2850 Grand Island Blvd., Grand Island, New York 14072
Casa Promesa is located in Grand Island, New York. It has 108 certified beds that have been approved by the federal government to participate in Medicare and Medicaid, with an average of 97.7 residents per day. Casa Promesa 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 corporation doing business under the legal business name of Promesa Residential Health Care Facility, Inc.
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 Casa Promesa is 4 stars.Health Inspections
Casa Promesa’s star rating for health inspections is 5 stars which is a “much above average” rating. 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 Casa Promesa was March 7, 2018. No citations were issued following that inspection, compared to the New York average of 4.8 and the national average of 7.8. In addition, during the last 3 years, there were no complaints that resulted in citations, and no 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, Casa Promesa received 1 star which is a “much below average” rating. A factor in this rating is that the facility did not submit staffing data, has reported a high number of days without a registered nurse onsite, or submitted data that could not be verified through an audit.Quality of Resident Care
Casa Promesa’s star rating for overall quality of resident care is 4 stars which is an “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. Casa Promesa also received 4-star rating for long-stay quality of resident care. However, the CMS was not able to rate short-stay resident quality of care because of insufficient data.
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 example, the CMS reviewed the incidence of pressure ulcers. 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. The percentage of long-stay high-risk residents at Casa Promesa with pressure ulcers is 8.5%, 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. 96.2% of Casa Promesa’s long-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 pneumonia prevention steps, 95.0% of long-stay residents of Casa Promesa who needed a vaccine to present pneumonia received it, which the New York and national averages are 93.6% and 93.7%.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 March 23, 2018. During that inspection 1 citation was noted, which is lower 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. Casa Promesa has not received a penalty from the federal government in the last 3 years.*Disclaimer
The information about the performance of Casa Promesa 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.