Crestwood Rehabilitation and Nursing

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. In computing our nursing scores, we look at both the number of hours nurses spend with residents and the levels of licensure of those nurses. This nursing home averages just 0.3 hours of nursing care per patient daily, which is not an impressive total. Lastly, we also assessed several nursing quality-based metrics. Although this nursing home got dinged a bit for its nursing hours per resident, it actually excelled in some of these quality-based metrics. With less than five percent of its residents sustaining pressure ulcers, it fared well in this statistic. This is generally an indicator of quality nursing care. Pressure ulcers can typically be prevented by providing better nursing care, such as employing a system of turning a patient even once per day.

Remarkably, we gave this nursing home a C for its short-term care rating, which is not a bad grade. In computing our short-term care scores, we scrutinize the facility's levels of skilled nursing services, which includes registered nurses, physical therapists respiratory therapists and other types of therapists. This category is often a fair measure of a facility's ability to rehabilitate patients. Unfortunately, this nursing home 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 real question is whether this also impacted quality of care. The final item we considered in this area is the percentage of patients who ultimately were able to return home from the nursing home. We found that just 0 percent of this nursing home's residents returned home. Unfortunately, this was below average.

We wanted to point out that this nursing home received a lowly F for its inspection score. An F in this category is particularly troublesome because it usually points to red flags on the nursing home's inspection reports. With places that received this bad of an inspection rating, we recommend scrutinizing any severe deficiencies on its inspection report. This particular nursing home was hit with 5 deficiencies by government inspectors. The only positive thing we can say is that none of the deficiencies were in the categories that indicate that they caused a risk to patient safety or health. Finally, we need to draw your attention to the fact that this facility was assessed large government fines in recent years totaling more than $100,000. This typically signifies that a facility's poor track record has been an issue for more than one year.

Moving on to the fourth area, this facility did not perform very well in this area either. Due to an abysmal grade of F in long-term care, this is just about as terrible as it gets. For long-term care residents, the primary goal is to maintain patients' quality of life and keep them safe. Once we assessed the volume of care provided by aids and other staff, we then looked at the facility's vaccination record. We were pleased to discover that this nursing home vaccinated 97.572815 percent of its residents for pneumonia. Surprisingly, this nursing home was able to limit hospitalizations. With just 0.01 hospitalizations per 1,000 long-term resident days, this facility had less hospitalizations than the majority of nursing homes. Sadly, some of its other scores in this category were not as favorable as these.