Casa Promesa

2850 Grand Island Blvd., Grand Island, New York 14072

Casa Promesa has 108 certified beds that have been approved by the federal government to participate in Medicare and Medicaid. The Centers for Medicare & Medicaid Services (CMS) gives each nursing home an overall rating on a scale of 1 to 5 stars based on data related to health inspections, staffing, and quality measures. The overall rating* for Casa Promesa is a star which is a “much below average” rating. The CMS also assigns a star rating in each of those three categories.

Health Inspections

Approximately once a year, New York State inspectors inspect nursing homes to make sure that they remain in compliance with the federal Medicare and Medicaid regulations. Casa Promesa’s most recent inspection was on May 13, 2022. As a result of the inspection, Casa Promesa was given a 1 star/much below average rating. It was issued 11 health citations, indicating that federal regulations had been violated.

Staffing

Casa Promesa received an “above average” rating (4 star) for staffing. This rating was based on the totally number of nurse staff hours per resident per day, the registered nurse hours per resident per day, the LPN/LVN hours per resident per day, and the nurse aide hours per resident per day. It was also based on RN hours per resident per day and staffing turnover.

Quality Measures

Based on the rating factors described below, Casa Promesa received a 3 star rating (average) for quality measures.

Short-stay residents. For short stay residents (100 days or less), Casa Promesa did not receive a star rating because there was not enough data to calculate a rating. Factors used calculate ratings include:

• Percentage who were re-hospitalized after a nursing home admission
• Percentage who have had an outpatient emergency department visit
• Percentage who got antipsychotic medication for the first time
• Percentage of residents with new or worsened pressure injuries (bedsores)
• Percentage who improved in their ability to independently move around
• Percentage who needed and received a flu shot for the current flu season
• Percentage who needed and received a pneumonia vaccine
• Percentage of residents whose medications were reviewed and who received follow-up care when medication issues were identified
• Percentage of SNF residents who seriously injured from a fall during their SNF stay
• Percentage of SNF residents whose functional abilities were assessed and functional goals were included in their treatment plan
• Percentage of residents who are at or above an expected ability to care for themselves at discharge
• Percentage of residents who are at or above an expected ability to move around at discharge
• Change in residents' ability to care for themselves
• Change in residents' ability to move around
• Percentage of SNF healthcare personnel who completed COVID-19 primary vaccination series
• Rate of successful return to home or community from a SNF
• Rate of potentially preventable hospital readmissions 30 days after discharge from a SNF
• Percentage of infections patients got during their SNF stay that resulted in hospitalization
• Medicare Spending Per Beneficiary (MSPB) for residents in SNFs

Long-stay residents. Casa Promesa’s rating for long-stay residents (over 100 days) is 3 stars which is an “above average” rating. The rating is based on the following factors.

• Number of hospitalizations per 1,000 long-stay resident days
• Number of outpatient emergency department visits per 1,000 long-stay resident days
• Percentage of residents who got an antipsychotic medication
• Percentage of residents who suffered serious injury from falling
• Percentage of high-risk residents with bedsores/pressure ulcers
• Percentage of residents with a urinary tract infection
• Percentage of residents who have or had a catheter inserted and left in their bladder
• Percentage of residents whose need for help with daily activities has increased
• Flu & pneumonia prevention measures - Long-stay residents
• Percentage of residents who needed and got a flu shot for the current flu season
• Percentage of residents who needed and got a vaccine to prevent pneumonia
• Percentage of residents who were physically restrained
• Percentage of low-risk residents who lose control of their bowels or bladder
• Percentage of residents who lose too much weight
• Percentage of residents who have symptoms of depression
• Percentage of residents who got an antianxiety or hypnotic medication

COVID-19 Vaccination Rates as Reported on December 11, 2022

• Residents who completed primary vaccination series 84.7% (lower than state and national averages)
• Residents who are up-to-date on their vaccines 77.8% (higher than state and national averages)
• Staff who completed primary vaccination series 100% (higher than state and national averages)
• Staff who are up-to-date on their vaccines 73.8% (higher than state and national averages)

Fire Safety Inspections & Emergency Preparedness

Nursing homes have regular fire safety inspections and they are required to have an emergency preparedness plan, based off an all-hazards risk approach. Casa Promesa’s most recent standard fire safety inspection was on May 13, 2022. It received 7 citations.

Fines

In the last 3 years Casa Promesa received 5 fines- $5000, $1310, $1310, $655, and $13,484. It did not have any Medicare payment denials in the last 3 years.

Disclaimer

The information about the performance of Casa Promesa 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.

---