Edgewood Manor of Greenfield

Although we gave this facility a terrible overall grade, we awarded it a B- for our inspections rating. In fact, the facility received very impressive inspection report this year. We weigh several aspects of a nursing home's inspection report in determining these inspection ratings. One key factor is deficiencies. You should keep in mind that the severity of deficiencies is usually more meaningful than the quantity of deficiencies, as some of these are relatively minor. Sadly, this facility received a category L deficiency, which is unexpected given its inspection grade. This category of deficiency means CMS found a widespread deficiency placing resident health or safety in immediate jeopardy. While other aspects of this nursing home's inspection report were favorable, we have some reservations.

This facility's next highest score is short-term care, but even there it earned just a D in that area. This is still a relatively poor grade. In computing our short-term care grades, we assess the facility's levels of skilled nursing, which includes registered nurses, physical therapists occupational therapists and other types of therapists. This area is typically a useful measure of a facility's rehabilitation. Considering its score in this area, we weren't surprised to learn that this facility is well below average in terms of the quantity of physical therapy and registered nurse hours offered to its residents based on the measures we assessed. Lastly, we considered the number of residents who were able to return to the community from this nursing home. This wasn't a strength for this nursing home. We found that just 4.7 percent of this facility's patients returned home. At most facilities, about half of their residents are able to return home so this is well below average.

This facility ended up receiving rock bottom score in our nursing category. It received an F in this category. Our nursing rating considers numerous datapoints. The most heavily weighted one is the number of hours nurses spend with residents. This nursing home provided a meager 0.3 hours of nursing care per patient on a daily basis. This is a very low total compared to most nursing homes. Lastly, we also looked at some nursing quality-based metrics in calculating our nursing ratings. This place performed well when it comes to minimizing its residents' major falls and pressure ulcers. Many consider these statistics to be indicators of the quality of nursing care.

The final area we rated was long-term care, in which this facility was given a very poor grade in this area also. It received a lowly F for this category, which is obviously very concerning. In a long-term care setting, the primary goal is to keep patients healthy and safe. This is different than skilled nursing or short-term care where the goal is to rehabilitate patients. One of the statistics we considered on top of nurse's aid hours is vaccines. Thankfully, this nursing home administered the pneumonia vaccination to 98.32402 percent of its patients. Surprisingly, this facility also fared well at keeping its residents out of the hospital. Indeed, it had only 0.01 hospitalizations per one thousand long-term resident days. Unfortunately, some of its other scores in the category were not as favorable as these.