CORTLANDT HEALTHCARE LLC - CORTLANDT MANOR, NY

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Addresss:

110 OREGON ROAD
CORTLANDT MANOR, NY, 10567

Phone (make sure to verify first before calling): (914) 739-9150

Number of Certified Beds: 120
Total Number of Residents: 114
Percent of Occupied Beds: 95%
Sprinkler Status: Partially Sprinklered
Program Participation: Medicare and Medicaid
Type of Ownership: For profit - Partnership
Located Within a Hospital?: No
Multi Nursing Home Ownership?: No
Resident and Family Councils: Both
Continuing Care Retirement Community?: No
Quality Indicator Survey?: Yes
Special Focus Facility?: No
Type: Skilled Nursing Facilities

Overall Star Rating: 2 Stars
Health Inspections Star Rating: 2 Stars
Nurse Staffing Star Rating: 3 Stars
Quality Measures Star Rating: 3 Stars
RN Only Star Rating: 3 Stars

Other nearby hospitals and nursing homes

FIELD HOME HOLY COMFORTER (3.29 miles)
HUDSON VALLEY HOSPITAL CENTER (1.48 miles)
LIVING RESOURCES CORPORATION, INC (MOHEGAN LAKE, 2.68 miles)
PEEKSKILL-CORTLANDT DIALYSIS CTR (1.31 miles)
NORTH WESTCHESTER RESTORATIVE THERAPY AND N C (MOHEGAN LAKE, 2.39 miles)
WEST LEDGE REHABILITATION AND NURSING CENTER (PEEKSKILL, 2.04 miles)

Employment Full-Time Equivalent

Activities Professionals - Under Contract: 0.43

Administrative Staff - Full Time: 2.66

Administrative Staff - Part Time: 2.93

Certified Nurse Aides - Full Time: 29.44

Certified Nurse Aides - Part Time: 20.06

Food Service Personnel - Full Time: 8.30

Food Service Personnel - Part Time: 8.64

Housekeeping Personnel - Full Time: 8.90

Licensed Practical/ Vocational Nurses - Full Time: 10.66

Licensed Practical/ Vocational Nurses - Part Time: 9.84

Medical Directors - Under Contract: 0.43

Mental Health Services Personnel - Under Contract: 0.21

Nurses With Administrative Duties - Full Time: 9.61

Persons Not Included In Any Other Categories - Full Time: 5.94

Physical Therapists - Under Contract: 0.41

Registered Nurses - Full Time: 3.01

Rn Director Of Nursing - Full Time: 0.86

Social Workers - Full Time: 1.93

Dentists - Under Contract: 0.14

Nurses With Administrative Duties - Part Time: 2.09

Occupational Therapists - Under Contract: 0.97

Occupational Therapists - Part Time: 0.20

Pharmacists - Under Contract: 0.21

Physical Therapists - Part Time: 0.20

Podiatrists - Under Contract: 0.06

Speech Pathologists - Under Contract: 0.20

Physician Extenders - Under Contract: 1.07

Dietitians - Full Time: 0.97

Persons Not Included In Any Other Categories - Part Time: 1.63

Registered Nurses - Part Time: 3.10

Occupational Therapy Assistants - Under Contract: 0.79

Housekeeping Personnel - Part Time: 2.43

Occupational Therapists - Full Time: 0.86

Physical Therapists - Full Time: 0.43

Occupational Therapy Assistants - Full Time: 0.93

Physical Therapy Aide - Full Time: 0.96

Occupational Therapy Assistants - Part Time: 0.10

Physical Therapy Aide - Part Time: 0.76

Number Of Beds

Total: 120

Total Certified: 120

Provided Services

Activities Services Are Provided Onsite To Residents

Clinical Laboratory Services Are Provided Onsite To Residents

Dental Services Are Provided Onsite To Residents

Diagnostic Xray Services Are Provided Onsite To Residents

Dietary Services Are Provided Onsite To Residents

Housekeeping Services Are Provided Onsite To Residents

Mental Health Services Are Provided Onsite To Residents

Nursing Services Are Provided Onsite To Residents

Occupational Therapy Services Are Provided Onsite To Residents

Pharmacy Services Are Provided Onsite To Residents

Physical Therapy Services Are Provided Onsite To Residents

Physician Extender Services Are Provided Onsite To Residents

Physician Services Are Provided Onsite To Residents

Podiatry Services Are Provided Onsite To Residents

Social Work Services Are Provided Onsite To Residents

Speech/Language Pathology Services Are Provided Onsite To Residents

Quality Measures

Percent of long-stay residents whose need for help with daily activities has increased

Here:	23.3%
New York:	15.6%

Percent of long-stay residents who self-report moderate to severe pain

This Nursing Home:	3.4%
State:	7.6%

Percent of long-stay high-risk residents with pressure ulcers

Here:	7.2%
State:	8.4%

Percent of long-stay residents who lose too much weight

This Nursing Home:	3.8%
New York:	6.4%

Percent of long-stay residents who have had a catheter inserted and left in their bladder

Here:	9.5%
New York:	3.1%

Percent of long-stay residents with a urinary tract infection

Here:	7.7%
State:	6.8%

Percent of long-stay residents who have depressive symptoms

This Nursing Home:	1.2%
New York:	12.6%

Percent of long-stay residents experiencing one or more falls with major injury

This Nursing Home:	6.0%
State:	2.9%

Percent of long-stay residents assessed and given, appropriately, the seasonal influenza vaccine

This Nursing Home:	100.0%
New York:	96.7%

Percent of long-stay residents assessed and given, appropriately, the pneumococcal vaccine

Here:	100.0%
New York:	97.3%

Percent of short-stay residents who self-report moderate to severe pain

Here:	28.6%
State:	16.9%

Percent of short-stay residents with Pressure ulcers that are new or worsened

Here:	2.1%
State:	1.8%

Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine

This Nursing Home:	98.8%
State:	86.9%

Percent of short-stay residents assessed and given, appropriately, the pneumococcal vaccine

This Nursing Home:	97.2%
State:	85.0%

Percent of short-stay residents who newly received an antipsychotic medication

This Nursing Home:	3.1%
New York:	3.1%

Percent of long-stay residents who received an antipsychotic medication

Here:	8.5%
State:	20.8%

Complaint Deficiency

Provide activities to meet the interests and needs of each resident
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Coordinate assessments with the pre-admission screening and resident review program for mentally-ill and mentally-retarded patients
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Provide necessary care and services to maintain the highest well being of each resident
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Give each resident enough fluids to keep them healthy and prevent dehydration
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Provide food in a way that meets a resident's needs
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Corridors that are separated from common areas by walls constructed to limit the passage of smoke
- Harm: Potential for minimal harm
- Scope: Some
Properly constructed windows in hallway walls or doors
- Harm: Potential for minimal harm
- Scope: Some
Construction that can resist fire for one hour or an approved fire extinguishing system
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Exits that are accessible at all times
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Properly working alarms on sprinkler valves
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Heating and ventilation systems that have been properly installed according to the manufacturer's instructions
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Other fire safety features required by fire safety codes
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Develop a complete care plan that meets all of a resident's needs, with timetables and actions that can be measured
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Allow the resident the right to participate in the planning or revision of the resident's care plan
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Provide care by qualified persons according to each resident's written plan of care
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Provide necessary care and services to maintain the highest well being of each resident
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Make sure that each resident gets a nutritional and well balanced diet, unless it is not possible to do so
- Harm: Minimal harm or potential for actual harm
- Scope: Few
1) Make sure that each resident's drug regimen is free from unnecessary drugs; 2) Each resident's entire drug/medication is managed and monitored to achieve highest well being
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Post nurse staffing information/data on a daily basis
- Harm: Potential for minimal harm
- Scope: Some
Make sure that a doctor approves a resident's admission in writing and that each resident remains under the care of a doctor
- Harm: Minimal harm or potential for actual harm
- Scope: Few
At least once a month, have a licensed pharmacist review each resident's medication(s) and report any irregularities to the attending doctor
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Corridor and hallway doors that block smoke
- Harm: Potential for minimal harm
- Scope: Some
Heating and ventilation systems that have been properly installed according to the manufacturer's instructions
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Exits that are free from obstructions and can be used at all times
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Proper medical gas storage and administration areas
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Keep each resident's personal and medical records private and confidential
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Develop a complete care plan that meets all of a resident's needs, with timetables and actions that can be measured
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Provide care by qualified persons according to each resident's written plan of care
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Make sure that each resident who enters the nursing home without a catheter is not given a catheter, and receive proper services to prevent urinary tract infections and restore normal bladder function
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Make sure that residents with reduced range of motion get proper treatment and services to increase range of motion
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Have a program that investigates, controls and keeps infection from spreading
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Keep all essential equipment working safely
- Harm: Minimal harm or potential for actual harm
- Scope: Some

Staff Information

Number of Registered Nurses Hours Per Resident Per Day

This Nursing Home:	0.790
New York:	0.637

Number of Licensed Practical and Licensed Vocational Nurses Hours Per Resident Per Day

Here:	1.080
State:	0.790

Total Number of Licensed Staff Hours Per Resident Per Day

Here:	1.870
State:	1.425

Number of ,Certified Nurse Assistant Hours Per Resident Per Day

Here:	0.080
New York:	0.080

Number Therapy Hours Per Resident Per Day

This Nursing Home:	0.080
New York:	0.081

CORTLANDT HEALTHCARE LLC - CORTLANDT MANOR, NY

Quality Measures

Complaint Deficiency

Staff Information

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