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Harlem Center for Nursing and Rehabilitation

30 West 138th Street, New York, New York 10037

Harlem Center for Nursing and Rehabilitation is located in Harlem, 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 188.6 residents per day. Harlem Center for Nursing and Rehabilitation 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 Harlem Center for Nursing and Rehabilitation LLC.

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 Harlem Center for Nursing and Rehabilitation is 4 stars which is an “above average” rating. The CMS also assigns a star rating in each of 3 categories: health inspections, staffing, and quality of resident care measures.

Health Inspections

Harlem Center for Nursing and Rehabilitation’s star rating for health inspections is poor. The rating is 3 stars which is an “average” rating. 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, relative or other individual, or based on a facility’s self-reported incident. For example, complaints may be based on concerns related to abuse, neglect, poor care, not enough staff, unsafe or unsanitary conditions, dietary problems, or mistreatment. When inspectors find noncompliance, the facility receives a citation that indicates the specific federal regulation that was violated.

The date of the most recent health inspection was September 25, 2018. In that report 3 health citations were noted. The statement of deficiencies from the inspection included an instance in which the facility did not ensure controlled substances were properly stored in a
separately locked and permanently affixed compartment. Another deficiency related to an instance in which the facility did not maintain infection control practices to help prevent the
development and transmission of communicable diseases and infections.

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

Staffing

For staffing, Harlem Center for Nursing and Rehabilitation received 2 stars which is a “below average” rating. The total number of licensed nurse staff hours per resident per day at Harlem Center for Nursing and Rehabilitation is 1 hour and 14 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 Harlem Center for Nursing and Rehabilitation is 29 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 Harlem Center for Nursing and Rehabilitation is 44 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. Harlem Center for Nursing and Rehabilitation provides 2 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 Care

Harlem Center for Nursing and Rehabilitation’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.

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. Harlem Center for Nursing and Rehabilitation’s star rating for short-stay residents is 5 stars which is a “much above average” rating.

20.3% of Harlem Center for Nursing and Rehabilitation’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. 1.2% of short-stay residents of Harlem Center for Nursing and Rehabilitation 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. 1.6% of the skilled nursing facility residents at Harlem Center for Nursing and Rehabilitation 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. 73.3% of Harlem Center for Nursing and Rehabilitation’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 Harlem Center for Nursing and Rehabilitation is 71.6%, 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. Harlem Center for Nursing and Rehabilitation’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 Harlem Center for Nursing and Rehabilitation, the number of hospitalizations per 1,000 long-stay resident days is 0.85, 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 Harlem Center for Nursing and Rehabilitation the number is days is 0.28, 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 Harlem Center for Nursing and Rehabilitation experiencing one or more falls with major injury is 0.5, while the New York average is 2.9, and the national average is 3.4. The percentage of long-stay high-risk residents at Harlem Center for Nursing and Rehabilitation with pressure ulcers is 11.2%, compared to the New York average of 8.6% and the national average of 7.4%. The percentage of long-stay residents at Harlem Center for Nursing and Rehabilitation with a urinary tract infection is 1.1%, compared to the New York average of 2.4% and the national average of 2.8%. The percentage of long-stay residents at Harlem Center for Nursing and Rehabilitation who have or had a catheter inserted and left in their bladder is 0.2%, 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 Harlem Center for Nursing and Rehabilitation, 16.7% 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 Harlem Center for Nursing and Rehabilitation whose need for help with daily activities has increased is 9.4%, compared to the New York average of 13.3% and the national average of 14.8%. The percentage of long-stay residents Harlem Center for Nursing and Rehabilitation who report moderate to severe pain is 0.7%, compared to the New York average of 4.0% and the national average of 6.9%.

Fines

When 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. Harlem Center for Nursing and Rehabilitation has not received a penalty from the federal government in the last 3 years.

*Disclaimer

The information about the performance of Harlem Center for Nursing and Rehabilitation 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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