Fredericksburg Nursing and Rehabilitation

While this nursing home's overall grade was not a highlight, it actually really excelled in the category of inspections. In fact, we awarded it a grade of A- for that category, which is one of our best scores. Inspection scores weigh a host of factors found on a nursing home's inspection report. One key criteria we weigh heavily is the number and severity of deficiencies. You generally want to avoid facilities with a list of deficiencies flagged. This particular nursing home had just a single deficiency on its inspection report and it was not one deemed to pose a threat to patient health or safety. Despite this deficiency, this nursing home still received a relatively positive inspection report.

One of the other reasons we rated this facility so highly is that it received a very impressive nursing grade. In fact, nursing turned out to be its second best category grade. In that category, we gave this facility an B-. Our nursing rating focuses on the facility's level of nurse staffing. We look at both the levels of licensure of those nurses as well as the amount of time spent with patients. This nursing home averages just 0.3 hours of nursing care per resident per day. This is a very low figure. Finally, we also looked at several nursing quality measures. Although this facility got docked a bit for nursing hours per resident, it actually excelled in some of these quality metrics. With fewer than five percent of its residents experiencing pressure ulcers, it performed well in this statistic. This is typically an indicator of quality nursing care. Pressure ulcers can many times be avoided by providing better nursing care, such as employing a protocol of moving patients more frequently.

As it turns out, this facility only earned a D for its long-term care grade, which is well below average in this category. When nursing homes receive this kind of grade in this category it is often a bad sign for patient care and it may indicate that the nursing home is not as well-staffed. In addition to considering the amount of care provided by aids and other staff, we looked at the number of residents vaccinated for pneumonia. This nursing home administered the vaccine to 67.375885 percent of its residents. This is multiple points below the national average. Surprisingly, this place was actually able to limit hospitalizations. With only 0.01 hospitalizations per 1,000 long-term resident days, this nursing home had less hospitalizations than most nursing homes. This was its best score in this category.

The last category we analyzed is short-term care. This nursing home was given an abysmal grade of F in that area. In the category of short-term care, we seek to assess measures of a nursing home's rehabilitation services. We look at the facility's skilled nursing services, such as those performed by registered nurses and physical therapists. With its grade in this area, we weren't surprised to learn that this facility was well below average in terms of its number of registered nurse and physical therapy hours offered to its residents based on the data we looked at. The final item we considered in this area is the percentage of patients who were able to leave the nursing home and return to the community. We discovered that just 0 percent of this facility's residents were able to return home, which is well below average. The combination of these poor statistics was damning for this facility's short-term care score.