CMS data shows Kirkhaven earning a D grade with a score of 46/100, placing it below most facilities in New York. Prospective residents and families should carefully review the specific areas of concern detailed below.
With 3.12 total nurse hours per resident per day, Kirkhaven falls below the national average of 3.8 hours. Families may want to ask about staffing levels during any facility visit.
Recent inspections identified 24 deficiencies at Kirkhaven. While none were classified as the most serious level, families should review the detailed inspection history below.
Score Breakdown
🏥 Staffing Details
| Staff Type | Hours/Resident/Day | National Avg | Comparison |
|---|---|---|---|
| Total Nursing | 3.12 | 3.8 | Below Average |
| Registered Nurses (RN) | 0.31 | 0.7 | Below Average |
| Licensed Practical Nurses (LPN) | 1.05 | 0.7 | Above Average |
| Certified Nursing Assistants (CNA) | 1.76 | 2.4 | Below Average |
| Weekend Total Nursing | 2.85 | 3.8 | Below Average |
| Weekend RN Hours | 0.23 | 0.7 | Below Average |
🔍 Inspection & Deficiency History
View recent deficiencies (5 shown)
- Tag 0550 Severity GHonor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.Dec 7, 2025 · Resident Rights Deficiencies
- Tag 0677 Severity EProvide care and assistance to perform activities of daily living for any resident who is unable.Dec 7, 2025 · Quality of Life and Care Deficiencies
- Tag 0761 Severity EEnsure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologiDec 7, 2025 · Pharmacy Service Deficiencies
- Tag 0658 Severity DEnsure services provided by the nursing facility meet professional standards of quality.Dec 7, 2025 · Resident Assessment and Care Planning Deficiencies
- Tag 0684 Severity DProvide appropriate treatment and care according to orders, resident’s preferences and goals.Jul 15, 2025 · Quality of Life and Care 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 | 7.9% | 4.5% | Worse |
| Falls with major injury | 3.0% | 3.0% | Average |
| On antipsychotic medication | 20.8% | 14.5% | Worse |
| Urinary tract infections | 0.2% | 2.5% | Better |
| ADL decline (daily activities) | 10.3% | 14.0% | Better |
| Excessive weight loss | 11.7% | 7.5% | Worse |
| New/worsened incontinence | 15.6% | 45.0% | Better |
How This Grade Was Calculated
This facility's grade of D is based on a score of 46 out of 100, calculated from official CMS Nursing Home Compare data:
- Overall CMS Rating: 2★ → 16 pts (max 40)
- Health Inspection Rating: 2★ → 10 pts (max 25)
- Staffing Rating: 2★ → 8 pts (max 20)
- Quality Measures Rating: 4★ → 12 pts (max 15)
Grades: A=85+, B=70–84, C=55–69, D=40–54, F=below 40
Facility Details
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