Hamilton Park Nursing and Rehabilitation Center

691 92^nd Street, Brooklyn, New York 11228

Hamilton Park Nursing and Rehabilitation Center is located in Brooklyn, New York. It has 200 certified beds that have been approved by the federal government to participate in Medicare and Medicaid, with an average of 82.6 residents per day. Hamilton Park Nursing and 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 partnership doing business under the legal business name of Hamilton Park Multicare. The overall rating for Hamilton Park Nursing and Rehabilitation Center is “above average” or 4 out of 5 stars.

Health Inspections and Fire Safety Inspections

Health inspections. Hamilton Park Nursing and Rehabilitation Center’s star rating for health inspections is 3 stars which is an “average” rating. About every 15 months New York State inspectors 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 Hamilton Park Nursing and Rehabilitation Center was May 1, 2018. In that report 4 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, some of the deficiencies noted include:

• The facility did not ensure that a resident's physician was immediately notified when the resident pulled out their feeding tube.
• The facility did not ensure the resident's representative was invited to participate in a comprehensive care planning meeting. Specifically, a resident's family members stated that they were never informed about the care planning meetings to discuss the resident's plan of care with the interdisciplinary team.

Fire safety inspections. The most recent fire safety inspection was on May 4, 2018. The facility received 1 citation. The deficiency noted was a smoke deficiency.

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. Hamilton Park 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 Hamilton Park Nursing and Rehabilitation Center is 1 hour and 36 minutes whereas 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 the facility is 48 minutes compared to 42 minutes for New York and 41 minutes for the United States. Hamilton Park Nursing and Rehabilitation Center provides physical therapy staff hours per resident per day an average of 10 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. Hamilton Park 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. Hamilton Park Nursing and Rehabilitation Center also received 5-star ratings for both short-stay residents and long-stay residents.

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

• Hospitalizations: 21.1% of Hamilton Park 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. 1.2% of the skilled nursing facility residents at Hamilton Park Nursing and Rehabilitation Center had pressure ulcers that were new or worsened while residing at this facility. The national average is 1.6%.
• Mobility. For Hamilton Park Nursing and Rehabilitation Center, the percentage of short-stay residents who improved in their ability to move around on their own is 88.8%, while the New York rate is 67.7% and the national rate is 66.8%
• Flu and pneumonia. Nursing facilities are also evaluated for their flu and pneumonia prevention measures. 50.8% of Hamilton Park Nursing 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. Note that 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 Hamilton Park Nursing and Rehabilitation Center is 42.2%, while the average for New York is 79.3% and the average for the nation is 83.2%.
• Returning home. The goal for short-stay residents is generally for them to ultimately return home. For Hamilton Park Nursing and Rehabilitation Center the rate of successful return to home and community is worse than the national average of 48.6%.

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

• Hospitalizations: For Hamilton Park Nursing and Rehabilitation Center, the number of hospitalizations per 1,000 long-stay resident days is 1.78, 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 Hamilton Park Nursing and Rehabilitation Center the number of days is 0.34, while the New York average is 0.74, and the national average is 1.03.
• Falls. The percentage of long-stay residents at Hamilton Park Nursing and Rehabilitation Center experiencing one or more falls with major injury is 2.8, 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 Hamilton Park Nursing and Rehabilitation Center with pressure ulcers is 14.4%, compared to the New York average of 8.6% and the national average of 7.4%.
• Mobility. For Hamilton Park Nursing and Rehabilitation Center, percentage of long-stay residents whose ability to move independently worsened is 11.4%, 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. 92.9% of Hamilton Park 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 Hamilton Park Nursing and Rehabilitation Center is 81.3%, 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 Hamilton Park Nursing and Rehabilitation Center, the percentage of long-stay residents who have symptoms of depression is 0.2% 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. Hamilton Park 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 Hamilton Park 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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