Gold Crest Care Center

2316 Bruner Avenue, Grand Island, New York 10469

Gold Crest Care Center is located in the Bronx, New York. It has 175 certified beds that have been approved by the federal government to participate in Medicare and Medicaid, with an average of 166.9 residents per day. Gold Crest Care Center 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 Gold Crest Care Center Inc.

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 Gold Crest Care Center is 4 stars.

Gold Crest Care Center’s star rating for health inspections is 5 stars which is a “much above 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 Gold Crest Care Center was February 7, 2018. In that report 1 health citations were noted, but no issues where described in the statement of discrepancies. 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, during the last 3 years, while there were no complaints that resulted in citations, and there was 1 facility-reported incident that resulted in a citation.

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, Gold Crest Care Center received 1 star which is a “much below average” rating.

• The total number of licensed nurse staff hours per resident per day at Gold Crest Care Center is 52 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 Gold Crest Care Center is 18 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 Gold Crest Care Center is 33 minutes compared to 49 minutes for New York and 53 minutes for the United States.
• The nurses aid hours per resident per day is 1 hour and 57 minutes, while the New York average is 2 hours and 15 minutes and the national average is 2 hours and 19 minutes.
• Gold Crest Care Center provides 3 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.

Gold Crest Care Center’s star rating for overall quality of resident care is 2 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. Gold Crest Care Center received a 1-star rating for short-stay residents and a 3-star rating for long-stay residents.

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 28.1% of Gold Crest Care 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%.

As for outpatient emergency department visits, for Gold Crest Care Center, the percentage of short-stay residents who have had an outpatient emergency department visit is 13.7%, while the New York average is 8.8% and the national average is 10.7%.

As for long-stay residents, for Gold Crest Care Center, the number of hospitalizations per 1,000 resident days is 2.42, 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 Gold Crest Care Center the number is days is 0.66, 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. None of the skilled nursing facility residents at Gold Crest Care Center had pressure ulcers that were new or worsened while residing at this facility. The national average is 1.6%.

In addition, the percentage of long-stay high-risk residents at Gold Crest Care Center with pressure ulcers is 10.9%, 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. 66.4% of Gold Crest Care 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 Gold Crest Care Center is 67.5%, while the average for New York is 79.3% and the average for the United States is 83.2%. For long-stay residents, the statistics are similar.

95.3% of Gold Crest Care Center’s long-stay residents received flu shots and 92.7% of Gold Crest Care Center’s long-stay residents received a vaccine to prevent pneumonia.

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 February 16, 2018. During that inspection no citations were noted, compared to the New York average of 3.5 and national average of 2.9.

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. Gold Crest Care Center has not received a penalty from the federal government in the last 3 years.

The information about the performance of Gold Crest Care 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.