Nyack Ridge Rehabilitation and Nursing Center

476 Christian Herald Road, Valley Cottage, New York 10989

Nyack Ridge Rehabilitation and Nursing Center is located in Valley Cottage, New York. It has 160 certified beds that have been approved by the federal government to participate in Medicare and Medicaid, with an average of 153.8 residents per day. Nyack Ridge Rehabilitation and Nursing 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 partnership doing business under the legal business name of Nyack Operating 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 Nyack Ridge Rehabilitation and Nursing Center is “below average” or 2 stars.

Nyack Ridge Rehabilitation and Nursing Center’s star rating for health inspections is 1 star which is a “much 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 a resident or based on an incident self-reported by the facility.

The date of the most recent health inspection of Nyack Ridge Rehabilitation and Nursing Center was June 21, 2018. In that report 7 health citations were noted. The average number of citations for New York is 4.8 and the average number of citations in the United States is 7.8. If a nursing home receives a citation that is particularly serious or if it fails to correct a problem within a reasonable period of time, the federal government may assess a penalty. Nyack Ridge Rehabilitation and Nursing Center has not received a penalty from the federal government in the last 3 years.

During the most recent inspection, some of the deficiencies noted included:

• The facility did not ensure that the resident and/or the resident's representative was informed of their rights to establish or formulate an advance directive.
• The facility did not ensure for that interventions were implemented based on comprehensive assessments and person-centered care plan. Specifically, assistive devices such as floor mats and wedge cushion to minimize serious injuries resulting from falls were not applied.

In addition, during the last 3 years, there were 2 complaints that resulted in citations, and there were 4 occasions in which there were facility-reported incidents that resulted in citations.

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, Nyack Ridge Rehabilitation and Nursing Center received 1 star which is a “much below average” rating.

For most of the categories of staffing that are considered, Nyack Ridge Rehabilitation and Nursing Center’s staffing levels are below both New York’s average and the national average. For example, the total number of licensed nurse staff hours per resident per day at Nyack Ridge Rehabilitation and Nursing Center is 1 hour and 6 minutes, while the New York average is 1 hour and 31 minutes and the national average is 1 hour and 33 minutes. Also, the registered nurse hours per resident per day at Nyack Ridge Rehabilitation and Nursing Center is 21 minutes compared to 42 minutes for New York and 41 minutes for the United States.

Nyack Ridge Rehabilitation and Nursing Center’s star rating for overall quality of resident care is 2 stars which is a “below average” rating. Facilities are also rated on their quality of care for short-stay residents and long-stay residents. Nyack Ridge Rehabilitation and Nursing Center’s star rating for short-stay residents is 1 star, while the rating for long-stay is 3 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. Nyack Ridge Rehabilitation and Nursing Center’s 1-star rating is based on a review by CMS of records related to residents’ health. For example, the CMS looks at hospitalization records. 23.3% of Nyack Ridge Rehabilitation and Nursing 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 Nyack Ridge Rehabilitation and Nursing Center, the percentage of short-stay residents who have had an outpatient emergency department visit is 9.9%, while the New York average is 8.8% and the national average is 10.7%.

The CMS also looks at resident records related to medical conditions such as pressure ulcers and use of antipsychotic drugs. 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. 2.0 % of the skilled nursing facility residents at Nyack Ridge Rehabilitation and Nursing Center had pressure ulcers that were new or worsened while residing at this facility. The national average is 1.6%. As for the percentage of short-stay residents who got antipsychotic medication for the first time, the Nyack Ridge Rehabilitation and Nursing Center average is 3.0%, while the New York average is 1.5 and the national average is 1.8.

The CMS also evaluates nursing facilities for their flu and pneumonia prevention measures. 66.0% of Nyack Ridge Rehabilitation and Nursing Center’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 Nyack Ridge Rehabilitation and Nursing Center is 36.7%, 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 Nyack Ridge Rehabilitation and Nursing Center, the number of hospitalizations per 1,000 long-stay resident days is 3.18, 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 Nyack Ridge Rehabilitation and Nursing Center the number is days is 0.80, while the New York average is 0.74, and the national average is 1.03.

The CMS rating also takes into consideration specific medical issues experienced by residents. The percentage of long-stay residents at Nyack Ridge Rehabilitation and Nursing Center experiencing one or more falls with major injury is 0.8, while the New York average is 2.9, and the national average is 3.4. The percentage of long-stay high-risk residents at Nyack Ridge Rehabilitation and Nursing Center with pressure ulcers is 10.4%, compared to the New York average of 8.6% and the national average of 7.4%. The percentage of long-stay residents at Nyack Ridge Rehabilitation and Nursing Center with a urinary tract infection is 2.2%, compared to the New York average of 2.4% and the national average of 2.8%. The percentage of long-stay residents at Nyack Ridge Rehabilitation and Nursing Center who have or had a catheter inserted and left in their bladder is 2.4%, 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 Nyack Ridge Rehabilitation and Nursing Center, 15.8% 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 Nyack Ridge Rehabilitation and Nursing Center whose need for help with daily activities has increased is 13.9%, compared to the New York average of 13.3% and the national average of 14.8%. The percentage of long-stay residents at Nyack Ridge Rehabilitation and Nursing Center who report moderate to severe pain is 0.3%, compared to the New York average of 4.0% and the national average of 6.9%.

The information about the performance of Nyack Ridge Rehabilitation and Nursing 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.