700 White Plains Road, Bronx, New York 10473
Grand Manor Nursing & Rehabilitation Center is located in Bronx, 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 212.18 residents per day. Grand Manor Nursing & Rehabilitation Center is not in a Continuing Care Retirement Community, and it is not in a hospital. It has a Resident Council to facilitate communications with the staff. The facility is a for profit corporation doing business under the legal business name of Grand Manor Health Related Facility Inc.
The Centers for Medicare & Medicaid Services (CMS) gives each nursing home an overall rating on a scale of 1 to 5 stars. The overall rating* for Grand Manor Nursing & Rehabilitation Center is 2 stars which is a “below average” rating. The CMS also assigns a star rating in each of 3 categories: health inspections, staffing, and quality of resident care measures. Nursing homes vary in the quality of care and services they provide to their residents. Health inspection results, staffing data, and quality of resident care information are 3 important ways to measure the quality of a nursing homes.
Health InspectionsGrand Manor Nursing & Rehabilitation Center’s star rating for health inspections is 2 stars which is a “below average” rating. Approximately once a year, New York State inspectors conduct full inspections of nursing homes for compliance with the federal Medicare and Medicaid regulations, which aims to protect and improve the health and safety of residents. Throughout a year, a nursing home may also be inspected based on a complaint submitted by a resident or other person, or based on the facility’s self-reported incident, such as a resident suffering an injury. The date of the most recent health inspection was October 12, 2017. When inspectors find noncompliance, the facility receives a citation that indicates the specific federal regulation that was violated. In that report 3 health citations were noted. The average number of health citations in New York is 4.8, while the national average is 7.8. In the past 3 years there was 1 complaint that resulted in a citation, and no facility-reported incidents that resulted in citations. The report from November 28, 2018 complaint inspection noted a deficiency related to the facility failing to ensure that a physician document a resident hospital transfer/discharge information in the medical record.
StaffingGrand Manor Nursing & Rehabilitation Center “much below average” rating (2 stars) for staffing. The total number of licensed nurse staff hours per resident per day at Grand Manor Nursing & Rehabilitation Center is 50 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 Grand Manor Nursing & Rehabilitation Center is 21 minutes compared to 42 minutes for New York and 41 minutes for the United States. The licensed practical/vocational nurses (LPN/LVN) hours per resident per day at Grand Manor Nursing & Rehabilitation Center is 29 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. Grand Manor Nursing & Rehabilitation Center provides 4 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 CareCMS combines the values of 17 quality measures (QMs) to create three quality of resident care ratings: a short-stay quality measure rating, a long-stay quality measure rating, and an overall quality measure rating. QMs are derived from clinical data reported by the nursing home and from Medicare claims data submitted for payment.
Grand Manor Nursing & Rehabilitation Center’s star rating for overall quality of resident care is 3tars which is an “average” rating.
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. Grand Manor Nursing & Rehabilitation Center’s star rating for short-stay residents is 2 stars which is a “below average” rating.
28.0% of Grand Manor Nursing & 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. 0.7% of short-stay residents of Grand Manor Nursing & 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. 8.1% of the skilled nursing facility residents at Grand Manor Nursing & 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. 66.0% of Grand Manor Nursing & 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. As for the percentage of short-stay residents who needed and got a vaccine to prevent pneumonia, the percentage for Grand Manor Nursing & Rehabilitation Center is 66.7%, 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. Grand Manor Nursing & Rehabilitation Center’s rating for long-stay residents is 5 stars which is a “much above average” rating.
A part of a nursing home’s quality of resident care rating is the number of resident hospitalizations. For Grand Manor Nursing & Rehabilitation Center, the number of hospitalizations per 1,000 long-stay resident days is 2.22, 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 Grand Manor Nursing & Rehabilitation Center the number is days is 0.71, 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 Grand Manor Nursing & Rehabilitation Center experiencing one or more falls with major injury is 1.6, while the New York average is 2.9, and the national average is 3.4. The percentage of long-stay high-risk residents at Grand Manor Nursing & Rehabilitation Center with pressure ulcers is 10.2%, compared to the New York average of 8.6% and the national average of 7.4%. The percentage of long-stay residents at Grand Manor Nursing & Rehabilitation Center with a urinary tract infection is 0.9%, compared to the New York average of 2.4% and the national average of 2.8%. The percentage of long-stay residents at Grand Manor Nursing & Rehabilitation Center who have or had a catheter inserted and left in their bladder is 2.1%, 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 Grand Manor Nursing & Rehabilitation Center, 15% 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 Grand Manor Nursing & Rehabilitation Center whose need for help with daily activities has increased is 6.0%, compared to the New York average of 13.3% and the national average of 14.8%.
The percentage of long-stay residents Grand Manor Nursing & Rehabilitation Center who report moderate to severe pain is 0%, 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. Grand Manor Nursing & Rehabilitation Center has not received a penalty from the federal government in the last 3 years.
*DisclaimerThe information about the performance of Grand Manor Nursing & 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.