BAY PARK CENTER FOR NRSG AND REHAB L L C

Nursing Home Inspector

801 CO OP CITY BLVD
BRONX, NY 10475
Bronx County
Phone: 718-239-6500
Provider Number: 335581
Last Inspection: 07/19/2017

About the Nursing Home

Number of Beds: 480
Number of Residents: 473
Beds Available: 7
Percent Occupancy: 99%
Insurance Accepted: Medicare & Medicaid
Types of Councils: Resident
Ownership: For profit - Partnership
Within Hospital?: NO

About State Inspection Deficiencies

Nursing Homes that are Medicare and/or Medicaid certified are licensed by the state and are required to comply with rigid standards enforced by regular facility inspections and extensive evaluations.

The state inspection deficiencies provided here are accounts reported by state inspectors of every discrepancy found where the home failed to meet the minimum standards set forth by state and federal regulations. If a home does not show any deficiencies, it has met the minimum standards required.

Please note: Findings in these inspections do not present a complete picture of the quality of care provided. Information in this database should be interpreted carefully and used in conjunction with other sources, as well as a visit to the nursing home.


Deficiency Ratings

Our nursing home inspector tool compares the severity of deficiences rather than the number of deficiences. We calculate the severity of each deficiency using the formula:

Severity Rating = Scope + Level of Harm.

Deficiency Rating= Sum of ALL Severity Ratings

Severity Scope Level of Harm
2 1-Isolated 1-Potential for minimal harm
3 2-Pattern 1-Potential for minimal harm
3 1-Isolated 2-Minimal harm or potential for actual harm
4 3-Widespread 1-Potential for minimal harm
4 2-Pattern 2-Minimal harm or potential for actual harm
4 1-Isolated 3-Actual harm
5 3-Widespread 2-Minimal harm or potential for actual harm
5 2-Pattern 3-Actual harm
5 1-Isolated 4-Immediate jeopardy to resident health or safety
6 3-Widespread 3-Actual harm
6 2-Pattern 4-Immediate jeopardy to resident health or safety
7 3-Widespread 4-Immediate jeopardy to resident health or safety

Deficiency Ratings
By Region

Lower Numbers Are Better

 

0

Facility
8

County
14

NY
20

USA

Deficiency Ratings
By Year

Lower Numbers Are Better

 

0

2017
27

2016
10

2015

Medicare Ratings

Overall Rating: Overall Rating
Health Rating: Health Rating
Staff Rating: Staff Rating
Quality Rating: Quality Rating

 

Details by Inspection Date

4/29/2016 Inspection

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Ensure 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. Isolated : Minimal 3 5/25/2016
 
Failed To: Coordinate assessments with the pre-admission screening and resident review program for mentally-ill and mentally-retarded patients. Isolated : Minimal 3 6/17/2016
 
Failed To: At least once a month, have a licensed pharmacist review each resident's medication(s) and report any irregularities to the attending doctor. Isolated : Minimal 3 5/25/2016
 
Failed To: Make sure that doctors see a resident's plan of care at every visit and make notes about progress and orders in writing. Isolated : Minimal 3 5/25/2016
 
Failed To: Allow residents the right to participate in the planning or revision of care and treatment. Isolated : Minimal 3 5/25/2016
 
Failed To: Ensure residents have the right to have a choice over activities, their schedules, and health care according to their interests, assessments, and plans of care. Isolated : Minimal 3 5/26/2016
 
Failed To: Provide medically-related social services to help each resident achieve the highest possible quality of life. Isolated : Minimal 3 5/25/2016
 
Failed To: Conduct initial and periodic assessments of each resident's functional capacity. Isolated : Minimal 3 5/25/2016
 
Failed To: Ensure services provided by the nursing facility meet professional standards of quality. Isolated : Minimal 3 5/25/2016
 

3/20/2015 Inspection

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Ensure services provided by the nursing facility meet professional standards of quality. Isolated : Minimal 3 5/18/2015
 
Failed To: Provide housekeeping and maintenance services. Pattern : Minimal 4 5/18/2015
 
Failed To: Provide care by qualified persons according to each resident's written plan of care. Isolated : Minimal 3 5/18/2015
 

Complaint Investigation Deficiencies

These deficiencies resulted from complaints investigated by the state inspectors and substantiated.

5/31/2017 Investigation

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Provide medically-related social services to help each resident achieve the highest possible quality of life. Isolated : Minimal 3 7/20/2017
 
Failed To: Allow residents the right to participate in the planning or revision of care and treatment. Isolated : Minimal 3 7/20/2017
 

6/15/2015 Investigation

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. Pattern : Minimal 4 8/3/2015
 

About The Staff

(Higher Numbers Are Better)

Staffing Hours Per Day Per Resident... This Facility County Avg NY State Avg
Number of Residents 473 239.15 167.28
Registered Nurses 0.62 0.57 0.74
Licensed Practical / Vocational Nurses 0.74 0.66 0.84
Certified Nursing Assistants 2.28 2.16 2.30
Total Staff Hours 3.64 3.40 3.88

 


About the Residents

(Lower Numbers Are Better)

Percent of Residents... This Facility% County Avg% NY State Avg%
of high risk long-stay residents with pressure ulcers 5 7 6
of long-stay residents assessed and appropriately given the pneumococcal vaccine 97 95 95
of long-stay residents assessed and appropriately given the seasonal influenza vaccine 95 95 96
of long-stay residents experiencing one or more falls with major injury 1 1 2
of long-stay residents who have depressive symptoms 39 14 8
of long-stay residents who lose too much weight 6 5 6
of long-stay residents who received an antianxiety or hypnotic medication 7 8 15
of long-stay residents who received an antipsychotic medication 9 13 13
of long-stay residents who self-report moderate to severe pain 2 1 3
of long-stay residents who were physically restrained 1 0 0
of long-stay residents whose ability to move independently worsened 11 12 16
of long-stay residents whose need for help with daily activities has increased 10 10 13
of long-stay residents with a catheter inserted and left in their bladder 1 1 1
of long-stay residents with a urinary tract infection 2 1 3
of low risk long-stay residents who lose control of their bowels or bladder 33 40 50
of short-stay residents assessed and appropriately given the pneumococcal vaccine 47 73 81
of short-stay residents who had an outpatient emergency department visit 7 7 9
of short-stay residents who made improvements in function 72 68 68
of short-stay residents who newly received an antipsychotic medication 3 2 1
of short-stay residents who self-report moderate to severe pain 6 5 9
of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine 54 72 82
of short-stay residents who were rehospitalized after a nursing home admission 24 21 21
of short-stay residents who were successfully discharged to the community 35 36 48
of short-stay residents with pressure ulcers that are new or worsened 0 0 0