Gold Crest Nursing Home on Bruner Avenue, Bronx, NY has received a one out of five star rating (the lowest possible rating) from the Centers for Medicare and Medicaid Services (CMS). The rating is based on a combination of data compiled regarding each nursing home’s performance during a health inspection, staffing, and quality measures. Analysis is conducted by CMS on these three data sources and each of these ratings were combined into one overall rating.
Gold Crest received one star for its poor performance on its health inspection and one star for staffing. The facility was given a three star rating based on data compiled regarding various quality measures. That said, CMS reports that 19% of resident’s at “high risk” for developing pressure ulcers (bedsores, decubitus ulcers) actually developed such ulcers. This is in comparison to the state average of 13%.
The total number of licensed nurse staff hours per resident per day was 46 minutes in comparison with state and national averages of 1 hour and 24 minutes. The total number of CNA hours per resident per day was 1 hour and 47 minutes in comparison to state and national averages of approximately 2 hours and 20 minutes. This is particularly important because nursing aides reportedly provide between 80 – 90 % of care to residents, including such basic care as bathing, feeding, re-positioning, etc.
Understaffing is one of the leading causes of neglect or abuse in NY nursing homes. Oftentimes, nurses and nursing aides are genuinely good people trying to do the best job they can. Unfortunately, however, they face an impossible task – providing a daunting amount of care to too many residents due to short-staffing. In these instances, we believe the bulk of the responsibility for avoidable poor outcomes in nursing homes are the direct result of the administration’s failure to hire and train an appropriate number of nurses and nursing aides.