Gateway Health and Rehab

While this nursing home's overall grade was not bad, it really excelled in the area of inspections. In fact, we awarded it a grade of A for that category, which is one of our highest scores. Inspection grades are based on pieces of information found on the a nursing home's recent inspection reports. Nursing homes that excel in this area typically have very few deficiencies on those reports. Most importantly, these nursing homes generally do not have any severe deficiencies which are associated with risks to patient safety. While this place had some minor dings on its report, it had no severe deficiencies. Severe deficiencies are ones labeled as categories G through L. This means that CMS did not consider any of the deficiencies on this facility's report to pose an imminent threat to patient safety or health. Finally, this facility had no substantiated complaints this year from residents, which is an excellent sign.

Turning to the area of long-term care, we awarded this facility a grade of A- in that area. Facilities that receive this type of grade in this category typically provide consistent around the clock care to ensure patients are well cared for. After looking at the volume of care provided by aids and other staff, we turned to the nursing home's vaccination data. This facility vaccinated 100 percent of its residents for pneumonia. Vaccines are critical to keeping residents healthy. Finally, this nursing home was able to limit hospitalizations. In fact, it had only 0 hospitalizations per 1,000 long-term resident days, which is an impressively low number.

The next highest grade we gave this nursing home in any area came in the category of nursing, where we gave it a grade of B-. Our nursing rating is primarily based on a facility's nurse staffing. This place averages 0.3 hours of nursing care per resident per day, which is not an impressive total. Despite having low quantities of nursing care, this facility actually excelled in some of the quality measures we assessed. It scored well when it comes to avoiding pressure ulcers and major falls.

The last category we assessed is short-term care, which turned out to be this nursing home's weakest area. Unfortunately, we gave it an abysmal F in this category, which is clearly a major disappointment. In forming our short-term care grades, we look at the nursing home's skilled nursing services, such as those performed by registered nurses, occupational therapists, physical therapists and other types of skilled professionals. Our objective is to create a tool for comparing the rehabilitation services of different facilities. Unfortunately, we discovered that this place provided fewer registered nurse and physical therapist hours per patient than most facilities. Finally, we looked at the percentage of patients who were able to return home from this facility. This facility didn't fare well here either. In fact, we found that just 3.9 percent of this facility's patients were able to return home.