Crestwood Manor - Fremont

In addition to receiving a great overall grade, this nursing home received an A+ in the area of long-term care. When nursing homes receive a grade in this range in long-term care it generally means it's well-staffed and is a quality place to live on a permanent basis. Once we assessed the volume of care provided by nurses and other staff, we next considered the facility's vaccination statistics. This nursing home vaccinated 100 percent of its patients against pneumonia, which is much higher than the majority of nursing homes. Finally, this facility was able to limit hospitalizations. In fact, it had less than one hospitalization per 1,000 long-term resident days, which is a remarkably low number.

We also awarded this nursing home a grade of A+ for its nursing grade. Our nursing grade is primarily based on a facility's level of nurse staffing. This particular nursing home provided 0.4 hours of nursing care per resident per day. Finally, we also assessed some nursing quality measures in determining our nursing grades. This nursing home performed very well in terms of avoiding major falls and pressure ulcers. We consider these areas to be good indicators of the quality of nursing care.

Amazingly, we also awarded this nursing home yet another A+ in the area of inspections. Inspection grades account for a host of factors found on a nursing home's inspection report. One of the most important criteria we look at is the quantity and severity of deficiencies. Facilities with higher scores in this category usually have few of these severe deficiencies. This particular nursing home had just a single deficiency on its inspection report and it was not one deemed to pose a threat to patient health or safety. Finally, this facility had no substantiated complaints this year from residents, which is an excellent sign.

In the final area, this facility also received a very strong short-term care rating, with a grade of A-. This rounded out a first-rate report card. In our short-term care category, we strive to craft a sound barometer for rehabilitation. In doing so, we analyze the nursing home's offerings of highly-skilled nursing services, including both registered nurses and physical therapy, as well as occupational therapy. Fortunately, it looks like this facility employs registered nurses. Not every nursing home employs these skilled professionals. However, based on the information this nursing home provided, it does not look like the facility employs physical therapists. The final datapoint we looked at in this area is the percentage of patients who ultimately were able to return home from the facility. We found that 0 percent of this nursing home's patients returned home as opposed to remaining at the nursing home on a permanent basis.