TOLSTOY FOUNDATION REHABILITATION AND NURSING CENTER (VALLEY COTTAGE, NY) Detailed Nursing Home Profile

Staff Information

Number of Registered Nurses Hours Per Resident Per Day

Here:	0.410
State:	0.637

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

This Nursing Home:	0.720
State:	0.790

Total Number of Licensed Staff Hours Per Resident Per Day

This Nursing Home:	1.130
New York:	1.425

Number of ,Certified Nurse Assistant Hours Per Resident Per Day

Here:	0.070
New York:	0.080

Number Therapy Hours Per Resident Per Day

This Nursing Home:	0.070
State:	0.081

Quality Measures

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

Here:	8.2%
State:	15.6%

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

Here:	2.6%
State:	7.6%

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

Here:	15.0%
New York:	8.4%

Percent of long-stay residents who lose too much weight

This Nursing Home:	11.6%
New York:	6.4%

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

Here:	46.7%
New York:	41.1%

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

Here:	2.3%
New York:	3.1%

Percent of long-stay residents with a urinary tract infection

Here:	7.0%
State:	6.8%

Percent of long-stay residents who were physically restrained

Here:	7.9%
State:	2.3%

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

This Nursing Home:	2.2%
State:	2.9%

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

Here:	100.0%
New York:	96.7%

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

This Nursing Home:	100.0%
New York:	97.3%

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

Here:	4.0%
New York:	16.9%

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

Here:	2.4%
New York:	1.8%

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

This Nursing Home:	96.2%
State:	86.9%

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

This Nursing Home:	90.0%
State:	85.0%

Percent of long-stay residents who received an antipsychotic medication

Here:	13.9%
New York:	20.8%

Complaint Deficiency

Automatic sprinkler systems that have been maintained in working order
- Harm: Potential for minimal harm
- Scope: Many
Properly sized and located linen or trash receptacles
- Harm: Potential for minimal harm
- Scope: Many
Proper medical gas storage and administration areas
- Harm: Potential for minimal harm
- Scope: Some
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
Make sure services provided by the nursing facility meet professional standards of quality
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Properly maintained smoke detectors
- 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
Proper medical gas storage and administration areas
- 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: Some
Provide necessary care and services to maintain the highest well being of each resident
- 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
Properly constructed windows in hallway walls or doors
- Harm: Potential for minimal harm
- Scope: Some
Walls or barriers that prevent smoke from passing through and would resist fire for at least one hour
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Construction that can resist fire for one hour or an approved fire extinguishing system
- Harm: Potential for minimal harm
- Scope: Some
Make sure each resident receives an accurate assessment by a qualified health professional
- 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
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
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

TOLSTOY FOUNDATION REHABILITATION AND NURSING CENTER - VALLEY COTTAGE, NY

Staff Information

Quality Measures

Complaint Deficiency

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