Edgewood Manor of Greenfield

Although we did not rate this facility favorably overall, we want to point out its excellent health inspections in recent years. We awarded them an impressive grade of A in this category. Perhaps the most significant factor we look at in computing our inspection ratings is deficiencies. These deficiencies can be found on a facility's recent inspection reports. It is generally in your best interest to avoid nursing homes that had a long list of severe deficiencies. Unfortunately, this facility was hit with a category L deficiency, which is not what we expected given its inspection rating. These are the most concerning deficiencies. This category of deficiency means CMS found a widespread deficiency placing patient health or safety in immediate danger. Even a single serious deficiency of this nature should be taken seriously. While other aspects of this nursing home's inspection report were favorable, we have some reservations.

One of the other reasons we rated this nursing home so highly is that it earned a very impressive nursing grade. In that area, we awarded this nursing home an B-. Our nursing category weighs quite a few components, many of which are associated with nursing hours. This nursing home provides only 0.3 hours of nursing care per patient daily. This is a somewhat alarming figure which is well below average. Lastly, nursing ratings also factor in quality-based assessments, such as preventing major falls. Despite not having the most impressive total nursing hours, this nursing home performed admirably in the metric of preventing major falls. This is typically a good indicator that a facility has quality controls in place. Many falls can be avoided if a nursing home supplies enough nurses aids to assist its residents.

We awarded this facility just a D for our long-term care score. This is not a score to write home about. In a long-term care environment, the primary goal is to maintain patients' quality of life and keep them safe. In addition to assessing the quantity of care provided by nurses aids and other staff, we also looked at the number of residents vaccinated for pneumonia. This nursing home gave the vaccine to 98.83721 percent of its patients, which is more than most nursing homes. To our surprise, this facility also keeps its residents out of the hospital. It had only 0.01 hospitalizations per 1,000 long-term resident days. Unfortunately, a few of its other scores in this category were not as favorable as these.

Turning to the next category, this facility really didn't perform well here either. With a very poor grade of F in short-term care, this is about as bad as it gets. Our short-term care ratings are based in part on a nursing home's quantity of skilled nursing services. This includes a vast range of nursing services, spanning from registered nurses to physical and speech therapists, not to mention other variations of therapy. Not surprisingly, we learned that this place provides far less registered nurse and physical therapist hours per patient than the average nursing home. The last metric we looked at in this area is the number of residents that ultimately were able to return home from the facility. This facility struggled quite a bit in this metric as well, with just 4 percent of its residents returning home. This was well below the national average.