Selma Health and Rehab

To go along with its strong overall grade, we awarded this nursing home a grade of A- for our long-term care grade. Nursing homes that do well in long-term care typically are well-staffed and offer extensive hands on care to residents. In addition to assessing the quantity of care provided by nurses aids and other staff, we looked at the percentage of residents vaccinated for pneumonia. This nursing home vaccinated 99.4911 percent of its residents, which is far higher than most nursing homes. Clearly, this facility is doing something right in this area as it also excelled at keeping its patients out of the hospital. It had less than one hospitalization per one thousand long-term resident days, which is a remarkably low figure.

This nursing home also performed well in inspections. It earned a nearly flawless inspection report this year. As a result, it received one of our best grades in that area with an A-. Few facilities with an overall grade in this range performed as well in multiple categories. Perhaps the most important factor we look at in determining our inspection grades is deficiencies. These deficiencies can be found on a nursing home's inspection reports. Places with better scores in this area most likely avoided the most severe deficiencies involving health risks or even death. Fortunately, although this nursing home had some minor dings on its inspection report, it had no severe deficiencies. Severe deficiencies are those found in categories G, H, I, J, K and L. This tells you the inspectors did not consider any of the deficiencies on this facility's report to pose an imminent threat to patient safety or health. Finally, this facility had no substantiated complaints this year from residents, which is an excellent sign.

We also awarded this nursing home a middle of the pack grade in the area of short-term care, with a grade of B-. Short-term care grades are critical for individuals looking for rehabilitation. Rehabilitation generally utilizes more skilled nursing services. This means a vast spectrum of services, ranging from registered nurses to physical and respiratory therapists, as well as other types of therapy. Unfortunately, we weren't able to locate information about this nursing home's registered nurse or physical therapy staffing. The final item we looked at in this category is the percentage of residents who were able to return home from the facility. We found that just 5.3 percent of this nursing home's residents returned home.

The next category we graded was nursing. This facility received a grade of C in this category. Our nursing grade assesses the facility's nurse staffing levels. We look at both the levels of training of those nurses as well as the amount of time spent with patients. This facility provided just 0.3 hours of nursing care per resident per day. This is a relatively low total compared to most other facilities. Despite having low quantities of nursing care, this nursing home surprisingly fared better in some of the quality measures we assessed. It scored well in terms of avoiding major falls and pressure ulcers. We consider these areas to be indicators of the quality of nursing care. In some cases, the quality of nursing care is every bit as important as the number of hours of care offered.