Golden Hill Nursing and Rehabilitation Center is a very-large nursing home located in Kingston, New York. We gave this facility an overall grade of C. A score in this range requires some respectable scores. You can definitely do worse than this facility. The best part of this facility's report card was its exemplary inspection score. Inspection reports are discussed in the next section.
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Golden Hill Nursing and Rehabilitation Center
- Nursing Home
Updated Apr 1, 2023 by Nick Lata
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- Accepts Medicare 1
- Accepts Medicaid 1
- No CCRC
- Has Resident Council
- Has Family Council
- For profit - Corporation
- Offers Hospice
- Offers Post-Acute Care
- Offers Respite Care
- Offers Inpatient Rehab
- Personal Care
- Medication Management
- Home Making
- Medical Transportation
- Speech Therapy
- Stroke Recovery
- Palliative Care
- Wound Care
- Occupational Therapy
- Cardiac Therapy
- Physical Therapy
- Respiratory Therapy
- Nutritional Counseling
- Recreational Therapy
- Pain Management
- Orthopedic Rehabilitation
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Registered Staff Hours
While this nursing home's overall grade was not bad, it really excelled in the area of inspections. In fact, we awarded it a grade of A+ for that category, which is one of our highest scores. Inspection grades weigh several factors included in a nursing home's inspection report. One of the most important criteria we look at is the quantity and severity of deficiencies. Places with higher scores in this category usually have few of these severe deficiencies. Fortunately, although this place had a few minor dings on its inspection report, it had no severe deficiencies. Severe deficiencies are those found in categories G through L. This tells you CMS didn't consider any of the deficiencies on this facility's report to pose an imminent threat to patient health or safety. A couple of minor deficiencies should not stop you from considering a nursing home.
Long-term Care Quality
The next best area we gave this facility in any area came in the category of long-term care, where we awarded it a B-. In the category of long-term care, we focus on the quantity of services provided by a facility, rather than more healthcare-oriented services. Once we finished looking at the quantity of care provided by nurses, we next considered the nursing home's vaccination record. Candidly, we were a bit bothered by the fact that this nursing home vaccinated a relatively low 84.91484 percent of its residents against pneumonia. Nevertheless, this facility keeps its residents out of the hospital. Indeed, it had only 0.01 hospitalizations per one thousand long-term resident days, which is an impressively low figure.
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Another strength of this facility is its favorable grade in nursing. We gave them one of our better scores in that area, with a score of D. In computing a facility's nursing rating, we consider the amount of time nurses are seeing residents as well as the levels of training of the nurses. This nursing home provides 0.3 hours of nursing care per resident per day. This is a much lower figure than we are used to seeing. Lastly, we also looked at some nursing quality-based metrics in calculating our nursing grades. This nursing home fared well in terms of avoiding major falls and pressure ulcers. Many consider these areas to be indicators of the quality of nursing care.
Short-term Care Quality
The final area we rated is short-term care, which was this nursing home's worst area. It received a lowly F in this category, which is obviously a major concern. Short-term care ratings are based in part on the facility's quantity of skilled nursing services. This includes a vast range of services, spanning from registered nurses to physical and occupational therapists, not to mention other types of therapy. With a grade of this caliber in this area, we weren't shocked to find this nursing home was well below average in multiple staffing areas we focus on. The facility offered substantially fewer physical therapist and registered nurse hours per resident than most nursing homes. Lastly, we considered the percentage of patients who ultimately returned home from this nursing home. This nursing home didn't fare well here either. In fact, we found that just 4.4 percent of this facility's patients were able to return home.
Rating Over Time
Compared to national and state averages across all facilities.
Golden Hill Nursing and Rehabilitation Center Quality Metrics
Minimizes Pressure Ulcers
In Golden Hill Nursing and Rehabilitation Center, 4.72% of Patients had Pressure Ulcers
This indicates the percent of residents that suffered from a pressure ulcer. Pressure ulcers, which are also referred to as bed sores, are often the result of patients not being moved frequently enough. Better nursing protocols can reduce the number of pressure ulcers sustained by residents in a nursing home.
Minimizes Serious Falls
In Golden Hill Nursing and Rehabilitation Center, 4.74% of Patients had Serious Falls
This tells you the percentage of long-term stay residents which have sustained a fall leading to severe injury. Falls can happen for a variety of reasons, but high rates of falls resulting in injuries could be an indicator of lower levels of patient supervision.
Minimizes Urinary Tract Infections
In Golden Hill Nursing and Rehabilitation Center, 1.89% of Patients had UTIs
This tells you the percentage of residents that have had a urinary tract infection. These infections are sometimes associated with poor hygiene.
Appropriately Uses Anti-Psychotic Medication
In Golden Hill Nursing and Rehabilitation Center, 15.97% of Patients use Anti-Psychotic Medication
This tells you the percent of patients who were given antipsychotic drugs. While antipsychotic medications may be helpful for many patients, it is important to confirm these medications are being used appropriately. In some situations, excessive reliance on these medications may suggest a nursing home is using these drugs to subdue residents.
Appropriately Uses Anti-Anxiety Medication
In Golden Hill Nursing and Rehabilitation Center, 18.2% of Patients use Anti-Anxiety Medication
This metric is a measure of the percentage of long-term care patients taking antianxiety medications.
Managing Depression Among Residents
In Golden Hill Nursing and Rehabilitation Center, 1.26% of Patients
This metric measures the percent of long-term patients who are showing symptoms of depression. Many in the industry argue this is a reasonable measure of resident quality of care.
Appropriate Vaccine Usage
In Golden Hill Nursing and Rehabilitation Center, 87.08% of Patients
This tells you the percentage of residents who were given the flu and pneumonia vaccines. Higher vaccination rates should be the norm at this point.
Residents Maintain Autonomy
In Golden Hill Nursing and Rehabilitation Center, 17.09% of Patients
This is the percent of patients who required more assistance with activities of daily living over time.
Ability to Keep Residents Mobile
In Golden Hill Nursing and Rehabilitation Center, 14.28% of Residents
This datapoint measures the percent of long-term care residents who remained mobile levels.
In Golden Hill Nursing and Rehabilitation Center, 0.01 Hospitalizations per 1,000 resident days
This datapoint measures the number of hospitalizations per 1,000 days of patient care.
Short-term Care: Rehospitalizations
In Golden Hill Nursing and Rehabilitation Center, 14.28% of Residents Rehospitalized
This indicates the number of rehospitalizations per thousand days of short-term care. There is a correlation between having fewer hospitalizations and a nursing homes short-term rehabilitation performance.
Short-term Care: ER Visits
In Golden Hill Nursing and Rehabilitation Center, 8.69% of Patients
This is the number of emergency room visits per thousand days of short-term patient care.
Short-term Care: Facilitates Functional Improvement
In Golden Hill Nursing and Rehabilitation Center, 61.32% of Resident
This is a measure of the percent of short-term care patients who experienced functional improvements, such as enhanced ability to perform activities of daily living. Some experts would argue that this is a measure of a facility's rehabilitation performance.
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