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Beth Abraham Center for Rehabilitation and Nursing

612 Allerton Avenue, Bronx, New York 10467

Beth Abraham Center for Rehabilitation and Nursing is located in the Bronx. It has 448 certified beds that have been approved by the federal government to participate in Medicare and Medicaid, with an average of 432.2 residents per day. Beth Abraham Center for Rehabilitation and Nursing is not in a Continuing Care Retirement Community, and it is not in a hospital. It has a Resident Council to facilitate communications with the staff. The facility is a non profit church related organization doing business under the legal business name of Abraham Operations Associates LLC.

The Centers for Medicare & Medicaid Services (CMS) gives each nursing home an overall rating* on a scale of 1 to 5 stars: 5 stars = much above average, 4 stars = above average, 3 stars = average, 2 stars = below average, 1 star = much below average. The CMS also assigns star ratings in the categories of health inspections, staffing, and quality of resident care. The overall rating for Beth Abraham Center for Rehabilitation and Nursing is 4 stars.

Health Inspections

Beth Abraham Center for Rehabilitation and Nursing’s star rating for health inspections is 3 stars. New York State inspectors regularly conduct full inspections of nursing homes for compliance with federal Medicare and Medicaid regulations. In addition, at any time during the year a nursing home may also be inspected based on a complaint submitted by a resident or based on an incident self-reported by the facility.

The date of the most recent health inspection of Beth Abraham Center for Rehabilitation and Nursing was July 11, 2017. In that report 8 health citations were noted. The average number of citations for New York is 4.8 and the average number of citations in the United States is 7.8.

During the inspection, deficiencies noted included:

  • The facility did not revise the resident's comprehensive care plan to address healed, and then reopened and worsening pressure ulcers
  • The facility did not ensure that a resident identified with pressure ulcers receives necessary treatment and services, consistent with professional standards of practice, to promote healing, prevent infection and prevent healed ulcers from recurring. Specifically, a resident was observed on several occasions on her back and not repositioned and buttock wet with urine with no barrier between buttock and bed sheet. In addition the resident's comprehensive care plan was not revised to reflect healing and reopening and worsening of wounds.
  • The facility did not ensure sufficient nursing staffing levels to maintain the highest practicable level of well-being of each resident. Specifically, there was a recent pattern of
    understaffing the nursing department particularly during the overnight shift. As a result, there was not adequate CNAs to assist residents in toileting, dressing and other activities of daily living.
  • The facility did not ensure that food was served under sanitary conditions. Specifically,
    two dietary aides were observed handling food without serving utensils during the
    breakfast and lunch meal tray line service.

In addition, during the last 3 years, there were 2 complaints that resulted in citations, and there were 4 occasions in which there were facility-reported incidents that resulted in citations.

Staffing

According to the CMS, higher staffing levels may mean higher quality of care for residents. Thus, the CMS reviews the staffing levels. Specifically, it looks at the number of hours per resident of licensed nurses, registered nurses, nurses aides, licensed practical/vocational nurses, and physical therapists. For staffing, Beth Abraham Center for Rehabilitation and Nursing received 2 stars which is a “below average” rating.

  • The total number of licensed nurse staff hours per resident per day at Beth Abraham Center for Rehabilitation and Nursing is 1 hour and 19 minutes, while the New York average is 1 hour and 31 minutes and the national average is 1 hour and 33 minutes.
  • The registered nurse hours per resident per day at Beth Abraham Center for Rehabilitation and Nursing is 58 minutes compared to 22 minutes for New York and 41 minutes for the United States.
  • The licensed practical/vocational nurses hours per resident per day at Beth Abraham Center for Rehabilitation and Nursing is 57 minutes compared to 49 minutes for New York and 53 minutes for the United States.
  • The nurses aid hours per resident per day at Beth Abraham Center for Rehabilitation and Nursing is 2 hours and 15 minutes, while the New York average is 2 hours and 15 minutes and the national average is 2 hours and 19 minutes.
  • Beth Abraham Center for Rehabilitation and Nursing provides 5 minutes of physical therapist staff hours per resident per day, compared to the New York average is 7 minutes and the national average is 5 minutes. However, not all nursing home residents require physical therapy.
Quality of Resident Care

Beth Abraham Center for Rehabilitation and Nursing’s star rating for overall quality of resident care is 5 stars which is a “much above average” rating. Facilities are also rated on their quality of care for short-stay residents and long-stay residents. Short-stay residents are those who spent 100 days or less in a nursing home, or residents covered under the Medicare Part A Skilled Nursing Facility benefit. Long-stay residents are those who spent over 100 days in a nursing home. Beth Abraham Center for Rehabilitation and Nursing also received 5-star ratings for long-stay residents and 4 stars for short-stay residents.

When evaluating a facility for quality of care, the CMS focuses on statistics related to hospitalizations, specific health care concerns, mobility, and flu and pneumonia prevention.

For hospitalizations, CMS’ review of records determined that 17.7% of Beth Abraham Center for Rehabilitation and Nursing’s short-stay residents were re-hospitalized after a nursing home admission. The average for New York is 20.4% and national average is 22.6%. As for outpatient emergency department visits, for Beth Abraham Center for Rehabilitation and Nursing, the percentage of short-stay residents who have had an outpatient emergency department visit is 4.3%, while the New York average is 8.8% and the national average is 10.7%.

As for long-stay residents, for Beth Abraham Center for Rehabilitation and Nursing, the number of hospitalizations per 1,000 resident days is 1.33, while the New York average is 1.55, and the national average is 1.75. As for the number of outpatient emergency department visits per 1,000 long-stay residents, for Beth Abraham Center for Rehabilitation and Nursing the number is days is 0.5, while the New York average is 0.74, and the national average is 1.03.

Pressure ulcers, also referred to as bed sores or pressure injuries, are injuries to skin and underlying tissue resulting from prolonged pressure on the skin, such as staying in one position for a long time. In some, but not all instances, pressure ulcers can be indicative of negligent care. 4.0% of the skilled nursing facility residents at Beth Abraham Center for Rehabilitation and Nursing had pressure ulcers that were new or worsened while residing at this facility, which is much higher than the national average of 1.6%. In addition, the percentage of long-stay high-risk residents at Beth Abraham Center for Rehabilitation and Nursing with pressure ulcers is 13.5%, compared to the New York average of 8.6% and the national average of 7.4%.

Nursing facilities are also evaluated for their flu and pneumonia prevention measures. 73.8% of Beth Abraham Center for Rehabilitation and Nursing’s short-stay residents received the needed flu shot for current flu season. This percentage is lower than both the New York and national averages which stand at 82.6% and 82.3%, respectively. As for the percentage of short-stay residents who needed and got a vaccine to prevent pneumonia, the percentage for Beth Abraham Center for Rehabilitation and Nursing is 91.1%, while the average for New York is 79.3% and the average for the United States is 83.2%. For long-stay residents, the statistics are similar. 86.4% of Beth Abraham Center for Rehabilitation and Nursing’s long-stay residents received flu shots and 95.1% of Beth Abraham Center for Rehabilitation and Nursing’s long-stay residents received a vaccine to prevent pneumonia.

Fire Safety Inspections

Nursing homes that are certified by Medicare and/or Medicaid must meet standards set by the government to ensure residents are safe. Fire safety specialists inspect nursing homes to determine if a nursing home meets the Life Safety Code (LSC) requirements, a set of fire safety and emergency preparedness requirements set by the CMS. These requirements are aimed at preventing fires, or protecting residents in the event of an emergency like a fire, hurricane, tornado, flood, power failure, or gas leak.

The most recent fire safety inspection was July 11, 2017. During that inspection 4 citations were noted which is higher than the New York average of 3.5 and national average of 2.9.

Penalties

When a nursing home gets a serious citation or fails to correct a citation for a long period of time, that facility may be assessed a penalty. A penalty can be a fine against the facility or a denied payment from Medicare. Beth Abraham Center for Rehabilitation and Nursing has not received a penalty from the federal government in the last 3 years.

*Disclaimer

The information about the performance of Beth Abraham Center for Rehabilitation and Nursing is from Medicare.gov and is based on past performance. Past performance is not an indicator of future performance. Further, we recommend that you check the statistics yourself at Medicare.gov for both accuracy and updates. Choosing a nursing home is a very difficult decision, and we make no representation as to the quality of any of the facilities or their ratings on the site.

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