Casa Real

This nursing home really excelled in our short-term care rating, with an impressive grade of A- in this category. In computing our short-term care scores, we look at the facility's skilled nursing services, including those performed by registered nurses, occupational therapists, physical therapists and other types of skilled professionals. The purpose is to formulate a measure for comparing the rehabilitation services of different nursing homes. It doesn't look like this facility provided information on registered nurse or physical therapist staffing. The last measure we considered in this area is the percentage of residents who were able to leave the facility and return to the community. We found that 5.8 percent of this facility's residents were able to return home.

It should also be noted that this facility's inspection grade was strong as well. In fact, we awarded it a grade of B for inspections, which is one of our better grades. Our inspection ratings account for several factors included in a nursing home's inspection reports. One key criteria we consider is the quantity and severity of deficiencies. Nursing homes with better grades in this category typically have few severe deficiencies. Fortunately, although this facility had some minor dings on its inspection report, it had zero severe deficiencies. Severe deficiencies are ones found in categories G through L. This means CMS did not deem any of the deficiencies on this facility's report to pose an imminent threat to patient health or safety. A couple minor deficiencies should not stop you from considering a nursing home.

This nursing home's next best category was nursing. We awarded it a grade of B- in this category. This is basically a middle of the road grade in this category. Nursing scores are based in large part on quantity of nursing care available. This nursing home averages just 0.3 hours of nursing care per resident per day. This is a very low figure. Despite having low quantities of nursing care, this facility excelled in some of the quality measures we assessed. In fact, it performed well in terms of minimizing its residents' major falls and pressure ulcers. Many consider these areas to be good indicators of the quality of nursing care. In many cases, the quality of nursing care is just as important as the quantity of hours of care offered.

The next area we scored is long-term care, was this nursing home's worst area. We awarded this nursing home a grade of D in this area. Long-term care grades in this range generally are a bad sign for the quantity and quality of care provided by nurses and aids, as well as the levels of routine medical care available. In addition to assessing the volume of care provided by nurses aids and other staff, we also looked at the percentage of residents vaccinated for pneumonia. This nursing home administered the vaccine to just 78.77095 percent of its patients, which is a bit of a concern. To our surprise, this facility was actually able to limit hospitalizations. With just 0.01 hospitalizations per one thousand long-term resident days, this nursing home had less hospitalizations than the majority of nursing homes. This was its best feature in this category.