Bay Crest Care Center

While we did not have many favorable things to say about this facility's overall grade, it did receive a somewhat respectable government inspection report this year. As a result, it received a decent score in that area with a B-. We weigh several aspects of a nursing home's inspection report in calculating these inspection grades. One critical factor is health deficiencies. You should keep in mind that the severity of these deficiencies is usually more meaningful than the quantity of deficiencies, as some of these are relatively insignificant. While this facility had a few deficiencies on its inspection report, none of them were serious based on CMS' scale. A few minor deficiencies aren't the end of the world.

This nursing home's short-term care grade ended up being one of its respectable grades. The facility received a grade of B- in this area. In calculating these short-term care ratings, we quantify the facility's skilled nursing services, such as those performed by registered nurses, respiratory therapists, physical therapists and other types of therapists. Our purpose is to formulate a measure for sizing up the rehabilitation services of different facilities. In this nursing home's case, we were surprised to learn that it actually provides less physical therapist and registered nurse hours per patient than the typical facility. The last item we looked at in this area is the percentage of residents who ultimately returned home from the nursing home. We found that just 5.1 percent of this nursing home's residents returned home.

This nursing home actually received a decent grade in the area of nursing as well. We awarded it a grade of C for that category, which is not a bad score. Nursing scores are based in large part on levels of nurse staffing. This facility provided just 0.4 hours of nursing care per resident per day. This is a relatively low total compared to most other facilities. Lastly, we also assessed some nursing quality-based metrics. Although this facility got docked a bit for nursing hours, it excelled in a few of these quality measures. With fewer than five percent of its patients experiencing pressure ulcers, it fared remarkably well in this area. This is often an indicator of quality nursing care. Pressure ulcers can frequently be avoided by providing better nursing care, such as employing a protocol of turning residents more frequently.

Moving on to the fourth category, this facility really didn't perform well here either. With a very poor grade of F in long-term care, this is really as as uninspiring as it gets. For long-term care residents, 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 data points we considered in addition to nurse's aid hours is vaccines. Fortunately, this nursing home administered the pneumonia vaccination to 100 percent of its patients. Surprisingly, this nursing home also fared well at keeping its residents out of the hospital. In fact, it had only 0 hospitalizations per 1,000 long-term resident days. Sadly, some of its other scores in this category were not as favorable as these.