With an address in Greenfield, Missouri, Dade County Nursing Home District is the sole nursing home we identified in this city. This nursing home proved to be a respectable facility, with an overall grade of C. Based on our assessment, there are certainly much worse nursing homes out there. One of the highlights of this nursing home's report card is its impressive inspection reports, which is addressed in the next paragraph.

Additional Details:

Accepts Medicare 1 : TrueA checkmark indicating true.

Accepts Medicaid 1 : 114 Beds TrueA checkmark indicating true.

CCRC : FalseUsed to indicate false.

Government - County

Resident Council: TrueA checkmark indicating true.

Family Council: FalseUsed to indicate false.

Medical Staff Hours Per Patient (2019)

Less:
More:
April
April 1, 2019April 2, 2019April 3, 2019April 4, 2019April 5, 2019April 6, 2019April 7, 2019April 8, 2019April 9, 2019April 10, 2019April 11, 2019April 12, 2019April 13, 2019April 14, 2019April 15, 2019April 16, 2019April 17, 2019April 18, 2019April 19, 2019April 20, 2019April 21, 2019April 22, 2019April 23, 2019April 24, 2019April 25, 2019April 26, 2019April 27, 2019April 28, 2019April 29, 2019April 30, 2019
May
May 1, 2019May 2, 2019May 3, 2019May 4, 2019May 5, 2019May 6, 2019May 7, 2019May 8, 2019May 9, 2019May 10, 2019May 11, 2019May 12, 2019May 13, 2019May 14, 2019May 15, 2019May 16, 2019May 17, 2019May 18, 2019May 19, 2019May 20, 2019May 21, 2019May 22, 2019May 23, 2019May 24, 2019May 25, 2019May 26, 2019May 27, 2019May 28, 2019May 29, 2019May 30, 2019May 31, 2019
June
June 1, 2019June 2, 2019June 3, 2019June 4, 2019June 5, 2019June 6, 2019June 7, 2019June 8, 2019June 9, 2019June 10, 2019June 11, 2019June 12, 2019June 13, 2019June 14, 2019June 15, 2019June 16, 2019June 17, 2019June 18, 2019June 19, 2019June 20, 2019June 21, 2019June 22, 2019June 23, 2019June 24, 2019June 25, 2019June 26, 2019June 27, 2019June 28, 2019June 29, 2019June 30, 2019

Facility Inspections

A-
Oct 18: A+Nov 18: A+Dec 18: A+Jan 19: A+Feb 19: A+May 19: AJun 19: AJul 19: A-Aug 19: A-Sep 19: A-Jan 20: A-Mar 20: A-Apr 20: A-May 20: A-Jun 20: A-Jul 20: A-Aug 20: A-
Historical

In addition to being a respectable nursing home overall, this place really excelled in the category of inspections, where it received an A-. Few facilities performed better in this area. Arguably the most significant factor we consider in determining our inspection grades is deficiencies. Deficiencies are found on a facility's recent inspection reports. Places with better scores in this area typically dodged the most severe deficiencies involving patient abuse or death. While this facility had a few minor dings on its inspection report, it had zero severe deficiencies. Severe deficiencies are ones labeled as categories G through L. This means CMS didn't deem any of the deficiencies on this facility's report to pose an imminent threat to patient health or safety. A couple of minor deficiencies shouldn't lead you to cross a nursing home off your list.

Nurse Quality

B+
Oct 18: FNov 18: FDec 18: FJan 19: BFeb 19: BMay 19: FJun 19: FJul 19: B-Aug 19: B-Sep 19: B-Jan 20: B-Mar 20: B-Apr 20: BMay 20: BJun 20: BJul 20: BAug 20: B+
Historical

This nursing home also excelled in the area of nursing, where it received an B+. Few facilities fared better in this area. In determining our nursing grades, we look at both staffing levels and the skill levels of those nurses. This nursing home averages 0 hours of nursing care per resident per day. Finally, our nursing grades also factor in quality-based assessments, such as avoiding major falls. This place performed better than average in this area. This is often a good indicator that a facility has reliable quality controls in place. Major falls can typically be prevented if more nurses aids and better safety protocols are in place.

Short-term Care Quality

B-
Oct 18: DNov 18: DDec 18: DJan 19: B+Feb 19: B+May 19: FJun 19: FJul 19: BAug 19: BSep 19: BJan 20: B-Mar 20: B-Apr 20: B-May 20: B-Jun 20: B-Jul 20: B-Aug 20: B-
Historical

We also gave this facility a middle of the road score in the category of short-term care, where it received a grade of B-. In determining these short-term care grades, we assess the nursing home's skilled nursing services, including those performed by registered nurses, occupational therapists, physical therapists and other types of skilled professionals. Our purpose is to formulate a barometer for sizing up the rehabilitation services of nursing homes. We were surprised to find that this nursing home was below average in the two key staffing areas we looked at. The facility supplied fewer registered nurse and physical therapist hours per resident than most other nursing homes. The last metric we assessed in this category is the number of residents that ultimately returned home from the nursing home. We found that just 35.4 percent of this facility's residents returned home.

Long-term Care Quality

D
Oct 18: A+Nov 18: A+Dec 18: A+Jan 19: B+Feb 19: B+May 19: CJun 19: CJul 19: DAug 19: DSep 19: DJan 20: FMar 20: FApr 20: DMay 20: DJun 20: DJul 20: DAug 20: D
Historical

This facility's worst category was long-term care, which is the last category we assessed. In this category, we awarded this facility a grade of D. When facilities receive this type of score in long-term care it is typically a bad sign for patient care and it may indicate that the nursing home is not as well-staffed with nurses and aids. On top of considering the quantity of care provided by nurses and other staff, we analyzed the number of residents vaccinated against pneumonia. As it turns out, this facility vaccinated a relatively low 54.166664 percent of its patients, which is not a very encouraging sign. To our surprise, this place was actually able to limit hospitalizations. With only 0.65 hospitalizations per 1,000 long-term resident days, this facility had fewer hospitalizations than most nursing homes. This is its best feature in this category.

Overall Rating Over Time

Compared to national and state averages across all facilities.

Aug 20
Provider:
C
State:
B-
National:
B
FDCB-BB+A-AA+Oct 18Nov 18Dec 18Jan 19Feb 19Mar 19Apr 19May 19Jun 19Jul 19Aug 19Sep 19Oct 19Dec 19Jan 20Mar 20Apr 20May 20Jun 20Jul 20Aug 20
Overall Rating
Nurse Rating
Long-Term Rating
Short-Term Rating
Inspection Rating

Dade County Nursing Home District Quality Metrics

Minimizes Pressure Ulcers

This is the percentage of patients that suffered from a pressure ulcer. Pressure ulcers are considered to be a measure of the quality of nursing care . Pressure ulcers, which are also referred to as bed sores, are routinely caused by residents not being moved frequently enough.

Provider
B-
8.7%
State
B
8.39%
National
B
7.34%

Percent of Patients with Pressure Ulcers
Lower is Better

Minimizes Serious Falls

This is the percent of patients that suffered from a major fall. Falls resulting in major injury are often linked to lower quality nursing care. Additional nurse staffing can limit the percentage of residents in a nursing home who sustain major falls.

Provider
B+
2.78%
State
B-
4.16%
National
B
3.36%

Percent of Patients with Serious Falls
Lower is Better

Minimizes Urinary Tract Infections

This statistic is an indication of the percent of long-term care residents which have experienced UTI's. UTI's could be an indication of worse hygiene protocols. However, this statistic could also be misleading for certain nursing homes due to inconsistent reporting standards for infections.

Provider
B
1.89%
State
B
3.59%
National
B
2.66%

Percent of Patients with UTIs
Lower is Better

Appropriately Uses Anti-Psychotic Medication

This statistic measures the percentage of long-term patients who were prescribed antipsychotic medication. High levels of antipsychotic drug use may indicate a facility is using these medications to control patient behavior in situations where such drugs are not medically required. However, some nursing homes may need to rely more on these medications due to an increased number of residents suffering from cognitive disorders.

Provider
C
19.23%
State
B-
18.42%
National
B
14.15%

Percent of Patients
Lower is Better

Appropriately Uses Anti-Anxiety Medication

This statistic tells you the percentage of long-term residents which were given antianxiety medication. These medications are given to patients suffering from depression or anxiety.

Provider
D
33.68%
State
B-
24.61%
National
B
19.69%

Percent of Patients
Lower is Better

Managing Depression Among Residents

This datapoint is a measure of the percentage of long-term patients showing depressive symptoms.

Provider
B-
3.37%
State
B
3.59%
National
B+
5.11%

Percent of Patients
Lower is Better

Appropriate Vaccine Usage

This datapoint is a measure of the percentage of long-term patients that received the flu and pneumonia vaccines. Respiratory viruses can be fatal for seniors, making these types of vaccines vital to patient care.

Provider
F
70.42%
State
B-
89.7%
National
B
92.01%

Percent of Patients
Higher is Better

Residents Maintain Autonomy

This indicates the percent of residents who needed additional assistance with activities of daily living over time. Higher levels of needing for assistance with activities of daily living may be a sign of the erosion of a patient's well-being.

Provider
A+
6.45%
State
B
14.44%
National
B
14.47%

Percentage of Patients
Lower is Better

Ability to Keep Residents Mobile

This metric tracks the percentage of long-term residents that maintained mobility. Many would argue that mobility is critical to residents' well-being.

Provider
F
6.69%
State
B-
14.54%
National
B
17.10%

Percentage of Residents
Higher is Better

Hospitalizations

This datapoint measures the number of times residents are hospitalized per thousand days of patient care.

Provider
A+
0.69
State
B-
2.01
National
B
1.70

Hospitalizations per 1,000 resident days
Lower is Better

Short-term Care: Rehospitalizations

This datapoint measures the number of rehospitalizations per 1,000 days of short-term patient care.

Provider
A+
6.69
State
B+
14.54
National
B
17.10

Percentage of Residents Rehospitalized
Lower is Better

Short-term Care: Facilitates Functional Improvement

This datapoint measures the percent of short-term stay residents that saw functional improvements, such as with activities of daily living. Many believe that this is a measure of a nursing home's rehabilitation services.

Provider
D
59.38%
State
B
69.72%
National
B
68.02%

Percentage of Resident
Higher is Better