| Golden Gate Rehabilitation & Health Care Center | |
| 191 Bradley Avenue, Staten Island, New York 10314 | |
| (718) 698-8800 | |
| Name | Golden Gate Rehabilitation & Health Care Center |
|---|---|
| Location | 191 Bradley Avenue, Staten Island, New York |
| Certified By | Medicare and Medicaid |
| No. of Certified Beds | 238 |
| Occupancy Rate | 96.13% |
| Medicare ID (CCN) | 335502 |
| Legal Business Name | Golden Gate Rehabilitation & Health Care Center LLC |
| Ownership Type | For Profit - Corporation |
| Chain | Benjamin Landa (48 nursing homes) |
| Chain Average Overall Rating | 3.4 out of 5 |
| NPI Number | 1174510648 |
| Match | Confirmed listed in Medicare enrollment records |
| Organization Name | Golden Gate Rehabilitation & Health Care Center LLC |
| Address | 191 Bradley Ave, Staten Island, NY 10314 |
| Phone Number | 718-698-8800 |
| Ratings from Surveys (Inspections): | |
| Ratings from Quality Measures: | |
| Ratings from Staffing Data: | |
| Overall Rating: |
|---|
| Staffing Measure | Provider | National Avg. |
|---|---|---|
| Total nurse staff hours per resident per day | 2.81 | 3.86 |
| Registered nurse (RN) hours per resident per day | 0.67 | 0.69 |
| Licensed practical nurse (LPN) hours per resident per day | 0.36 | 0.86 |
| Nurse aide hours per resident per day | 1.78 | 2.32 |
| Total nurse staff hours per resident per day on the weekend | 2.6 | 3.42 |
| RN hours per resident per day on the weekend | 0.53 | 0.48 |
| Physical therapist hours per resident per day | 0.1 | 0.07 |
| Total nursing staff turnover | 27.7% | 45.8% |
| Registered nurse turnover | 30% | 42.9% |
| Number of administrators who have left the nursing home | 0 | 0.5 |
| Cited for abuse, neglect or exploitation of residents (Care Compare abuse icon) | No |
| Number of Fines | 0 |
| Total Amount of Fines in Dollars | $0 |
| Number of Payment Denials | 0 |
| Total Number of Penalties | 0 |
| Date | Deficiency | Harm Level | Status |
|---|---|---|---|
| May 29, 2024 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. F0804, Nutrition and Dietary, Standard inspection | Potential for harm, pattern | Corrected by Jul 26, 2024 |
| May 29, 2024 | Ensure each resident receives an accurate assessment. F0641, Resident Assessment and Care Planning, Standard inspection | Potential for harm, isolated | Corrected by Jul 26, 2024 |
| May 29, 2024 | Ensure services provided by the nursing facility meet professional standards of quality. F0658, Resident Assessment and Care Planning, Standard inspection, Complaint inspection | Potential for harm, isolated | Corrected by Jul 26, 2024 |
| May 29, 2024 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. F0756, Pharmacy Service, Standard inspection | Potential for harm, isolated | Corrected by Jul 26, 2024 |
| May 29, 2024 | Provide and implement an infection prevention and control program. F0880, Infection Control, Standard inspection | Potential for harm, isolated | Corrected by Jul 26, 2024 |
| Nov 2, 2023 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. F0609, Freedom from Abuse, Neglect, and Exploitation, Complaint inspection | Potential for harm, isolated | Corrected by Dec 15, 2023 |
| Nov 2, 2023 | Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. F0661, Resident Assessment and Care Planning, Complaint inspection | Potential for harm, isolated | Corrected by Dec 15, 2023 |
| Mar 3, 2022 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. F0600, Freedom from Abuse, Neglect, and Exploitation, Standard inspection | Immediate jeopardy, pattern | Corrected by Apr 28, 2022 |
| Mar 3, 2022 | Respond appropriately to all alleged violations. F0610, Freedom from Abuse, Neglect, and Exploitation, Standard inspection | Immediate jeopardy, pattern | Corrected by Apr 28, 2022 |
| Mar 3, 2022 | Develop and implement policies and procedures to ensure (1) employees report any suspicion of a crime against any resident, according to timelines; (2) post the notice of employee rights; and (3) prohibit and prevent retaliation for reporting. F0608, Freedom from Abuse, Neglect, and Exploitation, Standard inspection | Immediate jeopardy, isolated | Corrected by Apr 28, 2022 |
| Mar 3, 2022 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. F0609, Freedom from Abuse, Neglect, and Exploitation, Standard inspection | Potential for harm, pattern | Corrected by Apr 28, 2022 |
| Mar 3, 2022 | Ensure each resident receives an accurate assessment. F0641, Resident Assessment and Care Planning, Standard inspection | Potential for harm, isolated | Corrected by Apr 28, 2022 |
| Mar 3, 2022 | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. F0761, Pharmacy Service, Standard inspection | Potential for harm, isolated | Corrected by Apr 28, 2022 |
| Jun 27, 2019 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. F0550, Resident Rights, Standard inspection | Potential for harm, isolated | Corrected by Aug 26, 2019 |
| Jun 27, 2019 | Assist a resident in gaining access to vision and hearing services. F0685, Quality of Life and Care, Standard inspection | Potential for harm, isolated | Corrected by Aug 26, 2019 |
| Jun 27, 2019 | Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit. F0711, Nursing and Physician Services, Standard inspection | Potential for harm, isolated | Corrected by Aug 26, 2019 |
| Jun 27, 2019 | Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. F0758, Pharmacy Service, Standard inspection | Potential for harm, isolated | Corrected by Aug 26, 2019 |
| Jun 27, 2019 | Provide and implement an infection prevention and control program. F0880, Infection Control, Standard inspection | Potential for harm, isolated | Corrected by Aug 26, 2019 |
| Quality Measure | Provider | National Avg. |
|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | 17.19 | 13.87 |
| Percentage of long-stay residents who lose too much weight | 6.49 | 5.19 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.53 | 0.82 |
| Percentage of long-stay residents with a urinary tract infection | 1.17 | 1.59 |
| Percentage of long-stay residents who have depressive symptoms | 9.5 | 12.8 |
| Percentage of long-stay residents who were physically restrained | 0.13 | 0.13 |
| Percentage of long-stay residents experiencing one or more falls with major injury | 2.14 | 3.23 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 91.93 | 93.55 |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 31.28 | 82.04 |
| Percentage of short-stay residents who newly received an antipsychotic medication | 0.64 | 1.56 |
| Percentage of long-stay residents whose ability to walk independently worsened | 16.18 | 14.07 |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 20.42 | 19.52 |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 95.56 | 95.46 |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 40.88 | 79.75 |
| Percentage of long-stay residents with pressure ulcers | 5.3 | 4.62 |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 14.98 | 19.01 |
| Percentage of long-stay residents who received an antipsychotic medication | 8.77 | 15.38 |
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