2175 Quarry Road, Bronx, New York 10457
Bronx Gardens Rehabilitation and Nursing Center is in the Bronx, New York. It has 199 certified beds that have been approved by the federal government to participate in Medicare and Medicaid, with an average of 195.4 residents per day. Bronx Gardens Rehabilitation and Nursing 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 SBNH Acquisition 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 Bronx Gardens Rehabilitation and Nursing Center is “average” or 3 stars.
Health Inspections
Bronx Gardens Rehabilitation and Nursing Center’s star rating for health inspections is 2 stars 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 Bronx Gardens Rehabilitation and Nursing Center was August 16, 2018. In that report 3 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 inspection, there were deficiencies noted related to fall prevention:
- The facility did not ensure that a resident's care plan was reviewed and revised to prevent further falls. Specifically, the resident had a CCP (Comprehensive Care Plan) to address their high risk for falls. One intervention was visual checks and monitoring every 30 minutes. However, within a 30-day time period the resident continued to have unobserved falls on six occasions. After the falls the CCP was not reviewed to determine if the intervention of visual checks and monitoring of the resident every 30 minutes was sufficient to prevent the resident from falls.
- The facility did not ensure that a resident received adequate supervision to prevent accidents. Specifically, the was assessed as a high risk for falls. A CCP was developed with interventions that included thirty minute monitoring of resident to prevent falls. Despite the CCP plan for frequent monitoring of the resident, the resident's medical record documented a pattern of 6 recorded incidents of unwitnessed falls by the resident. The facility did not provide evidence of adequate monitoring or supervision to prevent resident's 6 recorded incidents of unwitnessed falls.
In addition, during the last 3 years there were 2 facility-reported incidents that resulted in citations.
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, Bronx Gardens Rehabilitation and Nursing Center received 2 stars which is a “below average” rating.
- The total number of licensed nurse staff hours per resident per day at Bronx Gardens Rehabilitation and Nursing Center is 1 hour and 25 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 Bronx Gardens Rehabilitation and Nursing Center is 43 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 Bronx Gardens Rehabilitation and Nursing Center is 43 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 15 minutes, which is consistent with the New York average of 2 hours and 15 minutes and the national average of 2 hours and 19 minutes.
- On average Bronx Gardens Rehabilitation and Nursing Center provides 0 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
Bronx Gardens Rehabilitation and Nursing Center’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. Bronx Gardens Rehabilitation and Nursing Center’s star rating for short-stay residents is 5 stars which is a “much above average” rating, 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. 21.1% of Bronx Gardens Rehabilitation and Nursing Center’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 Bronx Gardens Rehabilitation and Nursing Center, the percentage of short-stay residents who have had an outpatient emergency department visit is 3.8%, 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. 3.0% of the skilled nursing facility residents at Bronx Gardens Rehabilitation and Nursing 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. 64.8% of Bronx Gardens Rehabilitation and Nursing 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 Bronx Gardens Rehabilitation and Nursing Center is 58.4, 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 Bronx Gardens Rehabilitation and Nursing Center, the number of hospitalizations per 1,000 long-stay resident days is 1.23, 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 Bronx Gardens Rehabilitation and Nursing Center the number is days is 0.60, 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 Bronx Gardens Rehabilitation and Nursing Center experiencing one or more falls with major injury is 0.9, while the New York average is 2.9, and the national average is 3.4.
The percentage of long-stay high-risk residents at Bronx Gardens Rehabilitation and Nursing Center with pressure ulcers is 17.7%, compared to the New York average of 8.6% and the national average of 7.4%. The percentage of long-stay residents at Bronx Gardens Rehabilitation and Nursing Center with a urinary tract infection is 2.2%, compared to the New York average of 2.4% and the national average of 2.8%. The percentage of long-stay residents at Bronx Gardens Rehabilitation and Nursing Center who have or had a catheter inserted and left in their bladder is 1.4%, 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 Bronx Gardens Rehabilitation and Nursing Center, 18.6% 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 Bronx Gardens Rehabilitation and Nursing Center whose need for help with daily activities has increased is 12.7%, compared to the New York average of 13.3% and the national average of 14.8%. The percentage of long-stay residents at Bronx Gardens Rehabilitation and Nursing Center who report moderate to severe pain is 6.3%, 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. Bronx Gardens Rehabilitation and Nursing Center has not received a penalty from the federal government in the last 3 years.
*Disclaimer
The information about the performance of Bronx Gardens Rehabilitation and Nursing 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.