With a score of 83/100 and a B grade, Luxor Nursing And Rehabilitation At Mills Pond is a well-regarded option in St James, New York. The facility performs above average in most CMS categories, placing it in the 83th percentile statewide.
With 3.27 total nurse hours per resident per day, Luxor Nursing And Rehabilitation At Mills Pond falls below the national average of 3.8 hours. Families may want to ask about staffing levels during any facility visit.
Recent inspections identified 11 deficiencies at Luxor Nursing And Rehabilitation At Mills Pond. 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 | 3.27 | 3.8 | Below Average |
| Registered Nurses (RN) | 0.31 | 0.7 | Below Average |
| Licensed Practical Nurses (LPN) | 0.84 | 0.7 | Above Average |
| Certified Nursing Assistants (CNA) | 2.12 | 2.4 | Below Average |
| Weekend Total Nursing | 3.01 | 3.8 | Below Average |
| Weekend RN Hours | 0.23 | 0.7 | Below Average |
🔍 Inspection & Deficiency History
View recent deficiencies (5 shown)
- Tag 0804 Severity EEnsure food and drink is palatable, attractive, and at a safe and appetizing temperature.Jan 13, 2025 · Nutrition and Dietary Deficiencies
- Tag 0812 Severity EProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Jan 13, 2025 · Nutrition and Dietary Deficiencies
- Tag 0880 Severity DProvide and implement an infection prevention and control program.Jan 13, 2025 · Infection Control Deficiencies
- Tag 0550 Severity DHonor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.Jul 12, 2023 · Resident Rights Deficiencies
- Tag 0656 Severity DDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.Jul 12, 2023 · Resident Assessment and Care Planning 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 | 3.8% | 4.5% | Better |
| Falls with major injury | 4.1% | 3.0% | Worse |
| On antipsychotic medication | 8.4% | 14.5% | Better |
| Urinary tract infections | 0.0% | 2.5% | Better |
| ADL decline (daily activities) | 15.4% | 14.0% | Worse |
| Excessive weight loss | 4.7% | 7.5% | Better |
| New/worsened incontinence | 20.2% | 45.0% | Better |
How This Grade Was Calculated
This facility's grade of B is based on a score of 83 out of 100, calculated from official CMS Nursing Home Compare data:
- Overall CMS Rating: 5★ → 40 pts (max 40)
- Health Inspection Rating: 4★ → 20 pts (max 25)
- Staffing Rating: 2★ → 8 pts (max 20)
- Quality Measures Rating: 5★ → 15 pts (max 15)
Grades: A=85+, B=70–84, C=55–69, D=40–54, F=below 40
Facility Details
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