Northern Riverview Health Care, Inc.

<p>87 South Route 9W, Haverstraw, New York 10927</p><p>Northern Riverview Health Care is located in Haverstraw, New York. It has 182 certified beds that have been approved by the federal government to participate in Medicare and Medicaid, with an average of 167 residents per day. Northern Riverview Health Care 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 Northern Riverview Health Care Center Inc.</p><p>The Centers for Medicare &amp; 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 Riverview Health Care is “below average” or 2 stars.</p><strong class="heading4">Health Inspections</strong><p>Northern Riverview Health Care’s star rating for health inspections is 2 stars which is a “below 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 an individual or based on an incident self-reported by the facility.</p><p>The date of the most recent health inspection of Northern Riverview Health Care was September 13, 2018. In that report 13 health citations were noted, while the average number of citations for New York is 4.8 and the average number of citations in the United States is 7.8.</p><p>The statement of deficiencies noted the following issues:</p><ul><li>The facility did not notify the primary care physician of a change in the medical condition of a resident for infection. Specifically, the resident had an acute onset of loose stool for multiple days while on an antibiotic treatment for a bacterium that can cause symptoms ranging from diarrhea to life-threatening inflammation of the colon infection. The physician was not notified of this change in the resident's condition.</li><li>The facility did not ensure that a Comprehensive MDS (Minimum Data Set; a federally mandated process for clinical assessments of residents in Medicare or Medicaid certified nursing homes) was completed for each resident in accordance with the CMS guidelines. Specifically, 5 residents did not have an Admission MDS completed within 14 days of admission to the facility.</li></ul><p>In addition, during the last 3 years, there was 1 complaint that resulted in a citation.</p><strong class="heading4">Staffing</strong><p>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 Riverview Health Care received 2 stars which is a “below average” rating.</p><ul><li>The average total number of licensed nurse staff hours per resident per day at Northern Riverview Health Care is 1 hour and 32 minutes. This is consistent with the New York average of 1 hour and 31 minutes and the national average of 1 hour and 33 minutes.</li><li>The registered nurse hours per resident per day at Northern Riverview Health Care is 30 minutes, which is lower that the New York average of 42 minutes and the national average of 41 minutes.</li><li>The licensed practical/vocational nurses (LPN/LVN) hours per resident per day at Northern Riverview Health Care is 1 hour and 2 minutes compared to 49 minutes for New York and 53 minutes for the United States.</li><li>The nurses aid hours per resident per day is 2 hours and 20 minutes, while the New York average is 2 hours and 15 minutes and the national average is 2 hours and 19 minutes.</li><li>Northern Riverview Health Care provides 9 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.</li></ul><strong class="heading4">Quality of Resident Care</strong><p>Northern Riverview Health Care’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 Riverview Health Care’s star rating for both short-stay residents and long-stay residents is also 3 stars.</p><p><strong>Short-stay residents.</strong> 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.</p><p>In determining a nursing home’s rating for short-stay residents, the CMS reviews records related to residents’ visits to hospitals. 21.6% of Northern Riverview Health Care’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 Riverview Health Care, the percentage of short-stay residents who have had an outpatient emergency department visit is 9.5%, while the New York average is 8.8% and the national average is 10.7%.</p><p>Pressure ulcers, also referred to as bed sores or pressure injuries, are injuries to skin and underlying tissue resulting from prolonged <em>pressure</em> 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. 1.1% of the skilled nursing facility residents at Northern Riverview Health Care had pressure ulcers that were new or worsened while residing at this facility. The national average is 1.6%.</p><p>Nursing facilities are also evaluated for their flu and pneumonia prevention measures. 73.5% of Northern Riverview Health Care’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. Note that nursing homes are required to provide flu shots each year. However, residents are not required to get flu shots. Any resident has the right to refuse if he or she does not want a shot, has already received the shot, or the flu shot is medically contraindicated.</p><p>As for the percentage of short-stay residents who needed and got a vaccine to prevent pneumonia, the percentage for Northern Riverview Health Care is 69.7%, while the average for New York is 79.3% and the average for the United States is 83.2%.</p><p><strong>Long-stay residents.</strong> Long-stay residents are those who spent over 100 days in a nursing home.</p><p>A part of a nursing home’s quality of resident care rating is the number of resident hospitalizations. For Northern Riverview Health Care, the number of hospitalizations per 1,000 long-stay 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 resident, for Northern Riverview Health Care the number is days is 0.85, while the New York average is 0.74, and the national average is 1.03.</p><p>The rating also takes into consideration specific medical issues experienced by residents. The percentage of long-stay residents at Northern Riverview Health Care 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. The percentage of long-stay high-risk residents at Northern Riverview Health Care with pressure ulcers is 11.0%, compared to the New York average of 8.6% and the national average of 7.4%. The percentage of long-stay residents at Northern Riverview Health Care with a urinary tract infection is 1.7%, compared to the New York average of 2.4% and the national average of 2.8%. The percentage of long-stay residents at Northern Riverview Health Care who have or had a catheter inserted and left in their bladder is 2.0%, compared to the New York average of 1.6% and the national average of 2.2%.</p><p>As for factors related to mobility and pain, the rating examines the percentage of residents whose ability to move independently worsened. For Northern Riverview Health Care, on average 16% of long-stay residents’ ability to move independently worsened. The average for New York is the same-16%, while the national average is higher- 17.9%. The percentage of long-stay residents at Northern Riverview Health Care whose need for help with daily activities has increased is 13.0%, compared to the New York average of 13.3% and the national average of 14.8%. The percentage of long-stay residents at Northern Riverview Health Care who report moderate to severe pain is 1.6%, compared to the New York average of 4.0% and the national average of 6.9%.</p><strong class="heading4">Fines</strong><p>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 Riverview Health Care has not received a fine from the federal government or denied payment in the last 3 years.</p><strong class="heading4">*Disclaimer</strong><p>The information about the performance of Northern Riverview Health Care is from <a target="_blank" href="https://www.medicare.gov/">Medicare.gov</a> 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 <a target="_blank" href="https://www.medicare.gov/">Medicare.gov</a> 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.</p>