St. James Rehabilitation & Healthcare Center

275 Moriches Road, St. James, New York 11780

St. James Rehabilitation & Healthcare Center is located in St. James, New York. It has 230 certified beds that have been approved by the federal government to participate in Medicare and Medicaid, with an average of 226.4 residents per day. St. James Rehabilitation & Healthcare 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 St. James Operating LLC.

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 St. James Rehabilitation & Healthcare Center is 4 stars. The nursing facilities are also regularly inspected to ensure that they are in compliance with fire safety rules.

New York State inspectors regularly conduct full inspections of nursing homes for compliance with federal Medicare and Medicaid regulations. St. James Rehabilitation & Healthcare Center’s star rating for health inspections is 3 stars which is an “average” rating. The date of the most recent health inspection of St. James Rehabilitation & Healthcare Center was May 11, 2018. In that report 5 health citations were noted. The average number of citations for New York is 4.9 and the average number of citations in the United States is 8.0.

As part of the inspection process, the CMS completed a “statement of deficiencies” that included the following observations:

• The facility did not ensure that a comprehensive person-centered care plan for each resident was developed to meet the resident's needs as identified in the comprehensive
  assessment.
• The facility did not ensure that the infection prevention and control program designed to provide a safe and sanitary environment and to help prevent the development and transmission of communicable diseases and infections was maintained.

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, nurses aides, licensed practical/vocational nurses (LPN/LVN), and physical therapists. According to the CMS, higher staffing levels may mean better care. Overall, based on the data reviewed by the CMS, St. James Rehabilitation & Healthcare Center’s staffing levels are on average lower than average New York and national levels. In this category, St. James Rehabilitation & Healthcare Center received 2 stars which is a “below average” rating.

• The average total number of licensed nurse staff hours per resident per day at St. James Rehabilitation & Healthcare Center is 1 hour and 19 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 St. James Rehabilitation & Healthcare Center is 25 minutes compared to 42 minutes for New York and 41 minutes for the United States.
• The LPN/LVN hours per resident per day at St. James Rehabilitation & Healthcare Center is 54 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.
• St. James Rehabilitation & Healthcare Center 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.

St. James Rehabilitation & Healthcare Center’s star rating for overall quality of resident care is 5 stars. Its ratings of quality of care for short-stay residents and quality of care for long-stay residents are also both 5 stars.

Short-stay residents. In evaluating quality of care for short-stay residents, the CMS looks at several factors including hospitalizations, use of antipsychotic medication, incidence of pressure ulcers, percentage of residents who experience pain, mobility, flu and pneumonia prevention, falls, functional ability, and rate of successful return to home.

For example, 15.1% of St. James Rehabilitation & Healthcare Center’s short-stay residents were re-hospitalized after a nursing home admission, compared to the average for New York which is 20.4% and national average is 22.6%. As for the percentage of short-stay residents who report moderate to severe pain, for St. James Rehabilitation & Healthcare Center, the percentage is 10.1% compared to the New York average of 8.1% and the national average of 12.3%. The national average for rate of successful return to home and community from a SNF is 48.6. St. James Rehabilitation & Healthcare Center’s rate is better than the national average.

Long-stay residents. The factors that the CMS review for long-stay residents quality of care are similar to factors reviewed for short-stay residents, including hospitalizations. For St. James Rehabilitation & Healthcare Center, the number of hospitalizations per 1,000 long-stay resident days is.84, 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 St. James Rehabilitation & Healthcare Center the number is days is 0.19, while the New York average is 0.74, and the national average is 1.03.

The long-stay rating also takes into consideration specific medical issues experienced by residents. The percentage of long-stay residents at St. James Rehabilitation & Healthcare Center experiencing one or more falls with major injury is 4.5, while the New York average is 2.9, and the national average is 3.4. The percentage of long-stay high-risk residents at St. James Rehabilitation & Healthcare Center with pressure ulcers is 6.5%, compared to the New York average of 8.6% and the national average of 7.4%. The percentage of long-stay residents at St. James Rehabilitation & Healthcare Center 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 St. James Rehabilitation & Healthcare Center who report moderate to severe pain is 5.3%, compared to the New York average of 4.0% and the national average of 6.9%.

Citations can result in penalties. If the citation is particularly serious or if the nursing home takes a long to cure the citation, the federal government may either fine the nursing home, or deny payment from Medicare. St. James Rehabilitation & Healthcare Center has not received a penalty from the federal government in the last 3 years.

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 4, 2017. During that inspection 1 citation was noted which is higher than the New York average of 3.5 and national average of 2.9.

The information about the performance of St. James Rehabilitation & Healthcare 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.