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.

We gave this facility a grade of just D for our long-term care grade and that actually turned out to be its second most favorable score. For residents in need of a permanent place to live as opposed to skilled nursing, long-term care grades are very important. On top of considering the volume of care provided by aids and other staff, we analyzed the percentage of residents vaccinated against pneumonia. Thankfully, this nursing home gave the vaccine to 99.32886 percent of its patients, which is a very solid datapoint. To our surprise, this nursing home was able to keep its patients out of the hospital. In fact, it had just 0.01 hospitalizations per 1,000 long-term resident days. Sadly, a few of its other scores in the category weren't as favorable as these.

We gave this facility a grade of just D for our nursing rating. Nursing ratings are based largely on nurse staffing levels. With just 0.3 hours of nursing care per patient per day, this nursing home's nurse staffing levels were quite a bit below average. Finally, we also looked at some nursing quality-based metrics in computing our nursing scores. This nursing home performed well in the area of minimizing its residents' pressure ulcers and major falls. We consider these areas to be good measures of the quality of nursing care.

The last category we looked at is short-term care, turned out to be this nursing home's least impressive category. We gave this facility a grade of D in that category. In computing our short-term care grades, we size up a nursing home's levels of highly skilled nursing services, which includes registered nurses, physical therapists respiratory therapists and other types of therapists. This category is typically a useful assessment of a nursing home's rehabilitation services. Given its grade in this category, we were not surprised to discover that this facility is well below average in terms of its number of physical therapy and registered nurse hours provided to its residents based on the metrics we looked at. Honestly, this was about what we expected here. Finally, we assessed the number of patients who were able to return to the community from this facility. This was not a strength for this nursing home. We found that just 0 percent of this nursing home's patients returned home. At most facilities, about half of their residents are able to return home so this is well below average.