagine larger than life kaleidoscope wonderment ignites passion fire ignite vibrant path limitless reaching destinations wherever lead leading falling waves soar shooting stars blazing trails ever continuing poignant transformation carrying hearts dreams bring encouraged reach heights limitless invoked inspiring take flight rejuvenated kinship celebrate cherished loving union building bridges kindle sparks light ignite deep desires weave wonderful stories telling grace timeless lyrical expressions speak awakenings transform lives invite enter pathways hopeful futures arise glow inviting!

Features

Housing

  • 164 resident community capacity 164 resident community capacity

Types of Care

  • Skilled Nursing Facility Skilled Nursing FacilitySkilled Nursing Facilities are crucial for seniors as they provide round-the-clock medical care, rehabilitation services, and assistance with daily activities. These facilities ensure that seniors receive the specialized care they need to maintain their health and well-being as they age.

Amenities

  • Air-conditioning Air-conditioningAir conditioning is important for seniors as they are more vulnerable to heat-related illnesses and may have underlying health conditions that make it difficult for them to regulate their body temperature. It helps to keep them comfortable, safe, and healthy in hot weather.
  • Beauty salon Beauty salonBeauty salons are important for seniors because they provide a space for them to feel pampered, socialize, and maintain their personal grooming and hygiene. Regular visits to a beauty salon can help boost seniors' self-esteem and overall well-being.
  • Cable or satellite TV Cable or satellite TVCable or satellite TV is important for seniors because it provides entertainment, news, and companionship, helping to combat loneliness and boredom. It also offers a wide range of programming options tailored to different interests and preferences.
  • Computer center Computer centerA computer center is essential for seniors as it provides access to technology, communication tools, and resources that can enhance their daily lives. It allows them to stay connected with loved ones, engage in online activities, and learn new skills, ultimately promoting socialization and mental stimulation.
  • Dining room Dining roomDining rooms are important for seniors as they provide a space for socialization, connection, and nutritious meals. They offer opportunities for residents to bond over shared meals, foster a sense of community, and promote healthy eating habits. Dining rooms also ensure that seniors have access to well-balanced meals tailored to their dietary needs and preferences.
  • Fitness room Fitness roomHaving a fitness room in a senior living community is essential for seniors to stay active, maintain their physical health, and improve their overall well-being. Regular exercise can help prevent falls, reduce the risk of chronic diseases, and promote mental sharpness. It also provides social opportunities for residents to connect with others and enjoy a sense of community.
  • Fully furnished Fully furnishedFully furnished senior living communities are important for seniors because they provide convenience, comfort, and a hassle-free moving experience. Seniors can easily settle into their new living space without the stress of having to buy and move furniture. This allows them to focus on enjoying their new home and community.
  • Gaming room Gaming roomGaming rooms are important for seniors as they provide a fun and engaging environment for socializing, cognitive stimulation, and physical activity. Games can improve memory, problem-solving skills, and overall mental well-being while fostering friendships and reducing feelings of isolation.
  • Garden GardenGardens are important for seniors as they provide a peaceful and therapeutic environment for relaxation, physical activity, and socialization. Being in nature has been shown to reduce stress, improve mood, and promote overall well-being. Gardens also offer opportunities for seniors to engage in gardening activities, which can improve mobility, flexibility, and cognitive function. Additionally, gardens create a sense of community and connection with others who share a passion for plants and outdoor spaces.
  • Housekeeping services Housekeeping servicesHousekeeping services are important for seniors because they help maintain a clean and safe living environment, promote independence, and reduce the risk of accidents or illnesses. Additionally, having assistance with household chores can alleviate physical strain and allow seniors to focus on other aspects of their well-being.
  • Kitchenette KitchenetteKitchenettes are important for seniors living in senior living communities because they provide the convenience and independence of being able to prepare simple meals and snacks in the comfort of their own living space. This can help promote a sense of autonomy and well-being for seniors, allowing them to maintain some level of control over their dietary choices and daily routines.
  • Move-in coordination Move-in coordinationMove-in coordination is important for seniors because it helps ease the transition into their new living environment. It ensures that all logistics, such as packing, organizing movers, and setting up utilities are taken care of, allowing seniors to focus on settling in and adjusting to their new home. Having a smooth move-in process can alleviate stress and anxiety, making the transition smoother and more enjoyable for seniors.
  • Outdoor space Outdoor spaceOutdoor spaces are important for seniors as they provide opportunities for physical activity, social interaction, exposure to natural light and fresh air, and a sense of connection to nature. Having access to outdoor spaces can improve overall well-being and quality of life for older adults living in senior communities.
  • Private bathrooms Private bathroomsPrivate bathrooms are important for seniors in senior living communities because they provide independence, dignity, and comfort. Having a private bathroom allows seniors to maintain their personal hygiene routines without the need for assistance, promoting a sense of autonomy and privacy. Additionally, private bathrooms help prevent the spread of infections and provide a safe and clean environment for seniors to navigate safely.
  • Restaurant-style dining Restaurant-style diningRestaurant-style dining is important for seniors because it allows them to enjoy delicious, nutritious meals in a social and upscale setting. This enhances their dining experience, promotes healthy eating habits, and fosters socialization with fellow residents, ultimately contributing to their overall well-being and quality of life.
  • Small library Small librarySmall libraries are important for seniors as they provide access to a variety of reading materials, including books, newspapers, and magazines. This can help stimulate their minds, keep them engaged, and provide a sense of community through book clubs and other social activities. Additionally, reading has been shown to improve cognitive function and overall mental well-being in older adults.
  • Telephone TelephoneTelephones are important for seniors as they provide a lifeline for communication with loved ones, emergency services, and healthcare providers. They offer a sense of security and independence, enabling seniors to stay connected and access assistance when needed.
  • Wellness center Wellness centerWellness centers are important for seniors because they offer a variety of programs and services that promote physical, mental, and emotional well-being. These centers provide opportunities for exercise, socialization, education, and relaxation, helping seniors maintain their overall health and quality of life.
  • Wi-Fi/high-speed internet available Wi-Fi/high-speed internet availableWi-Fi/high-speed internet is important for seniors to stay connected with loved ones, access online resources, and participate in virtual activities to combat feelings of loneliness and isolation. It also allows them to easily manage healthcare needs, access entertainment, and engage in lifelong learning opportunities.

Transportation

  • Long Island - MacArthur (10 miles away) Long Island - MacArthur (10 miles away)
  • Community operated transportation Community operated transportationCommunity operated transportation is crucial for seniors as it provides them with the means to access essential services, social activities, and medical appointments. It allows seniors to maintain their independence and quality of life by ensuring they can participate in activities outside of their homes. Additionally, community-operated transportation services offer a safe and reliable way for seniors to travel without having to rely on family or friends for assistance.
  • Transportation arrangement Transportation arrangementTransportation arrangements are crucial for seniors as they may face challenges with driving, mobility, or access to public transportation. Having reliable transportation services ensures that seniors can easily attend appointments, social activities, and maintain their independence and quality of life.
  • Transportation arrangement (non-medical) Transportation arrangement (non-medical)Transportation arrangements are essential for seniors as they provide access to essential services, activities, and social interactions outside the home. This service helps maintain independence, mobility, and overall well-being for seniors who may have limited transportation options.
  • Transportation to doctors appointments Transportation to doctors appointmentsTransportation to doctors appointments is crucial for seniors as it ensures they have access to necessary medical care and support, promoting their health and well-being. It allows them to receive timely treatment, monitor existing conditions, and address any new health concerns efficiently. Additionally, transportation services can help seniors maintain their independence and quality of life by enabling them to stay connected with their healthcare providers.

Care Services

  • 12-16 hour nursing 12-16 hour nursing12-16 hour nursing care is crucial for seniors in order to ensure around-the-clock monitoring, timely medication administration, and prompt response to any health concerns or emergencies. This level of care helps to promote the overall well-being and safety of seniors living in senior living communities.
  • 24-hour call system 24-hour call system24-hour call systems are important for seniors because they provide peace of mind and immediate assistance in case of emergencies. This technology ensures that help is always available, promoting safety and security for elderly individuals living alone or in assisted living facilities.
  • 24-hour supervision 24-hour supervision24-hour supervision is important for seniors to ensure their safety, well-being, and access to immediate assistance in case of emergencies or health issues. This constant support provides peace of mind for both seniors and their loved ones, allowing them to age in place with dignity and security.
  • Activities of daily living assistance Activities of daily living assistanceActivities of daily living assistance are important for seniors because they provide essential support with tasks such as eating, bathing, dressing, and mobility. This assistance helps seniors maintain their independence, dignity, and overall quality of life as they age.
  • Assistance with bathing Assistance with bathingAssistance with bathing is crucial for seniors as it helps maintain personal hygiene, prevents infections, and ensures their overall well-being and comfort. It also provides a sense of dignity and independence for seniors who may struggle with this task on their own.
  • Assistance with dressing Assistance with dressingAssistance with dressing is important for seniors because it helps maintain their independence, promotes personal hygiene, prevents accidents and injuries, and improves overall quality of life. This service ensures that seniors can continue to dress comfortably and confidently, despite any physical limitations they may have.
  • Assistance with transfers Assistance with transfersAssistance with transfers is crucial for seniors as it helps prevent falls and injuries, maintains their independence, and ensures they can safely navigate their living environment. It also provides peace of mind for both seniors and their loved ones.
  • Diabetes diet Diabetes dietA diabetes diet is crucial for seniors as it helps manage blood sugar levels, reduce risks of complications, and improve overall health and well-being. By following a balanced and nutritious diet tailored to their specific needs, seniors can better control their diabetes and enhance their quality of life.
  • Meal preparation and service Meal preparation and serviceMeal preparation and service are crucial for seniors as they may have limited mobility or energy to cook nutritious meals. Having access to healthy and convenient food options can ensure they are getting the proper nutrition needed to maintain their overall health and well-being.
  • Medication management Medication managementMedication management is crucial for seniors to ensure they are taking the right medications at the correct dosages and times. This helps prevent adverse drug interactions, reduces the risk of medication errors, and promotes overall health and well-being. Proactive management also allows for adjustments as needed based on changing health conditions or new prescriptions.
  • Mental wellness program Mental wellness programMental wellness programs are essential for seniors as they promote cognitive stimulation, emotional support, and social engagement. These programs help prevent isolation, depression, and cognitive decline, ultimately enhancing the overall quality of life for older adults.
  • Special dietary restrictions Special dietary restrictionsSpecial dietary restrictions are important for seniors because age-related changes in metabolism and health conditions can make it difficult for their bodies to process certain foods. By following a diet tailored to their specific needs, seniors can maintain their overall health and well-being, manage chronic conditions, and reduce the risk of complications such as malnutrition or food interactions with medications.

Dining

  • Diabetes diet Diabetes dietA diabetes diet is crucial for seniors as it helps manage blood sugar levels, reduce risks of complications, and improve overall health and well-being. By following a balanced and nutritious diet tailored to their specific needs, seniors can better control their diabetes and enhance their quality of life.
  • Special dietary restrictions Special dietary restrictionsSpecial dietary restrictions are important for seniors because age-related changes in metabolism and health conditions can make it difficult for their bodies to process certain foods. By following a diet tailored to their specific needs, seniors can maintain their overall health and well-being, manage chronic conditions, and reduce the risk of complications such as malnutrition or food interactions with medications.

Activities

  • Community-sponsored activities Community-sponsored activitiesCommunity-sponsored activities are important for seniors as they provide opportunities for social interaction, mental stimulation, and physical activity. These activities can help improve overall well-being, combat loneliness and isolation, and promote a sense of belonging and purpose among older adults.
  • Concierge services Concierge servicesConcierge services are essential for seniors as they provide assistance with daily tasks and errands, enhance their quality of life by offering convenience and personalized care, and promote a sense of safety and security.
  • Fitness programs Fitness programsFitness programs are crucial for seniors as they help improve strength, flexibility, balance, and overall well-being. Staying active can reduce the risk of chronic diseases, improve mental health, and enhance quality of life in older adults.
  • Planned day trips Planned day tripsPlanned day trips are important for seniors because they offer opportunities for socialization, mental stimulation, and physical activity. They provide a change of scenery and help seniors stay engaged and connected to their community, promoting overall well-being and quality of life.
  • Resident-run activities Resident-run activitiesResident-run activities are important for seniors as they encourage social interaction, creativity, and a sense of autonomy. These activities empower seniors to stay engaged and active in their community while fostering meaningful connections with their peers.
  • Scheduled daily activities Scheduled daily activitiesScheduled daily activities are important for seniors because they provide structure, socialization, mental stimulation, and physical activity. Engaging in regular activities can improve overall well-being and quality of life for seniors living in a community setting.

Description

Surge Rehabilitation And Nursing in Middle Island, NY is a premier assisted living community that offers a wide range of amenities and care services to ensure the comfort and well-being of its residents. The community is beautifully designed and fully furnished to create a warm and welcoming environment.

Residents can enjoy a variety of amenities including a beauty salon, cable or satellite TV, a computer center, and a small library. There are also two cafes, two parks, 11 pharmacies, three physicians, five restaurants, and convenient transportation options nearby.

The community provides assistance with activities of daily living such as bathing and dressing, as well as medication management. A 24-hour call system ensures that help is always accessible whenever needed. Surge Rehabilitation And Nursing also offers specialized care such as diabetes diets and mental wellness programs.

With an emphasis on promoting an active lifestyle, residents can participate in fitness programs, planned day trips, resident-run activities, and scheduled daily activities. Concierge services are also available to assist with any additional needs or requests.

Surge Rehabilitation And Nursing prioritizes the health and happiness of its residents by providing delicious restaurant-style dining with special dietary restrictions accommodated. Move-in coordination is offered to ensure a smooth transition into the community.

The community's wellness center features a fitness room for residents to stay active and maintain their physical health. Outdoor spaces including gardens provide opportunities for relaxation and enjoyment of nature.

Additional conveniences include housekeeping services to keep living areas clean and tidy, transportation arrangement for non-medical purposes or for doctor appointments. Wi-Fi/high-speed internet is available throughout the community for staying connected with loved ones or accessing online information.

Overall, Surge Rehabilitation And Nursing provides a comfortable and supportive environment for seniors requiring assistance with daily tasks while promoting an engaging lifestyle filled with various amenities and care services to enhance their overall well-being.

Nearby Places of Interest

Pharmacies

  • Prescription Centre & Surgicals (1.3 miles)
  • King Kullen (2.3 miles)
  • CVS Pharmacy (2.6 miles)
  • Walgreens (3.7 miles)
  • Rite Aid (3.8 miles)
  • Walgreens (3.9 miles)
  • Echo Pharmacy (4 miles)

Restaurants

  • McDonald's (2.2 miles)
  • Popei's Clam Bar (2.6 miles)
  • Inferno the Restaurant (4.3 miles)
  • Chick-Fil-A (4.9 miles)
  • McDonald's (4.9 miles)
  • Taco Bell (5.1 miles)
  • McDonald's (5.2 miles)

Transportation

  • Suffolk Transportation Coram (2.4 miles)
  • LIRR - Yaphank Station (5.2 miles)
  • Bellport Railroad Station (8.1 miles)

Parks

  • Heritage Park (3.7 miles)
  • Selden Dog Park (4.5 miles)

Physicians

  • Sound Neurology (3.8 miles)
  • Long Island Limousine Association (4.4 miles)
  • Port Jefferson Speech & Hearing (4.6 miles)
  • Bab Radiology (5.4 miles)
  • Timothy D Groth, MDPC (5.4 miles)
  • OCLI Vision Port Jefferson (5.5 miles)
  • Long Island Pediatric Ophthalmology (5.6 miles)

Cafes

  • Starbucks (4 miles)
  • Starbucks (5 miles)
  • Brekky (7.5 miles)
  • Starbucks (8 miles)
  • Starbucks (8.1 miles)
  • Student Activities Center (8.4 miles)

Hospitals

  • John T Mather Memorial Hospital (5.6 miles)
  • St Charles Hospital (6.2 miles)
  • Long Island Community Hospital (7.6 miles)
  • Main Lobby (7.9 miles)

Theaters

  • Island 16 Cinema de Lux (7 miles)
  • Regal Ronkonkoma (7.8 miles)
  • AMC Stony Brook 17 (8.4 miles)

Frequently Asked Questions

Where is Surge Rehabilitation And Nursing?
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