Northern Metropolitan Residential Healthcare Facility

225 Maple Avenue, Monsey, New York 10952

Northern Metropolitan Residential Healthcare Facility is located in Monsey, New York. It has 120 certified beds that have been approved by the federal government to participate in Medicare and Medicaid, with an average of 114.7 residents per day. Northern Metropolitan Residential Healthcare Facility 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 nonprofit corporation doing business under the legal business name of Northern Metropolitan 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 Northern Metropolitan Residential Healthcare Facility is “average” or 3 stars.

Northern Metropolitan Residential Healthcare Facility’s star rating for health inspections is 4 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 Northern Metropolitan Residential Healthcare Facility was October 18, 2018. In that report 2 health citations were noted, which is fewer than the average number of citations for New York is 4.8 as well as the national average of 7.8.

During the inspection, deficiencies identified included:

• The facility did not ensure that the comprehensive assessment that was completed for one of the residents who was reviewed for unnecessary medications addressed the resident's
  psychosocial needs as they relate to dementia care and the use of psychoactive
  medications. This was necessary to ensure that an appropriate person-centered care plan
  was developed to address dementia care, behavior management and the ongoing use of
  psychoactive medications.
• The facility did not develop a person-centered care plan to ensure that a resident did not
  consume fluids in excess of the ordered daily 2-liter fluid restriction and conduct
  ongoing assessment of the resident's medical condition that may potentially affect the
  resident's hydration status.

However, there were no citations based on complaints or facility-reported incidents.

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, Northern Metropolitan Residential Healthcare Facility received 4 stars which is an “above average” rating.

• The total number of licensed nurse staff hours per resident per day at Northern Metropolitan Residential Healthcare Facility is 1 hour and 33 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 Northern Metropolitan Residential Healthcare Facility is 34 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 Northern Metropolitan Residential Healthcare Facility is 59 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, which is much higher than the New York average of 2 hours and 15 minutes and the national average of hours and 19 minutes.
• Northern Metropolitan Residential Healthcare Facility 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. However, not all nursing home residents require physical therapy.

Northern Metropolitan Residential Healthcare Facility’s star rating for overall quality of resident care is 3 stars which is an “average” rating. Facilities are also rated on their quality of care for short-stay residents and long-stay residents. Northern Metropolitan Residential Healthcare Facility’s star rating for short-stay residents is 4 stars, while the rating for long-stay residents is 2 stars.

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.

In determining a nursing home’s rating for short-stay residents, the CMS reviews records related to residents’ visits to hospitals. 20.0% of Northern Metropolitan Residential Healthcare Facility’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 Northern Metropolitan Residential Healthcare Facility, the percentage of short-stay residents who have had an outpatient emergency department visit is 9.1%, while the New York average is 8.8% and the national average is 10.7%.

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. 3.0% of the skilled nursing facility residents at Northern Metropolitan Residential Healthcare Facility 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. 47.3% of Northern Metropolitan Residential Healthcare Facility’s short-stay residents received the needed flu shot for current flu season. This percentage is much 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 Northern Metropolitan Residential Healthcare Facility is 31.7%, 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.

A part of a nursing home’s quality of resident care rating is the number of resident hospitalizations. For Northern Metropolitan Residential Healthcare Facility, the number of hospitalizations per 1,000 long-stay resident days is 2.05, 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 Northern Metropolitan Residential Healthcare Facility the number is days is 1.49, 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 Northern Metropolitan Residential Healthcare Facility experiencing one or more falls with major injury is 2.5, while the New York average is 2.9, and the national average is 3.4. The percentage of long-stay high-risk residents at Northern Metropolitan Residential Healthcare Facility with pressure ulcers is 17.4%, compared to the New York average of 8.6% and the national average of 7.4%. The percentage of long-stay residents at Northern Metropolitan Residential Healthcare Facility with a urinary tract infection is 4.1%, compared to the New York average of 2.4% and the national average of 2.8%. The percentage of long-stay residents at Northern Metropolitan Residential Healthcare Facility who have or had a catheter inserted and left in their bladder is 1.4%, 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 Northern Metropolitan Residential Healthcare Facility, 12.9% 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 Northern Metropolitan Residential Healthcare Facility whose need for help with daily activities has increased is 14.9%, compared to the New York average of 13.3% and the national average of 14.8%. The percentage of long-stay residents at Northern Metropolitan Residential Healthcare Facility who report moderate to severe pain is 2.9%, compared to the New York average of 4.0% and the national average of 6.9%.

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. Northern Metropolitan Residential Healthcare Facility has not received a penalty from the federal government in the last 3 years.

The information about the performance of Northern Metropolitan Residential Healthcare Facility 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.