Accordius Health and Rehabilitation
38 Carters Road, Gatesville NC 27938 · (252) 357-2124 · 72% estimated occupancy 1Updated: Aug 1, 2020 · By Sara Levinsohn
Located in Gatesville, North Carolina, Accordius Health and Rehabilitation is the only facility we identified in the city. With an overall rating of C, this looks like a middle of the road facility. Based on our ratings, there are definitely much worse facilities out there. One of the major highlights of this nursing home's profile is its remarkable inspection reports, which we will address in the next section.
Additional Details:
Accepts Medicare 1 :
Accepts Medicaid 1 : 70 Beds
CCRC :
For profit - Corporation
Resident Council:
Family Council:
Medical Staff Hours Per Patient (2019)
Facility Inspections
The primary reason this nursing home received a decent overall grade is its excellent government inspections in recent years. We gave it one of our better scores in that category, with an A+. This is a notably better score than the facility's overall grade, which was decent but certainly not elite. Inspection ratings are based on pieces of information located in the a nursing home's recent inspection reports. Places that excel in this area typically have few deficiencies on their reports. Most importantly, these facilities generally do not have any severe deficiencies which are associated with endangerment of patients. This place was assessed 4 deficiencies on its inspection report, but none were considered to be major deficiencies. This means that CMS didn't deem any of these deficiencies to be an immediate risk to resident safety or health. Finally, this facility had no substantiated complaints this year from residents, which is always a good sign.
Long-term Care Quality
This facility also fared well in the area of long-term care. For this reason, we awarded it a score of A- in that category, which is one of our best grades. When nursing homes receive this kind of score in this category it is typically a good sign for resident care and suggests that the nursing home is well-staffed with nurses and aids. Once we looked at the amount of care provided by nurses and other staff, we then analyzed the facility's vaccination statistics. This facility vaccinated 100 percent of its residents against pneumonia. Vaccines are critical to keeping residents out of the hospital. Finally, we looked at the nursing home's number of hospitalizations. While it had 2.01 hospitalizations per 1,000 long-term resident days, its risk adjusted metric was close to the national average since it had some more complicated patients.
Nurse Quality
The next area we looked at was nursing, where we gave this facility an F. This was definitely one of this facility's major weaknesses. Our nursing grade analyzes the nursing home's level of nurse staffing. We look at both the levels of training of the nurses and the number of hours spent with patients. This nursing home averages 3.4 hours of nursing care per resident per day, which is below the national average. To go along with its low totals in the area of nursing hours per resident, this nursing home also didn't fare as well in the quality-based measures we looked at in computing our nursing ratings. We looked at the percent of residents experiencing pressure ulcers and major falls. This facility had more pressure ulcers and falls than the average nursing home. This could be a bad sign when you consider that many bed sores and falls are preventable with better nursing care. These metrics pulled down this facility's nursing grade significantly.
Short-term Care Quality
The last category we assessed was short-term care, which is this nursing home's least impressive area. We gave it a lowly F in this area, which is obviously very disappointing. Our short-term care scores are based on a nursing home's quantity of skilled highly skilled professionals. This includes a broad range of nursing services, ranging from registered nurses to physical and respiratory therapists, in addition to other variations of therapy. Considering its poor score in this area, we were not shocked to learn that this place offered substantially fewer physical therapist and registered nurse hours per patient than most nursing homes. The last statistic we looked at in this area is the percentage of patients that eventually returned home from the nursing home. This facility struggled quite a bit in this metric as well, with just 23.5 percent of its residents returning home. This was well below the national average.
Overall Rating Over Time
Compared to national and state averages across all facilities.
Accordius Health and Rehabilitation Quality Metrics
Minimizes Pressure Ulcers
This metric tells you the percentage of long-term residents that are suffering from new or worsened pressure ulcers . We use this statistic in calculating both nursing and long-term care grades.
Percent of Patients with Pressure Ulcers
Lower is Better
Minimizes Serious Falls
This statistic indicates the percent of long-term patients which have sustained a fall which resulted in severe injury. Falls can arise for a variety of reasons, but excessive numbers of falls could be an indication of lower levels of patient supervision.
Percent of Patients with Serious Falls
Lower is Better
Minimizes Urinary Tract Infections
This metric measures the percentage of long-term stay residents who have sustained a UTI. UTI's could be a sign of a facility with lower levels of hygiene. Nevertheless, this metric could also be skewed for certain nursing homes due to different reporting standards for urinary tract infections.
Percent of Patients with UTIs
Lower is Better
Appropriately Uses Anti-Psychotic Medication
This indicates the percent of patients given antipsychotic medications. These drugs may be used for treating a variety of conditions, including cognitive disorders.
Percent of Patients
Lower is Better
Appropriately Uses Anti-Anxiety Medication
This is the percentage of patients given antianxiety drugs. These medications are generally given to residents suffering from anxiety and depression.
Percent of Patients
Lower is Better
Managing Depression Among Residents
This metric measures the percentage of long-term care patients who are exhibiting depressive symptoms. Many in the industry argue that this is a measure of patient quality of care.
Percent of Patients
Lower is Better
Appropriate Vaccine Usage
This indicates the percent of residents who were given the flu and pneumonia vaccines. Higher vaccination rates should be the norm at this point.
Percent of Patients
Higher is Better
Residents Maintain Autonomy
This is the percent of patients that needed increased assistance with activities of daily living over time. High levels of needing for assistance with activities of daily living may be a sign of the deterioration of a resident's health.
Percentage of Patients
Lower is Better
Ability to Keep Residents Mobile
This metric measures the percent of long-term care residents who maintained mobility.
Percentage of Residents
Higher is Better
Hospitalizations
This indicates the number of times residents are hospitalized per thousand days of patient care. There is a correlation between avoiding hospitalizations and the overall quality of long-term care.
Hospitalizations per 1,000 resident days
Lower is Better
Short-term Care: Rehospitalizations
This metric measures the number of rehospitalizations per 1,000 days of short-term care. Keeping residents out of the hospital during rehabilitation is important to restoring the physical well-being of patients.
Percentage of Residents Rehospitalized
Lower is Better
Short-term Care: ER Visits
This indicates the number of emergency room visits per thousand days of short-term patient care.
Percentage of Patients
Lower is Better
Short-term Care: Facilitates Functional Improvement
Measures the percent of short-term patients that saw functional improvements, such as enhanced ability to perform activities of daily living. Many believe that this is a measure of rehabilitation services.
Percentage of Resident
Higher is Better