Luxor Nursing and Rehabilitation at Mills Pond

273 Moriches Rd, St James, NY 11780

Luxor Nursing and Rehabilitation at Mills Pond is in St. James, New York. It has 252 certified beds that have been approved by the federal government to participate in Medicare and Medicaid, with an average of 231.8 residents per day. Luxor Nursing and Rehabilitation at Mills Pond 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 corporation doing business under the legal business name of S&J Operational LLC.

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 Luxor Nursing and Rehabilitation at Mills Pond is “above average” or 4 stars. The nursing facilities are also regularly inspected to ensure that they are following fire safety rules.

New York State inspectors regularly conduct full inspections of nursing homes for compliance with federal Medicare and Medicaid regulations. Luxor Nursing and Rehabilitation at Mills Pond’s star rating for health inspections is 3 stars which is an “average” rating. The date of the most recent health inspection of Luxor Nursing and Rehabilitation at Mills Pond was September 15, 2019. In that report 1 health citations were noted. The average number of citations for New York is 4.9 and the average number of citations in the United States is 8.0.

As part of the inspection process, the CMS completed a “statement of deficiencies” that noted that the facility did not ensure that each resident's drug regimen was free from unnecessary medications. This was evident for two of eight residents reviewed. Specifically, one received a Quetiapine, an antipsychotic medication, without documented evidence of a clinical indication or medical assessment for the use of Quetiapine; and another resident received an antipsychotic medication for an excessive duration without an attempt at a Gradual Dose Reduction (GDR) and in the absence of clinical symptoms.

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. In addition, during the last 3 years, there was 1 complaint that resulted in a citation, and no facility-reported incidents that resulted in citations.

In rating nursing facilities for staffing the CMS reviews the staffing levels. Specifically, it looks at the number of hours per resident of licensed nurses, registered nurses, nurse aides, licensed practical/vocational nurses (LPN/LVN), and physical therapists. According to the CMS, higher staffing levels may mean better care. In this category, Luxor Nursing and Rehabilitation at Mills Pond received 2 stars which is a “below average” rating.

• The average total number of licensed nurse staff hours per resident per day at Luxor Nursing and Rehabilitation at Mills Pond is 1 hour and 17 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 Luxor Nursing and Rehabilitation at Mills Pond is 31 minutes compared to 42 minutes for New York and 41 minutes for the United States.
• The LPN/LVN hours per resident per day at Luxor Nursing and Rehabilitation at Mills Pond is 46 minutes compared to 49 minutes for New York and 53 minutes for the United States.
• The nurse aide hours per resident per day is 2 hours and 21 minutes, while the New York average is 2 hours and 15 minutes and the national average is 2 hours and 19 minutes.
• Luxor Nursing and Rehabilitation at Mills Pond provides 5 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.

Luxor Nursing and Rehabilitation at Mills Pond’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, while long-stay residents are those who spent over 100 days in a nursing home. Luxor Nursing and Rehabilitation at Mills Pond 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 several areas related to patient health.

Hospitalizations: 19.7% of Luxor Nursing and Rehabilitation at Mills Pond’s short-stay residents were re-hospitalized after a nursing home admission. This is slightly lower than the New York average of 20.4% and national average of 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. 0.4% of the skilled nursing facility residents at Luxor Nursing and Rehabilitation at Mills Pond had pressure ulcers that were new or worsened while residing at this facility. The national average is 1.6%.

Mobility. For Luxor Nursing and Rehabilitation at Mills Pond, the percentage of short-stay residents who improved in their ability to move around on their own is 74.0%-- which is higher than both the New York and national averages of 67.7% and 66.8%, respectively.

Flu and pneumonia. Nursing facilities are also evaluated for their flu and pneumonia prevention measures. 89.0% of Luxor Nursing and Rehabilitation at Mills Pond’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 82.7% and 82.4%, respectively. As for the percentage of short-stay residents who needed and got a vaccine to prevent pneumonia, the percentage for Luxor Nursing and Rehabilitation at Mills Pond is 93.8%, while the average for New York is 79.4% and the average for the United States is 83.2%.

Hospitalizations. A part of a nursing home’s quality of resident care rating is the number of resident hospitalizations. For Luxor Nursing and Rehabilitation at Mills Pond, the number of hospitalizations per 1,000 long-stay resident days is 1.07, which is lower the New York average of 1.55, and lower than the national average of 1.75. As for the number of outpatient emergency department visits per 1,000 long-stay residents, Luxor’s rate is lower as well. For Luxor Nursing and Rehabilitation at Mills Pond the number is days is 0.20, 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 Luxor Nursing and Rehabilitation at Mills Pond experiencing one or more falls with major injury is 3.2, 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 Luxor Nursing and Rehabilitation at Mills Pond with pressure ulcers is 5.4%, compared to the higher New York average of 8.6% and higher national average of 7.4%.

Mobility. For Luxor Nursing and Rehabilitation at Mills Pond, percentage of long-stay residents whose ability to move independently worsened is 12.4%, 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. 99.5% of Luxor Nursing and Rehabilitation at Mills Pond’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 97.1% and 95.6%, respectively. As for the percentage of short-stay residents who needed and got a vaccine to prevent pneumonia, the percentage for Luxor Nursing and Rehabilitation at Mills Pond is 100.0%, while the average for New York is 93.7% and the average for the United States is 93.7%.

Citations can result in penalties. If the citation is particularly serious or if the nursing home takes a long to cure the citation, the federal government may either fine the nursing home, or deny payment from Medicare. Luxor Nursing and Rehabilitation at Mills Pond has not received a penalty from the federal government in the last 3 years.

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 July 11, 2017. During that inspection 4 citations were noted which is higher than the New York average of 3.5 and national average of 2.9.

The information about the performance of Luxor Nursing and Rehabilitation at Mills Pond 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.