Douglas Health and Rehabilitation

Douglas Health and Rehabilitation is a facility located in Milan, Tennessee, which has a population of 12,121 people. Featuring an overall rating of C, this is likely a middle of the pack facility. Based on our ratings, there are definitely far worse nursing homes out there. The best part of this nursing home's report card is its remarkable inspection score. We discuss inspections in the next section.

In addition to being a respectable facility overall, this facility really excelled in the area of inspections, where it earned a grade of A. Few nursing homes performed better in this category. Arguably the most critical factor we consider in computing our inspection scores is deficiencies. Deficiencies are found on a facility's recent inspection reports. Facilities with better scores in this category most likely dodged the more severe deficiencies involving health risks or even death. This place was assessed 2 deficiencies on its inspection report, but we were relieved to see that none of the deficiencies were considered to be severe deficiencies. This tells you that the inspectors did not deem any of the deficiencies to create an immediate threat to patient safety or health. Finally, this facility had no substantiated complaints this year from residents, which is always a good sign.

Turning to the category of long-term care, we gave this nursing home a score of A- in that area. If you are seeking services other than rehabilitation, you should take a close look at each facility's long-term care grades. On top of assessing the amount of care provided by aids and other staff, we also looked at the percentage of residents vaccinated for pneumonia. This facility gave the vaccine to 85.258965 percent of its patients, which is a few points below what we were hoping for. Finally, we looked at the nursing home's number of hospitalizations. We found that this place had 2.13 hospitalizations per 1,000 long-term resident days.

The next area we looked at was nursing, where we gave this facility an F. This was definitely one of this facility's major weaknesses. In computing a facility's nursing grade, we look at the amount of time nurses commit to residents as well as the levels of training of the nurses. This facility provided just 3 hours of nursing care per resident per day. This is a very low total compared to most nursing homes. This place also had terrible marks in some of the quality-based measures to go along with its weak nursing hour totals. We looked at the percent of patients suffering pressure ulcers and we were disappointed. This nursing home was at approximately 150 percent of the national average in this measure. This is likely a bad sign when you consider that many pressure ulcers could be avoided with better nursing care. This statistic helped pull down this nursing home's nursing grade significantly.

The last category we looked at was short-term care, which was this facility's least impressive category. We gave it a lowly F for this area, which is obviously a major concern. With our short-term care score, we attempt to create a meaningful measure for rehabilitation. In this process, we assess the facility's levels of skilled nursing services, including both registered nurses and physical therapy, as well as occupational therapy. With its poor rating in this area, we were not surprised to learn that this facility offers far fewer physical therapist and registered nurse hours per resident than most other facilities. Finally, we assessed the percentage of patients who returned home from this facility. This facility didn't fare well here either. In fact, we found that just 18.8 percent of this facility's patients were able to return home. This figure was well off the national average.