Burford Manor

While this facility's overall grade was not bad, it really fared well in the category of inspections. In fact, we awarded it a grade of A for that category, which is one of our highest scores. Perhaps the most important factor we look at in calculating our inspection scores is deficiencies. These deficiencies can be found on a nursing home's inspection reports. Facilities with better scores in this category typically dodged the most severe deficiencies involving things like patient abuse. While this place had a few minor dings on its government inspection report, it had zero severe deficiencies. Severe deficiencies are those labeled as categories G, H, I, J, K and L. This means the government inspectors didn't consider any of the deficiencies on this facility's report to pose an imminent threat to patient safety or health. A couple minor dings aren't necessarily something to panic about.

Another one of this nursing home's more impressive category scores came in the category of long-term care. In that area, we awarded this nursing home a grade of B. It actually performed better than most facilities in this area. For patients in need of a permanent place to live as opposed to skilled nursing, long-term care is a very important category. On top of considering the amount of care provided by aids and other staff, we also looked at the percentage of residents vaccinated against pneumonia. This nursing home administered the vaccine to 77.586205 percent of its residents. This is a bit below what we were hoping for but still a reasonably acceptable figure. Although its vaccination rate was a bit lower than we hoped for, we were pleased to find facility was able to limit hospitalizations. In fact, it had less than one hospitalization per one thousand long-term resident days, which is a remarkably low number.

This facility's next best category grade came in the area of nursing. In that category, we gave this nursing home a grade of C. Our nursing grade analyzes the nursing home's level of nurse staffing. We look at both the levels of training of the nurses as well as the number of hours spent with residents. This nursing home averages just 0.4 hours of nursing care per resident per day. This is a very low figure. Lastly, we also looked at some nursing quality-based metrics. Although this nursing home got docked a bit for its nursing hours, it actually excelled in a few of these quality-based metrics. With less than five percent of its residents sustaining pressure ulcers, it performed well in this area. This is often an indicator of quality nursing care. Pressure ulcers can generally be prevented by providing better nursing care, such as employing a protocol of moving residents at least once a day.

The last area we looked at was short-term care, which ended up being this nursing home's worst area. We gave this nursing home a D in that category. Unfortunately, this score pulled down the nursing home's overall grade to some degree. Our short-term care grades are believed to be more meaningful for people requiring a nursing home for rehabilitation. Rehabilitation typically utilizes higher levels of highly-skilled nursing. This includes not merely nursing services, but also physical and respiratory therapy, as well as other types of therapy. It appears that this facility was below average in several staffing areas we looked at. The facility supplied fewer physical therapist and registered nurse hours per resident than most facilities. 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.