Four County Health and Rehabilitation

In addition to being a first rate facility overall, this nursing home performed well in our inspections category, where it earned a grade of A+. Few facilities performed this well in this area. These inspection ratings weigh several factors, including deficiencies and substantiated complaints. You can learn more about each of these issues by reviewing copies of nursing homes' inspection reports. This facility was assessed 2 deficiencies on its inspection report, but none of the deficiencies were considered severe. This tells you that the inspectors did not consider 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 an excellent sign.

This facility performed well in the area of long-term care. In fact, we awarded it a grade of A for that area, which turns out to be one of our better grades. When nursing homes receive this type of grade in this category it is typically a good sign for patient care and indicates that the facility is well-staffed with nurses aids. Once we concluded our assessment of the volume of care provided by nurses, we then looked at the nursing home's vaccination record. This nursing home vaccinated 99.09091 percent of its patients for pneumonia, which is very impressive. Pneumonia tragically can be a life threatening health condition for nursing home patients so we prefer when a facility does not take any chances. Finally, this facility was able to limit hospitalizations. In fact, it had less than one hospitalization per 1,000 long-term resident days, which is an impressively low number.

This nursing home also received a strong nursing score. In fact, we awarded it an above average grade of B in this area. Nursing scores are tied to nurse staffing levels. This nursing home provides 0.3 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 well in this area. Avoiding major falls is typically a good indicator that a place has reliable quality controls in place. Major falls can generally be avoided if more nurses aids and better safety protocols are in place.

This facility's weakest category is short-term care, which is the last category we assessed. Unfortunately, we gave it an abysmal F for this area. Even with some strong grades in other categories, this grade is nevertheless somewhat disappointing so we felt obligated to draw your attention to it. Our short-term care grades are arguably most critical for people in need of rehabilitation from their nursing home. Rehabilitation usually requires additional skilled nursing services. Skilled nursing means not only nursing services, but also physical and respiratory therapy, as well as other forms of therapy. Unfortunately, we learned that this nursing home offered less physical therapist and registered nurse hours per patient than most nursing homes. The last measure we considered in this category is the percentage of residents who ultimately were able to return home from the nursing home. This nursing home struggled quite a bit in this area as well, with just 3 percent of its residents returning home. This was quite a bit below average.