Concourse Rehab and Nursing Center
1072 Grand Concourse, Bronx, New York 10456
Concourse Rehab and Nursing Center is located in the Bronx. It has 240 certified beds that have been approved by the federal government to participate in Medicare and Medicaid, with an average of 208.2 residents per day. Concourse Rehab and Nursing Center 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 for profit corporation doing business under the legal business name of Concourse Rehab & Nursing Ctr.
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 Concourse Rehab and Nursing Center is 5 stars.Health Inspections
Concourse Rehab and Nursing Center’s star rating for health inspections is 4 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 Concourse Rehab and Nursing Center was September 18, 2017. In that report 4 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 ensure that medications were administered in accordance with the clinical standard of practice.
- the facility did not ensure that medication error rates were less than 5 percent. Specifically, during observation of the medication administration, the Registered Nurse (RN) was observed administering medications outside of the time that the medications were ordered.
In addition, during the last 3 years, there was 1 complaint that resulted in a citation.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, Concourse Rehab and Nursing Center received 2 stars which is a “below average” rating.
- The total number of licensed nurse staff hours per resident per day at Concourse Rehab and Nursing Center is 1 hour and 14 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 Concourse Rehab and Nursing Center is 38 minutes compared to 42 minutes for New York and 41 minutes for the United States.
- The licensed practical/vocational nurses hours per resident per day at Concourse Rehab and Nursing Center is 36 minutes compared to 49 minutes for New York and 53 minutes for the United States.
- The nurses aid hours per resident per day is 2 hours and 25 minutes, while the New York average is 2 hours and 15 minutes and the national average is 2 hours and 19 minutes.
- Concourse Rehab and Nursing Center 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.
Concourse Rehab and Nursing Center’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. Concourse Rehab and Nursing Center also received 5-star ratings for long-stay residents and 3 stars for short-stay quality of resident care.
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 17.4% of Concourse Rehab and Nursing 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%. As for outpatient emergency department visits, for Concourse Rehab and Nursing Center, the percentage of short-stay residents who have had an outpatient emergency department visit is 9.8%, while the New York average is 8.8% and the national average is 10.7%. As for long-stay residents, for Concourse Rehab and Nursing Center, the number of hospitalizations per 1,000 resident days is 1.78, 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 Concourse Rehab and Nursing Center the number is days is 0.45, 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. 0.6% of the skilled nursing facility residents at Concourse Rehab and Nursing Center had pressure ulcers that were new or worsened while residing at this facility. The national average is 1.6%. In addition, the percentage of long-stay high-risk residents at Concourse Rehab and Nursing Center with pressure ulcers is 10.7%, 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. 85.0% of Concourse Rehab and Nursing 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 Concourse Rehab and Nursing Center is 93.9%, 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. Similarly, 90.4% of Concourse Rehab and Nursing Center’s long-stay residents received flu shots and 98.1% of Concourse Rehab and Nursing Center’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 September 18, 2017. During that inspection 4 citations were noted, which is more than the New York average of 3.5 and national average of 2.9.
Fines and denied payments
Concourse Rehab and Nursing Center has not received a penalty from the federal government in the last 3 years. 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.*Disclaimer
The information about the performance of Concourse Rehab and Nursing 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.