Brooklyn Gardens Nursing and Rehabilitation Center

835 Herkimer Street, Brooklyn, New York 11233

Brooklyn Gardens Nursing and Rehabilitation Center is located in Brooklyn, New York. It has 240 certified beds that have been approved by the federal government to participate in Medicare and Medicaid, with an average of 221.9 residents per day. Brooklyn Gardens Nursing 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 nonprofit corporation doing business under the legal business name of Providence Care Inc. The overall rating for Brooklyn Gardens Nursing and Rehabilitation Center is “average” or 3 out of 5 stars.

Health Inspections

Brooklyn Gardens Nursing and Rehabilitation Center’s star rating for health inspections is 2 stars which is a “below 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 Brooklyn Gardens Nursing and Rehabilitation Center was October 11, 2018. In that report 7 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, three of the deficiencies noted include:

• The facility did not ensure that a resident's comprehensive care plan (CCP) was
  reviewed and revised with changes in the resident's needs and conditions. Specifically, a resident's CCP was not reviewed and revised after the resident was received a new diagnosis.
• The facility did not ensure that a resident with limited range of motion receives
  appropriate treatment and services to prevent further decrease in range of motion.
  Specifically, a resident was not provided with a hip abductor pillow.
• The facility did not ensure that a separately locked, permanently affixed compartment for storage of controlled drugs was provided. Specifically, the licensed practical nurse LPN was observed using one key to open both locked compartments of the narcotic box.

In addition, during the last 3 years, there were no complaints that resulted in citations, but there were 2 occasions in which there were facility-reported incidents that resulted in citations.

Staffing

According to the CMS, higher staffing levels may mean higher quality of care for residents. Thus, the CMS reviews the staffing levels. For example, the CMS looks at the number of hours per resident of licensed nurses, registered nurses, and physical therapists. Brooklyn Gardens Nursing and Rehabilitation Center received a below average rating for staffing. This means that it received two stars out of a possible five.

The total number of licensed nurse staff hours per resident per day at Brooklyn Gardens Nursing and Rehabilitation Center is 1 hour and 12 minutes whereas the New York average is 1 hour and 33 minutes and the national average is 1 hour and 33 minutes. The registered nurse hours per resident per day at the facility is 25 minutes compared to 42 minutes for New York and 41 minutes for the United States. Brooklyn Gardens Nursing and Rehabilitation Center provides physical therapy staff hours per resident per day an average of 3 minutes. The New York average in this category is 7 minutes, while the national average is 5 minutes. However, not all nursing home residents require physical therapy.

Quality of resident care CMS reviews nursing home records for information related to a number of areas related to patient health. Brooklyn Gardens Nursing and Rehabilitation Center’s star rating for overall quality of resident care is 5 stars. Facilities are also rated on their quality of care for short-stay residents and long-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 benefit. Long-stay residents are those who spent over 100 days in a nursing home. Brooklyn Gardens Nursing and Rehabilitation Center received a 4 stars rating for quality of care for short-stay residents and 5 stars for long-stay residents.

Short-stay residents. For short-stay residents, the CMS reviews resident records related to hospitalizations, illness, pain, flu and pneumonia prevention, and rate of returning home.

• Hospitalizations: 17.1% of Brooklyn Gardens Nursing 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%.
• Pressure ulcers. 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. 0.8% of the skilled nursing facility residents at Brooklyn Gardens Nursing and Rehabilitation Center had pressure ulcers that were new or worsened while residing at this facility. The national average is 1.6%.
• Pain. For Brooklyn Gardens Nursing and Rehabilitation Center, the percentage of short-stay residents who report moderate to severe pain is 1.2%, while the New York rate is 8.1% and the national rate is 12.3%
• Flu and pneumonia. Nursing facilities are also evaluated for their flu and pneumonia prevention measures. 74.1% of Brooklyn Gardens Nursing and Rehabilitation Center’s short-stay residents received the needed flu shot for current flu season. This percentage is lower than both the New York and national averages which stand at 82.6% and 82.3%, respectively. However, nursing homes are required to provide flu shots each year. However, residents are not required to get flu shots. Any resident has the right to refuse if he or she does not want a shot, has already received the shot, or the flu shot is medically contraindicated. As for the percentage of short-stay residents who needed and got a vaccine to prevent pneumonia, the percentage for Brooklyn Gardens Nursing and Rehabilitation Center is 72.1%, while the average for New York is 79.3% and the average for the nation is 83.2%.

Long-stay residents. The CMS reviews similar statistics for long-stay residents.

• Hospitalizations: For Brooklyn Gardens Nursing and Rehabilitation Center, the number of hospitalizations per 1,000 long-stay resident days is 2.46, which is higher than both the New York average of 1.55, and the national average of 1.75. As for the number of outpatient emergency department visits per 1,000 long-stay residents, for Brooklyn Gardens Nursing and Rehabilitation Center the number of days is 0.81, while the New York average is 0.74, and the national average is 1.03.
• Falls. The percentage of long-stay residents at Brooklyn Gardens Nursing and Rehabilitation Center experiencing one or more falls with major injury is 1.1, while the New York average is 2.9, and the national average is 3.4.
• Pressure ulcers. The percentage of long-stay high-risk residents at Brooklyn Gardens Nursing and Rehabilitation Center with pressure ulcers is 8.8%, compared to the New York average of 8.6% and the national average of 7.4%.
• Mobility. For Brooklyn Gardens Nursing and Rehabilitation Center, percentage of long-stay residents whose ability to move independently worsened is 9.2%, while the New York rate is 16.0% and the national rate is 17.9%
• Flu and pneumonia. Nursing facilities are also evaluated for their flu and pneumonia prevention measures. 93.1% of Brooklyn Gardens Nursing and Rehabilitation Center’s long-stay residents received the needed flu shot for current flu season. This percentage is lower than both the New York and national averages which stand at 97.0% and 95.6%, respectively. As for the percentage of long-stay residents who needed and got a vaccine to prevent pneumonia, the percentage for Brooklyn Gardens Nursing and Rehabilitation Center is 92.7%, while the average for New York is 93.6% and the average for the United States is 93.7%.
• Depression. Nursing facilities are also evaluated for the rate at which long-stay residents show signs of depression. For Brooklyn Gardens Nursing and Rehabilitation Center, the percentage of long-stay residents who have symptoms of depression is 4.7% compared to the New York average of 6.0% and the national average of 4.6%.

Fines

When a nursing home gets a serious citation or takes too long to fix a problem for which it received a citation, that facility may be assessed a penalty. A penalty can be a fine or a denied payment from Medicare. Brooklyn Gardens Nursing and Rehabilitation Center has not received a penalty from the federal government in the last 3 years.

*Disclaimer

The information about the performance of Brooklyn Gardens Nursing 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.

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