Accura Healthcare of Milford is a small facility located in Milford, Iowa. This nursing home received an A- overall, which is a very strong rating. In our view, this place is a no brainer for just about anybody. This nursing home's strong report card was highlighted by its inspection grade, which we will address in the next section.
Accura Healthcare of Milford
Updated May 1, 2022 by Nick Reese
1600 13th Street,
Milford IA 51351
71% estimated occupancy 1
Registered Staff Hours
In addition to being a great overall grade, this facility also received A+ health inspections in recent years. Its inspections were virtually flawless. We weigh several aspects of a nursing home's inspection report in determining our inspection grades. One critical factor is deficiencies. It should be noted that the severity of the deficiencies is arguably more important than the number of deficiencies, as some deficiencies end up being relatively minor. This nursing home was assessed 3 deficiencies on its inspection report, but fortunately none of the deficiencies were considered to be severe deficiencies. This indicates that CMS didn't deem any of these deficiencies an immediate risk to patient safety or health. The fact that none of the deficiencies were severe leaves us less concerned with this inspection report.
Short-term Care Quality
We also would like to emphasize the fact that this facility was given an elite score of A in our short-term care category. Our short-term care grades are critical for patients in need of rehabilitation. Rehabilitation usually requires more highly-skilled nursing. This includes a wide range of services, ranging from registered nurses to physical and respiratory therapists, as well as other forms of therapy. We were not able to find information about this nursing home's registered nurse or physical therapy staffing. Lastly, we assessed the percentage of residents who were able to return to the community from this nursing home, which as an area this facility performed much more favorably. We found that it outperformed the vast majority of nursing homes with 65.1 percent of its patients returning home. This is a significantly higher rate than most facilities.
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We also wanted to emphasize the fact that this facility received an impressive grade of A- in our nursing category. Our nursing grade is largely tied to a facility's level of nurse staffing. This nursing home provides 0 hours of nursing care per resident per day. Finally, our nursing grades also factor in quality-based assessments, such as avoiding major falls. This place performed well in this area. Avoiding major falls is typically a good indicator that a nursing home has reliable quality controls in place. Major falls can many times be avoided if more nurses aids and better safety protocols are in place.
Long-term Care Quality
The last category we looked at is long-term care, in which this nursing home was given a C. This ended up being this nursing home's worst area. This is nevertheless not a poor grade. In the area of long-term care, we focus more on the quantity of care offered by a nursing home, as opposed to more sophisticated services. One of the criteria we considered in addition to nurse's aid hours is vaccinations. Thankfully, this facility provided the pneumonia vaccine to 100 percent of its residents. Lastly, this nursing home was also able to limit hospitalizations. In fact, it had less than one hospitalization per 1,000 long-term resident days, which is an impressively low number.
Rating Over Time
Compared to national and state averages across all facilities.
Accura Healthcare of Milford Quality Metrics
Minimizes Pressure Ulcers
In Accura Healthcare of Milford, 6.08% of Patients had Pressure Ulcers
This tells you the percent of patients that sustained a pressure ulcer. Pressure ulcers are damage to the skin caused by staying in one position for too long.
Minimizes Serious Falls
In Accura Healthcare of Milford, 3.74% of Patients had Serious Falls
This figure measures the percentage of long-term stay patients who had falls which caused severe injury. We use this statistic in computing our nursing scores.
Minimizes Urinary Tract Infections
In Accura Healthcare of Milford, 2.94% of Patients had UTIs
This datapoint measures the percent of long-term patients who have experienced urinary tract infections. UTI's could be a sign of poor nursing care. Nevertheless, this metric could be skewed for some facilities due to inconsistent reporting standards for infections.
Appropriately Uses Anti-Psychotic Medication
In Accura Healthcare of Milford, 16.71% of Patients use Anti-Psychotic Medication
This indicates the percent of patients prescribed antipsychotic drugs. These drugs are sometimes used to treat a variety of conditions, such as cognitive disorders.
Appropriately Uses Anti-Anxiety Medication
In Accura Healthcare of Milford, 18.64% of Patients use Anti-Anxiety Medication
This metric gauges the percentage of long-term stay patients which were administered antianxiety medication. These medications are commonly used to treat residents experiencing anxiety and depression.
Managing Depression Among Residents
In Accura Healthcare of Milford, 4.84% of Patients
This datapoint is a measure of the percent of long-term residents showing symptoms of depression.
Appropriate Vaccine Usage
In Accura Healthcare of Milford, 94.37% of Patients
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.
Residents Maintain Autonomy
In Accura Healthcare of Milford, 16.8% Percentage of Patients
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.
Ability to Keep Residents Mobile
In Accura Healthcare of Milford, 20.56% Percentage of Residents
This indicates the percent of residents that retained mobility levels over time. Retaining mobility can be a great sign for residents' well-being.
In Accura Healthcare of Milford, 1.17 Hospitalizations per 1,000 resident days
This tells you the number of times residents are hospitalized per 1,000 days of care.
Short-term Care: Rehospitalizations
In Accura Healthcare of Milford, 20.56 Percentage of Residents Rehospitalized
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.
Short-term Care: ER Visits
In Accura Healthcare of Milford, 11.28 Percentage of Patients
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.
Short-term Care: Facilitates Functional Improvement
In Accura Healthcare of Milford, 79.5% Percentage of Resident
This is the percentage of short-term care residents who experienced functional improvements, such as with activities of daily living.
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