Four Seasons of Washington Nursing and Rehab

On top of receiving a great overall rating, this nursing home fared even better in the area of inspections which is based on the facility's recent inspection reports. We gave it an A- for this area, which is one of our best scores. Inspection scores weigh several factors, including deficiencies and federal fines. You can learn more about each of these issues by obtaining copies of nursing homes' inspection reports. While this place had a few minor dings on its government inspection report, it had no severe deficiencies. Severe deficiencies are ones labeled as categories G, H, I, J, K and L. This tells you CMS didn't deem any of the deficiencies on this facility's report to pose an imminent threat to patient safety or health. A couple minor deficiencies aren't necessarily the end of the world.

This facility received high grades in the area of nursing as well. In fact, it received one of our highest grades in that category with a score of A-. Our nursing grade is largely associated with a nursing home's level of nurse staffing. This nursing home averages 0.3 hours of nursing care per resident per day. Finally, we also assessed several nursing quality-based metrics and this nursing home excelled in some of these areas. With less than five percent of its residents sustaining pressure ulcers, it performed as well as any nursing home the state in this category. This is generally a good indicator of quality nursing care. Pressure ulcers can typically be prevented by providing better nursing care, such as employing a protocol of turning residents more frequently.

The next category we graded is long-term care. This facility received a very positive long-term care score, with a B in this area. For prospective patients in need of a permanent residence as opposed to skilled nursing, long-term care grades are very important. One of the factors we considered in addition to nursing hours is vaccines. This facility provided the pneumonia vaccine to 52.216747 percent of its residents. While its vaccination rate was a bit lower than we like to see, at least this facility was able to limit hospitalizations. In fact, it had less than one hospitalization per 1,000 long-term resident days, which is a remarkably low number.

Moving on to our final area, this nursing home was awarded an acceptable short-term care grade. While this wasn't nearly as good as some of its other grades, this is really a middle of the pack score. Our short-term care grades are presumably more important for people needing rehabilitation from their nursing home. Rehabilitation typically mandates higher levels of skilled nursing services. This means not just nursing services, but also physical and respiratory therapy, as well as other forms of therapy. Fortunately, it appear that this facility employs registered nurses. Not every nursing home employs these skilled professionals. However, according to the information this nursing home provided, they do not appear to employ physical therapists. Finally, we looked at the percentage of residents who were able to return to the community from this nursing home. We found that 0 percent of this facility's residents returned home. At most nursing homes, closer to half of their patients are able to return home so this figure is below average.