Affinity Skilled Living and Rehabilitation Center

2850 Grand Island Blvd., Oakdale, New York 11769

Affinity Skilled Living and Rehabilitation Center is located in Oakdale, New York. It has 280 certified beds that have been approved by the federal government to participate in Medicare and Medicaid, with an average of 277.4 residents per day. Affinity Skilled Living and Rehabilitation Center is not in a Continuing Care Retirement Community, and it is not in a hospital. It has a Resident and Family Council to facilitate communications with the staff. The facility is a for profit corporation doing business under the legal business name of Oakwood Operating Co., 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 Affinity Skilled Living and Rehabilitation Center is “below average” or 2 stars.

Affinity Skilled Living and Rehabilitation Center’s star rating for health inspections is 3 stars which is an “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 Affinity Skilled Living and Rehabilitation Center was November 30, 2018. In that report 5 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, deficiencies noted included:

• The facility did not ensure that a comprehensive person-centered care plan was
  implemented for each resident. Specifically, there were 5 residents who had comprehensive care plans (CCP) with interventions that included to monitor respiratory status every shift. Medical records revealed that monitoring of the respiratory status was not consistently done every shift.
• The facility did not ensure that each resident was given the appropriate treatment and
  services to maintain or improve his or her ability to carry out the activities of daily living (ADLs). For, example, one resident did not have dentures in place for the breakfast meal on November 26, 2018.

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, Affinity Skilled Living and Rehabilitation Center received 1 star which is a “much below average” rating.

• The total number of licensed nurse staff hours per resident per day at Affinity Skilled Living and Rehabilitation Center is 1 hour and 24 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 Affinity Skilled Living and Rehabilitation Center is 23 minutes compared to 42 minutes for New York and 41 minutes for the United States.
• The licensed practical/vocational nurses hours per resident per day at Affinity Skilled Living and Rehabilitation Center is 1 hour and 1 minute 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 7 minutes, while the New York average is 2 hours and 15 minutes and the national average is 2 hours and 31 minutes.
• Affinity Skilled Living and Rehabilitation Center provides 5 minutes of physical therapist staff hours per resident per day, compared to the New York average of 7 minutes and the national average of 5 minutes. However, not all nursing home residents require physical therapy.

Affinity Skilled Living and Rehabilitation Center’s star rating for overall quality of resident care is 4 stars which is an “above average” rating. Facilities are also rated on their quality of care for short-stay residents and long-stay residents.

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 (SNF) benefit. Affinity Skilled Living and Rehabilitation Center’s star rating for short-stay residents is 3 stars which is an “average” rating.

24.8% of Affinity Skilled Living and Rehabilitation 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%. Antipsychotic medications can be used to treat certain mental health conditions. 2.1% of short-stay residents of Affinity Skilled Living and Rehabilitation Center received antipsychotic medication for the first time, while the New York average is 1.5%. and the national average is 1.8%.

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. 1.5% of the skilled nursing facility residents at Affinity Skilled Living and Rehabilitation 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. 63.5% of Affinity Skilled Living and Rehabilitation Center’s short-stay residents received the needed flu shot for current flu season. This percentage is much lower 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 Affinity Skilled Living and Rehabilitation Center is 59.3%, 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. Affinity Skilled Living and Rehabilitation Center’s rating for long-stay residents is 4 stars which is an “above average” rating.

A part of a nursing home’s quality of resident care rating is the number of resident hospitalizations. For Affinity Skilled Living and Rehabilitation Center, the number of hospitalizations per 1,000 long-stay resident days is 1.93, 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 Affinity Skilled Living and Rehabilitation Center the number is days is 1.04, 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 Affinity Skilled Living and Rehabilitation Center experiencing one or more falls with major injury is 2.6, while the New York average is 2.9, and the national average is 3.4. The percentage of long-stay high-risk residents at Affinity Skilled Living and Rehabilitation Center with pressure ulcers is 9.7%, compared to the New York average of 8.6% and the national average of 7.4%. The percentage of long-stay residents at Affinity Skilled Living and Rehabilitation Center with a urinary tract infection is 3.4%, compared to the New York average of 2.4% and the national average of 2.8%. The percentage of long-stay residents at Affinity Skilled Living and Rehabilitation Center who have or had a catheter inserted and left in their bladder is 2.0%, 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 Affinity Skilled Living and Rehabilitation Center, 11.1% 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 Affinity Skilled Living and Rehabilitation Center whose need for help with daily activities has increased is 11.1%, compared to the New York average of 13.3% and the national average of 14.8%. The percentage of long-stay residents Affinity Skilled Living and Rehabilitation Center who report moderate to severe pain is 2.9%, compared to the New York average of 4.0% and the national average of 6.9%.

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. Affinity Skilled Living and Rehabilitation Center has not received a penalty from the federal government in the last 3 years.

The information about the performance of Affinity Skilled Living and Rehabilitation 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.