COLD SPRINGS HILLS CTR FOR NURSING AND REHAB - WOODBURY, NY

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Addresss:

378 SYOSSET WOODBURY ROAD
WOODBURY, NY, 11797

Phone (make sure to verify first before calling): (516) 921-3900

Number of Certified Beds: 672
Total Number of Residents: 558
Percent of Occupied Beds: 83%
Sprinkler Status: Fully Sprinklered
Program Participation: Medicare and Medicaid
Type of Ownership: For profit - Corporation
Located Within a Hospital?: No
Multi Nursing Home Ownership?: No
Resident and Family Councils: Both
Continuing Care Retirement Community?: No
Quality Indicator Survey?: No
Special Focus Facility?: No
Type: Skilled Nursing Facilities

Overall Star Rating: 3 Stars
Health Inspections Star Rating: 2 Stars
Nurse Staffing Star Rating: 4 Stars
Quality Measures Star Rating: 4 Stars
RN Only Star Rating: 4 Stars

Other nearby hospitals and nursing homes

HOSPICE CARE OF LONG ISLAND, QUEENS, SOUTH SHORE (1.91 miles)
NASSAU COUNTY CHAPTER, NYS ARC, INC. (PLAINVIEW, 1.94 miles)
THE CENTER FOR DEVELOPMENTAL DISABILITIES, INC (0.66 miles)
WHITE OAKS NURSING HOME (0.67 miles)
WOODBURY CENTER FOR HEALTH CARE (0.66 miles)

Employment Full-Time Equivalent

Administrative Staff - Full Time: 41.23

Administrative Staff - Part Time: 2.06

Certified Nurse Aides - Full Time: 175.01

Certified Nurse Aides - Part Time: 85.71

Food Service Personnel - Full Time: 25.91

Food Service Personnel - Part Time: 31.57

Housekeeping Personnel - Full Time: 49.87

Licensed Practical/ Vocational Nurses - Full Time: 50.34

Licensed Practical/ Vocational Nurses - Part Time: 11.61

Mental Health Services Personnel - Under Contract: 1.86

Nurses With Administrative Duties - Full Time: 33.00

Occupational Therapy Aides - Full Time: 1.41

Persons Not Included In Any Other Categories - Full Time: 13.34

Physical Therapists - Under Contract: 1.69

Registered Nurses - Full Time: 54.43

Rn Director Of Nursing - Full Time: 0.97

Social Workers - Full Time: 6.54

Activities Professionals - Full Time: 10.86

Dentists - Under Contract: 0.17

Dietitians - Part Time: 1.71

Nurses With Administrative Duties - Part Time: 6.33

Occupational Therapists - Under Contract: 2.10

Administrative Staff - Under Contract: 2.14

Medical Directors - Full Time: 1.14

Persons Not Included In Any Other Categories - Under Contract: 6.40

Podiatrists - Under Contract: 0.86

Other Physicians - Under Contract: 5.97

Physician Extenders - Under Contract: 1.83

Dietitians - Full Time: 3.64

Sppech Pathologists - Full Time: 1.07

Persons Not Included In Any Other Categories - Part Time: 6.76

Registered Nurses - Part Time: 10.60

Occupational Therapy Assistants - Under Contract: 1.66

Social Workers - Part Time: 1.21

Housekeeping Personnel - Part Time: 21.59

Pharmacists - Full Time: 1.07

Occupational Therapists - Full Time: 3.64

Physical Therapists - Full Time: 4.19

Occupational Therapy Assistants - Full Time: 0.94

Physical Therapy Aide - Full Time: 2.14

Nurses With Administrative Duties - Under Contract: 0.86

Number Of Beds

Total: 672

Total Certified: 672

For Residents With Alzeheimers: 80

For Residents With Specialized Rehab Needs: 70

For Residents Needing Hospice Services: 10

Provided Services

Activities Services Are Provided Onsite To Nonresidents

Activities Services Are Provided Onsite To Residents

Administration And Storage Of Blood Services Are Provided Offsite To Residents

Clinical Laboratory Services Are Provided Onsite To Non Residents

Clinical Laboratory Services Are Provided Onsite To Residents

Dental Services Are Provided Offsite To Residents

Dental Services Are Provided Onsite To Residents

Diagnostic Xray Services Are Provided Offsite To Residents

Diagnostic Xray Services Are Provided Onsite To Non Residents

Diagnostic Xray Services Are Provided Onsite To Residents

Dietary Services Are Provided Onsite To Non Residents

Dietary Services Are Provided Onsite To Residents

Housekeeping Services Are Provided Onsite To Residents

Mental Health Services Are Provided Offsite To Residents

Mental Health Services Are Provided Onsite To Non Residents

Mental Health Services Are Provided Onsite To Residents

Nursing Services Are Provided Onsite To Non Residents

Nursing Services Are Provided Onsite To Residents

Occupational Therapy Services Are Provided Onsite To Non Residents

Occupational Therapy Services Are Provided Onsite To Residents

Pharmacy Services Are Provided Onsite To Non Residents

Pharmacy Services Are Provided Onsite To Residents

Physical Therapy Services Are Provided Onsite To Non Residents

Physical Therapy Services Are Provided Onsite To Residents

Physician Extender Services Are Provided Onsite To Residents

Physician Services Are Provided Offsite To Residents

Physician Services Are Provided Onsite To Non Residents

Physician Services Are Provided Onsite To Residents

Podiatry Services Are Provided Onsite To Non Residents

Podiatry Services Are Provided Onsite To Residents

Social Work Services Are Provided Onsite To Non Residents

Social Work Services Are Provided Onsite To Residents

Speech/Language Pathology Services Are Provided Onsite To Residents

Therapeutic Recreation Specialist Services Are Provided Onsite To Nonresidents

Therapeutic Recreation Specialist Services Are Provided Onsite To Residents

Complaint Deficiency

Exits that are accessible at all times
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Corridor and hallway doors that block smoke
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Emergency lighting that can last at least 1 1/2 hours
- Harm: Potential for minimal harm
- Scope: Many
Properly protected cooking facilities
- Harm: Potential for minimal harm
- Scope: Many
Give each resident a notice of rights, rules, services and charges. Tell each resident who can get Medicaid benefits about 1) which items and services Medicaid covers and which the resident must pay for
- Harm: Minimal harm or potential for actual 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
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
Coordinate assessments with the pre-admission screening and resident review program for mentally-ill and mentally-retarded patients
- Harm: Potential for minimal 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
Give proper treatment to residents with feeding tubes to prevent problems (such as aspiration pneumonia, diarrhea, vomiting, dehydration, metabolic abnormalities, nasal-pharyngeal ulcers) and help restore eating skills, if possible
- 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: Some
Make sure that doctors see a resident's plan of care at every visit and make notes about progress and orders in writing
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Have a program that investigates, controls and keeps infection from spreading
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Make sure that a working call system is available in each resident's room or bathroom and bathing area
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Corridor and hallway doors that block smoke
- Harm: Minimal harm or potential for actual harm
- Scope: Few
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
Exit stairways and towers that are smoke proof
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Portable fire extinguishers
- Harm: Minimal harm or potential for actual harm
- Scope: Few
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
Provide housekeeping and maintenance services
- Harm: Minimal harm or potential for actual harm
- Scope: Some
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 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
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
Make sure that residents are safe from serious medication errors
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Make sure that special or therapeutic diets are ordered by the attending doctor
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Provide special eating equipment and utensils for each resident who needs them
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Safely provide drugs and other similar products available, which are needed every day and in emergencies, by a licensed pharmacist
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Have a program that investigates, controls and keeps infection from spreading
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Make sure that nurse aides show they have the skills and techniques to be able to care for residents' needs
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Keep accurate, complete and organized clinical records on each resident that meet professional standards
- 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
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
Properly working alarms on sprinkler valves
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Automatic sprinkler systems that have been maintained in working order
- 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: Some
A separate and independent backup electrical power source
- 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
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
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

Quality Measures

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

This Nursing Home:	7.3%
State:	15.6%

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

Here:	1.7%
State:	7.6%

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

This Nursing Home:	8.2%
New York:	8.4%

Percent of long-stay residents who lose too much weight

Here:	4.7%
State:	6.4%

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

This Nursing Home:	41.4%
State:	41.1%

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

This Nursing Home:	3.2%
New York:	3.1%

Percent of long-stay residents with a urinary tract infection

Here:	6.3%
State:	6.8%

Percent of long-stay residents who have depressive symptoms

Here:	40.6%
State:	12.6%

Percent of long-stay residents who were physically restrained

Here:	3.6%
State:	2.3%

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

This Nursing Home:	3.8%
State:	2.9%

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

Here:	94.6%
New York:	96.7%

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

This Nursing Home:	95.1%
State:	97.3%

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

Here:	8.2%
New York:	16.9%

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

Here:	0.6%
New York:	1.8%

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

This Nursing Home:	84.9%
New York:	86.9%

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

This Nursing Home:	75.6%
State:	85.0%

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

This Nursing Home:	2.1%
New York:	3.1%

Percent of long-stay residents who received an antipsychotic medication

Here:	19.3%
State:	20.8%

Staff Information

Number of Registered Nurses Hours Per Resident Per Day

Here:	0.950
New York:	0.637

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

Here:	0.710
State:	0.790

Total Number of Licensed Staff Hours Per Resident Per Day

Here:	1.670
State:	1.425

Number of ,Certified Nurse Assistant Hours Per Resident Per Day

Here:	0.130
New York:	0.080

Number Therapy Hours Per Resident Per Day

Here:	0.130
State:	0.081

COLD SPRINGS HILLS CTR FOR NURSING AND REHAB - WOODBURY, NY

Complaint Deficiency

Quality Measures

Staff Information

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