Casa Real

This place's highest category score came in the category of health inspections. In that area, we gave this nursing home a B-. Inspection ratings are tied to datapoints found on the a nursing home's recent inspection reports. Deficiencies are a key item to look for on these reports. Severe deficiencies indicate a threat to patient safety. Fortunately, although this place had a few minor dings on its report, it had zero severe deficiencies. Severe deficiencies are those labeled as categories G, H, I, J, K and L. This means the inspectors didn't consider any of the deficiencies on this facility's report to pose an imminent threat to patient safety or health. A few minor deficiencies should not stop you from considering a nursing home.

This nursing home's second highest category turned out to be its short-term care score, where it received a B-. Short-term care grades are often employed to gauge a facility's rehabilitation services. In order to offer highly graded rehabilitation services, facilities generally need to provide higher levels of highly skilled nursing services. Skilled nursing includes registered nurses, physical therapists, speech therapists and other highly trained professionals. We were surprised to find that this place was below average in the two key staffing areas we looked at. The facility offered fewer physical therapist and registered nurse hours per resident than most other facilities. The final metric we assessed in this area is the number of patients who were able to leave the nursing home and return to the community. We discovered that just 4.8 percent of this facility's residents were able to return home, which is actually below average.

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-. Our nursing grade is largely based on the nursing home's nurse staffing. This particular nursing home provided just 0.3 hours of nursing care per resident each day. This figure is far below average. Despite having low quantities of nursing care, this nursing home surprisingly fared better in some of the quality-based metrics we assessed. In fact, it scored well in the area of avoiding pressure ulcers and major falls.

The last area we graded is long-term care. This facility was given a C in the area. For prospective residents looking for a permanent place to live rather than skilled nursing, long-term care grades are an important measure. On top of looking at the quantity of care provided by nurses aids and other staff, we also looked at the number of residents vaccinated for pneumonia. We found that this nursing home gave the vaccine to a relatively low 70.538246 percent of its patients, which is a bit of a concern. Nevertheless, this facility was able to keep its residents out of the hospital. It had less than one hospitalization per 1,000 long-term resident days, which is an impressively low figure.