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Bethel Nursing and Rehabilitation Center

67 Springvale Road, Croton on Hudson, New York 10520

Bethel Nursing and Rehabilitation Center is located in Croton on Hudson, New York. It has 200 certified beds that have been approved by the federal government to participate in Medicare and Medicaid, with an average of 181.3 residents per day. Bethel Nursing and Rehabilitation Center is not in a Continuing Care Retirement Community, and it is not in a hospital. The facility has automatic sprinkler systems in all required areas as required to participate in Medicare and Medicaid. It has a Resident Council to facilitate communications with the staff. The facility is a nonprofit corporation doing business under the legal business name of The Bethel Springvale Nursing Home Inc.

The Centers for Medicare & Medicaid Services (CMS) gives each nursing home an overall rating* on a scale of 1 to 5 stars, as well as star ratings in the categories of health inspections, staffing, and quality of resident care. 5-stars is the highest rating, while 2-stars is the lowest. The overall rating for Bethel Nursing and Rehabilitation Center is “below average” or 2 stars.

Health Inspections

Bethel Nursing and Rehabilitation Center’s star rating for health inspections is 2 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 Bethel Nursing and Rehabilitation Center was August 31, 2018. In that report 12 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 August 31st inspection, deficiencies noted included:

  • the facility did not ensure that a resident was assessed by the interdisciplinary team to determine the resident's ability to safely administer his own medications when clinically appropriate.
  • the facility did not assess or re-evaluate the resident's ability to use a call bell or other form of device to call for staff assistance if needed based on the
    resident's functional ability in a timely manner.
  • the facility did not develop and implement comprehensive person-centered care plan with measurable objectives, time frames and interventions for some of the residents
  • the facility did not ensure that for a resident who was reviewed for bladder and bowel incontinence that care and treatment were provided to restore as much bladder and bowel continency to the extent possible.

However, in the past 3 years there were no complaints or facility-reported incidents that resulted in citations.

Staffing

For rating a facility’s staffing, the CMS examines staffing levels of licensed staff as well as other staff. Bethel Nursing and Rehabilitation Center has a below average rating for staffing of 2 stars. Overall, its level of staffing as measured by average number of hours per resident per day is below the New York average. The total number of licensed nurse staff hours per resident per day at Bethel Nursing and Rehabilitation Center is 1 hour and 2 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 Bethel Nursing and Rehabilitation Center is 26 minutes compared to 42 minutes for New York and 41 minutes for the United States. The licensed practical/vocational nurses (LPN/LVN) hours per resident per day at Bethel Nursing and Rehabilitation Center is 37 minutes compared to 49 minutes for New York and 53 minutes for the United States.

Physical therapist hours are also measured. This measure shows the average time physical therapists spend providing care tor residents throughout the facility. However, not all nursing home residents require physical therapy. Bethel Nursing and Rehabilitation Center provides 6 minutes of physical therapist staff hours per resident per day, compared to the New York average of 7 minutes and the national average of 5 minutes.

Quality of Resident Care

Bethel Nursing and Rehabilitation Center’s star rating for overall quality of resident care is 2 stars which is a “below average” rating. Facilities are also rated on their quality of care for short-stay residents and long-stay residents. For both short and long-stay residents, Bethel Nursing and Rehabilitation Center’s star rating is 2 stars.

Short-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 (SNF) benefit.

The CMS looks at the incidence of short-stay residents are re-hospitalized, or who must go to the emergency room on an outpatient basis. 25.0% of Bethel Nursing and Rehabilitation Center’s short-stay residents were re-hospitalized after a nursing home admission, while the average for New York is 20.4% and national average is 22.6%. As for the percentage of short-stay residents who have had an outpatient emergency department visit, for Bethel Nursing and Rehabilitation Center, the average is 16.7%, while the averages for New York and the US are 8.8% and 10.7% respectively.

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. 2.4% of the skilled nursing facility residents at Bethel Nursing and Rehabilitation Center had pressure ulcers that were new or worsened while residing at this facility. This is higher than the national average of 1.6%.

Nursing facilities are also evaluated for their flu and pneumonia prevention measures. 47.4% of Bethel Nursing and Rehabilitation Center’s short-stay residents received the needed flu shot for current flu season. This percentage is much 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 Bethel Nursing and Rehabilitation Center is 41.7%, while the average for New York is 79.3% and the average for the United States is 83.2%.

Long-stay residents. Long-stay residents are those who spent over 100 days in a nursing home.

A part of a nursing home’s quality of resident care rating is the number of resident hospitalizations. For Bethel Nursing and Rehabilitation Center, the number of hospitalizations per 1,000 long-stay resident days is 2.61, 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 resident, for Bethel Nursing and Rehabilitation Center the number is days is 1.02, while the New York average is 0.74, and the national average is 1.03.

The rating also takes into consideration specific medical issues experienced by residents. The percentage of long-stay residents at Bethel Nursing and Rehabilitation Center experiencing one or more falls with major injury is 5.7, while the New York average is 2.9, and the national average is 3.4. The percentage of long-stay high-risk residents at Bethel Nursing and Rehabilitation Center with pressure ulcers is 12.7%, which is nearly 1.5 times the New York average of 8.6% and more than 1.5 times the national average of 7.4%. The percentage of long-stay residents at Bethel Nursing and Rehabilitation Center with a urinary tract infection is 6.5%, compared to the New York average of 2.4% and the national average of 2.8%. The percentage of long-stay residents at Bethel Nursing and Rehabilitation Center who have or had a catheter inserted and left in their bladder is 1.0%, which is lower than the New York average of 1.6% and the national average of 2.2%.

As for factors related to mobility and pain, the rating examines the percentage of residents whose ability to move independently worsened. For Bethel Nursing and Rehabilitation Center, 17.8% of long-stay residents’ ability to move independently worsened. The average for New York is 16% and the national average is 17.9%. The percentage of long-stay residents at Bethel Nursing and Rehabilitation Center whose need for help with daily activities has increased is 20.3%, compared to the New York average of 13.3% and the national average of 14.8%. The percentage of long-stay residents at Bethel Nursing and Rehabilitation Center who report moderate to severe pain is 0.5%, compared to the New York average of 4.0% and the national average of 6.9%.

Fines

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. Bethel Nursing and Rehabilitation Center has not received a penalty from the federal government in the last 3 years.

*Disclaimer

The information about the performance of Bethel Nursing and Rehabilitation Center 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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