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Island Nursing and Rehab Center Inc

5537 Expressway Drive North, Holtsville, New York 11742

Island Nursing and Rehab Center Inc is located in Holtsville, New York. It has 120 certified beds that have been approved by the federal government to participate in Medicare and Medicaid, with an average of 109 residents per day. Island Nursing and Rehab Center Inc 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 nonprofit corporation doing business under the legal business name of Island Rehabilitation and Nursing Center 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 Island Nursing and Rehab Center Inc is “below average” or 2 stars.

Health inspections

Island Nursing and Rehab Center Inc’s star rating for health inspections is 3 stars which is an “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 Island Nursing and Rehab Center Inc was October 30, 2018. In that report 6 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 observed included:

  • In the case of 4 residents, the facility did not provide written notice of transfer to the residents, the residents' representative, and the State Long-Term Care Ombudsman. Each of the 4 residents was discharged without written notices of transfer.
  • The facility did not ensure a Comprehensive Care Plan (CCP) was developed with measurable goals and interventions to address an Upper Respiratory Infection diagnoses.
  • The facility did not ensure residents are provided the opportunity to participate in the development, review and revision of the CCP. Specifically, there is no documented evidence the resident was invited to or attended the initial CCP meeting.

However, 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, Island Nursing and Rehab Center Inc 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

Island Nursing and Rehab Center Inc’s star rating for overall quality of resident care is 3 stars which is an “average” rating. Facilities are also rated on their quality of care for short-stay residents and long-stay residents. Island Nursing and Rehab Center Inc’s star rating for short-stay residents is 2 stars, while the rating for long-stay is 4 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 benefit.

In determining a nursing home’s rating for short-stay residents, the CMS reviews records related to residents’ visits to hospitals. 27.3% of Island Nursing and Rehab Center Inc’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 Island Nursing and Rehab Center Inc, the percentage of short-stay residents who have had an outpatient emergency department visit is 12.9%, while the New York average is 8.8% and the national average is 10.7%.

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. 0.5% of the skilled nursing facility residents at Island Nursing and Rehab Center Inc 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. 90.1% of Island Nursing and Rehab Center Inc’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 Island Nursing and Rehab Center Inc is 95.6%, 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.

A part of a nursing home’s quality of resident care rating is the number of resident hospitalizations. For Island Nursing and Rehab Center Inc, the number of hospitalizations per 1,000 long-stay resident days is 2.57, 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 Island Nursing and Rehab Center Inc the number is days is 1.51, 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 Island Nursing and Rehab Center Inc experiencing one or more falls with major injury is 3.5, while the New York average is 2.9, and the national average is 3.4. The percentage of long-stay high-risk residents at Island Nursing and Rehab Center Inc with pressure ulcers is 7.1%, compared to the New York average of 8.6% and the national average of 7.4%. The percentage of long-stay residents at Island Nursing and Rehab Center Inc with a urinary tract infection is 3.9%, compared to the New York average of 2.4% and the national average of 2.8%. The percentage of long-stay residents at Island Nursing and Rehab Center Inc 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 Island Nursing and Rehab Center Inc, 21.6% 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 Island Nursing and Rehab Center Inc whose need for help with daily activities has increased is 5.8%, compared to the New York average of 13.3% and the national average of 14.8%. The percentage of long-stay residents at Island Nursing and Rehab Center Inc who report moderate to severe pain is 1.0%, 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. Island Nursing and Rehab Center Inc has not received a penalty from the federal government in the last 3 years.

*Disclaimer

The information about the performance of Island Nursing and Rehab Center Inc 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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