Townhouse Center for Rehabilitation and Nursing

755 Hempstead Turnpike, Uniondale 11553

Townhouse Center for Rehabilitation and Nursing is in Uniondale, New York. It has 280 certified beds that have been approved by the federal government to participate in Medicare and Medicaid, with an average of 258.1 residents per day. Townhouse Center for Rehabilitation and Nursing 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 corporation doing business under the legal business name of Townhouse Operating Company.

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 Townhouse Center for Rehabilitation and Nursing is “below average” or 2 stars.

Townhouse Center for Rehabilitation and Nursing’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 Bethel Nursing and Rehabilitation Center was August 25, 2017. In that report 5 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 August 25^th inspection, deficiencies noted included:

• the facility did not ensure a comprehensive person-centered care plan that includes measurable objectives and timeframes to meet a resident's medical and nursing
  needs that are identified in the comprehensive assessment was developed for each resident
• the facility did not review or revise the Comprehensive Care Plan to reflect the residents' current status.

In addition, during the last 3 years, there were 2 complaints that resulted in citations, and there were 10 occasions in which there were facility-reported incidents that resulted in citations.

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, Townhouse Center for Rehabilitation and Nursing received 1 star which is a “much below average” rating.

• The total number of licensed nurse staff hours per resident per day at Townhouse Center for Rehabilitation and Nursing 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 Townhouse Center for Rehabilitation and Nursing is 26 minutes compared to 42 minutes for New York and 41 minutes for the United States.
• The licensed practical/vocational nurses hours per resident per day at Townhouse Center for Rehabilitation and Nursing is 48 minutes compared to 49 minutes for New York and 53 minutes for the United States.
• The nurses aide hours per resident per day is 2 hours and 31 minutes, while the New York average is 2 hours and 15 minutes and the national average is 2 hours and 19 minutes.
• Townhouse Center for Rehabilitation and Nursing provides 2 minutes of physical therapist staff hours per resident per day, compared to the New York average of 7 minutes and the national average of 5 minutes. However, not all nursing home residents require physical therapy.

Townhouse Center for Rehabilitation and Nursing’s star rating for overall quality of resident care is 5 stars which is a “much above average” rating. Facilities are also rated on their quality of care for short-stay residents and long-stay residents.

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. Townhouse Center for Rehabilitation and Nursing’s star rating for short-stay residents is 4 stars which is an “above average” rating.

14.9% of Townhouse Center for Rehabilitation and Nursing’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%. Antipsychotic medications can be used to treat certain mental health conditions. 1.0% of short-stay residents of Townhouse Center for Rehabilitation and Nursing received antipsychotic medication for the first time, while the New York average is 1.5%. and the national average is 1.8%.

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. 2.4% of the skilled nursing facility residents at Townhouse Center for Rehabilitation and Nursing 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. 86.9% of Townhouse Center for Rehabilitation and Nursing’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 Townhouse Center for Rehabilitation and Nursing is 90.9%, 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. Townhouse Center for Rehabilitation and Nursing’s rating for long-stay residents is 5 stars which is a “much above average” rating.

A part of a nursing home’s quality of resident care rating is the number of resident hospitalizations. For Townhouse Center for Rehabilitation and Nursing, the number of hospitalizations per 1,000 long-stay resident days is 1.74, 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 Townhouse Center for Rehabilitation and Nursing the number is days is 0.66, 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 Townhouse Center for Rehabilitation and Nursing experiencing one or more falls with major injury is 2.7, while the New York average is 2.9, and the national average is 3.4. The percentage of long-stay high-risk residents at Townhouse Center for Rehabilitation and Nursing with pressure ulcers is 13.4%, compared to the New York average of 8.6% and the national average of 7.4%. The percentage of long-stay residents at Townhouse Center for Rehabilitation and Nursing 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 Townhouse Center for Rehabilitation and Nursing who have or had a catheter inserted and left in their bladder is 0.0%, 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 Townhouse Center for Rehabilitation and Nursing, 7.3% of long-stay residents’ ability to move independently worsened. The average for New York is 16.0% and the national average is 17.9%. The percentage of long-stay residents at Townhouse Center for Rehabilitation and Nursing whose need for help with daily activities has increased is 8.4%, compared to the New York average of 13.3% and the national average of 14.8%. The percentage of long-stay residents Townhouse Center for Rehabilitation and Nursing 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%.

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. Townhouse Center for Rehabilitation and Nursing has not received a penalty from the federal government in the last 3 years.

The information about the performance of Townhouse Center for Rehabilitation and Nursing 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.