West Haverstraw, NY

Helen Hayes Hospital R H C F

5-star overall rating with 5-star inspections with 1 recent health deficiencies

51 N Rt 9w, West Haverstraw, NY

(845) 786-4000

Compare this facility

Overall

5 / 5

CMS overall stars

Health inspections

5 / 5

Survey and complaint cycles

Staffing

5 / 5

RN + nurse staffing

Quality measures

5 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

25

Certified beds

Average residents

24

Average occupied residents

Ownership

Government

Publicly displayed owner type

Chain

State Of New York Comptroller's Office

Operator or chain grouping

Approved since

2000-06-21

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Chain footprint

6 facilities

Chain averages 5 overall / 5 health / 4 staffing / 4 quality stars

Changed ownership

No

Within the last 12 months

Family council

No

Resident and family council reported

Sprinklers

Yes

Automatic sprinklers in all required areas

Hospital-based

Yes

CMS reports the provider resides in a hospital

Staffing

Hours and turnover

RN hours / resident day

2.85

Registered nurse staffing · state 0.70 · national 0.68

LPN hours / resident day

0.01

Licensed practical nurse staffing · state 0.78 · national 0.87

Aide hours / resident day

3.45

Nurse aide staffing · state 2.20 · national 2.35

Total nurse hours

6.31

All reported nurse hours · state 3.65 · national 3.89

Licensed hours

2.86

RN + LPN hours · state 1.47 · national 1.54

Weekend hours

5.41

Weekend nurse staffing · state 3.16 · national 3.43

Weekend RN hours

2.41

Weekend registered nurse coverage · state 0.47 · national 0.47

Physical therapist

0.64

Reported PT staffing · state 0.11 · national 0.07

Adjusted RN hours

3.05

CMS adjusted RN staffing hours

Adjusted total hours

6.75

CMS adjusted total nurse staffing hours

Case-mix index

1.28

Higher values indicate more complex resident acuity

RN turnover

29%

Annual RN turnover · state 41% · national 45%

Total nurse turnover

24%

Annual nurse turnover · state 41% · national 46%

SNF VBP

Value-based purchasing

Program rank

100

Lower is better among SNFs in the FY 2026 VBP program.

Performance score

85.85

Composite VBP score used to determine payment impact.

Payment multiplier

1.0268

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

6.29

Baseline 18.69% · Performance 18.52% · Measure score 6.29 · Achievement 6.29 · Improvement 0.53

Healthcare-associated infections

10

Baseline 6.07% · Performance 4.56% · Measure score 10 · Achievement 10 · Improvement 9

Total nurse turnover

9.46

Baseline 28.12% · Performance 25.00% · Measure score 9.46 · Achievement 9.46 · Improvement 9

Adjusted total nurse staffing

Not reported

This facility did not meet this measure's case minimum policy requirement and therefore no measure data is publicly reported.

SNF QRP

Medicare quality reporting measures

Measure	Facility	National	Note
Potentially preventable 30-day readmission	9.45%	10.72% 1.3 pts better	No Different than the National Rate · Eligible stays 440 · Observed rate 7.5% · Lower 95% interval 7.02%
Discharge to community	81.41%	50.57% 30.8 pts better	Better than the National Rate · Eligible stays 458 · Observed rate 81% · Lower 95% interval 78.15%
Medicare spending per beneficiary	0.7	1.02 0.3 pts better
Drug regimen review with follow-up	99.17%	95.27% 3.9 pts better	Numerator 238 · Denominator 240
Falls with major injury	0.83%	0.77% 0.1 pts worse	Numerator 2 · Denominator 240
Discharge self-care score	70.48%	53.69% 16.8 pts better	Numerator 148 · Denominator 210
Discharge mobility score	72.86%	50.94% 21.9 pts better	Numerator 153 · Denominator 210
Pressure ulcers or injuries, new or worsened	2.92%	2.29% 0.6 pts worse	Numerator 7 · Denominator 240 · Adjusted rate 4.33%
Healthcare-associated infections requiring hospitalization	4.56%	7.12% 2.6 pts better	No Different than the National Rate · Eligible stays 236 · Observed rate 1.69% · Lower 95% interval 2.63%
Staff COVID-19 vaccination coverage	3.13%	8.2% 5.1 pts worse	Numerator 7 · Denominator 224
Staff flu vaccination coverage	61.01%	42% 19 pts better	Numerator 133 · Denominator 218
Discharge function score	59.52%	56.45% 3.1 pts better	Numerator 125 · Denominator 210
Transfer of health information to provider	100%	95.95% 4 pts better	Numerator 180 · Denominator 180
Transfer of health information to patient	100%	96.28% 3.7 pts better	Numerator 60 · Denominator 60
Resident COVID-19 vaccinations up to date	25.89%	25.2% 0.7 pts better	Numerator 29 · Denominator 112

Quality measures

Resident outcomes and process scores

Measure	Facility	State	National	Note
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine	99.9%	76.7% 23.2 pts better	81.7% 18.2 pts better	Short Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 100.0% · Q3 100.0% · Q4 99.5% · 4Q avg 99.9%
Percentage of short-stay residents who had an outpatient emergency department visit	9.5%	9.7% 0.2 pts better	12.0% 2.5 pts better	Short Stay · 20240701-20250630 · Adjusted 9.5% · Observed 8.3% · Expected 9.7% · Used in QM five-star
Percentage of short-stay residents who newly received an antipsychotic medication	0.8%	1.2% 0.4 pts better	1.6% 0.8 pts better	Short Stay · 2024Q4-2025Q3 · Q1 0.7% · Q2 1.3% · Q3 1.2% · Q4 0.0% · 4Q avg 0.8% · Used in QM five-star
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine	99.5%	78.8% 20.7 pts better	79.7% 19.8 pts better	Short Stay · 2024Q3-2025Q2 · 4Q avg 99.5%
Percentage of short-stay residents who were rehospitalized after a nursing home admission	18.8%	20.6% 1.8 pts better	23.9% 5.1 pts better	Short Stay · 20240701-20250630 · Adjusted 18.8% · Observed 16.6% · Expected 21.0% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-02-07 · Fire 2025-02-07

1 health deficiencies

Top issue: Resident Assessment and Care Planning (1 deficiency)

0 fire-safety deficiencies

No concentrated fire-safety issue counts in this cycle.

Cycle 2 Health 2022-05-25 · Fire 2022-05-25

0 health deficiencies

No concentrated health issue counts in this cycle.

0 fire-safety deficiencies

No concentrated fire-safety issue counts in this cycle.

Cycle 3 Health 2019-10-21 · Fire 2019-10-21

0 health deficiencies

No concentrated health issue counts in this cycle.

0 fire-safety deficiencies

No concentrated fire-safety issue counts in this cycle.

Inspection history

Recent health citations

D · Potential for more than minimal harm 2025-02-07

F655 · Resident Assessment and Care Planning Deficiencies

Health

Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

Corrected 2025-02-27

Penalties and ownership

What sits behind the stars

Ownership

State Of New York Comptrollers Office

5% Or Greater Direct Ownership Interest · Organization

100% 6 facilities 1966-01-01

Begho, Nathalie