Garden Manor Extended Care Center
6898 Hamilton Middletown Road, Middletown OH 45044 · (513) 424-5321 · 87.7% estimated occupancy 1Updated: Aug 1, 2020 · By Nick Reese
Garden Manor Extended Care Center is a large nursing home located in Middletown, Ohio. This facility received an overall grade of C, which is a solid rating. This grade is right in line with the city grade in Middletown, which admittedly is admittedly a bit below average nationally. This place didn't meet our expectations in every category we looked at, but it did not receive any terrible grades either. More information about its category grades is available below.
Additional Details:
Accepts Medicare 1 :
Accepts Medicaid 1 : 200 Beds
CCRC :
For profit - Individual
Resident Council:
Family Council:
Medical Staff Hours Per Patient (2019)
Facility Inspections
While this nursing home's overall grade was decent, it 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 ratings take several factors into consideration, including deficiencies and federal fines. You can find more information about each of these items by obtaining copies of nursing homes' inspection reports. Fortunately, although this facility had a few minor dings on its government inspection report, it had no severe deficiencies. Severe deficiencies are those found in categories G, H, I, J, K and L. This means CMS didn't consider any of the deficiencies on this facility's report to pose an imminent threat to patient health or safety. A few minor deficiencies shouldn't stop you from considering a nursing home.
Short-term Care Quality
This nursing home also was given a strong short-term care grade. As a matter of fact, we gave them a grade of B in this category, which happens to be one of our better. Our short-term care grades are based in part on a facility's quantity of highly-skilled skilled healthcare professionals. This means a vast range of services, ranging from registered nurses to physical and occupational therapists, in addition to other forms of therapy. Fortunately, this nursing home offers both physical therapists and registered nurses. Not all facilities offer both. This facility performed much better in the final datapoint we looked at in this area, which was the number of patients who were able to leave the facility and return to the community. It performed as well as just about any facility in Ohio in this area with 58.7 percent of its residents returning home. At most facilities, fewer than half of their short-term residents are able to return home.
Nurse Quality
Next, we looked at the nursing category where we awarded this nursing home a grade of C, which is a decent grade. Our nursing score considers numerous datapoints. The most important factor is the number of hours nurses spent with residents. This particular nursing home provided 3.7 hours of nursing care per resident per day. Lastly, we also weighed some quality-based assessments. This nursing home performed well in a few of the quality-based metrics we looked at. By way of illustration, in terms of the number of its residents suffering from pressure ulcers, this nursing home beat the national average. This is typically an indicator that a place has quality controls in place. Pressure ulcers can often be prevented with better nursing care.
Long-term Care Quality
The final area we graded was long-term care, which is this nursing home's weakest area. We gave this facility a grade of D in that area. For patients seeking a permanent place to live rather than rehabilitation, long-term care is an important category. On top of considering the volume of care provided by aids and other staff, we analyzed the number of residents vaccinated against pneumonia. Fortunately, this facility provided the vaccine to 99.67105 percent of its residents, which is a very respectable datapoint. Surprisingly, this place also fared well at keeping its patients out of the hospital. In fact, it had just 0.96 hospitalizations per one thousand long-term resident days. Sadly, a few of its other scores in this category were not as favorable as these.
Overall Rating Over Time
Compared to national and state averages across all facilities.
Garden Manor Extended Care Center Quality Metrics
Minimizes Pressure Ulcers
This indicates the percentage of residents who sustained a pressure ulcer. Pressure ulcers, which are also referred to as bed sores, are often the result of residents staying in one position for too long. Better nursing protocols can reduce the percentage of residents in a nursing home who sustain pressure ulcers.
Percent of Patients with Pressure Ulcers
Lower is Better
Minimizes Serious Falls
This metric is a measure of the percent of long-term stay residents who have had falls which resulted in major injury. This is one of the statistics we use in computing our nursing grades.
Percent of Patients with Serious Falls
Lower is Better
Minimizes Urinary Tract Infections
This tells you the percentage of residents who sustained a urinary tract infection. UTI's are often linked to facilities with worst hygiene practices. Better hygiene protocols reduces the number likelihood of residents sustaining infections. We want to point out that this metric is affected by by the fact that nursing homes have incongruent reporting standards for urinary tract infections.
Percent of Patients with UTIs
Lower is Better
Appropriately Uses Anti-Psychotic Medication
This indicates the percentage of patients who were given antipsychotic medications. Antipsychotic medications are prescribed to residents for a variety of conditions, including Alzheimer's or other dementias. Unfortunately, in limited situations, increased usage of these drugs may suggest that a nursing home is using these drugs to control patient behavior.
Percent of Patients
Lower is Better
Appropriately Uses Anti-Anxiety Medication
This is the percent of residents who were given antianxiety medications. Antianxiety drugs are prescribed to patients suffering from anxiety or depression.
Percent of Patients
Lower is Better
Managing Depression Among Residents
This is the percent of residents demonstrating signs of depression.
Percent of Patients
Lower is Better
Appropriate Vaccine Usage
This tells you the percent of residents who were given the flu and pneumonia vaccines. Higher vaccination rates should be the norm at this point.
Percent of Patients
Higher is Better
Residents Maintain Autonomy
This metric is a measure of the percent of long-term care patients that needed increased assistance with activities of daily living over time. ADL's include activities such as getting dressed and continence. Many argue this is a reasonable measure of a resident's well-being.
Percentage of Patients
Lower is Better
Ability to Keep Residents Mobile
This is a measure of the percent of long-term stay residents who were able to retain mobility. Many in the industry argue that the ability to move around is important for patients well-being.
Percentage of Residents
Higher is Better
Hospitalizations
This metric measures the number of times residents are hospitalized per thousand days of patient care.
Hospitalizations per 1,000 resident days
Lower is Better
Short-term Care: Rehospitalizations
This is the number of times residents are rehospitalized per thousand days of short-term care. There is typically a correlation between having fewer hospitalizations and a nursing homes short-term rehabilitation performance.
Percentage of Residents Rehospitalized
Lower is Better
Short-term Care: ER Visits
This indicates the number of emergency room visits per 1,000 days of short-term care. There is typically a correlation between staying out of the emergency room and the overall quality of rehabilitation.
Percentage of Patients
Lower is Better
Short-term Care: Facilitates Functional Improvement
This indicates the percent of short-term care patients that experienced functional improvements, such as with activities of daily living. Higher levels of autonomy with ADL's generally correlates with superior rehabilitation.
Percentage of Resident
Higher is Better