Bon Secours-Maryview Nursing Center

Although this facility's overall grade was as bad as it gets, it fared pretty well in the area of inspections. In fact, we awarded it a B for that category, which is one of our better scores. We weigh several aspects of a nursing home's inspection report in computing these inspection grades. One critical factor is health deficiencies. You should keep in mind that the severity of the deficiencies is usually more important than the number of deficiencies, as some of these end up being relatively insignificant. Although this nursing home had a few deficiencies on its report, none of them were major deficiencies based on CMS' deficiency scale. A few minor deficiencies are not necessarily the end of the world.

Unfortunately, this nursing home only received a grade of D for its short-term care grade, which turns out to be one of its more favorable category scores. Our short-term care grade is commonly employed to judge a nursing home's rehabilitation services. To offer highly rated rehabilitation services, facilities generally must offer better levels of highly skilled nursing. These types of services include registered nurses, physical therapists, respiratory therapists and other highly skilled individuals. Based on its grade in this category, we were not stunned to find that this place was well below average in terms of its quantity of physical therapy and registered nurse hours offered to its residents based on the metrics we assessed. The final datapoint we looked at in this category is the percentage of residents who were able to leave the facility and return to the community. We discovered that just 4.9 percent of this facility's residents were able to return home, which is well below average. The combination of these subpar metrics doomed this nursing home's short-term care grade.

The next area we looked at was long-term care, in which this facility received an F. Long-term care ratings of this caliber generally are a bad sign for the quantity and quality of care provided by nurses and aids. In addition to looking at the volume of care provided by nurses and other staff, we also looked at the percentage of residents vaccinated against pneumonia. We found that this nursing home gave the vaccine to only 89.33333 percent of its patients, which is several points lower than we expected. Surprisingly, this place was actually decent at keeping its patients out of the hospital. In fact, it had only 0.02 hospitalizations per 1,000 long-term resident days. This was its best feature in this category.

The last area we graded is nursing. Sadly, it received an F for this category, which is a very poor score. The nursing rating is based on a handful of factors, most of which are associated with nursing hours. This nursing home averaged only 0.3 hours of nursing care per patient each day. This is well below average. Unfortunately, this nursing home also had terrible scores in some of the quality-based measures to pair with its weak nursing hours. We looked at the percent of residents sustaining pressure ulcers and we were very disappointed. This nursing home was at approximately 1.5 times the national average in this statistic.