Advanced Health Care of Coeur D'alene

In addition to being a quality nursing home overall, this facility excelled in the area of short-term care, where it earned an A. Few facilities performed better in this area. Our short-term care ratings are crucial for people needing rehabilitation. Rehabilitation typically utilizes additional skilled nursing. This includes a wide scope of nursing services, ranging from registered nurses to physical and respiratory therapists, as well as other variations of therapy. Fortunately, it appear that this nursing home employs registered nurses. Not every facility employs these types of nurses. On the other hand, based on the data they provided, they do not appear to employ physical therapists. The last item we assessed in this area is the number of patients who returned home from the facility. We found that 6.8 percent of this nursing home's residents returned home as opposed to remaining at the nursing home on a permanent basis.

Adding to its impressive category grades, we awarded this nursing home a grade of A- for our inspections rating. Perhaps the most important factor we consider in computing our inspection grades is deficiencies. These deficiencies are found on a facility's recent inspection reports. Places with higher scores in this area typically dodged the most severe deficiencies involving things like patient abuse. This facility was assessed 3 deficiencies on its inspection report, but fortunately none of the deficiencies were considered to be major deficiencies. This means that CMS did not deem any of these deficiencies to be an imminent threat to patient safety or health. The fact that the deficiencies were relatively minor made us feel better about this inspection report.

This nursing home's next best category was nursing. We awarded it a grade of B- in this category. While this wasn't quite as good as some of its other category grades, this isn't a bad score either. When calculating our nursing grades, we factor in both nursing hours and the levels of licensure of the nurses. This nursing home provided just 0.4 hours of nursing care per resident daily. This figure is far below the national average. Despite having low quantities of nursing care, this nursing home actually excelled in some of the quality-based metrics we assessed. In fact, it performed well in the area of minimizing its residents' major falls and pressure ulcers.

The next category we rated is this nursing home's worst category. Nevertheless, even in its weakest link we still gave it a decent grade of C in our long-term care category. Long-term care ratings are based in part on the facility's amount of nursing care. This means a broad spectrum of personal care services, ranging from assistance with activities of daily living to routine healthcare services. After looking at the volume of care provided by nurses aids and other staff, we next considered the facility's vaccination record. It does not appear that this nursing home provided information about vaccinations. Finally, this place keeps its residents out of the hospital. Indeed, it had less than one hospitalization per 1,000 long-term resident days, which is an impressively low number.