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Northern Manor Geriatric Center Inc

199 N Middletown Road, Nanuet, New York 10954

Northern Manor Geriatric Center Inc is located in Nanuet, New York. It has 231 certified beds that have been approved by the federal government to participate in Medicare and Medicaid, with an average of 211.8 residents per day. Northern Manor Geriatric 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 not-for-profit corporation doing business under the legal business name of Northern Manor Multicare 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 Northern Manor Geriatric Center Inc is “below average” or 2 stars.

Health Inspections

Northern Manor Geriatric Center Inc’s star rating for health inspections is 1 star which is a “much below 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 Northern Manor Geriatric Center Inc was January 9, 2019. In that report 10 health citations were noted—more than both the New York and national averages. The average number of citations for New York is 4.8 and the national average is 7.8.

In the statement of deficiencies, some of the problems mentioned include:

  • The facility did not ensure that each resident has the right to make choices about aspects of
    life that are significant to the resident. Specifically, a resident who requested more
    than one shower a week was not accommodated by the nursing staff.
  • The facility did not ensure that advance directives regarding CPR would be honored at all times. Specifically, staff did not consistently implement the system developed by the facility to readily identify each resident status regarding CPR in the event that CPR was indicated.

In addition, during the last 3 years, there was one facility-reported incidents 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, Northern Manor Geriatric Center Inc received 2 stars which is a “below average” rating.

  • The total number of licensed nurse staff hours per resident per day at Northern Manor Geriatric Center Inc is 1 hour and 53 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 Northern Manor Geriatric Center Inc is 46 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 Northern Manor Geriatric Center Inc is 1 hour and 8 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 18 minutes, while the New York average is 2 hours and 15 minutes and the national average is 2 hours and 19 minutes.
  • Northern Manor Geriatric Center Inc 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.
Quality of Resident Care

Northern Manor Geriatric Center Inc’s star rating for overall quality of resident care is 4 stars. Facilities are also rated on their quality of care for short-stay residents and long-stay residents. Northern Manor Geriatric Center Inc’s star rating for short-stay residents is 3 stars, while the rating for long-stay is 5 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. 23.2% of Northern Manor Geriatric 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 Northern Manor Geriatric Center Inc, the percentage of short-stay residents who have had an outpatient emergency department visit is 5.9%, while the New York average is 8.8% and the national average is 10.7%.

Pressure ulcers, also called bedsores, are injuries to skin and underlying tissue resulting from prolonged pressure on the skin. Typically, pressure ulcers develop on the heels, ankles, hips and tailbone. In some, but not all instances, pressure ulcers can be indicative of poor care. 2.3% of the skilled nursing facility residents at Northern Manor Geriatric 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. 68.7% of Northern Manor Geriatric Center Inc’s short-stay residents received the needed flu shot for current flu season. This percentage is lower than both the New York and national averages which stand at 82.6% and 82.3%, respectively. Note that nursing homes are required to provide flu shots each year. However, residents are not required to get flu shots. Any resident has the right to refuse if he or she does not want a shot, has already received the shot, or the flu shot is medically contraindicated.

As for the percentage of short-stay residents who needed and got a vaccine to prevent pneumonia, the percentage for Northern Manor Geriatric Center Inc is 51.6%, 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 Northern Manor Geriatric Center Inc, the number of hospitalizations per 1,000 long-stay resident days is 1.88, 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 Northern Manor Geriatric Center Inc the number is days is 0.82, while the New York average is 0.74, and the national average is 1.03.

The rating also takes into consideration specific medical issues commonly experienced by order individuals and residents of nursing homes. The percentage of long-stay residents at Northern Manor Geriatric Center Inc experiencing one or more falls with major injury is 1.9, while the New York average is 2.9, and the national average is 3.4.

The percentage of long-stay high-risk residents at Northern Manor Geriatric Center Inc with pressure ulcers is 16.7%, compared to the New York average of 8.6% and the national average of 7.4%. The percentage of long-stay residents at Northern Manor Geriatric Center Inc with a urinary tract infection is 1.0%, compared to the New York average of 2.4% and the national average of 2.8%. The percentage of long-stay residents at Northern Manor Geriatric Center Inc who have or had a catheter inserted and left in their bladder is 1.7%, 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 Northern Manor Geriatric Center Inc, 15.0% 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 Northern Manor Geriatric Center Inc whose need for help with daily activities has increased is 13.9%, compared to the New York average of 13.3% and the national average of 14.8%. The percentage of long-stay residents at Northern Manor Geriatric Center Inc who report moderate to severe pain is 0.9%, compared to the New York average of 4.0% and the national average of 6.9%.

Fines

The federal government may impose penalties on a nursing home based on a citation. Typically, a penalty is imposed only if the citation is deemed serious, or if the nursing home fails to correction a citation for a long period of time. A penalty can be either a fine or a denied payment from Medicare. The state can also assess penalties. Northern Manor Geriatric Center Inc has not received a penalty in the form of a fine or withheld payment from the federal government in the last 3 years.

*Disclaimer

The information about the performance of Northern Manor Geriatric 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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