Jeanne Jugan Residence

2999 Schurz Avenue, Bronx, New York 10465

Jeanne Jugan Residence is located in the Bronx, New York. It has 30 certified beds that have been approved by the federal government to participate in Medicare and Medicaid, with an average of 29.7 residents per day. Jeanne Jugan Residence is not in a Continuing Care Retirement Community, and it is not in a hospital. The facility is a nonprofit corporation doing business under the legal business name of Home for the Aged for the Little Sisters of the Poor of the City of New York.

The Centers for Medicare & Medicaid Services (CMS) gives each nursing home an overall rating* on a scale of 1 to 5 stars: 5 stars = much above average, 4 stars = above average, 3 stars = average, 2 stars = below average, 1 star = much below average. The CMS also assigns star ratings in the categories of health inspections, staffing, and quality of resident care. The overall rating for Jeanne Jugan Residence is “much above average” or 5 stars.

Health Inspections

Jeanne Jugan Residence’s star rating for health inspections is 3 stars which is an “average” rating. New York State inspectors regularly 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 Jeanne Jugan Residence was March 9, 2018. In that report 8 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 most recent inspection, the following discrepancies were noted:

• The resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. The facility did not ensure that Advanced Directives services were provided. Specifically, there was no evidence that staff periodically reassessed a resident's decision-making capacity and desires regarding Advanced Directives.
• Ensure services provided by the nursing facility meet professional standards of
  quality. Jeanne Jugan Residence did not ensure that services provided met professional standards. Specifically, comprehensive care plans were created and revised by a Licensed Practical Nurse (LPN). However, under New York law, LPNs do not have assessment privileges. LPNs may not interpret patient clinical data or act independently on such data; they may not triage; they may not create, initiate, or alter nursing care goals or establish nursing care plans. During the record review of multiple resident care plans for varying care areas, it was observed that these documents had been created or revised by an LPN. Thus, the facility did not ensure that services provided met professional standards and that care plans were created and revised by a Registered Nurse.
• Ensure the resident's doctor reviews the resident's care, writes, signs and dates
  progress notes and orders, at each required visit. The facility did not ensure that the unit physician reviewed and followed up on the resident's entire plan of care. Specifically, there was no documented evidence of follow-up on recommendations of the ophthalmologist to acquire a prosthesis for a visually impaired resident.
• Ensure drugs and biologicals used in the facility are labeled in accordance with
  currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. The facility did not ensure that all medications and biologicals were stored and labeled properly. Specifically, one opened and undated vial of insulin was observed.

However, there were no complaints or facility-reported incidents that resulted in citations.

Staffing

According to the CMS, higher staffing levels may mean higher quality of care for residents. Thus, the CMS reviews the staffing levels. Specifically, it looks at the number of hours per resident of licensed nurses, registered nurses, nurses aides, licensed practical/vocational nurses, and physical therapists. For staffing, Jeanne Jugan Residence received 5 stars.

Except for physical therapists, in every category the staffing levels at Jeanne Jugan Residence is higher than both the New York and the national averages.

• The total number of licensed nurse staff hours per resident per day at Jeanne Jugan Residence is 2 hours and 5 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 Jeanne Jugan Residence is 1 hour and 17 minutes compared to 42 minutes for New York and 41 minutes for the United States.
• The licensed practical/vocational nurses hours per resident per day at Jeanne Jugan Residence is 47 minutes compared to 49 minutes for New York and 53 minutes for the United States.
• The nurses aid hours per resident per day is 3 hours and 2 minutes, while the New York average is 2 hours and 15 minutes and the national average is 2 hours and 19 minutes.
• Jeanne Jugan Residence 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. However, not all nursing home residents require physical therapy.

Quality of Resident Care

Jeanne Jugan Residence’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 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. Jeanne Jugan Residence also received 5-star ratings for long-stay residents. However, the CMS was not able to assign a rating for short-stay residents due to insufficient data.

When evaluating a facility for quality of care, the CMS focuses on statistics related to hospitalizations, specific health care concerns, mobility, and flu and pneumonia prevention.

For hospitalizations, CMS’ review of records determined that for Jeanne Jugan Residence, the number of hospitalizations per 1,000 resident days is 1.01, 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 Jeanne Jugan Residence the average number is days is 0, while the New York average is 0.74, and the national average is 1.03.

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. In some, but not all instances, pressure ulcers can be indicative of negligent care. The percentage of long-stay high-risk residents at Jeanne Jugan Residence with pressure ulcers is 0%, compared to the New York average of 8.6% and the national average of 7.4%.

Nursing facilities are also evaluated for their flu and pneumonia prevention measures. 96.8% of Jeanne Jugan Residence’s long-stay residents received the needed flu shot for current flu season. This percentage is higher 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 Jeanne Jugan Residence is 97.5%, while the average for New York is 93.6% and the average for the United States is 93.7%. For long-stay residents, the statistics are similar.

Fines

On March 9, 2018, Jeanne Jugan Residence was fined $8,518 by the federal government. 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.

*Disclaimer

The information about the performance of Jeanne Jugan Residence 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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