Elm Manor Nursing and Rehabilitation Center

While we were not high on this facility overall, we awarded it an A- for our inspections rating. This score is significantly more impressive than the nursing home's overall score. Inspection grades weigh several factors included in a nursing home's inspection report. One of the most important criteria we rely on is the number and severity of deficiencies. You generally want to avoid nursing homes with too many deficiencies flagged. While this facility had a few minor dings on its government inspection report, it had no severe deficiencies. Severe deficiencies are found in categories G, H, I, J, K and L. This tells you that the inspectors did not consider any of the deficiencies on this facility's report to pose an imminent threat to patient health or safety. A few minor deficiencies are not the end of the world.

We gave this nursing home just a D for our short-term care rating and that actually turned out to be its second most favorable category. Our short-term care grades are considered to be more meaningful for people needing rehabilitation from their nursing home. Rehabilitation typically mandates additional highly-skilled nursing. This means not merely nursing services, but also physical and respiratory therapy, as well as other forms of therapy. With its grade in this category, we weren't surprised to find that this facility was well below average in terms of the quantity of registered nurse and physical therapy hours provided to its residents based on the data we looked at. Frankly, this was what we expected here. Lastly, we considered the percentage of residents who were able to return to the community from this facility. This definitely was not a strength for this facility. We found that just 4.8 percent of this nursing home's residents returned home. At most facilities, around half of their residents are able to return home so this is well below average.

The third area we looked at is long-term care, where this nursing home was given an F. When nursing homes receive this type of grade in this category it is often a bad sign for resident care and it may mean that the nursing home is not as well-staffed. In addition to looking at the amount of care provided by nurses and other staff, we analyzed the number of residents vaccinated against pneumonia. We found that this nursing home provided the vaccine to only 62.5 percent of its residents, which is somewhat concerning. To our surprise, this nursing home was actually decent at keeping its patients out of the hospital. It had only 0 hospitalizations per one thousand long-term resident days. This is its best feature in this category.

Turning to the fourth area, this facility really did not perform very well in this category either. Due to a very poor grade of F in nursing, this is really as bad as it gets. Our nursing score includes a host of data points. The most important factor is the number of hours nurses spend with residents. With just 0.3 hours of nursing care per resident per day, this nursing home's nurse staffing levels were quite a bit below average. This facility also had terrible scores in some of the quality-based metrics to pair with its low nursing hours. We looked at the percent of residents experiencing pressure ulcers and we were disappointed. This nursing home was at approximately 150 percent of the national average in this measure. This is a bad sign when you consider that many bed sores are preventable with better nursing care. This metric helped pull down this facility's nursing rating significantly.