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Hamlet Rehabilitation and Healthcare Center at Nesconset

Hamlet Rehabilitation and Healthcare Center at Nesconset is located in Neconset, New York. It has 240 certified beds that have been approved by the federal government to participate in Medicare and Medicaid, with an average of 225.7 residents per day. Hamlet Rehabilitation and Healthcare Center at Nesconset 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 Neconset Acquisition LLC.

The Centers for Medicare & Medicaid Services (CMS) gives each nursing home an overall rating* on a scale of 1 to 5 stars, with 5 stars being the highest rating and 1 star the lowest. The CMS also rates each nursing home in the categories of health inspections, staffing, and quality of resident care. The overall rating for Hamlet Rehabilitation and Healthcare Center at Nesconset is “below average” or 2 stars.

Health Inspections

Hamlet Rehabilitation and Healthcare Center at Nesconset’s star rating for health inspections is 2 stars which is a “below average” rating. New York State inspectors regularly 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.

The date of the most recent health inspection was September 15, 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.

The following deficiencies from the inspection were noted in the statement of deficiencies:

  • The facility did not thoroughly investigate a documented alleged incident of verbal abuse. Specifically, a resident alleged that she was spoken to by a Certified Nurse Aide (CNA) in an inappropriate manner. There was no documented evidence a thorough investigation to rule out verbal abuse had occurred.
  • The facility did not ensure that each resident received care consistent with professional standards of practice to prevent the development of pressure ulcers. Specifically, one resident’s plan of care was not effective to prevent a Stage 3 pressure ulcer. Additionally, the Licensed practical Nurse (LPN) did not report a change in skin integrity.

In addition, during the last 3 years, there was 1 complaint that resulted in a citation, but no occasions in which there were facility-reported incidents that resulted in citations.

Staffing

For staffing, Hamlet Rehabilitation and Healthcare Center at Nesconset received 2 stars which is a “below average” rating. The total number of licensed nurse staff hours per resident per day at Hamlet Rehabilitation and Healthcare Center at Nesconset is 1 hour and 13 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 Hamlet Rehabilitation and Healthcare Center at Nesconset is 22 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 Hamlet Rehabilitation and Healthcare Center at Nesconset is 51 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. Hamlet Rehabilitation and Healthcare Center at Nesconset provides 2 minutes of physical therapist staff hours per resident per day, which is below both the New York and national averages of 7 and 5 minutes respectively.

Quality of Resident Care

Hamlet Rehabilitation and Healthcare Center at Nesconset’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. 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. Hamlet Rehabilitation and Healthcare Center at Nesconset’s star rating for short-stay residents is 5 stars which is a “much above average” rating.

19.4% of Hamlet Rehabilitation and Healthcare Center at Nesconset’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. 2.7% of short-stay residents of Hamlet Rehabilitation and Healthcare Center at Nesconset 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. 0.8% of the skilled nursing facility residents at Hamlet Rehabilitation and Healthcare Center at Nesconset 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. 89.4% of Hamlet Rehabilitation and Healthcare Center at Nesconset’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 Hamlet Rehabilitation and Healthcare Center at Nesconset is 89.3%, 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. Hamlet Rehabilitation and Healthcare Center at Nesconset’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 Hamlet Rehabilitation and Healthcare Center at Nesconset, the number of hospitalizations per 1,000 long-stay resident days is 2.62, 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 Hamlet Rehabilitation and Healthcare Center at Nesconset the number is days is 0.41, 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 Hamlet Rehabilitation and Healthcare Center at Nesconset experiencing one or more falls with major injury is 4.3, while the New York average is 2.9, and the national average is 3.4. The percentage of long-stay high-risk residents at Hamlet Rehabilitation and Healthcare Center at Nesconset with pressure ulcers is 9.4%, compared to the New York average of 8.6% and the national average of 7.4%. The percentage of long-stay residents at Hamlet Rehabilitation and Healthcare Center at Nesconset with a urinary tract infection is 2.0%, compared to the New York average of 2.4% and the national average of 2.8%. The percentage of long-stay residents at Hamlet Rehabilitation and Healthcare Center at Nesconset 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 Hamlet Rehabilitation and Healthcare Center at Nesconset, 13.9% 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 at Hamlet Rehabilitation and Healthcare Center at Nesconset whose need for help with daily activities has increased is 12.5%, compared to the New York average of 13.3% and the national average of 14.8%. The percentage of long-stay residents Hamlet Rehabilitation and Healthcare Center at Nesconset who report moderate to severe pain is 4.2%, 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. Hamlet Rehabilitation and Healthcare Center at Nesconset has not received a penalty from the federal government in the last 3 years.

*Disclaimer

The information about the performance of Hamlet Rehabilitation and Healthcare Center at Nesconset 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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