Achieve Rehab and Nursing Facility
170 Lake Street, Liberty NY 12754 · (845) 292-4200 · 95.57% estimated occupancy 1Updated: Aug 1, 2020 · By Nick Reese
Achieve Rehab and Nursing Facility is a large nursing home located in Liberty, New York. This nursing home received an overall grade of C, which is a middle of the road rating. This nursing home has some things going for it. One of the best aspects of this nursing home's profile is its remarkable inspection rating, which is addressed in the next paragraph.
Additional Details:
Accepts Medicare 1 :
Accepts Medicaid 1 : 140 Beds
CCRC :
For profit - Corporation
Resident Council:
Family Council:
Medical Staff Hours Per Patient (2019)
Facility Inspections
In addition to being a respectable nursing home overall, this facility also excelled in the area of inspections, where it earned an A+. Few nursing homes performed better in this category. Inspection grades take several factors into consideration, including deficiencies and federal fines. You can learn more about each of these issues by reviewing copies of nursing homes' inspection reports. Fortunately, although this place had some minor dings on its government inspection report, it had no severe deficiencies. Severe deficiencies are those found in categories G through L. This tells you CMS didn't deem any of the deficiencies on this facility's report to pose an imminent threat to patient safety or health. Finally, this facility had no substantiated complaints this year from residents, which is always a good sign.
Long-term Care Quality
In addition, we gave this facility a B in our long-term care category. This is one of our more impressive grades. In a long-term care environment, the nursing home's primary objective is to keep patients as healthy and safe as possible. This is different than skilled nursing or short-term care where the goal is to rehabilitate residents. Once we looked at the amount of care provided by nurses aids and other staff, we then looked at the facility's vaccination record. This facility vaccinated 91.62791 percent of its patients for pneumonia, which is a bit below what we anticipated but still a reasonably acceptable percentage. Finally, this nursing home was able to limit hospitalizations. Although it had 1.82 hospitalizations per 1,000 long-term resident days, its risk adjusted statistic was better than the majority of nursing homes since it had more complicated patients.
Short-term Care Quality
In our next category, we gave this facility a rock-bottom F in the area of short-term care. In calculating our short-term care grades, we assess the facility's levels of skilled nursing, which includes registered nurses, physical therapists speech therapists and other highly skilled individuals. This score is typically a solid measure of the facility's rehabilitation. Not surprisingly, we discovered that this nursing home provides substantially less physical therapist and registered nurse hours per resident than the typical nursing home. The last metric we assessed in this area is the number of patients that ultimately were able to return home from the nursing home. This nursing home struggled quite a bit in this area as well, with just 34.4 percent of its patients returning home. This was well below average.
Nurse Quality
The next area we graded was nursing. It received an F for this area, which is a poor score. This is obviously a significant disappointment. Nursing scores are tied to nurse staffing levels. This facility offered a meager 3.3 hours of nursing care per patient per day. This figure is significantly below the national average. Unfortunately, this nursing home also had abysmal marks in some of the quality-based measures to pair with its low nursing hour totals. We looked at the percentage of patients sustaining pressure ulcers and we were very disappointed. This place was at approximately 150 percent of the national average in this measure.
Overall Rating Over Time
Compared to national and state averages across all facilities.
Achieve Rehab and Nursing Facility Quality Metrics
Minimizes Pressure Ulcers
This is a measure of the percentage of long-term stay patients which developed pressure ulcers or bed sores. We use this statistic in calculating both nursing and long-term care grades.
Percent of Patients with Pressure Ulcers
Lower is Better
Minimizes Serious Falls
This indicates the percent of residents that have had a major fall. Falls resulting in major injuries are considered to be a barometer of nursing care at a nursing home. Falls which result in injury are routinely caused by lower quality nursing care.
Percent of Patients with Serious Falls
Lower is Better
Minimizes Urinary Tract Infections
This indicates the percentage of patients that sustained a urinary tract infection. These infections could be linked to poorer hygiene.
Percent of Patients with UTIs
Lower is Better
Appropriately Uses Anti-Psychotic Medication
This indicates the percent of patients who were prescribed antipsychotic medications. While antipsychotic drugs may be vital to many residents, it is important to confirm these drugs are being used only where medically required. In some cases, excessive reliance on these medications may mean that a nursing home is using these drugs to subdue residents.
Percent of Patients
Lower is Better
Appropriately Uses Anti-Anxiety Medication
This is the percentage of residents given antianxiety medications. These medications are typically used to treat patients experiencing anxiety or depression.
Percent of Patients
Lower is Better
Managing Depression Among Residents
This is a measure of the percentage of long-term care residents exhibiting symptoms of depression.
Percent of Patients
Lower is Better
Appropriate Vaccine Usage
This is the percent of patients that received the flu and pneumonia vaccines. High vaccination rates should be the norm at this point.
Percent of Patients
Higher is Better
Residents Maintain Autonomy
This is the percentage of residents that required additional assistance with activities of daily living over time.
Percentage of Patients
Lower is Better
Ability to Keep Residents Mobile
This tells you the percent of residents who remained mobile levels over time. Retaining mobility can be a good sign for residents' well-being.
Percentage of Residents
Higher is Better
Hospitalizations
This metric measures the number of hospitalizations per 1,000 days of patient care.
Hospitalizations per 1,000 resident days
Lower is Better
Short-term Care: Rehospitalizations
This is a measure of the number of times residents are rehospitalized per thousand days of short-term patient care. Minimizing rehospitalizations during rehabilitation is important to restoring the physical well-being of residents.
Percentage of Residents Rehospitalized
Lower is Better
Short-term Care: ER Visits
This metric tracks the number of emergency room visits per 1,000 days of short-term care. Avoiding medical emergencies is one way to measure the well-being of patients during rehabilitation.
Percentage of Patients
Lower is Better
Short-term Care: Facilitates Functional Improvement
Measures the percent of short-term patients that saw functional improvements.
Percentage of Resident
Higher is Better