Heritage Green Rehab & Skilled Nursing is a large non-profit facility in Greenhurst, New York. It looks like this facility is a lower end facility. A grade of this caliber suggests we found a few red flags. If you are not satisfied with this facility's pedestrian overall grade, you may have to look in other cities as this is the only nursing home in Greenhurst. If you aren't deterred by this place's profile, feel free to continue reading to find out about its category grades. Inspection reports are discussed in the next section.
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Heritage Green Rehab & Skilled Nursing
- Nursing Home
- Memory Care
Updated Nov 1, 2023 by Nick Reese
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Quick Details
- Accepts Medicare 1
- Accepts Medicaid 1
- No CCRC
- Has Resident Council
- No Family Council
- Non profit - Corporation
- Offers Inpatient Rehab
- Offers Outpatient Rehab
Specialized Services
- Speech Therapy
- Occupational Therapy
- Physical Therapy
- Respiratory Therapy
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Registered Staff Hours
Facility Inspections
Although we did not rate this facility favorably overall, we want to point out its relatively favorable inspections in recent years. We gave it a respectable grade of B in this area, which was much better than its overall grade. Perhaps the most critical factor we look at in calculating our inspection ratings is deficiencies. Deficiencies can be found on a facility's recent inspection reports. It is typically best to avoid facilities that have too many severe deficiencies. This particular nursing home had just a single deficiency on its inspection report and it was not one deemed to pose a threat to patient health or safety. Finally, this facility had no substantiated complaints this year from residents, which is always a good sign.
Long-term Care Quality
In addition, we also would like to note that this nursing home was awarded strong long-term care marks this year. We awarded them one of our more favorable grades in that area, with a grade of B. This turned out to be the nursing home's second highest grade. In a long-term care setting, the primary goal 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. On top of looking at the amount of care provided by nurses aids and other staff, we looked at the percentage of residents vaccinated against pneumonia. This nursing home gave the vaccine to 86.95652 percent of its residents, which is slightly less than we expected. Although its vaccination rate was a bit lower than we like to see, at least this facility was able to limit hospitalizations. Indeed, it had less than one hospitalization per 1,000 long-term resident days, which is an impressively low figure.
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Short-term Care Quality
This nursing home received its next highest category score in the area of short-term care. We gave this facility a grade of C in this area, which is a reasonably acceptable score. Our short-term care grade is generally used to score a nursing home's rehabilitation services In order to have highly graded rehabilitation services, facilities generally must offer better levels of highly skilled nursing. These types of services include registered nurses, physical therapists, respiratory therapists and other highly trained professionals. Unfortunately, this facility was below average in terms of its quantity of physical therapy and registered nurse hours provided to its residents based on the metrics we assessed. The question is whether this adversely affected quality of care. Lastly, we looked at the number of residents that eventually returned home from this nursing home. We found that 4.8 percent of this facility's patients were able to return home. This figure was actually well below average.
Nurse Quality
The final category we graded is nursing. It received an abysmal F for this category, which is a very poor score. When determining our nursing ratings, we assess both the number of hours nurses spend with residents and the training levels of the nurses. With only 0.3 hours of nursing care per resident daily, this facility's nurse staffing levels were far below the national average. To go along with its low totals in the area of nursing hours per patient, this facility also did not perform as well in the quality-based measures we looked at in calculating our nursing ratings. We looked at the percent of residents sustaining pressure ulcers and major falls. This nursing home had more pressure ulcers and falls than the average facility.
Rating Over Time
Compared to national and state averages across all facilities.
Heritage Green Rehab & Skilled Nursing Quality Metrics
Minimizes Pressure Ulcers
In Heritage Green Rehab & Skilled Nursing, 8.01% of Patients had Pressure Ulcers
This indicates the percentage of residents who have had a pressure ulcer. Pressure ulcers, which are also called bed sores, are routinely the result of patients staying in one position for too long. Better nursing care minimizes the number of pressure ulcers sustained by residents in a nursing home.
Minimizes Serious Falls
In Heritage Green Rehab & Skilled Nursing, 4.08% of Patients had Serious Falls
This indicates the percent of long-term stay residents that have experienced falls which caused major injury. This is one of the statistics we use in calculating nursing grades.
Minimizes Urinary Tract Infections
In Heritage Green Rehab & Skilled Nursing, 0.56% of Patients had UTIs
This datapoint measures the percent of long-term care patients that experienced a urinary tract infection. UTI's could be an indicator of a facility with lower levels of hygiene. Nevertheless, this datapoint can be misleading for some nursing homes due to inconsistent reporting standards for these infections.
Appropriately Uses Anti-Psychotic Medication
In Heritage Green Rehab & Skilled Nursing, 17.1% of Patients use Anti-Psychotic Medication
This datapoint measures the percentage of long-term stay patients taking antipsychotic drugs. While antipsychotic drugs play an important role in caring for many residents, it is important to ensure these medications are being used only where medically required. In some cases, increased usage of these drugs may indicate that a nursing home is using these medications to subdue residents.
Appropriately Uses Anti-Anxiety Medication
In Heritage Green Rehab & Skilled Nursing, 13.65% of Patients use Anti-Anxiety Medication
This tells you the percent of patients who were given antianxiety drugs. Antianxiety drugs are given to patients suffering from depression and anxiety.
Managing Depression Among Residents
In Heritage Green Rehab & Skilled Nursing, 1.41% of Patients
This metric measures the percent of long-term residents exhibiting depressive symptoms. Many argue that this is a reasonable measure of resident quality of care.
Appropriate Vaccine Usage
In Heritage Green Rehab & Skilled Nursing, 90.66% of Patients
This tells you the percentage of residents that were administered the flu and pneumonia vaccines. Higher vaccination rates should be standard at this point.
Residents Maintain Autonomy
In Heritage Green Rehab & Skilled Nursing, 17.88% of Patients
Measures the percentage of long-term patients that needed more assistance with activities of daily living over time. Activities of daily living include activities such as taking medications and bathing.
Ability to Keep Residents Mobile
In Heritage Green Rehab & Skilled Nursing, 18.4% of Residents
This is the percent of residents that were able to retain mobility over time. Optimizing mobility is usually a good sign for residents' well-being.
Hospitalizations
In Heritage Green Rehab & Skilled Nursing, 0.47 Hospitalizations per 1,000 resident days
This tells you the number of times residents are hospitalized per 1,000 days of care. There is a correlation between keeping patients out of the hospital and the overall quality of long-term care.
Short-term Care: Rehospitalizations
In Heritage Green Rehab & Skilled Nursing, 18.4% of Residents Rehospitalized
This indicates the number of times residents are rehospitalized per 1,000 days of short-term care. There is typically a correlation between keeping patients out of the hospital and the quality of rehabilitation services.
Short-term Care: ER Visits
In Heritage Green Rehab & Skilled Nursing, 13.21% of Patients
This tells you the number of times residents are sent to the emergency room per thousand days of short-term patient care.
Short-term Care: Facilitates Functional Improvement
In Heritage Green Rehab & Skilled Nursing, 85.65% of Resident
This datapoint is a measure of the percent of short-term care patients that saw functional improvements.