Casa De Oro Center

Even though we didn't rate this nursing home well overall, we want to point out its decent grade of B- in nursing. The nursing category includes a handful of datapoints, many of which are associated with quantities of nurse staffing. This facility provided just 0.3 hours of nursing care per resident on a daily basis. This figure is significantly below the national average. Lastly, we also looked at some nursing quality-based metrics. Although this facility got docked a bit for nursing hours, it actually excelled in some of these quality-based metrics. With less than five percent of its patients suffering from pressure ulcers, it did remarkably well in this metric. This is typically a good indicator of quality nursing care. Pressure ulcers can generally be avoided by providing better nursing care, such as employing a policy of turning residents at least once a day.

This nursing home's next most favorable area was short-term care. We awarded it a B- in this area. This is essentially a middle of the road grade in this area. Short-term care ratings are critical for residents in need of rehabilitation. Rehabilitation typically mandates more highly-skilled nursing. Skilled nursing means a broad range of services, ranging from registered nurses to physical and occupational therapists, as well as other variations of therapy. Unfortunately, this place was below average in terms of its number of physical therapy and registered nurse hours provided to its patients based on the metrics we assessed. The question is whether this adversely affected quality of care. Lastly, we looked at the percentage of residents who were able to return to the community from this nursing home. We found that 4.6 percent of this facility's patients returned home. At most nursing homes, closer to half of their patients are able to return home so this figure is below average.

This facilities next best category was long-term care. We gave it a grade of B- in this area. This is essentially a slightly below average grade in this category. Our long-term care grade is often used to judge a facility's performance as a traditional nursing home, as opposed to focusing on the skilled nursing services provided by a rehabilitation facility. Once we looked at the volume of care provided by aids and other staff, we turned to the facility's vaccination statistics. We were optimistic to find that this facility vaccinated 100 percent of its patients against pneumonia. This nursing home was able to keep its patients out of the hospital. It had only 0.02 hospitalizations per one thousand long-term resident days, which is an impressively low number.

Moving on the last category of inspections, this facility had an abysmal showing. Sadly, it received an F in our inspection rating. This happens to be our most heavily weighted category in our scoring system. When a place has this poor of an inspection grade, you should look for severe deficiencies on its inspection report. Severe deficiencies indicate a risk to patient safety. This facility was hit with a category J through K deficiency, which are among the worst deficiencies. This generally means that the government inspectors uncovered a deficiency which puts patient health or safety in immediate danger. We are also concerned by the fact that this facility was flagged by CMS for possible abuse or neglect. We prefer to avoid facilities with this designation. Please do your best to find an alternative nursing home.