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San Simeon by the Sound

61700 County Road 48, Greenport, New York 11944

San Simeon by the Sound is in Greenport, 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 104.9 residents per day. San Simeon by the Sound 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 nonprofit corporation doing business under the legal business name of San Simeon by the Sound Center for Nursing and Rehabilitation Inc.

The Centers for Medicare & Medicaid Services (CMS) gives each nursing home an overall rating* on a scale of 1 to 5 stars. The overall rating for San Simeon by the Sound is 4 stars. The nursing facilities are also regularly inspected to ensure that they are following fire safety rules.

Health Inspections

New York State inspectors regularly conduct full inspections of nursing homes for compliance with federal Medicare and Medicaid regulations. San Simeon by the Sound’s star rating for health inspections is 3 stars which is an “average” rating. The date of the most recent health inspection of San Simeon by the Sound was January 15, 2019. In that report 1 health citation was noted. The average number of citations for New York is 4.8 and the national average is 7.8. The deficiency noted was that the facility did not ensure that the most recent survey report and plans of correction were accessible to residents, family, and legal representatives. Specifically, during the resident council interview, 10 of 10 residents stated that there is a sign posted in the lobby regarding the location of the inspection results; however, they could not actually see where the New York State Department of Health Survey Report was located.

Staffing

In rating nursing facilities for staffing the CMS reviews the staffing levels. Specifically, it looks at the number of hours per resident of licensed nurses, registered nurses, nurse aides, licensed practical/vocational nurses (LPN/LVN), and physical therapists. According to the CMS, higher staffing levels may mean better care. In this category, San Simeon by the Sound received 3 stars.

  • The average total number of licensed nurse staff hours per resident per day at San Simeon by the Sound is 1 hour and 35 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 San Simeon by the Sound is 37 minutes compared to 42 minutes for New York and 41 minutes for the United States.
  • The LPN/LVN hours per resident per day at San Simeon by the Sound is 58 minutes compared to 49 minutes for New York and 53 minutes for the United States.
  • The nurse aide hours per resident per day is 2 hour and 35 minutes, while the New York average is 2 hours and 14 minutes and the national average is 2 hours and 15 minutes.
  • San Simeon by the Sound provides 7 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

San Simeon by the Sound’s star rating for overall quality of resident care is 5 stars. 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. San Simeon by the Sound received 5 stars for short-stay residents and 5 stars for long-stay residents.

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.

Hospitalizations. For hospitalizations, CMS’ review of records determined that 14.8% of San Simeon by the Sound’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 San Simeon by the Sound, the percentage of short-stay residents who have had an outpatient emergency department visit is 6.2%, while the New York average is 8.8% and the national average is 10.7%.

As for long-stay residents, for San Simeon by the Sound, the number of hospitalizations per 1,000 resident days is 0.60, 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 San Simeon by the Sound the number is days is 0.40, 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 a sign of poor care. 1.2% of the skilled nursing facility residents at San Simeon by the Sound 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 San Simeon by the Sound with pressure ulcers is 2.2%, 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. 95.5% of San Simeon by the Sound’s short-stay residents received the needed flu shot for current flu season. This percentage is significantly lower than both the New York and national averages which stand at 82.7% and 82.4%, respectively.

As for the percentage of short-stay residents who needed and got a vaccine to prevent pneumonia, the percentage for San Simeon by the Sound is 97.8%, while the average for New York is 79.4% and the average for the United States is 83.2%. After reviewing the records for long-stay residents, the CMS concluded that 98.9% of San Simeon by the Sound’s long-stay residents received flu shots, compared to the New York average of 97.1%, and the national average of 95.6%. In addition, 100.0% of San Simeon by the Sound’s long-stay residents received a vaccine to prevent pneumonia. The New York average is 93.7% and the national average is 93.7%.

Fines and payment denials

On August 19, 2016, San Simeon by the Sound was fined by the federal government in the amount of $9,557. The federal government has the authority to issue penalize nursing homes that receive citations if the citation is particularly serious or if the nursing home takes a long to cure the citation. A penalty can take the form of a fine or denied payment from Medicare.

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 August 11, 2017. During that inspection 1 citation was noted which is lower than the New York average of 3.5 and national average of 2.9.

*Disclaimer

The information about the performance of San Simeon by the Sound 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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