Analysis: Comparing County Home rating to new buyers’

By LIZ SKOCZYLAS

OBSERVER Mayville Bureau

The Chautauqua County Home has the same overall star rating as three Erie County homes owned by the Home’s potential purchaser.

County Executive Greg Edwards recently announced there is a new potential purchaser for the County Home. Richard Platschek of 10836 Temple Realty LLC and Chautauqua Restorative and Nursing Center LLC has offered $16.5 million cash. Additionally, Platschek has offered a $1.65 million good faith deposit to the county.

Platschek is also owner of Sheridan Manor LLC in Tonawanda; Ridge View Manor LLC in Buffalo; and Williamsville Suburban LLC in Williamsville. According to Greg Edwards, Platschek has owned the homes for roughly a year.

The Centers for Medicare and Medicaid Services, CMS, provide a Five Star Rating System to more than 15,000 nursing homes throughout the country. It provides an overall rating, as well as ratings for health inspections, nurse staffing and quality measures. The information then is compiled in the U.S. News & World Report’s latest rankings.

To determine what star rating a home receives, CMS sets and enforces standards for all nursing homes enrolled in Medicare and Medicaid. It does not rank retirement or assisted-living communities.

According to the CMS website, numbers have been updated as of July 2013.

HOME COMPARISON

The County Home has 216 certified beds. It is Medicare and Medicaid certified, and offers baseline services. Additionally, the home offers short-term respite care. Currently, the County Home is operating at a 96.3 percent occupancy rate, as reported to the New York State Health Department on June 26.

Sheridan Manor LLC has 100 certified beds. It is also Medicare and Medicaid certified, currently offering only baseline services. As of July 3, Sheridan Manor LLC reported to the state Health Department it is operating at a 94 percent occupancy rate.

Ridge View Manor LLC has 120 certified beds and is Medicare and Medicaid certified. It, too, offers baseline services to its residents. The occupancy rate for Ridge View LLC, as of July 3, is 95.8 percent.

Finally, Williamsville Suburban LLC has 220 certified beds. Like the others, it is Medicare and Medicaid certified. In addition to baseline services, Williamsville Suburban LLC offers outpatient physical and occupational therapy. It is operating at an 86.8 percent occupancy rate as of July 3.

OVERALL RATING

CMS collects information from states and individual homes and assigns each home a rating of one to five stars in each of three categories: state-conducted health inspections, nursing and physical therapy staffing, and quality of medical care. The ratings are then combined to produce an overall rating of one to five stars.

The current star rating of the Chautauqua County Home is two stars, up from the one star it was given earlier in the year. Like the County Home, Sheridan Manor LLC, Ridge View Manor LLC and Williamsville Suburban LLC each have two stars as an overall rating.

Each of these homes is classified as below average.

HEALTH INSPECTION

Because almost all nursing homes accept Medicare or Medicaid residents, they are regulated by the federal government as well as by the states in which they operate. A home’s rating is based on the number of deficiencies and their seriousness and scope, meaning relatively how many residents were or could have been affected.

In New York state, the average number of health deficiencies is 5.3, while the nationwide average is 6.8. Additionally, the average number of fire safety deficiencies in New York is 2.5, while the nationwide average is 3.5.

The County Home has one star, and is classified as much below average. The total number of health deficiencies recorded in the study are eight, affecting few or some of the residents. The home also had one fire safety deficiency, which was found to affect some of the residents.

Sheridan Manor has two stars, and is classified as below average. It had a total number of six health deficiencies, which affected few or some of the residents. The home also had two fire safety deficiencies, which affected some or many of the residents.

Ridge View Manor also has two stars, classified below average. It had a total of 10 health deficiencies, which affected few or some of the residents. Additionally, Ridge View Manor had 10 fire safety deficiencies, all of which affected some of the residents.

And, Williamsville Suburban also has two stars, classifying it below average. The home had a total of seven health deficiencies recorded, all of which affected only a few residents. It additionally had two fire safety deficiencies, which affected some or many of the residents.

STAFFING

To determine a star rating for staffing, CMS determines the amount of time per day patients receive from the nursing staff. Factored into the ratings are the number of registered nurses, licensed practical nurses, licensed vocational nurses and certified nurse aids and assistants on the payroll during the two-week period before the latest health inspection. Also factored in are the number of hours each works.

The information is then compared with the average number of residents during the same period and calculated to determine the average number of daily minutes of nursing time.

The New York state average for the total number of licensed staff hours per resident per day is one hour and 33 minutes; 42 minutes of RN hours per resident, per day; 51 minutes of LPN/LVN hours per resident, per day; two hours and 22 minutes of CNA hours per resident, per day; and six minutes of physical therapist staff hours per resident, per day.

The County Home ranked four stars, an above-average ranking. For the County Home, the total number of licensed staff hours per resident per day is one hour and 19 minutes; 30 minutes of RN hours per resident, per day; 49 minutes of LPN/LVN hours per resident, per day; two hours and 15 minutes of CNA hours per resident, per day; and three minutes of physical therapist staff hours per resident, per day.

Sheridan Manor has three stars for staffing, and a rating of average. Its residents have a total number of licensed staff hours per resident per day is one hour and 31 minutes; 43 minutes of RN hours per resident, per day; 48 minutes of LPN/LVN hours per resident, per day; one hours and 52 minutes of CNA hours per resident, per day; and five minutes of physical therapist staff hours per resident, per day.

Ridge View manor also has three stars for staffing, with a rating of average. The total number of licensed staff hours per resident per day is one hour and 37 minutes; 54 minutes of RN hours per resident, per day; 44 minutes of LPN/LVN hours per resident, per day; one hour and 59 minutes of CNA hours per resident, per day; and five minutes of physical therapist staff hours per resident, per day.

Finally, Williamsville Suburban also has an average rating for staffing, with three stars. The total number of licensed staff hours per resident per day is one hour and 28 minutes; 36 minutes of RN hours per resident, per day; 52 minutes of LPN/LVN hours per resident, per day; two hours and three minutes of CNA hours per resident, per day; and four minutes of physical therapist staff hours per resident, per day.

QUALITY MEASURES

Finally, facilities are given star ratings for quality measures, based on an 18-point system. CMS requires nursing homes to submit clinical data for the latest three calendar quarters detailing the status of each individual Medicare and Medicaid resident in 18 indicators, such as the percentage of residents who had urinary tract infections or who were physically restrained to keep from falling from a bed or a chair.

The County Home fell below average in its rating, with two stars. In the many categories the home is scored on, many ranked poorly compared to the state average.

Sheridan Manor, on the other hand, ranked above average in its rating, with four stars from CMS. Ridge View Manor and Williamsville Suburban each ranked three stars for quality measures, each gaining a rating of average.

OTHER FACTORS

According to published legal notices, articles of organization for 10836 Temple Realty LLC and Chautauqua Restorative Therapy & Nursing Center LLC were filed with the New York Secretary of State on July 23. Additionally, 10836 Temple Realty LLC is similar to the address of the Chautauqua County Home, which is located at 10836 Temple Road in Dunkirk.

In June, Edwards revealed the county was close to having a new purchaser during an annual Chamber of Commerce Executive Breakfast. In July, Edwards confirmed to the OBSERVER the county had been working with a potential purchaser for several months.

“We’re working to try and finalize that into a proposal that can then be introduced into the legislature for them to review,” Edwards had said.

Edwards only revealed the name of the purchaser during a press conference held Aug. 7. Little information about the purchaser was given.

A request from the OBSERVER to obtain a copy of the contract between the county and Platschek was not responded to Friday. Additionally, a phone call to Edwards requesting contact information for Platschek was not returned.

A special meeting for Aug. 21 at 6:30 p.m. has been called for legislators to meet with Platschek.