Providence Rest

3304 Waterbury Avenue, Bronx, New York 10465

Providence Rest is located in the Bronx. It has 200 certified beds that have been approved by the federal government to participate in Medicare and Medicaid, with an average of 190.5 residents per day. Providence Rest 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 nonprofit corporation doing business under the legal business name of Providence Rest.

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 Providence Rest is “much above average” or 5 stars. The nursing facilities are also regularly inspected to ensure that they are in compliance with fire safety rules.

Health Inspections

New York State inspectors regularly conduct full inspections of nursing homes for compliance with federal Medicare and Medicaid regulations. Providence Rest’s star rating for health inspections is 4 stars. The date of the most recent health inspection of Providence Rest was April 13, 2018. On that day, no citations were issued and no deficiencies found. The average number of citations for New York is 4.8 and the average number of citations in the United States is 7.8.

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. During the last 3 years, there were no complaints that resulted in citations, and no facility-reported incidents that resulted in citations.

Staffing

For staffing, Providence Rest received 2 stars which is a “below average” rating. When reviewing and rating nursing homes for staffing the CMS looks at staff hours per resident per day. Specifically, staff hours are reviewed for licensed nurses, registered nurses, licensed practical/vocational nurses, nurse aides, and physical therapists. Staffing hours is an important statistic as higher staffing may mean a higher quality of care.

• The average total number of licensed nurse staff hours per resident per day at Providence Rest is 1 hour and 8 minutes. This average is lower than both the New York average and national averages which are 1 hour and 31 minutes and 1 hour and 33 minutes respectively.
• The averaged registered nurse hours per resident per day at Providence Rest is 27 minutes. This average is lower than both the New York and national averages of 42 minutes and 41 minutes.
• Providence Rest staffing for licensed practical nurses/licensed vocational nurses is also lower than the state and national averages. For Providence Rest, LPN/LVN hours per resident per day is 42 minutes compared to 49 minutes for New York and 53 minutes for the nation.
• The nurse aide hours per resident per day is 2 hours and 20 minutes, which is higher than the New York average of 2 hours and 15 minutes and the national average of 2 hours and 19 minutes.
• Providence Rest provides 8 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

Providence Rest’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. Providence Rest also received 5-star ratings for both short-stay residents and long-stay residents.

Short-stay residents. CMS reviews nursing home records for information related to a number of areas related to patient health.

• Hospitalizations: 17.2% of Providence Rest’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. 0.7% of the skilled nursing facility residents at Providence Rest had pressure ulcers that were new or worsened while residing at this facility. The national average is 1.6%.
• Mobility. For Providence Rest, the percentage of short-stay residents who improved in their ability to move around on their own is 79.6%, 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. 96.9% of Providence Rest’s short-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 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 Providence Rest is 97.7%, while the average for New York is 79.3% and the average for the United States is 83.2%.

Long-stay residents

• Hospitalizations. A part of a nursing home’s quality of resident care rating is the number of resident hospitalizations. For Providence Rest, the number of hospitalizations per 1,000 long-stay resident days is 1.34, 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 Providence Rest the number is days is 0.22, while the New York average is 0.74, and the national average is 1.03.
• Falls. The rating also takes into consideration specific medical issues experienced by residents. The percentage of long-stay residents at Providence Rest experiencing one or more falls with major injury is 2.0, 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 Providence Rest with pressure ulcers is 10.3%, compared to the New York average of 8.6% and the national average of 7.4%.
• Mobility. For Providence Rest, percentage of long-stay residents whose ability to move independently worsened is 15.9%, 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. 96.0% of Providence Rest’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 96.5%, respectively. As for the percentage of long-stay residents who needed and got a vaccine to prevent pneumonia, the percentage for Providence Rest is 99.4%, while the average for New York is 93.6% and the average for the United States is 93.7%.

Penalties

Citations can result in penalties. If the citation is particularly serious or if the nursing home takes a long time to cure the citation, the federal government may either fine the nursing home, or deny payment from Medicare. Providence Rest has not received a penalty from the federal government in the last 3 years.

Fire Safety Inspections

Nursing homes that are certified by Medicare and/or Medicaid must meet standards set by the government to ensure residents are safe. Fire safety specialists inspect nursing homes to determine if a nursing home meets the Life Safety Code (LSC) requirements, a set of fire safety and emergency preparedness requirements set by the CMS. These requirements are aimed at preventing fires, or protecting residents in the event of an emergency like a fire, hurricane, tornado, flood, power failure, or gas leak.

The most recent fire safety inspection was May 1, 2018. During that inspection 4 citations were noted which is higher than the New York average of 3.5 and national average of 2.9.

*Disclaimer

The information about the performance of Providence Rest 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.

---