Majestic Care of Middletown

We just could not find anything positive to say about this place. It received just a D in our short-term care rating. Tragically, this turned out to be its best grade. Short-term care scores are meaningful for residents needing rehabilitation. Rehabilitation usually mandates higher levels of highly-skilled nursing. Skilled nursing includes a vast range of services, spanning from registered nurses to physical and speech therapists, as well as other types of therapy. With a score in this range for this area, we were not shocked to discover that this facility was below average in several staffing areas we assess. The nursing home supplied substantially fewer registered nurse and physical therapist hours per patient than most other nursing homes. Lastly, we assessed the percentage of patients who ultimately returned home from this nursing home. This nursing home didn't fare well here either. In fact, we found that just 6 percent of this facility's residents were able to return home. This figure was well off the national average.

This place's second best category was inspections, but even there it earned a D. This is still a very poor grade. We take several aspects of a facility's inspection report into consideration in determining our inspection ratings. One key factor is health deficiencies. We would scrutinize the severity of the deficiencies. This nursing home was assessed 5 deficiencies by CMS. The only favorable thing we can say is that none of the deficiencies were in the categories that suggest that they created a threat to resident safety or health. Finally, we want to draw your attention to the fact that this nursing home was assessed large government fines in recent years totaling over $100,000. This typically signifies that a poor performance spanned multiple years.

Tragically, we gave this facility an F for its long-term care grade. When facilities receive a score in this range in this category it generally means the nursing home did not perform well in our measures relating to patient care. On top of considering the quantity of care provided by nurses aids and other staff, we looked at the percentage of residents vaccinated for pneumonia. This facility administered the vaccine to 79.85481 percent of its residents. This is several points lower than what we expected. To our surprise, this place was actually decent at keeping its residents out of the hospital. It had just 0.03 hospitalizations per 1,000 long-term resident days. This is its best score in this category.

The final category we looked at was nursing. We gave it an abysmal F in this category, which is a rock bottom grade. The nursing rating weighs a variety of subcategories. The most important factor is the quantity of hours nurses spent with patients. This particular nursing home provided a meager 0.3 hours of nursing care per patient per day. This figure is far below the national average. Lastly, we also looked at some nursing quality measures in computing our nursing scores. This nursing home fared well when it comes to avoiding major falls and pressure ulcers.