Booker Rest Home Annex

With an address in Dayton, Washington, Booker Rest Home Annex is the lone nursing home located in the city. Featuring an overall score of A+, this nursing home is ranked among the highest-graded nursing homes we found. In fact, we ranked this facility in the top five percentile of all facilities in the United States. Headlining this facility's remarkable report card is its nursing score, which we will address in the next section.

We also want to point out that this facility excelled in our nursing grade. We gave them an A+ in this category. In calculating our nursing grades, we weigh both nursing hours and the skill levels of those nurses. This place provides an incredible 8.5 hours of nursing care per resident daily. Out of this total, many of those hours were provided by registered nurses, which is one of the more highly trained levels of nurses. On top of offering high levels of care, this nursing home was also above average in several of the major quality measures we looked at in this category. By way of illustration, it performed well in the area of avoiding major falls and pressure ulcers. These are generally reliable indicators of the quality of nursing care a nursing home offers.

This top notch facility also performed well in the category of long-term care, where it received a score of A+. Few facilities fared better in this area. Long-term care scores in this range generally require both around the clock care from nurses and aids, as well as quality routine healthcare services. In addition to offering very impressive levels of nurse staffing, this facility gave the pneumonia vaccine to 100 percent of its residents. This statistic is also much better than the average nursing home. Lastly, this facility was able to limit hospitalizations. Indeed, it had only 0 hospitalizations per 1,000 long-term resident days, which is an impressively low number.

This facility also received a nearly flawless inspection report. As a result, it received one of our highest grades in that category with a score of A+. Perhaps the most significant factor we consider in computing our inspection scores is deficiencies. Deficiencies are found on a nursing home's recent inspection reports. Facilities with better grades in this area most likely avoided the most severe deficiencies involving things like patient abuse. While this nursing home had a few deficiencies on its inspection report, none of them were severe based on CMS' scale. Finally, this facility had no substantiated complaints this year from residents, which is an excellent sign.

The final category we rated is short-term care, where this nursing home was awarded an A-. This finished off a very impressive profile. Only a select few facilities received an A- or higher in all four categories. Short-term care grades are typically used to grade a facility's performance with rehabilitation. To provide highly scored rehabilitation services, facilities generally must feature better levels of highly skilled nursing. These types of services include registered nurses, physical therapists, speech therapists and other types of therapists. One of this facility's strengths is it provides more than an hour of care per day from registered nurses to each patient. This is really the gold standard in this metric, as it's roughly 50% higher than the typical place's level of registered nurse staffing. The last datapoint we looked at in this category is the number of patients who were able to leave the nursing home and return to the community. We found that 0 percent of this facility's residents were able to return home.