191 Bradley Avenue, Staten Island, New York 10314
Golden Gate Rehabilitation and Health Care is located on Staten Island. It has 238 certified beds that have been approved by the federal government to participate in Medicare and Medicaid, with an average of 226.5 residents per day. Golden Gate Rehabilitation and Health Care 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 Golden Gate Rehabilitation & Health Care LLC.
The Centers for Medicare & Medicaid Services (CMS) gives each nursing home an overall rating* on a scale of 1 to 5 stars, as well as star ratings in the categories of health inspections, staffing, and quality of resident care. The overall rating for Golden Gate Rehabilitation and Health Care is 5 stars, which is “much above average”.
Health InspectionsGolden Gate Rehabilitation and Health Care’s star rating for health inspections 5 stars. Roughly once every 12-18 months, New York State inspectors conduct full inspections of nursing homes for compliance with the 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 other individual, or based on a facility’s self-reported incident.
The date of the most recent health inspection was August 31, 2017. In that report 1 health citations were noted. The statement of deficiencies from the inspection included a problem related to having a program that investigates, controls, and keeps infection from spreading. However, between April 1, 2018 and March 31, 2019, there were no complaints or facility-reported incidents that resulted in citations.
StaffingFor staffing, Golden Gate Rehabilitation and Health Care received a 2-star rating, which is a “below average” rating. The staffing rating is based on 2 measures: registered nurse hours per resident per day; and total staffing hours per resident per day. Total staffing includes: registered nurses, licensed practical nurses/licensed vocational nurses, and nurses aides.
The total number of licensed nurse staff hours per resident per day at Golden Gate Rehabilitation and Health Care is 44 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 Golden Gate Rehabilitation and Health Care is 35 minutes compared to 42 minutes for New York and a national average of 41 minutes. The licensed practical/vocational nurses hours per resident per day at Golden Gate Rehabilitation and Health Care is 20 minutes compared to 49 minutes for New York and 53 minutes for the United States.
Physical therapist hours are also measured. This measure shows the average time physical therapists spend providing care tor residents throughout the facility. However, not all nursing home residents require physical therapy. Golden Gate Rehabilitation and Health Care provides 5 minutes of physical therapist staff hours per resident per day, compared to the New York average is 7 minutes and the national average is 5 minutes.
Quality of Resident CareGolden Gate Rehabilitation and Health Care’s star rating for overall quality of resident care is 5 stars which is a “much above average” rating. Facilities are also rated on their quality of care for short-stay residents and long-stay residents. Golden Gate Rehabilitation and Health Care received 5-star ratings for quality of care for both 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 benefit.
22.2% of Golden Gate Rehabilitation and Health Care’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, 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. None of the skilled nursing facility residents at Golden Gate Rehabilitation and Health Care 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. 82.0% of Golden Gate Rehabilitation and Health Care’s short-stay residents received the needed flu shot for current flu season. This percentage is close to 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 Golden Gate Rehabilitation and Health Care is 82.6%, 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.
A part of a nursing home’s quality of resident care rating is the number of resident hospitalizations. For Golden Gate Rehabilitation and Health Care, the number of hospitalizations per 1,000 long-stay resident days is 1.36, 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 residents, for Golden Gate Rehabilitation and Health Care the number is days is 0.81, 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 Golden Gate Rehabilitation and Health Care experiencing one or more falls with major injury is 2.5, while the New York average is 2.9, and the national average is 3.4. As for the statistic related to pressure ulcers, the percentage of long-stay high-risk residents at Golden Gate Rehabilitation and Health Care with pressure ulcers is 10.6%, compared to the New York average of 8.6% and the national average of 7.4%. The percentage of long-stay residents at Golden Gate Rehabilitation and Health Care with a urinary tract infection is 0.2%, compared to the New York average of 2.4% and the national average of 2.8%. The percentage of long-stay residents at Golden Gate Rehabilitation and Health Care who have or had a catheter inserted and left in their bladder is 1.0%, 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 Golden Gate Rehabilitation and Health Care, 17.9% 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 Golden Gate Rehabilitation and Health Care whose need for help with daily activities has increased is 14.0%, compared to the New York average of 13.3% and the national average of 14.8%. The percentage of long-stay residents Golden Gate Rehabilitation and Health Care who report moderate to severe pain is 0.6%, compared to the New York average of 4.0% and the national average of 6.9%.
FinesWhen 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. Golden Gate Rehabilitation and Health Care has not received a penalty from the federal government in the last 3 years.
*DisclaimerThe information about the performance of Golden Gate Rehabilitation and Health Care 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.