Majestic Care of Middletown

While we graded this facility incredibly poorly overall, it received a fairly respectable inspection report this year. As a result, it received a decent grade in that category with a score of C. We weigh several aspects of a nursing home's inspection report in calculating our inspection ratings. One key factor is deficiencies. It should be noted that the severity of these deficiencies is usually more meaningful than the number of deficiencies, as some end up being quite minor. This place had 5 deficiencies on its inspection report, but none were in any of the categories labeled G through L. This indicates CMS did not consider any of the deficiencies to present an imminent risk to patient health or safety. Unfortunately, we also need to draw your attention to the fact that this facility received significant government fines in recent years.

Moving on to the category of short-term care, this nursing home was awarded a grade of just D in this area. Sadly, this proved to be its second best grade. Our short-term care grades are based on the facility's quantity of skilled skilled healthcare professionals. This includes a vast scope of services, spanning from registered nurses to physical and speech therapists, as well as other variations of therapy. With a score in this range for this area, we weren't surprised to learn that this place was well below average in multiple staffing metrics we assess. It offered significantly fewer physical therapist and registered nurse hours per resident than most other nursing homes. Finally, we assessed the percentage of residents who were able to return to the community from this facility. We found that just 5.8 percent of this nursing home's patients returned home.

We awarded this facility just a D for our long-term care grade. This is not one of our better scores. Nursing homes that don't fare well in this category typically aren't as well-staffed and are lagging in some of the areas of routine medical care we looked at. On top of considering the quantity of care provided by aids and other staff, we also looked at the percentage of residents vaccinated against pneumonia. This facility administered the vaccine to 92.10978 percent of its patients. This is slightly lower than we anticipated but still a decent percentage. To our surprise, this facility actually fared well at keeping its residents out of the hospital. In fact, it had just 0.02 hospitalizations per one thousand long-term resident days. This is its best score in this category.

This nursing home's weakest category was nursing, which is the last category we scored. For this area, we gave this nursing home a grade of D. There are several factors within this area. Many of the factors are tied to levels of nurse staffing. This nursing home provided only 0.3 hours of nursing care per patient per day. Finally, we also assessed some nursing quality measures in computing our nursing grades. This nursing home performed well in terms of avoiding pressure ulcers and major falls.