Concierge: Samantha Holman
Patient name: James
Patient age: 56
Admission Date: 3/13/2025
Admitted From: Hackensack University Medical Center
Discharge Date: TBD
Length of Stay: A little over one year

Details of Experience:

On March 13th, 2025, James was admitted to our community with an admitting diagnosis of cerebrovascular accident (CVA) after he experienced an unexpected, life-changing stroke while working in New York City. He was transported to Hackensack University Medical Center, where he received treatment and stabilization.

Following his hospital stay, James was admitted to The Hamlet for further rehabilitation and recovery.
James was warmly welcomed to The Hamlet by the interdisciplinary team, committed to providing personalized care. Upon arrival, each team member, including nursing, therapy, social work, recreation, and concierge, worked with him to assess his needs and establish a plan of care to support him throughout this next journey.

James required Physical Therapy (PT), Occupational Therapy (OT), and Speech Therapy (ST). When he first arrived, James relied on a communication board to effectively express his needs to his family and staff. From day one, he received consistent support and guidance from his family and his therapy team. James was evaluated by Physical Therapist Allan Raymundo, Occupational Therapist Christopher Depasquale, and Speech Therapist, who each developed individualized treatment plans to support his strength, daily functioning, and communication. James required PT to safely and functionally transfer, support himself while sitting, increase hip and knee flexion strength, perform bed mobility tasks, and ultimately ambulate safely while maintaining balance. He required OT to improve his ability to manage personal hygiene, perform upper-body dressing, grasp and release objects, maintain an upright posture, and engage in self-care tasks. He also required ST to safely swallow more complex consistencies, increase breath support, articulate functional words, and improve speech intelligibility.

James quickly developed meaningful connections with his therapy team, which fostered a strong sense of trust and reassurance that has played a crucial role in his rehabilitation journey. Within one year, he has worked with PT to improve his ability to roll and safely transfer from lying to sitting with moderate assistance, increase his hip and knee flexion, and safely transfer to a standing position from sitting in a chair. From there, James can now ambulate 20 feet with a walker and maintain his balance. In OT, he learned grasp-and-release techniques to handle objects, enhancing hygiene and dexterity for Activities of Daily Living (ADLs). James continues to gain upper-body and core strength to improve his ability to safely perform self-care tasks. In ST, James has improved his overall respiration coordination, increased vocal intensity, and increased sustained inspiratory volume duration, which is the length of time he is able to maintain a deep, controlled inhalation. When he first arrived, he was unable to swallow and was receiving nutrients through a feeding tube. After much hard work and upgraded diets, James is now on a regular diet, eating regular textured foods and drinking thin liquids.

After a life-changing event on what began as a normal workday, James has spent the past year surrounded by a compassionate team of therapists, nurses, social workers, recreation staff, and concierge who have helped him get to where he is today.

When he first arrived, James was unable to communicate, and now he can talk about his life and tell us his story. Through it all, James has never stopped smiling. His positivity radiates through the community, reminding us to stay hopeful and trust the process, even on the hardest days. As James says, “I am not walking out of here one day—I am dancing out of here.”

We wish James and his family continued strength, happiness, and all the best as they move forward on this journey.

Concierge: Samantha Holman
Patient Name: John
Patient Age: 89
Admission Date: 4/25/2025
Admitted From: Stony Brook University Hospital
Discharge Date: TBD
Length of Stay: 8 months
Reason for Stay: Traumatic subarachnoid hemorrhage without loss of consciousness, subsequent encounter

Details of Experience:

On 4/25/2025, John was admitted to our community from Stony Brook University Hospital with an admitting diagnosis of traumatic subarachnoid hemorrhage, which resulted from a fall while he was working in his garage. During his stay in the hospital, John was treated but required further healing and rehabilitation and was admitted to The Hamlet.

Upon admission, John was kindly welcomed by the interdisciplinary team including Nursing, Therapy Services, Recreation, Social Work, Dietary, and Concierge Services, all dedicated to supporting and guiding him throughout his recovery. John required Physical Therapy (PT), Occupational Therapy (OT), and Speech Therapy (ST) to regain strength and live in an environment with least amount of supervision and assistance.

John was evaluated by Physical Therapist Mary Bova, Occupational Therapist Alexander Stein, and Speech Therapist Casey Mazzella, who created specific goals for him to gain independence back. John required PT to improve bed mobility, transferring, ambulation, and safety awareness. He required OT to improve balance, mobility and strength, as well as self-care and functional tasks to become independent in Activities of Daily Living (ADL’S). He required ST to improve cognitive skills such as executive function, problem solving and memory. ST was also required for dysphagia to analyze oral function and pharyngeal function so he could safely consume the highest level of oral intake.

He worked with PT on the NuStep to improve reciprocal motion and activity tolerance in order to facilitate gait, seated hip flexion and knee extension using weights, ball squeeze and bands to improve bilateral strength. In OT, John was educated on safely propelling the wheelchair forward and back and around obstacles with proper hand placement on the wheelchair. He was educated in self-care and performed dumbbell exercises while seated to improve upper body strength and mobility. He worked with the Speech Therapist to increase comprehension through one step directions, consistent words, and direct communication which required eye contact.

After eight months of continued care from the team at The Hamlet, along with support from his family, John achieved the highest practical level of independence and continues to thrive as a resident within the community. His bed mobility and sit to stand improved from needing maximum assistance to minimum assistance, and he can now ambulate 150 feet using a rolling walker from being unable to ambulate at all. John also demonstrated improvement in wheelchair safety awareness and can get where he needs to with no assistance and can maintain balance while sitting in his wheelchair for up to 8 hours, with no complaints of discomfort. He can maintain self-care tasks and transfers safely with partial assistance. John also increased the ability to allow for increased socialization through cognitive skills, and he upgraded to a regular, thin liquids diet from soft foods and mildly thick liquids.

To optimize his health, wellness and function, John required support from a professional team of therapists, nursing, social work, recreation and concierge to get where he is today. He continues to be supported by our dedicated staff and the unwavering encouragement from his family. John enjoys attending our recreation programs and socializing with anyone he passes by. His positive spirit is evident as he smiles while moving through the hallways each day, reflecting the progress he has made and the strength he continues to show.

We wish John continued success, comfort, and the very best on his ongoing journey!

Case Study: The Hamlet Q3 2025 
Concierge: Samantha Holman  
Patient name: Sally 
Patient age: 85 
Admission Date: 7/16/2025 
Admitted From: St. Catherine’s Hospital 
Discharge Date: 9/17/2025 
Discharged to: Home 
Length of Stay: 63 days 
Reason for Stay: Other specified fracture of right pubis, subsequent encounter for fracture with routine healing

Details of Experience:

On 7//16/2025, Sally was admitted to our community from St. Catherine’ s hospital with an admitting diagnosis of a pubis fracture, which resulted from a fall while she was hanging laundry. During her stay in the hospital, Sally was stabilized but required further  healing and was admitted to The Hamlet for rehabilitation. 

Upon admission, she was warmly welcomed by the interdisciplinary team including Nursing, Therapy Services, Recreation, Social Work, Dietary, and Concierge Services, each committed to providing personalized support. Sally required Physical Therapy (PT), and Occupational Therapy (OT), to regain her strength and restore her independence. 

Sally was evaluated by Physical Therapist Arun Marumudi and Occupational Therapist Melissa Silva, who curated specific goals for her healing journey. She required PT to address bed mobility, fall prevention strategies, safe transfers, enhance strength, balance, and ambulation. She required OT to maximize independence with Activities of Daily Living (ADL’S).  

She worked with PT on gait training to improve the way she walked on even and uneven surfaces, as well as stairs training and standing activities to improve dynamic balance. In OT, Sally was given therapeutic exercises to improve shoulder flexion, elbow extension flexion, and grip strength to enhance ability to perform sit to stand transfers and lifting objects to complete ADLs.  

After two months of commitment and care from the team at The Hamlet, Sally achieved the highest practical level of independence. She became able to safely transfer from her bed to her chair and participate in activities of choice, followed by being able to walk 300 feet while able to maintain balance and with recognition of safety hazards. She is now able to ascend and descend 10 steps with independence using handrails in order to safely navigate in and out of her residence. She became independent in almost all ADLs such as self-care, getting dressed and personal hygiene.  

Through her own motivation, support from her family, and encouragement from the amazing team at The Hamlet, Sally was able to gain her independence back and discharge back to her home safely. Her dedication and hard work during her time with us have been inspiring, and we sent her off with our best wishes for health, strength, and happiness!

Case Study: The Hamlet Q2 2025
Concierge: Samantha Holman 
Patient name: Frank 
Patient age: 90 
Admission Date: 4/12/2025
Admitted From: St. Joseph’s Hospital
Discharge Date: 6/19/2025
Discharged to: Assisted Living
Length of Stay: 68 daysReason for Stay: Fracture of sacrum, subsequent encounter for fracture with routine healing

Details of Experience:

On 4/12/2025, Frank was admitted to our community from St. Joseph’s Hospital with an admitting diagnosis of a sacral fracture, subsequent encounter for fracture with routine healing. Frank experienced muscle weakness and was admitted to The Hamlet to receive continued care and rehabilitation following his hospital stay.

After initial treatment in the hospital, he was transferred to The Hamlet to support his recovery with Physical Therapy (PT) and Occupational Therapy (OT), with a personalized care plan to regain strength and independence.  Upon his arrival, Frank was warmly welcomed by our interdisciplinary team – including Nursing, Rehabilitation, Recreation, Social Work and Concierge Services – to ensure his every need was met and his transition into the community was smooth and supportive.

Frank was evaluated by Physical Therapist Najeeb Khan and Occupational Therapist Alexander Stein. He required PT to safely transfer without any assistance, participate in self-care and all activities of daily living (ADL’S), and ambulate with a walker. He required OT to efficiently maintain personal hygiene, adjust clothing, and get dressed. Upon admission, most of these tasks required maximal assistance.

After roughly three months of dedicated PT and OT, Frank achieved the highest practical level of independence and functional performance. He gained strength using dumbbells focusing on shoulder/tricep extensions, core exercises and activities focusing on weight shifting and reaching outside base of support for objects. In PT, he became able to transfer safely with supervision and ambulate 150 feet using a walker. In OT, he became able to dress himself, take his footwear off and on, and maintain personal hygiene with supervision and moderate assistance.

Each day that Frank spent at The Hamlet; he became more motivated, and his smile grew bigger. He would spend his downtime sitting outside on the patio, breathing in the fresh air and talking with the staff members. Through support from the amazing team at The Hamlet and Frank’s family, Frank was able to return to his assisted living in good spirits, and we are so proud of the progress he made.

We wish him continued health and all the very best in the next chapter of his journey. 

Case Study: The Hamlet Rehabilitation and Healthcare Center at Nesconset – Q1 2025
Concierge: Samantha Holman 
Patient name: David R
Patient age: 49 
Admission Date: 10/29/2024 
Admitted From: Stony Brook University Hospital 
Discharge Date: 1/7/2025 
Discharged to: Home 
Length of Stay: 70 days 
Reason for Stay: Cerebral infarction due to thrombosis of an unspecified cerebral artery

Details of Experience:

On 10/29/2024, David was admitted to our community from Stony Brook University Hospital with an admitting diagnosis of cerebral infarction due to thrombosis of an unspecified cerebral artery. This resulted in the placement of a tracheostomy procedure, chronic respiratory failure, muscle weakness, lack of coordination, and the need for assistance with personal care. David was sent to The Hamlet to receive further care and rehabilitation after being at Stony Brook University Hospital for two and a half months. The goal was to send David home, where he lives with his family. 

Upon his arrival, David was graciously welcomed by our interdisciplinary team, which included Nursing, Rehabilitation, Respiratory Therapy, Recreation, Social Work, and Concierge, all dedicated to ensuring his comfort and care.  He was evaluated by Physical Therapist John Nash, Occupational Therapist Kristen Gualbert, and Speech Therapist Sheila Sealy. He required these rehabilitation services to increase balance, trunk control, mobility, and motor coordination, and to maximize nutrition/hydration with oral motor facilitation in order to safely consume the highest level of oral intake and minimize aspiration. He also required services to improve language function and communication skills.

After about a month of dedicated care at The Hamlet, David successfully had his tracheostomy tube removed, which was a big milestone in his recovery journey. He began to give sporadic thumbs-ups to assure his loved ones and the staff that he was doing well. He went from grasping and releasing with bilateral hands with maximum assistance to minimum assistance.  

After over two months, David exhibited the ability to participate in tasks of increased complexity to enhance functional independence. His eye contact increased with less cuing required, and he increased his gesture use to indicate needs. He improved his core strength and exhibited improvement in trunk control, stabilit,y and strength. His spinal mobility improved, his range of motion became smoother when performing exercises, and he became able to stand at parallel bars for support and able to tolerate two minutes.

Through determination and support, David made remarkable progress during his stay at The Hamlet. After receiving care from our dedicated team of professionals, David was able to return home safely to his family. His journey was filled with milestones and the joy of reuniting with loved ones, and he is truly an inspiration. We wish David a healthy and happy journey while his loved ones surround him at home.

Case Study: The Hamlet Q4 2024
Concierge: Samantha Holman
Patient Name: Jeffery
Patient’s Age: 57
Admitted from: Stony Brook University Hospital
Discharge Date: 10/24/2024
Length of Stay: 2 months
Reason for Stay: Unspecified displaced fracture of third cervical vertebra
How did this patient hear about The Hamlet? Online research

Details of Experience:

On August 20, 2024, Jeffery was admitted to our community from Stony Brook University Hospital with an admitting diagnosis of unspecified displaced fracture of the third cervical vertebra. Jeffery was involved in a severe car accident resulting in multiple fractures. After receiving initial treatment at Stony Brook University Hospital, he was transferred to The Hamlet for further care and rehabilitation.

Upon his arrival at The Hamlet, Jeffery was warmly welcomed by each department, who ensured a comprehensive approach to his recovery. Nursing, Rehabilitation, Recreation, Social Work, and Concierge services each completed evaluations to understand the care Jeffery needed.

Physical Therapist Allan Raymundo and Occupational Therapist Kristen Gualbert evaluated Jeffery. He required PT (physical therapy) and OT (occupational therapy) services to gain strength and ROM (range of motion), increase bed mobility and transfers, and improve balance while standing and walking. Upon evaluation, Jeffery was walking 0 feet and needed maximal assistance for certain tasks such as sitting to lying down and lying to sitting. He required OT services to maximize independence with ADLs (activities of daily living), and to develop adaptation techniques to ensure a safe discharge home.

After two months of dedication to rehabilitation services, Jeffery achieved the highest practical level to discharge home. He became independent in most of his activities of daily living (ADLs) and could perform tasks he thought he could never do. Shortly after his discharge, Jeffery could walk his daughter down the aisle at her wedding in November 2024, which was his primary goal.

Through consistent therapy, determination, and unwavering support from professionals at The Hamlet, Jeffery worked hard to regain his independence. The team’s expertise, combined with Jeffery’s resilience, allowed him to overcome his challenges and reclaim control over his life.

We wish Jeffrey continued good health and rehabilitation in 2025.

Concierge: Samantha Holman

Patient Name: Matthew

Patient Age: 40 years old

Admissions Date: 02/22/2024

Admitted from: Stony Brook University Hospital

Discharge Date: TBD

Length of Stay: 4 months

Reason for Stay: Mitochondrial Neuromuscular Disease

How did this patient hear about The Hamlet? Social Worker at Stony Brook University Hospital

Details of experience:

On 02/22/2024, Matthew was admitted to our community from Stony Brook University Hospital with an admitting diagnosis of Mitochondrial Neuromuscular Disease. Matthew was diagnosed with this disease at the age of 19, but one morning, he had an episode in which he was lethargic and could not get out of bed. Matthew was admitted to Stony Brook University Hospital, and the social worker there recommended he receive further care at The Hamlet for Rehabilitation.

When Matthew arrived at The Hamlet, he was welcomed by the amazing team, including Nursing, Social Work, Recreation, Rehabilitation, and Concierge services. Upon arrival, Matthew was evaluated by each team so they could apply their skills to give him the best care possible. Matthew was evaluated by Physical Therapist; Monica Morales, Occupational Therapist; Christopher Depasquale, and Speech Therapist; Maisa Chowdhury. He required PT (physical therapy) and OT (occupational therapy) services to strengthen and increase
functional activity tolerance, functional transfer/bed mobility, and improve overall balance, strength, coordination, and mobility. He required speech therapy to improve oral intake, oral function, and pharyngeal function. Upon evaluation, Matthew depended on support for most of his ADL (Activities of Daily Living).

Matthew committed to gaining his strength back and recovering with the rehabilitation team. After two and a half months of rehabilitation, Matthew made considerable progress over the course of skilled PT, demonstrating increased independence with all aspects of functional mobility, decreased fall risk, and maximum potential with skilled services and a regular diet.

After two months of rehabilitation, Matthew achieved his goals and was discharged home safely. Unfortunately, after returning home for ten days, he had a minor setback and experienced another episode of lethargy. Matthew was readmitted to The Hamlet to receive further rehabilitation.

Matthew has been readmitted for two months and is thriving in all aspects. He is on a regular diet, walking about 75 feet with help from a walker and improving upper and lower body dressing tasks and other ADLs. He is a long-term resident in our community and continues to achieve more goals every day.

Matthew has become a part of The Hamlet family, with each department supporting his needs. His family continues to support him throughout his life, and his positive attitude is admirable. The goal in our community is to spread love and encouragement to each resident, and Matthew is a perfect example of someone who thrives from this type of support

Concierge: Tiffany Colon

Patient Name: Judith Applebaum

Patient Age: 78 years old

Admissions Date: 12/22/2022

Admitted from: St. Catherine of Sienna Hospital

Discharge Date: TBD

Length of Stay: A little over two years

Reason for Stay: Fall that later led to above knee amputation

How did this patient hear about The Hamlet? Social Worker at St. Catherine of Sienna Hospital

Details of experience:

On 12/22/2022, Judith was admitted to our community from St. Catherine of Sienna Hospital with an admitting diagnosis of a fall. This fall set Judith back with a lot of her ADL (activities of daily living), which left her not getting out of bed most days. This led her to need a right AKA (above knee amputation) in October 2023. Judith came to our community for rehabilitation to recover from her fall, and then after her AKA, she was a part of our unique Comprehensive Amputee Rehabilitation Program.

Upon arrival, Judith was greeted by Hamlet’s interdisciplinary team, which includes Nursing, Concierge, Social Work, Recreation, and Rehabilitation. Patrice Thomas, Physical Therapist, evaluated Judith along with Kristen Gualbert, Occupational Therapist. Judith had become part of The Hamlet family, so when returning to our community after her AKA, we all strived to keep her in the best spirits and help her get through this transition. Todd Schaffhauser and Dennis Oehler, both Gold Medal winners at the Paralympics and the driving force behind our Comprehensive Amputee Rehabilitation Program, came to visit Judith after her AKA and followed her throughout her healing of the surgery to get her to use the early ambulation device.

She required rehabilitation services to strengthen and increase functional activity tolerance, functional transfer/ bed mobility, and improve dynamic balance. Upon evaluation, Judith was dependent on all ADLs. She worked extremely hard with our rehabilitation team to regain her strength. Judith had a long road to recovery, but after 5 months, she went from being dependent on most ADLs to independent. She is instructed in sliding board transfer training with contact guard assistance (CGA) for safety, hand placement at times, and weight shifting. Judith is currently walking 10-12 feet with a max assist of one person. During this challenging time of recovery, Judith had 1:1 sessions of Integrative Therapy Session to help with her anxiety.

Judith achieved every goal handed to her in these last 5 months of rehabilitation services but still has a long road ahead of her to be able to walk with her new prosthetic leg. She is working extremely hard to work past the struggles she may come across. Judith is a long-term resident in our community, but since her amputation and being able to start walking again, she has made it known that she would love to be able to be on her own again one day. She is extremely grateful to the entire team at The Hamlet for being by her side every step of the way through her healing journey.

The team at The Hamlet will continue to be Judith’s biggest cheerleaders on her healthcare journey.

Concierge: Tiffany Colon

Patient Name: Anthony

Patient Age: 70

Admissions Date: 9/26/2023

Admitted from: Mather Hospital

Discharge Date: 12/23/2023

Length of Stay: 3 months

Reason for Stay: Infection and Inflammatory Reaction due to other urinary catheter

How did this patient hear about The Hamlet? Social Worker at Mather Hospital

Details of experience:   

On 9/26/2023 Anthony was admitted to our community, The Hamlet from Mather Hospital with an admitting diagnosis of Infection and Inflammatory Reaction due to urinary catheter. Infection and Inflammatory Reaction due to other urinary catheter caused him to have a Urinary Tract Infection (UTI). After being diagnosed with UTI, Anthony had to be observed lying in an elevated position. He became very weak, and developed acute respiratory distress. He came to our community for Rehabilitation to recover from this episode.

Upon arrival, Anthony was greeted by Hamlet’s interdisciplinary team, which includes Nursing, Concierge, Social Work, Recreation, and Rehabilitation. Anthony was evaluated by Donna Cifuni, Physical Therapist along with Melissa Pelaez, Occupational Therapist.

He required rehabilitation services to strengthen and increase functional activity tolerance, functional transfer/ bed mobility, and improve dynamic balance. Upon evaluation, Anthony was total dependent on all Activities of Daily Living (ADLs).

He worked extremely hard with our rehabilitation team to recover and get his strength back. Anthony had a long road to recovery but after three months he went from being total dependent on all ADLs to supervision or touching assistance and independent. Anthony is currently walking 175 feet. During this tough time of recovery Anthony had 1:1 sessions of Integrative Therapy Session to help with his anxiety.

Anthony has achieved every goal that was handed to him in these last three months of rehabilitation services. He worked extremely hard to work past the struggles he came across. Anthony has worked with our social work and his wife about his discharge and transition to back home with his family.

Anthony was extremely grateful to the entire team at The Hamlet. The team at The Hamlet wishes Anthony much success in his continued health care journey.