NYACK MANOR NURSING HOME (VALLEY COTTAGE, NY) Detailed Nursing Home Profile

Staff Information

Number of Registered Nurses Hours Per Resident Per Day

This Nursing Home:	0.450
State:	0.637

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

Here:	0.590
State:	0.790

Total Number of Licensed Staff Hours Per Resident Per Day

This Nursing Home:	1.040
State:	1.425

Number of ,Certified Nurse Assistant Hours Per Resident Per Day

Here:	0.120
State:	0.080

Number Therapy Hours Per Resident Per Day

Here:	0.120
New York:	0.081

Quality Measures

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

Here:	13.3%
State:	15.6%

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

This Nursing Home:	8.8%
State:	7.6%

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

This Nursing Home:	19.1%
State:	8.4%

Percent of long-stay residents who lose too much weight

This Nursing Home:	7.6%
New York:	6.4%

Percent of long-stay low-risk residents who lose control of their bowels or bladder

Here:	49.1%
State:	41.1%

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

Here:	4.4%
State:	3.1%

Percent of long-stay residents with a urinary tract infection

This Nursing Home:	9.2%
State:	6.8%

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

This Nursing Home:	3.2%
New York:	2.9%

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

This Nursing Home:	92.9%
New York:	96.7%

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

Here:	84.1%
New York:	97.3%

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

Here:	17.4%
State:	16.9%

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

Here:	3.0%
New York:	1.8%

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

This Nursing Home:	66.3%
State:	86.9%

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

Here:	60.5%
State:	85.0%

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

This Nursing Home:	3.7%
New York:	3.1%

Percent of long-stay residents who received an antipsychotic medication

This Nursing Home:	24.4%
State:	20.8%

Complaint Deficiency

Properly installed electrical wiring and equipment
- 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: Few
Proper stairway enclosures and vertical shafts
- Harm: Minimal harm or potential for actual harm
- Scope: Few
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
Allow residents to easily view the results of the nursing home's most recent survey
- Harm: Potential for minimal harm
- Scope: Some
Make sure services provided by the nursing facility meet professional standards of quality
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Store, cook, and serve food in a safe and clean way
- Harm: Potential for minimal harm
- Scope: Many
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: Some
Provide housekeeping and maintenance services
- Harm: Potential for minimal harm
- Scope: Some
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
Make sure services provided by the nursing facility meet professional standards of quality
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Proper backup exit lighting
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Honor all of the resident's rights as a resident of the nursing home, free of coercion and reprisal, and as a citizen or resident of the United States
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Properly hold, secure and manage each resident's personal money which is deposited with the nursing home
- Harm: Potential for minimal harm
- Scope: Some
Follow policies and procedures to convey the resident's personal funds to the appropriate party responsible after the resident's death
- Harm: Potential for minimal harm
- Scope: Some
Provide proof that all residents' personal money which is deposited with the nursing home, is secure
- Harm: Potential for minimal harm
- Scope: Some
1) Hire only people with no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Provide care for residents in a way that keeps or builds each resident's dignity and respect of individuality
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Reasonably accommodate the needs and preferences of each resident
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Provide activities to meet the interests and needs of each resident
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Provide medically-related social services to help each resident achieve the highest possible quality of life
- 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: Some
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
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: Some
Give the right treatment and services to residents who have mental or psychosocial problems adjusting
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Make sure that the nursing home area is free from accident hazards and risks and provides supervision to prevent avoidable accidents
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Properly care for residents needing special services, including: injections, colostomy, ureostomy, ileostomy, tracheostomy care, tracheal suctioning, respiratory care, foot care, and prostheses
- 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
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
Have a program that investigates, controls and keeps infection from spreading
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Set up an ongoing quality assessment and assurance group to review quality deficiencies quarterly, and develop corrective plans of action
- Harm: Minimal harm or potential for actual harm
- Scope: Some

NYACK MANOR NURSING HOME - VALLEY COTTAGE, NY

Staff Information

Quality Measures

Complaint Deficiency

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