| General |
| City |
| Clinton |
Bronx |
| State attribute explanation |
| Ny |
Ny |
| Street |
| 110 Utica Road |
66 Van Cortlandt Park South |
| Zip Code |
| 13,323 |
10,463 |
| Phone |
| 3,158,535,515 |
7,185,192,800 |
|
Overall Star Rating |
| 1 |
3 |
|
Health Inspections Star Rating |
| 1 |
3 |
|
Nurse Staffing Star Rating |
| 1 |
2 |
|
Quality Measures Star Rating |
| 4 |
4 |
|
RN Only Star Rating |
| 2 |
3 |
|
Number of Certified Beds |
| 280 |
264 |
|
Total Number of Residents |
| 261 |
253 |
|
Percent of Occupied Beds |
| 93 % |
96 % |
| Health Survey Date |
| 8/19/2011 |
5/10/2011 |
| Fire Survey Date |
| 8/19/2011 |
5/10/2011 |
| Sprinkler Status |
| Fully Sprinklered |
Fully Sprinklered |
| Program Participation |
| Medicare And Medicaid |
Medicare And Medicaid |
| Type of Ownership |
| Non Profit - Church Related |
Non Profit - Church Related |
| Located Within a Hospital? |
| No |
No |
| Multi Nursing Home Ownership? |
| No |
No |
| Resident and Family Councils |
| Both |
Both |
| Continuing Care Retirement Community? |
| No |
No |
| Quality Indicator Survey? |
| No |
No |
| Special Focus Facility? |
| No |
No |
| Civil Money Penalty Count |
| 2 |
75.2 |
| Total Enforcement Actions Count |
| 3 |
75.2 |
| # of deficiencies |
| 4 |
2 |
|
| Staff Information |
| Number of Residents |
| 261 |
260 |
| Number of RN Hours Per Resident Per Day |
| 0.43 |
0.58 |
| Number of LPN/LVN Hours Per Resident Per Day |
| 0.88 |
0.46 |
| Total Number of Licensed Staff Hours Per Resident Per Day |
| 1.3 |
1.03 |
| Number of CNA Hours Per Resident Per Day |
| 0.06 |
0.05 |
| Number Therapy Hours Per Resident Per Day |
| 0.06 |
0.05 |
| Quality Care Deficiencies |
| Deficiency #1 |
| Scope: Somelevel Of Harm: 4deficiency: Give Proper Treatment To Residents With Feeding Tubes To Prevent Problems (such As Aspiration Pneumonia, Diarrhea, Vomiting, Dehydration, Metabolic Abnormalities, Nasal-pharyngeal Ulcers) And Help Restore Eating Skills, If Possible.survey Date: 05/23/2011date Of Correction: 07/01/2011 |
Scope: Fewlevel Of Harm: 2deficiency: Provide Necessary Care And Services To Maintain The Highest Well Being Of Each Resident .survey Date: 02/28/2012date Of Correction: 03/31/2012 |
| Administration Deficiencies |
| Deficiency #1 |
| Scope: Fewlevel Of Harm: 3deficiency: Set Up An Ongoing Quality Assessment And Assurance Group To Review Quality Deficiencies Quarterly, And Develop Corrective Plans Of Action.survey Date: 05/23/2011date Of Correction: 07/01/2011 |
Scope: Fewlevel Of Harm: 2deficiency: Keep Accurate, Complete And Organized Clinical Records On Each Resident That Meet Professional Standards.survey Date: 09/08/2010date Of Correction: 11/06/2010 |
| Deficiency #2 |
| Scope: Somelevel Of Harm: 2deficiency: Choose A Doctor To Serve As The Medical Director To Create Resident Care Policies And Coordinate Medical Care In The Facility.survey Date: 05/23/2011date Of Correction: 07/01/2011 |
|
| Deficiency #3 |
| Scope: Somelevel Of Harm: 4deficiency: Be Administered In An Acceptable Way That Maintains The Well-being Of Each Resident .survey Date: 05/23/2011date Of Correction: 07/01/2011 |
|
| Quality Measures Q1 |
| Percent of long-stay residents who received an antipsychotic medication |
| 18.9 % |
23.1 % |
| Percent of long-stay residents whose need for help with daily activities has increased |
| 2.4 % |
1.9 % |
| Percent of long-stay residents who self-report moderate to severe pain |
| 3.9 % |
6.1 % |
| Percent of long-stay high-risk residents with pressure ulcers |
| 6.6 % |
6.9 % |
| Percent of long-stay residents who lose too much weight |
| 6.7 % |
4.1 % |
| Percent of long-stay low-risk residents who lose control of their bowels or bladder |
| 59.3 % |
23.7 (74.7) |
| Percent of long-stay residents who have had a catheter inserted and left in their bladder |
| 1 % |
2.5 % |
| Percent of long-stay residents with a urinary tract infection |
| 6.2 % |
0.8 % |
| Percent of long-stay residents who have depressive symptoms |
| 75.2 % |
0.4 % |
| Percent of long-stay residents who were physically restrained |
| 0.4 % |
75.2 % |
| Percent of short-stay residents who self-report moderate to severe pain |
| 15.5 % |
11.3 % |
| Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine |
| 92 % |
83.7 % |
| Percent of short-stay residents with Pressure ulcers that are new or worsened |
| 90.9 % |
78.6 % |
| Percent of short-stay residents who newly received an antipsychotic medication |
| 75.2 % |
75.2 |
| Percent of long-stay residents experiencing one or more falls with major injury |
| 4.3 % |
2.1 % |
| Quality Measures Q3 |
| Percent of long-stay residents who received an antipsychotic medication |
| 20.4 % |
23 % |
| Percent of long-stay residents whose need for help with daily activities has increased |
| 2.9 % |
1.4 % |
| Percent of long-stay residents who self-report moderate to severe pain |
| 5.1 % |
5.2 % |
| Percent of long-stay high-risk residents with pressure ulcers |
| 6.9 % |
9.5 % |
| Percent of long-stay residents who lose too much weight |
| 7.2 % |
3.7 % |
| Percent of long-stay low-risk residents who lose control of their bowels or bladder |
| 59.7 % |
24 % |
| Percent of long-stay residents who have had a catheter inserted and left in their bladder |
| 1 % |
3.4 % |
| Percent of long-stay residents with a urinary tract infection |
| 7.3 % |
0.7 % |
| Percent of long-stay residents who have depressive symptoms |
| 0.2 % |
0.3 % |
| Percent of long-stay residents who were physically restrained |
| 0.9 % |
75.2 % |
| Percent of long-stay residents experiencing one or more falls with major injury |
| 4.2 % |
2.20 % |
| Percent of short-stay residents who self-report moderate to severe pain |
| 15.8 % |
8.9 / 9.9 |
| Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine |
| 88 % |
76.6 % |
| Percent of short-stay residents with Pressure ulcers that are new or worsened |
| 86.8 % |
71 % |
| Percent of short-stay residents who newly received an antipsychotic medication |
| 20.6 % |
7.5 % |