Island Nursing and Rehab Center Violations and Ratings

Island Nursing and Rehab Center Information

Island Nursing and Rehab Center is a member of the not-for-profit Gurwin Healthcare System of nursing homes. With an emphasis on being, “mission based,” Island Nursing and Rehab Center’s stated focus is to provide the highest level of compassionate and skilled care and support to frail and medically complex Long Islanders in their nursing homes.

This CMS 3-star rated nursing facility and rehabilitation center is located on an eight-acre campus in Holtsville, Long Island.

Island Nursing and Rehab Center
5537 Expressway Drive North
Holtsville, NY 11742

1. Island Nursing and Rehab Center CMS Ratings as of Jan 1, 2022
2. Island Nursing and Rehab Center New York State Ratings as of January 20, 2022
3. New York State Health Inspections for Island Nursing and Rehab Center
4. How to File a Nursing Home Abuse Complaint in New York

Island Nursing and Rehab Center CMS Ratings as of Jan 1, 2022

The Centers for Medicare & Medicaid Services (CMS), is part of the United States government Department of Health and Human Services (HHS). This federal government website offers a great deal of information addressing questions and issues with Medicare and Medicaid services, resident health, facility reported incidents, and quality care as well as a large database of ratings and federal government inspection reports and information on nursing homes across the country. Learn more about the CMS rating system for nursing homes.

Facility Overview

This is information provided by the Centers for Medicare & Medicaid Services on Island Nursing and Rehab Center as of January 1, 2022.

• 120 certified beds
• 87.7 average residents per day
• Most recent health inspection was on January 29, 2020
• 4 health citations from the most recent health inspection
• 1 fine of $650 in the past 3 years

CMS Star Ratings

• Overall Rating – 3 Stars
• Health Inspections Rating – 3 Stars
• Staffing Rating – 3 Stars
• Quality Measures Rating – 3 Stars

Health Inspections – 3 Stars

The three star rating from health inspections of Island Nursing and Rehab Center by CMS includes information about:

• the most recent health inspection,
• any complaint inspections, and
• infection control inspections.

The most recent health inspection of this nursing home was conducted on January 29, 2020, and there were a total of 4 health citations. The national average for health citations at nursing homes is 8.1 and in New York the average is 4.9. In this case, the lower the citations, the better a nursing home is rated by the CMS. No inspections were conducted due to complaints in 2021. In the past three years, two complaints resulted in a citation and there were zero instances when a facility-reported issue resulted in a citation.

The Island Nursing and Rehab Center was inspected for infection control on January 7, 2021 and also on August 18, 2021. There were zero citations from infection control inspections in the past three years. One federal fine of $650 was issued on June 8, 2020.

Staffing Rating – 3 Stars

The CMS staffing rating is based on nursing home staffing hours from the last reported three month quarter and includes:

• Registered nurse (RN) hours per nursing home resident per day
• Total nurse staffing hours per resident per day, which included RNs, licensed practical nurses (LPNs), and nurse aides

Higher numbers of nursing hours per resident are better than fewer hours.

The Island Nursing and Rehab Center has an average number of residents per day of 87.7, which is higher than the national average of 76.1. The total number of nurse staff hours per resident per day is 3 hours and 14 minutes, which is slightly lower than the national average of 3 hours and 46 minutes. This breaks out to:

• RN hours per resident per day: 54 minutes (National Average: 42 minutes)
• LPN/LVN hours per resident per day: 35 minutes (National Average: 53 minutes)
• Nurse aide hours per resident per day: 1 hour and 45 minutes (National Average: 2 hours and 11 minutes)

Additionally, there are 5 minutes of physical therapist staff hours per nursing home resident per day, which is higher than the national average of 4 minutes, but lower than the New York average of 7 minutes.

The Island Nursing and Rehab Center also has a better nursing staff turnover rate than the national average of nursing homes. Staff turnover is the percent of staff that stop working in a facility within a given year and low turnover indicates that staff is retained for a longer period of time, which benefits residents. The nursing staff turnover rate at this facility is 48.2% while the national average is 51.6%.  However, the average is higher than the New York average, which is 44%.

Quality Measures Rating – 3 Stars

The quality measures rating is based on data from a select set of clinical data measures of nursing homes. The 3 star rating for Island Nursing and Rehab Center encompasses the following:

• Short-stay quality measures – 2 Stars
• Long-stay quality measures – 4 Stars

More stars means a better quality of care. These quality measures include 17 different assessments for short-stay residents and 16 assessments for long-stay residents.

Island Nursing and Rehab Center New York State Ratings as of January 20, 2022

The New York State Department of Health also provides nursing home ratings intended to allow patients and their families on Long Island and throughout NY to easily determine the performance of NY nursing homes. This includes an overall rating as well as ratings in five domains of care including preventative care, quality of life, resident safety, and resident status.

These areas encompass 24 different quality measures of nursing homes, and like the CMS ratings, a 5 star rating indicates the highest performance and 1 star indicates the lowest performance. Learn more about the NYS rating system.

NYS Star Ratings

• Overall Rating – 1 Star
• Preventative Care – 2 Stars
• Quality of Care – 3 Stars
• Quality of Life – 3 Stars
• Resident Safety – 1 Star
• Resident Status – 2 Stars

Preventative Care – 2 Stars

The NY State Department of Health rating for preventative care at Island Nursing and Rehab Center is 2 stars. This rating encompasses information about pneumonia and flu vaccination status for both long-stay and short-stay residents. 90.8% of long stay residents were assessed and appropriately given the pneumonia vaccine and 97% were given the flu vaccine. 74.9% of short-stay residents were assessed and given the pneumonia vaccine and 79.7% were given the seasonal flu jab. In all cases, higher percentages indicate higher quality preventative care.

Quality of Care – 3 Stars

The quality of care measurement takes into account six factors. For all of these areas, lower values indicate a higher quality of care for residents. At the Island Nursing and Rehab Center, 8.9% of high risk long-stay residents had pressure ulcers and 14.1% of long-stay residents had urinary tract infections. 68.8% of low risk long-stay residents lose control of their bowels or bladder. The percentage of residents with pressure ulcers or injuries that are new or get worse is 0.8%. 3.5% of short-stay residents had an outpatient emergency department visit and 19.2% of them were rehospitalized after a nursing home visit.

Quality of Life – 3 Stars

At the Island Nursing and Rehab Center, 1.1% of long-stay residents have depressive symptoms and 37% have a successful return to home and community from a skilled nursing facility.

Resident Safety – 1 Star

NY State assesses six criteria when rating facilities on resident safety. Island Nursing and Rehab Center was rated one star, indicating the lowest level of performance. 5.1% of long-stay residents experienced one or more falls with major injury with 18.5% of long-stay residents receiving anti-anxiety or hypnotic medication. 7.5% of long-stay residents received antipsychotic medication and 0.5% were physically restrained. 2% of short-stay residents newly received an antipsychotic medication. 0.8% of skilled nursing facility residents experienced one or more falls with major injury during their stay.

Resident Status – 2 Stars

Island Nursing and Rehab Center was rated 2 stars for resident status. These ratings were determined by six quality measures. For the first four of these six measurements, a lower number indicates better performance and for the last two items, higher numbers are better. 8.1% of long-stay residents lose too much weight and 21.5% of residents have a worsening of their ability to move independently. 17.5% have an increase in need for help with daily activities and 1.6% are on catheters.

63.1% of short-stay residents made improvements in function and 99.5% of skilled nursing facility residents whose functional abilities were assessed and functional goals were included in their treatment plan.