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James Square Nursing And Rehab Centre

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About James Square Nursing And Rehab Centre

General Information

Legal Business NameRiver Meadows, LLC
Ownership TypeFor Profit - Individual
Changed Ownership In The Last 12 MonthsNo
First Accepted MedicareNovember 14, 1971 (46 years)
Capacity455
Residents391
Percent Occupied86%
Program ParticipationMedicare And Medicaid
Resident And Family CouncilsBoth
In HospitalNo
Continuing Care Retirement CommunityNo
Special Focus FacilityNo
Auto Sprinkler System In Required AreasYes

Ratings for James Square Nursing And Rehab Centre

James Square Nursing And Rehab Centre
was reviewed by Medicare to have a rating of 1 out of 5. About Medicare Ratings
Overall Rating
Health Inspections Rating
Quality Measures Rating
Staff Rating
RN Staff Rating

Overall Ratings of New York Nursing Homes

Fines, Complaints, and Inspection Problems in the Past 3 Years

Compare The Number of Problems

Types of Problems at Nursing Homes

Some issues within a nursing home are much more severe than others. Medicare evaluates each problem based on 2 scales: the number of residents affected by a problem and the severity of the potential or actual harm to residents based on the problem. We have color coded the matrix below to make it easier to pick out the more severe problems. In general, orange and red issues related to the treatment of a resident are considered substandard quality of care.

  Residents Affected
Severity of the Deficiency Few Some Many
Immediate jeopardy to resident health or safety J K L
Actual harm that is not immediate jeopardy G H I
No actual harm with potential for more than minimal harm that is not immediate jeopardy D E F
No actual harm with potential for minimal harm A B C

October 29, 2015 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
FManyPotential for HarmHealth InspectionStore, cook, and serve food in a safe and clean way.
GFewActual HarmComplaint+InspectionProvide necessary care and services to maintain or improve the highest well being of each resident .
ESomePotential for HarmHealth InspectionHave a program that investigates, controls and keeps infection from spreading.
ESomePotential for HarmHealth InspectionSet up an ongoing quality assessment and assurance group to review quality deficiencies quarterly, and develop corrective plans of action.
ESomePotential for HarmComplaint+InspectionEnsure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents.
ESomePotential for HarmComplaint+InspectionEnsure that residents are safe from serious medication errors.
DFewPotential for HarmHealth InspectionMake sure that doctors see a resident's plan of care at every visit and make notes about progress and orders in writing.
DFewPotential for HarmComplaint+InspectionGive or get specialized rehabilitative services per the patient's assessment or plan of care.
DFewPotential for HarmComplaint+InspectionProvide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse.
DFewPotential for HarmHealth InspectionEnsure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being.
DFewPotential for HarmHealth InspectionProvide activities to meet the interests and needs of each resident.
DFewPotential for HarmHealth Inspection1) Hire only people with no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents.
DFewPotential for HarmHealth InspectionKeep each resident free from physical restraints, unless needed for medical treatment.
DFewPotential for HarmHealth InspectionDevelop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
DFewPotential for HarmHealth InspectionGive residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores.
DFewPotential for HarmHealth InspectionGive each resident enough fluids to keep them healthy and prevent dehydration.
DFewPotential for HarmHealth InspectionEnsure residents maintain acceptable nutritional status.
DFewPotential for HarmHealth InspectionEnsure that residents with limited range of motion receive appropriate treatment and services to increase range of motion or prevent further decrease in range of motion.
DFewPotential for HarmHealth InspectionLet residents refuse treatment, refuse to take part in an experiment, or formulate advance directives.

July 8, 2015 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
DFewPotential for HarmComplaintMake sure that the facility is administered in an acceptable way that maintains the well-being of each resident .
DFewPotential for HarmComplaintMake sure that doctors see a resident's plan of care at every visit and make notes about progress and orders in writing.
DFewPotential for HarmComplaintProvide necessary care and services to maintain or improve the highest well being of each resident .
DFewPotential for HarmComplaint1) Hire only people with no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents.

October 25, 2014 - 3 years ago

 Residents AffectedSeveritySource/TypeDescription
ESomePotential for HarmHealth InspectionMake sure each resident has 1) at least one window to the outside in a room; 2) a room at or above ground level; 3) adequate bedding; 4) furniture that meets the resident's needs; or 5) adequate closet space.
ESomePotential for HarmHealth InspectionEnsure that each resident who enters the nursing home without a catheter is not given a catheter, unless medically necessary, and that incontinent patients receive proper services to prevent urinary tract infections and restore normal bladder functions.
ESomePotential for HarmHealth InspectionPrepare food that is nutritional, appetizing, tasty, attractive, well-cooked, and at the right temperature.
ESomePotential for HarmHealth InspectionStore, cook, and serve food in a safe and clean way.
ESomePotential for HarmHealth InspectionSet up an ongoing quality assessment and assurance group to review quality deficiencies quarterly, and develop corrective plans of action.
ESomePotential for HarmHealth InspectionProvide necessary care and services to maintain or improve the highest well being of each resident .
ESomePotential for HarmComplaint+InspectionHave enough nurses to care for every resident in a way that maximizes the resident's well being.
ESomePotential for HarmHealth InspectionProvide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality.
ESomePotential for HarmComplaint+InspectionGive residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores.
ESomePotential for HarmHealth InspectionProvide housekeeping and maintenance services.
ESomePotential for HarmComplaint+InspectionEnsure services provided by the nursing facility meet professional standards of quality.
DFewPotential for HarmComplaint+Inspection1) Hire only people with no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents.
DFewPotential for HarmHealth InspectionHave a program that investigates, controls and keeps infection from spreading.
DFewPotential for HarmHealth InspectionAt least once a month, have a licensed pharmacist review each resident's medication(s) and report any irregularities to the attending doctor.
DFewPotential for HarmHealth InspectionEnsure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being.
DFewPotential for HarmHealth InspectionAssure that each residentís assessment is updated at least once every 3 months.
DFewPotential for HarmHealth InspectionProvide medically-related social services to help each resident achieve the highest possible quality of life.
DFewPotential for HarmHealth InspectionEnsure residents have the right to have a choice over activities, their schedules, and health care according to their interests, assessments, and plans of care.
DFewPotential for HarmHealth InspectionMake sure that residents receive treatments/services to maintain or improve their ability to care for themselves.
DFewPotential for HarmHealth InspectionAssist those residents who need help with eating/drinking, grooming and personal and oral hygiene.
DFewPotential for HarmHealth InspectionKeep each resident free from physical restraints, unless needed for medical treatment.
DFewPotential for HarmHealth InspectionEnsure that residents receive proper treatment and assistive devices to maintain their vision and hearing.
DFewPotential for HarmHealth InspectionGive or get specialized rehabilitative services per the patient's assessment or plan of care.

Staffing Levels Per Resident per Day

Medicare determines the expected staffing time per resident per day depending on level of care the residents of James Square Nursing And Rehab Centre require. It is important to compare the reported time to expected time for a single facility instead of comparing the amount of time per resident of two facilities. Learn why.

2hr 35min
2hr 30min
ReportedExpected
CNA
45min
45min
ReportedExpected
LPN
35min
1hr 20min
ReportedExpected
RN
3hr 50min
4hr 35min
ReportedExpected
Total Nursing

This facility also provides approximately 1hr 5min per resident per WEEK of physical therapist time.

Quality Measures for Long Stay Residents

97.9%
97.2%
97.1%
97.1%
96.8%
Q4 2015Q1 2016Q2 2016Q3 2016NY
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine
92.2%
97.1%
99.7%
99.1%
95.1%
Q4 2015Q1 2016Q2 2016Q3 2016NY
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine
57.4%
61.7%
60.3%
59.0%
49.5%
Q4 2015Q1 2016Q2 2016Q3 2016NY
Percentage of low risk long-stay residents who lose control of their bowels or bladder
19.9%
17.2%
15.1%
13.8%
16.4%
Q4 2015Q1 2016Q2 2016Q3 2016NY
Percentage of long-stay residents who received an antianxiety or hypnotic medication
26.3%
30.7%
26.5%
17.5%
16.6%
Q4 2015Q1 2016Q2 2016Q3 2016NY
Percentage of long-stay residents whose ability to move independently worsened
18.8%
19.5%
17.2%
16.3%
14.8%
Q4 2015Q1 2016Q2 2016Q3 2016NY
Percentage of long-stay residents who received an antipsychotic medication
24.5%
21.5%
13.8%
14.8%
14.0%
Q4 2015Q1 2016Q2 2016Q3 2016NY
Percentage of long-stay residents whose need for help with daily activities has increased
12.3%
9.0%
9.6%
9.9%
4.8%
Q4 2015Q1 2016Q2 2016Q3 2016NY
Percentage of long-stay residents who self-report moderate to severe pain
8.4%
11.1%
9.3%
7.9%
6.3%
Q4 2015Q1 2016Q2 2016Q3 2016NY
Percentage of long-stay residents who lose too much weight
7.3%
6.6%
6.9%
8.8%
7.1%
Q4 2015Q1 2016Q2 2016Q3 2016NY
Percentage of high risk long-stay residents with pressure ulcers
17.7%
17.3%
13.6%
19.7%
9.4%
Q4 2015Q1 2016Q2 2016Q3 2016NY
Percentage of long-stay residents who have depressive symptoms
1.7%
2.0%
2.1%
0.9%
3.8%
Q4 2015Q1 2016Q2 2016Q3 2016NY
Percentage of long-stay residents with a urinary tract infection
3.9%
2.6%
2.4%
2.3%
2.9%
Q4 2015Q1 2016Q2 2016Q3 2016NY
Percentage of long-stay residents experiencing one or more falls with major injury
4.9%
4.8%
5.3%
6.0%
2.1%
Q4 2015Q1 2016Q2 2016Q3 2016NY
Percentage of long-stay residents with a catheter inserted and left in their bladder
3.3%
3.5%
3.6%
3.8%
1.0%
Q4 2015Q1 2016Q2 2016Q3 2016NY
Percentage of long-stay residents who were physically restrained

Quality Measures for Short Stay Residents

78.5%
79.1%
84.7%
85.4%
81.3%
Q4 2015Q1 2016Q2 2016Q3 2016NY
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine
79.7%
83.8%
83.9%
83.9%
82.6%
Q4 2015Q1 2016Q2 2016Q3 2016NY
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine
63.4%
58.5%
54.7%
66.9%
66.1%
Q4 2015Q1 2016Q2 2016Q3 2016NY
Percentage of short-stay residents who made improvements in function
23.6%
22.2%
15.7%
27.0%
11.5%
Q4 2015Q1 2016Q2 2016Q3 2016NY
Percentage of short-stay residents who self-report moderate to severe pain
1.6%
1.8%
2.1%
1.3%
1.9%
Q4 2015Q1 2016Q2 2016Q3 2016NY
Percentage of short-stay residents who newly received an antipsychotic medication
0.8%
0.7%
0.2%
0.2%
1.1%
Q4 2015Q1 2016Q2 2016Q3 2016NY
Percentage of short-stay residents with pressure ulcers that are new or worsened