With a score of 17/100, Monroe Community Hospital ranks in the bottom tier of New York nursing facilities, earning an F grade. CMS data highlights significant concerns that prospective residents and families should thoroughly evaluate.
Staffing at Monroe Community Hospital is near the national average, with 4.16 total nursing hours per resident per day (national average: 3.8 hours).
Recent CMS inspections identified 11 deficiencies at Monroe Community Hospital, including 3 classified as serious — among the most concerning citation levels. The most notable finding involved: provide appropriate treatment and care according to orders, resident’s preferences and goals..
Score Breakdown
🏥 Staffing Details
| Staff Type | Hours/Resident/Day | National Avg | Comparison |
|---|---|---|---|
| Total Nursing | 4.16 | 3.8 | Average |
| Registered Nurses (RN) | 0.47 | 0.7 | Below Average |
| Licensed Practical Nurses (LPN) | 1.17 | 0.7 | Above Average |
| Certified Nursing Assistants (CNA) | 2.52 | 2.4 | Average |
| Weekend Total Nursing | 3.06 | 3.8 | Below Average |
| Weekend RN Hours | 0.22 | 0.7 | Below Average |
🔍 Inspection & Deficiency History
View recent deficiencies (5 shown)
- Tag 0684 Severity LProvide appropriate treatment and care according to orders, resident’s preferences and goals.Oct 23, 2025 · Quality of Life and Care Deficiencies
- Tag 0686 Severity JProvide appropriate pressure ulcer care and prevent new ulcers from developing.Oct 23, 2025 · Quality of Life and Care Deficiencies
- Tag 0686 Severity GProvide appropriate pressure ulcer care and prevent new ulcers from developing.Sep 11, 2025 · Quality of Life and Care Deficiencies
- Tag 0655 Severity ECreate and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admittedDec 19, 2024 · Resident Assessment and Care Planning Deficiencies
- Tag 0580 Severity DImmediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.Dec 19, 2024 · Resident Rights Deficiencies
📊 Resident Outcome Measures
Based on CMS quality measure data. Lower percentages are better for most metrics.
| Measure | This Facility | Nat'l Avg | |
|---|---|---|---|
| Residents with pressure ulcers | 11.0% | 4.5% | Worse |
| Falls with major injury | 3.0% | 3.0% | Average |
| On antipsychotic medication | 18.7% | 14.5% | Worse |
| Urinary tract infections | 1.4% | 2.5% | Better |
| ADL decline (daily activities) | 14.6% | 14.0% | Average |
| Excessive weight loss | 7.8% | 7.5% | Average |
| New/worsened incontinence | 16.1% | 45.0% | Better |
⚠️ Penalties & Fines
2 penalties recorded by CMS
Total fines: $216,450
How This Grade Was Calculated
This facility's grade of F is based on a score of 17 out of 100, calculated from official CMS Nursing Home Compare data:
- Overall CMS Rating: 1★ → 8 pts (max 40)
- Health Inspection Rating: 1★ → 5 pts (max 25)
- Staffing Rating: 3★ → 12 pts (max 20)
- Quality Measures Rating: 4★ → 12 pts (max 15)
- Penalty deductions: -10 pts
- Fine deductions: -10 pts
Grades: A=85+, B=70–84, C=55–69, D=40–54, F=below 40
Facility Details
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