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Cold Springs Hills Ctr For Nursing And Rehab

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About Cold Springs Hills Ctr For Nursing And Rehab

General Information

Legal Business NameCold Spring Acquisition LLC
Ownership TypeFor Profit - Corporation
Changed Ownership In The Last 12 MonthsYes
First Accepted MedicareDecember 1, 1977 (40 years)
Capacity606
Residents553
Percent Occupied91%
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 Cold Springs Hills Ctr For Nursing And Rehab

Cold Springs Hills Ctr For Nursing And Rehab
was reviewed by Medicare to have a rating of 2 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

Note that this facility has changed ownership within the past 12 months.

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

May 13, 2016 - 14 months ago

 Residents AffectedSeveritySource/TypeDescription
ESomePotential for HarmHealth InspectionHave a program that investigates, controls and keeps infection from spreading.
ESomePotential for HarmHealth InspectionProvide housekeeping and maintenance services.
ESomePotential for HarmHealth InspectionProvide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality.
DFewPotential for HarmHealth InspectionStore, cook, and serve food in a safe and clean way.
DFewPotential for HarmHealth InspectionProvide care by qualified persons according to each resident's written plan of care.
DFewPotential for HarmHealth InspectionTry to resolve each resident's complaints quickly.
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.

November 18, 2015 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
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.

November 13, 2015 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
ESomePotential for HarmComplaintProvide housekeeping and maintenance services.

November 5, 2015 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
---Fine$1,300 fine
---Payment DenialPayment denial for 66 days
GFewActual HarmComplaintProtect each resident from mistreatment, neglect and misappropriation of personal property.
GFewActual HarmComplaintProvide necessary care and services to maintain or improve the highest well being of each resident .
DFewPotential for HarmComplaintImmediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

June 19, 2015 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
---Fine$1,235 fine
GFewActual HarmComplaint+InspectionEnsure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents.
DFewPotential for HarmComplaintKeep accurate, complete and organized clinical records on each resident that meet professional standards.

June 15, 2015 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
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 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 InspectionHave a program that investigates, controls and keeps infection from spreading.
DFewPotential for HarmHealth InspectionProvide care by qualified persons according to each resident's written plan of care.
DFewPotential for HarmHealth InspectionEnsure each resident receives an accurate assessment by a qualified health professional.
DFewPotential for HarmHealth InspectionProvide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality.
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 InspectionProvide housekeeping and maintenance services.
DFewPotential for HarmHealth InspectionAllow residents to self-administer drugs if determined safe.

Staffing Levels Per Resident per Day

Medicare determines the expected staffing time per resident per day depending on level of care the residents of Cold Springs Hills Ctr For Nursing And Rehab 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 25min
2hr 35min
ReportedExpected
CNA
45min
45min
ReportedExpected
LPN
50min
1hr 20min
ReportedExpected
RN
4hr
4hr 40min
ReportedExpected
Total Nursing

This facility also provides approximately 20min per resident per WEEK of physical therapist time.

Quality Measures for Long Stay Residents

98.0%
95.6%
95.6%
95.6%
96.8%
Q4 2015Q1 2016Q2 2016Q3 2016NY
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine
91.5%
91.4%
91.7%
88.9%
95.1%
Q4 2015Q1 2016Q2 2016Q3 2016NY
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine
36.5%
34.7%
35.6%
33.5%
49.5%
Q4 2015Q1 2016Q2 2016Q3 2016NY
Percentage of low risk long-stay residents who lose control of their bowels or bladder
12.3%
12.6%
13.1%
14.4%
16.4%
Q4 2015Q1 2016Q2 2016Q3 2016NY
Percentage of long-stay residents who received an antianxiety or hypnotic medication
9.3%
7.9%
3.4%
4.2%
16.6%
Q4 2015Q1 2016Q2 2016Q3 2016NY
Percentage of long-stay residents whose ability to move independently worsened
13.3%
13.8%
13.3%
14.1%
14.8%
Q4 2015Q1 2016Q2 2016Q3 2016NY
Percentage of long-stay residents who received an antipsychotic medication
8.5%
5.0%
7.0%
6.1%
14.0%
Q4 2015Q1 2016Q2 2016Q3 2016NY
Percentage of long-stay residents whose need for help with daily activities has increased
2.2%
0.9%
1.6%
1.7%
4.8%
Q4 2015Q1 2016Q2 2016Q3 2016NY
Percentage of long-stay residents who self-report moderate to severe pain
4.7%
2.6%
3.2%
5.3%
6.3%
Q4 2015Q1 2016Q2 2016Q3 2016NY
Percentage of long-stay residents who lose too much weight
10.9%
9.6%
8.7%
7.3%
7.1%
Q4 2015Q1 2016Q2 2016Q3 2016NY
Percentage of high risk long-stay residents with pressure ulcers
69.1%
67.9%
64.3%
61.6%
9.4%
Q4 2015Q1 2016Q2 2016Q3 2016NY
Percentage of long-stay residents who have depressive symptoms
1.3%
2.1%
3.6%
2.5%
3.8%
Q4 2015Q1 2016Q2 2016Q3 2016NY
Percentage of long-stay residents with a urinary tract infection
2.3%
1.7%
1.9%
1.5%
2.9%
Q4 2015Q1 2016Q2 2016Q3 2016NY
Percentage of long-stay residents experiencing one or more falls with major injury
2.0%
2.4%
1.8%
1.8%
2.1%
Q4 2015Q1 2016Q2 2016Q3 2016NY
Percentage of long-stay residents with a catheter inserted and left in their bladder
1.2%
0.8%
0.6%
1.3%
1.0%
Q4 2015Q1 2016Q2 2016Q3 2016NY
Percentage of long-stay residents who were physically restrained

Quality Measures for Short Stay Residents

71.4%
76.4%
74.8%
64.9%
81.3%
Q4 2015Q1 2016Q2 2016Q3 2016NY
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine
85.7%
82.9%
82.7%
82.7%
82.6%
Q4 2015Q1 2016Q2 2016Q3 2016NY
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine
48.3%
54.8%
53.8%
49.4%
66.1%
Q4 2015Q1 2016Q2 2016Q3 2016NY
Percentage of short-stay residents who made improvements in function
4.7%
4.6%
2.6%
2.9%
11.5%
Q4 2015Q1 2016Q2 2016Q3 2016NY
Percentage of short-stay residents who self-report moderate to severe pain
1.0%
0.9%
1.5%
1.6%
1.9%
Q4 2015Q1 2016Q2 2016Q3 2016NY
Percentage of short-stay residents who newly received an antipsychotic medication
0.3%
0.0%
0.2%
0.3%
1.1%
Q4 2015Q1 2016Q2 2016Q3 2016NY
Percentage of short-stay residents with pressure ulcers that are new or worsened