Care One at Madison Avenue

On top of performing well in its overall grade, this nursing home performed at an even higher level in the area of inspections. In fact, it received a nearly flawless inspection report this year. As a result, it received one of our highest grades in that category with a score of A. Inspection scores are based on many pieces of information located in the a nursing home's recent inspection reports. Nursing homes that excel in this area have few deficiencies on their reports. Most importantly, these nursing homes should not have any severe deficiencies which are associated with endangerment of patients. Fortunately, although this place had some minor dings on its government inspection report, it had zero severe deficiencies. Severe deficiencies are labeled as categories G, H, I, J, K and L. This tells you CMS didn't deem any of the deficiencies on this facility's report to pose an imminent threat to patient health or safety. We should point out that deficiency-free inspections are uncommon in this industry.

Among the reasons we graded this nursing home so highly is that it was given a favorable short-term care score. In fact, short-term care is its second most favorable category score. In that area, we gave this facility a score of A-. Our short-term care ratings are meaningful for prospective residents requiring rehabilitation. Rehabilitation generally utilizes more highly-skilled nursing. Skilled nursing includes a vast spectrum of nursing services, spanning from registered nurses to physical and occupational therapists, as well as other types of therapy. Fortunately, it appear that this facility has registered nurses on staff. Not every facility employs these types of nurses. On the other hand, according to the information they provided, they do not appear to employ physical therapists. The last datapoint we considered in this category is the number of residents who were able to leave the facility and return to the community. We discovered that 6.3 percent of this facility's patients returned home.

This facility's next best category grade came in the area of nursing. In that category, we gave this nursing home a grade of B-. This wasn't quite on par with some of its other category grades mentioned above. There are many subcategories within this area. Many of the subcategories are tied to nurse staffing. This nursing home provides 0.4 hours of nursing care per resident per day. This is a much lower figure than we are used to seeing. Finally, while this nursing home got dinged a bit for nursing hours, it excelled in some of our quality-based metrics. With fewer than five percent of its patients experiencing pressure ulcers, it fared well in this subcategory.

The last category we graded was long-term care. For this category, we awarded this nursing home a grade of C. In calculating these long-term care grades, we analyze the facility's ability to maintain its permanent residents' health and quality of life. On top of looking at the volume of care provided by aids and other staff, we analyzed the percentage of residents vaccinated for pneumonia. This facility vaccinated 92.27273 percent of its patients. This is a few points less than we were hoping for but still a decent figure. On a more positive note, this facility was able to limit hospitalizations. It had only 0.02 hospitalizations per 1,000 long-term resident days, which is an impressively low figure.