Fresno Postacute Care

The main reason this facility received a decent overall grade is its impeccable inspections in recent years. We gave them one of our higher scores in that category, with an A. This is a notably better grade than the facility's overall grade, which was decent but not in the elite range. Perhaps the most critical factor we look at in computing our inspection scores is deficiencies. These deficiencies are found on a facility's inspection reports. Places with better scores in this area typically dodged the more severe deficiencies involving patient abuse or death. 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. Even some of the best nursing homes receive an occasional ding on their inspection report.

One of the other reasons we graded this facility so highly is that it earned a very impressive nursing grade. In that category, we awarded this facility an B+. We looked at the skill-level of nurses working for the facility, as well as the quantity of hours those nurses were with residents, in determining our score in this category. This particular nursing home provided 0.4 hours of nursing care per resident per day. Finally, our nursing grades also factor in quality-based assessments, such as avoiding major falls. This facility 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 prevented if more nurses aids and better safety protocols are in place.

Additionally, we awarded this nursing home a grade of B in our long-term care category. This happens to be one of our higher scores. When facilities receive this kind of score in this category it is a good sign for patient care and suggests that the place is well-staffed with nurses aids. In addition to considering the amount of care provided by aids and other staff, we also looked at the percentage of residents vaccinated against pneumonia. This nursing home vaccinated 100 percent of its patients. Vaccines are vital to keeping residents out of the hospital. Lastly, this nursing home was able to limit hospitalizations. It had less than one hospitalization per 1,000 long-term resident days, which is an impressively low figure.

This nursing home's weakest category was short-term care, which is the last area we looked at. We gave it a lowly F in this category. Even with some solid scores in other areas, this score is still disappointing so we felt obligated to point it out. In determining our short-term care scores, we scrutinize the facility's levels of highly skilled nursing services, which includes registered nurses, physical therapists respiratory therapists and other highly skilled individuals. This category is often a solid measure of the nursing home's rehabilitation. We found that this place was subpar in terms of its quantity of registered nurse and physical therapy hours provided to its patients based on the staffing figures we looked at. Lastly, we assessed the percentage of residents who were able to return to the community from this nursing home. We found that just 4.3 percent of this nursing home's patients returned home.