Astoria Place of Silverton

We really could not find anything good to say about this place. It received just a D in the category of inspections. Unfortunately, this turned out to be its best grade. One of the most significant factors in assessing inspection reports is deficiencies. We suggest you pay close attention to the level of severity of those deficiencies. This particular facility had 4 deficiencies by CMS. The only favorable thing we can say is that none of the deficiencies were in the categories that suggest that they created a risk to resident safety or health. Finally, we also need to draw your attention to the fact that this place was assessed large government fines of over $100,000. This typically indicates that a bad performance has been an issue for more than one year.

Sadly, this facility's next most respectable score is short-term care. As it turns out, with a D in this area, it still fared relatively poorly. Our short-term care ratings are meaningful for patients needing rehabilitation. Rehabilitation generally mandates higher levels of highly-skilled nursing services. Skilled nursing means a broad scope of nursing services, ranging from registered nurses to physical and respiratory therapists, as well as other variations of therapy. Not surprisingly, we discovered that this nursing home offers far less physical therapist and registered nurse hours per resident than the typical facility. Lastly, we assessed the number of residents who were able to return to the community from this facility. We found that just 0 percent of this facility's residents returned home.

In addition, we gave this facility an F in the area of nursing care. Our nursing rating assesses the nursing home's level of nurse staffing. We look at both the levels of licensure of the nurses as well as the amount of time spent with patients. With just 0.2 hours of nursing care per patient each day, this nursing home's nurse staffing levels were well below the national average. Lastly, we also looked at some nursing quality measures in calculating our nursing ratings. This place fared well when it comes to avoiding major falls and pressure ulcers. Many consider these areas to be good indicators of the quality of nursing care.

The final category we looked at is long-term care, in which this nursing home was given a very poor grade in this category as well. It received a lowly F in this category, which is obviously very concerning. In a long-term care environment, the primary goal is to keep patients healthy and safe. This is different than skilled nursing or short-term care where the goal is to rehabilitate residents. One of the criteria we considered in addition to nurse's aid hours is vaccinations. Thankfully, this facility administered the pneumonia vaccination to 100 percent of its patients. Surprisingly, this nursing home also fared well at keeping its patients out of the hospital. Indeed, it had only 0 hospitalizations per 1,000 long-term resident days. Unfortunately, a few of its other scores in this category weren't as favorable as these.