Concord Care and Rehabilitation Center

While we graded this facility incredibly poorly overall, it received a fairly respectable nursing grade this year. We gave it a grade of C in that category. When calculating our nursing scores, we analyze both nursing hours and the skill levels of the nurses. This place provided just 0.3 hours of nursing care per resident daily. This is a low total compared with most facilities. Finally, we also assessed several nursing quality measures. Although this place got docked a bit for its nursing hours per resident, it excelled in a few of these quality measures. With fewer than five percent of its residents suffering from pressure ulcers, it fared remarkably well in this statistic. This is often an indicator of quality nursing care. Pressure ulcers can typically be prevented by offering better nursing care, such as by having a policy of moving a resident even once per day.

Moving on to the category of short-term care, this facility was awarded just a D in that area. As it turns out, this ended up being one of its better features. In our short-term care score, we seek to craft a sound measure for rehabilitation services. In doing so, we look at a facility's level of highly-skilled nursing services, including both registered nurses and physical therapy, as well as speech therapy. Not surprisingly, we found that this facility provides far less physical therapist and registered nurse hours per resident than the typical nursing home. Finally, we considered the percentage of residents that returned home from this nursing home. This nursing home didn't fare well here either. In fact, we found that just 0 percent of this facility's patients were able to return home. This figure was well off the national average.

Turning to the area of long-term care, this facility was awarded a grade of just D in this area. When facilities receive this kind of score in long-term care it is a bad sign for resident care and it may indicate that the place is not as well-staffed with nurses and aids. Once we looked at the amount of care provided by aids and other staff, we turned to the facility's vaccination record. Candidly, we were a bit worried that this facility vaccinated 50.479233 percent of its residents against pneumonia, which happens to be significantly less than what we were hoping for. To our surprise, this facility was actually decent at keeping its patients out of the hospital. It had only 0 hospitalizations per 1,000 long-term resident days. This was its best score in this category.

Looking to our last category of inspections, we gave this nursing home just a just D, which is a relatively poor grade. Our inspection score is based on the facility's government inspection reports. Since this information is collected by government inspectors, we place significant weight on it in our overall grades. We take several aspects of a facility's inspection report into consideration in calculating our inspection grades. One critical factor is deficiencies. We would scrutinize the level of severity of the deficiencies. This particular nursing home was hit with a deficiency on its inspection report. We were relieved to find that it was not in a category that suggests that it caused a threat to resident safety or health. Finally, we need to point out that this nursing home was assessed significant government fines recently totaling more than $100,000. This usually means that a nursing home's bad performance has been an issue for more than one year.