Accura Healthcare of Milford
1600 13th Street, Milford IA 51351 · (712) 338-4742 · 89.2% estimated occupancy 1Updated: Aug 1, 2020 · By Nick Lata
Accura Healthcare of Milford is a small facility located in Milford, Iowa. This nursing home proved to be an A+ facility, which is the top rating. At the end of the day, this nursing home ought to be a no brainer for most people. One of the major highlights of this nursing home's remarkable report card is its inspection reports. We discuss inspections in the next paragraph.
Additional Details:
Accepts Medicare 1 :
Accepts Medicaid 1 : 50 Beds
CCRC :
For profit - Corporation
Resident Council:
Family Council:
Medical Staff Hours Per Patient (2019)
Facility Inspections
One of the many reasons this turned out to be a quality nursing home is that it received an A+ inspection grade. This is simply as good as it gets in this critical category. Arguably the most significant factor we look at in computing our inspection scores is deficiencies. These deficiencies are found on a nursing home's recent inspection reports. Places with better grades in this category typically dodged the most severe deficiencies involving health risks or even death. While this nursing home had a few deficiencies on its government inspection report, none were serious based on CMS' scale. Finally, this facility had no substantiated complaints this year from residents, which is an excellent sign.
Nurse Quality
Adding to its strong resume, this facility also received an excellent nursing score, with a grade of A. Our nursing score includes many subcategories, most of which are based on nursing hours. This nursing home provides 3.5 hours of nursing care per resident per day. Lastly, we also looked at a few quality-based metrics in determining our nursing grades. This place excelled in these areas, with excellent scores for minimizing its residents' major falls and pressure ulcers. These areas are generally reliable indicators of the quality of nursing care a nursing home provides.
Short-term Care Quality
This facility also was dominant in the category of short-term care, where it received a grade of A. Only a select group of nursing homes fared better in this area. Our short-term care scores are presumably most critical for residents needing rehabilitation from their nursing home. Rehabilitation typically utilizes higher levels of skilled nursing. This means not just nursing services, but also physical and occupational therapy, as well as other types of therapy. One of this nursing home's strengths is registered nurse hours. We found that it offers more care from registered nurses to its residents than most facilities. Finally, we looked at the percentage of residents who were able to return to the community from this facility. We found that it outperformed the vast majority of nursing homes in the nation with 56.3 percent of its patients returning home.
Long-term Care Quality
In our last category, we gave this facility a grade of A+ for its long-term care grade. This topped off a first-rate profile. For residents seeking a permanent residence rather than skilled nursing, long-term care is a very important category. Once we looked at the quantity of care provided by aids and other staff, we turned to the facility's vaccination records. This facility vaccinated 92.76315 percent of its residents against pneumonia, which is slightly less than we anticipated but still a respectable percentage. Lastly, this place was able to limit hospitalizations. In fact, it had only 0.57 hospitalizations per 1,000 long-term resident days, which is a remarkably low number.
Overall Rating Over Time
Compared to national and state averages across all facilities.
Accura Healthcare of Milford Quality Metrics
Minimizes Pressure Ulcers
This indicates the percentage of patients that have had a pressure ulcer. Pressure ulcers, which are also referred to as bed sores, are often caused by residents staying in one position for too long. Better nursing care can reduce the number of pressure ulcers sustained by residents in a nursing home.
Percent of Patients with Pressure Ulcers
Lower is Better
Minimizes Serious Falls
This tells you the percentage of residents that suffered from a major fall. Falls leading to severe injuries are routinely associated with poor nursing care. Additional nurse staffing can minimize the number of major falls sustained by residents in a nursing home.
Percent of Patients with Serious Falls
Lower is Better
Minimizes Urinary Tract Infections
This metric is a measure of the percent of long-term care patients who have suffered from urinary tract infections. UTI's may be an indicator of worse hygiene protocols. Nevertheless, this datapoint can also be misleading for certain facilities due to varying reporting standards for these infections.
Percent of Patients with UTIs
Lower is Better
Appropriately Uses Anti-Psychotic Medication
This is an indication of the percent of long-term stay patients taking antipsychotic drugs. While antipsychotic medications play an important role in caring for many residents, it is important to confirm these drugs are being used appropriately. In some cases, excessive reliance on these medications may indicate that a facility is using these drugs to subdue residents.
Percent of Patients
Lower is Better
Appropriately Uses Anti-Anxiety Medication
This figure indicates the percent of long-term care residents receiving antianxiety drugs.
Percent of Patients
Lower is Better
Managing Depression Among Residents
This indicates the percent of residents showing symptoms of depression.
Percent of Patients
Lower is Better
Appropriate Vaccine Usage
This datapoint measures the percent of long-term care residents who were administered the flu and pneumonia vaccines. Respiratory viruses can be very dangerous for nursing home patients, making these vaccines critical to patient well-being.
Percent of Patients
Higher is Better
Residents Maintain Autonomy
This tells you the percent of patients who required increased assistance with activities of daily living over time. High levels of needing for assistance with ADL's may indicate deterioration of a resident's well-being.
Percentage of Patients
Lower is Better
Ability to Keep Residents Mobile
This indicates the percent of residents that retained mobility levels over time. Retaining mobility can be a great sign for residents' well-being.
Percentage of Residents
Higher is Better
Hospitalizations
This tells you the number of times residents are hospitalized per 1,000 days of care.
Hospitalizations per 1,000 resident days
Lower is Better
Short-term Care: Rehospitalizations
This metric measures the number of times residents are rehospitalized per 1,000 days of short-term resident care. Staying out of the hospital during rehabilitation is critical to restoring the health 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 care. There is generally a correlation between having fewer emergency room visits and the overall quality of rehabilitation.
Percentage of Patients
Lower is Better
Short-term Care: Facilitates Functional Improvement
This is the percentage of short-term care residents who experienced functional improvements, such as with activities of daily living.
Percentage of Resident
Higher is Better