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Split Rock Rehabilitation and Health Care Center

3525 Baychester Avenue, Bronx, New York 10466

Split Rock Rehabilitation and Health Care 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 220.9 residents per day. Split Rock Rehabilitation and Health Care 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 partnership doing business under the legal business name of Split Rock Rehabilitation & Health Care Center, LLC.

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 Split Rock Rehabilitation and Health Care Center is “average” or 3 stars.

Health Inspections

Split Rock Rehabilitation and Health Care 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 Split Rock Rehabilitation and Health Care Center was November 9, 2017. In that report 1 health citation was noted, which is lower than both the New York and national averages of 4.8 and 7.8, respectively. Also, there were no complaints or facility-reported incidents that resulted in citations during the last 3 years.

Staffing

When reviewing staffing levels the CMS looks at the number of hours per resident of licensed nurses, registered nurses, nurses aides, licensed practical/vocational nurses, and physical therapists. For staffing, Split Rock Rehabilitation and Health Care Center received 1 star.

Split Rock Rehabilitation and Health Care Center’s staffing levels in every category reviewed by the CMS are lower than both the New York and national averages.

  • The total number of licensed nurse staff hours per resident per day at Split Rock Rehabilitation and Health Care Center is 1 hour and 15 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 Split Rock Rehabilitation and Health Care Center is 39 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 Split Rock Rehabilitation and Health Care 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 10 minutes, while the New York average is 2 hours and 15 minutes and the national average is 2 hours and 19 minutes.
  • Split Rock Rehabilitation and Health Care Center provides 6 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

Split Rock Rehabilitation and Health Care Center’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. Split Rock Rehabilitation and Health Care Center’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. 29.5% of Split Rock Rehabilitation and Health Care Center’s short-stay residents were re-hospitalized after a nursing home admission. This is higher than both the average for New York of 20.4% and national average of 22.6%. As for outpatient emergency department visits, for Split Rock Rehabilitation and Health Care Center, the percentage of short-stay residents who have had an outpatient emergency department visit is 10.1%, 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. None of the skilled nursing facility residents at Split Rock Rehabilitation and Health Care Center 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. 26.9% of Split Rock Rehabilitation and Health Care 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 Split Rock Rehabilitation and Health Care Center is 24.4%, 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 Split Rock Rehabilitation and Health Care Center, the number of hospitalizations per 1,000 long-stay resident days is 3.00, 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 Split Rock Rehabilitation and Health Care Center the number is days is 0.87, 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 Split Rock Rehabilitation and Health Care Center experiencing one or more falls with major injury is 1.4, while the New York average is 2.9, and the national average is 3.4. The percentage of long-stay high-risk residents at Split Rock Rehabilitation and Health Care Center with pressure ulcers is 12.2%, compared to the New York average of 8.6% and the national average of 7.4%. The percentage of long-stay residents at Split Rock Rehabilitation and Health Care Center with a urinary tract infection is 0.7%, compared to the New York average of 2.4% and the national average of 2.8%. The percentage of long-stay residents at Split Rock Rehabilitation and Health Care Center who have or had a catheter inserted and left in their bladder is 1.8%, 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 Split Rock Rehabilitation and Health Care Center, 9.7% 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 Split Rock Rehabilitation and Health Care Center whose need for help with daily activities has increased is 1.3%, compared to the New York average of 13.3% and the national average of 14.8%. The percentage of long-stay residents at Split Rock Rehabilitation and Health Care Center who report moderate to severe pain is 1.3%, 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. Split Rock Rehabilitation and Health Care Center has not received a penalty from the federal government in the last 3 years.

*Disclaimer

The information about the performance of Split Rock Rehabilitation and Health Care 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.

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