Creswell Health and Rehabilitation Center

Although this place's overall grade was abysmal, it actually didn't perform terribly in the category of short-term care. We gave it a B- for that category, which is a decent score. That said, this wasn't enough to save its overall profile. Short-term care grades are based on a nursing home's quantity of highly-skilled nursing services. This includes a vast spectrum of services, ranging from registered nurses to physical and speech therapists, not to mention other types of therapy. Unfortunately, we found that this nursing home provided fewer physical therapist and registered nurse hours per resident than most other facilities. The tricky part is determining what bearing this had on quality of care. Finally, we looked at the percentage of residents who were able to return to the community from this nursing home. We found that 6 percent of this facility's residents returned home. At most nursing homes, closer to half of their patients are able to return home so this figure is below average.

We were also surprised to find that this facility received a decent nursing grade this year. We gave it a grade of C in that category. Our nursing score is mostly based on the nursing home's level of nurse staffing. This nursing home averages just 0.5 hours of nursing care per resident per day. This is a very low figure. Finally, we also looked at several nursing quality measures. While this facility got docked a bit for its nursing hours per resident, it actually excelled in some of these quality metrics. With less than five percent of its patients suffering from pressure ulcers, it fared remarkably well in this metric. This can be an indicator of quality nursing care. Pressure ulcers can many times be avoided by offering better nursing care, such as by employing a protocol of turning residents more frequently.

This nursing home's second worse score is long-term care, where it received just a D in that category. This is a well below average grade. In a long-term care setting, the primary goal is to keep patients as healthy and safe as possible. This is different than skilled nursing or short-term care where the goal is to rehabilitate residents. After we finished assessing the amount of nursing care, we then looked at the nursing home's vaccination data. We were optimistic to learn that this facility vaccinates 100 percent of its patients for pneumonia. Surprisingly, this place was able to limit hospitalizations. With just 0 hospitalizations per 1,000 long-term resident days, this nursing home has less hospitalizations than most nursing homes. Sadly, some of its other scores in the category were not as favorable as these.

In our final category of inspections, this nursing home received an F in this area. For places with poor inspection grades, you should focus on any severe deficiencies found on their inspection reports. This particular facility was assessed a category J or K deficiency, which are among the worst deficiencies. Another area of concern is that CMS flagged this nursing home for possible abuse or neglect. This is not what you want to see. We advise you to direct your search elsewhere.