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Carmel Richmond Healthcare and Rehab Center

88 Old Town Road, Staten Island, New York 10304

Carmel Richmond Healthcare and Rehab Center is located on Staten Island. It has 300 certified beds that have been approved by the federal government to participate in Medicare and Medicaid, with an average of 292.8 residents per day. Carmel Richmond Healthcare and Rehab Center is not in a Continuing Care Retirement Community, and it is not in a hospital. It has a Resident and Family Council to facilitate communications with the staff. The facility is a for profit corporation doing business under the legal business name of Carmel Richmond Healthcare 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. The overall rating for Carmel Richmond Healthcare and Rehab Center is “much above average” or 5 stars.

Health inspections

Carmel Richmond Healthcare and Rehab Center’s star rating for health inspections is poor. The rating is 5 stars which is a “much above average” rating. Roughly once every 12-18 months, New York State inspectors conduct full inspections of nursing homes for compliance with the 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, relative or other individual, or based on a facility’s self-reported incident. For example, complaints may be based on concerns related to abuse, neglect, insufficient staff, unsafe or unsanitary conditions, or dietary problems. When inspectors find noncompliance, the facility receives a citation.

The date of the most recent health inspection was February 27, 2018. In that report no health citations were noted. However, during the last 3 years, there was 1 complaint that resulted in a citation. There were no facility-reported incidents that resulted in citations.

Staffing

For staffing, Carmel Richmond Healthcare and Rehab Center received 3 stars which is an average rating. Factors that are considered in the staffing rating include the number of hours that licensed nurses, registered nurses, licensed practical/vocational nurses, and physical therapists spend with residents each day.

The total number of licensed nurse staff hours per resident per day at Carmel Richmond Healthcare and Rehab Center is 1 hour and 10 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 Carmel Richmond Healthcare and Rehab Center is 43 minutes compared to 42 minutes for New York and 41 minutes for the United States. LPN/LVN hours per resident per day at Carmel Richmond Healthcare and Rehab Center is 27 minutes compared to 49 minutes for New York and 53 minutes for the United States.

As for physical therapist hours, Carmel Richmond Healthcare and Rehab Center provides 7 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 residents require physical therapy.

Quality of Resident Care

Carmel Richmond Healthcare and Rehab Center’s star rating for overall quality of resident care is 5 stars which is a “much above average” rating. While each facility is given an overall rating for quality of resident care, inspectors also give separate ratings for the quality of care for short-stay residents and quality of care for long-stay residents.

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. Carmel Richmond Healthcare and Rehab Center’s star rating for short-stay residents is 5 stars which is a “much above average” rating.

22.1% of Carmel Richmond Healthcare and Rehab Center’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%. Antipsychotic medications can be used to treat certain mental health conditions. 0.9% of short-stay residents of Carmel Richmond Healthcare and Rehab Center received antipsychotic medication for the first time, while the New York average is 1.5%. and the national average is 1.8%. 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. 0.7% of the skilled nursing facility residents at Carmel Richmond Healthcare and Rehab Center had pressure ulcers that were new or worsened while residing at this facility. The national average is 1.6%.

Nursing facilities are also evaluated for their flu and pneumonia prevention measures. 93.8% of Carmel Richmond Healthcare and Rehab Center’s short-stay residents received the needed flu shot for current flu season. This percentage is higher 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 Carmel Richmond Healthcare and Rehab Center is 89.6%, 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. Carmel Richmond Healthcare and Rehab Center’s rating for long-stay residents is 5 stars which is a “much above average” rating.

A part of a nursing home’s quality of resident care rating is the number of resident hospitalizations. For Carmel Richmond Healthcare and Rehab Center, the number of hospitalizations per 1,000 long-stay resident days is 0.88, 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 Carmel Richmond Healthcare and Rehab Center the number is days is 0.59, 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 Carmel Richmond Healthcare and Rehab Center experiencing one or more falls with major injury is 2.3, while the New York average is 2.9, and the national average is 3.4. The percentage of long-stay residents at Carmel Richmond Healthcare and Rehab Center with a urinary tract infection is 7.7%, compared to the New York average of 2.4% and the national average of 2.8%. The percentage of long-stay high-risk residents at Carmel Richmond Healthcare and Rehab Center with pressure ulcers is 6.5%, compared to the New York average of 8.6% and the national average of 7.4%. The percentage of long-stay residents at Carmel Richmond Healthcare and Rehab Center who have or had a catheter inserted and left in their bladder is 1.0%, compared to 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 Carmel Richmond Healthcare and Rehab Center, 18.8% of long-stay residents’ ability to move independently worsened. The average for New York is 16.0% and the national average is 17.9%. The percentage of long-stay residents Carmel Richmond Healthcare and Rehab Center who report moderate to severe pain is 3.1%, compared to the New York average of 4.0% and the national average of 6.9%. The percentage of long-stay residents at Carmel Richmond Healthcare and Rehab Center whose need for help with daily activities has increased is 6.0%, compared to the New York average of 13.3% and the national average of 14.8%.

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. Carmel Richmond Healthcare and Rehab Center has not received a penalty from the federal government in the last 3 years.

*Disclaimer

The information about the performance of Carmel Richmond Healthcare and Rehab 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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