The Grand Rehabilitation and Nrsg at River Valley
140 Main Street, Poughkeepsie NY 12601 · (845) 454-7600 · 82.26% estimated occupancy 1Updated: Aug 1, 2020 · By Nick Reese
The Grand Rehabilitation and Nrsg at River Valley is a large nursing home located in Poughkeepsie, New York. With an overall rating of C, this is likely a middle of the road nursing home. You could definitely do worse than this nursing home. The best part of this nursing home's profile is its remarkable inspection rating. Inspection reports are discussed in the next paragraph.
Additional Details:
Accepts Medicare 1 :
Accepts Medicaid 1 : 190 Beds
CCRC :
For profit - Corporation
Resident Council:
Family Council:
Medical Staff Hours Per Patient (2019)
Facility Inspections
The main reason this ended up being a decent nursing home is that it earned an excellent inspection grade. Its inspection grade was far superior to its overall grade. In our inspections category, we gave this facility an A. Our inspection ratings weigh several factors included in a facility's inspection report. One of the most important criteria we consider is the quantity and severity of deficiencies. Facilities with better grades in this category typically have very few severe deficiencies. Although this nursing home had some deficiencies on its report, none were severe based on CMS' deficiency scale. Finally, this facility had no substantiated complaints this year from residents, which is always a good sign.
Long-term Care Quality
Another one of this nursing home's more favorable category scores was in the category of long-term care. In that area, we awarded this nursing home a grade of B+. 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 assessed the quantity of care provided by aids and other staff, we then looked at the facility's vaccination record. This facility vaccinated 84.26104 percent of its residents against pneumonia, which happens to be a bit below what we anticipated but still a decent figure. Although its vaccination rate was a bit lower than we had hoped, at least this facility was able to limit hospitalizations. Despite having 2.48 hospitalizations per 1,000 long-term resident days, its risk adjusted metric was better than the majority of nursing homes since it had more complicated patients.
Nurse Quality
Turning to another strength for this facility, it also received an elite nursing grade. We gave this facility an D. When determining a nursing home's nursing grade, we weigh the amount of time nurses are caring for residents as well as the level of licensure of those nurses. This facility provided 3.4 hours of nursing care per resident per day. This is below the national average. On top of receiving below average scores for nursing hours, this nursing home was a bit less impressive in some of the quality-based metrics we looked at in determining our nursing ratings. We looked at the percent of patients experiencing pressure ulcers and found this nursing home was at roughly 150 percent of the national average in this statistic. This is likely a bad sign when you consider that many pressure ulcers are believed to be preventable with better nursing care. Unfortunately, this statistic really dragged down this facility's nursing grade significantly.
Short-term Care Quality
The next area we looked at was short-term care, which was this facility's worst area. It received an F for this category, which is certainly very concerning. In the category of short-term care, we try to assess measures of a nursing home's rehabilitation. We look at a nursing home's skilled nursing services, including the ones performed by registered nurses and physical and occupational therapists. Given its poor grade, we were not shocked to find that this nursing home provided substantially fewer registered nurse hours per resident than most other facilities. The last measure we considered in this area is the percentage of patients who were able to leave the nursing home and return to the community. We discovered that just 18.3 percent of this facility's patients were able to return home, which is well below average. This statistic was damning for this facility's short-term care grade.
Overall Rating Over Time
Compared to national and state averages across all facilities.
The Grand Rehabilitation and Nrsg at River Valley Quality Metrics
Minimizes Pressure Ulcers
This metric tells you the percentage of long-term residents who are suffering from new or worsened pressure ulcers . We bake this statistic into both nursing and long-term care grades.
Percent of Patients with Pressure Ulcers
Lower is Better
Minimizes Serious Falls
This indicates the percentage of residents that suffered from a major fall. Falls resulting in major injury are often caused by lower quality nursing care. Better nursing care minimizes the number of major falls sustained by residents in a nursing home.
Percent of Patients with Serious Falls
Lower is Better
Minimizes Urinary Tract Infections
This is the percentage of patients who sustained a urinary tract infection. Urinary tract infections are considered by many experts to be an indicator of nursing care . UTI's are routinely associated with lower quality nursing care. However, this metric could be misleading for some facilities due to inconsistent reporting standards for infections.
Percent of Patients with UTIs
Lower is Better
Appropriately Uses Anti-Psychotic Medication
This indicates the percentage of residents given antipsychotic drugs. These medications are sometimes used for several medical conditions, such as Alzheimer's or other dementias.
Percent of Patients
Lower is Better
Appropriately Uses Anti-Anxiety Medication
This is an indication of the percent of long-term patients that are prescribed antianxiety medication. These medications are generally prescribed to residents experiencing anxiety and depression.
Percent of Patients
Lower is Better
Managing Depression Among Residents
This datapoint is a measure of the percentage of long-term care patients demonstrating symptoms of depression.
Percent of Patients
Lower is Better
Appropriate Vaccine Usage
This indicates the percentage of residents who received the flu and pneumonia vaccines. Higher vaccination rates should be demanded by residents.
Percent of Patients
Higher is Better
Residents Maintain Autonomy
This indicates the percentage of residents who required more assistance with activities of daily living over time. Higher levels of dependence on staff for assistance with ADL's may indicate the erosion of a resident's health.
Percentage of Patients
Lower is Better
Ability to Keep Residents Mobile
This tells you the percent of residents that maintained mobility over time. Retaining mobility can be a great sign for residents' health.
Percentage of Residents
Higher is Better
Hospitalizations
This is the number of times residents are hospitalized per thousand days of patient care. There is generally a correlation between having fewer hospitalizations and the overall quality of care.
Hospitalizations per 1,000 resident days
Lower is Better
Short-term Care: Rehospitalizations
Measures the number of rehospitalizations per thousand days of short-term resident care. Avoiding rehospitalizations during rehabilitation is key to restoring the physical well-being of residents.
Percentage of Residents Rehospitalized
Lower is Better
Short-term Care: ER Visits
Measures the number of times residents are sent to the emergency room per 1,000 days of short-term patient care.
Percentage of Patients
Lower is Better
Short-term Care: Facilitates Functional Improvement
This is the percentage of short-term stay patients that experienced functional improvements, such as with activities of daily living.
Percentage of Resident
Higher is Better