Gateway Rehabilitation and Healthcare
2030 Harper Avenue Nw, Lenoir NC 28645 · (828) 754-3888 · 91.3% estimated occupancy 1Updated: Aug 1, 2020 · By Nick Reese
Gateway Rehabilitation and Healthcare is a nursing home in Lenoir, North Carolina, which has 47,703 people. We awarded it an overall grade of C, which is a middle of the pack grade. This nursing home seems to have some things working in its favor. One of the major highlights of this nursing home's report card is its stellar inspection grade, which is addressed in the next paragraph.
Additional Details:
Accepts Medicare 1 :
Accepts Medicaid 1 : 100 Beds
CCRC :
For profit - Corporation
Resident Council:
Family Council:
Medical Staff Hours Per Patient (2019)
Facility Inspections
To pair with its relatively modest overall grade, we awarded this nursing home a grade of A for our inspections rating. This is far more impressive than the facility's overall grade. We weigh several aspects of a nursing home's inspection report in computing these inspection scores. One key factor is deficiencies. It should be noted that the severity of the deficiencies is usually more meaningful than the quantity of deficiencies, as some deficiencies are quite insignificant. This facility was assessed 3 deficiencies on its inspection report, but we were relieved to see that none were considered severe. This tells you that the inspectors did not consider any of the deficiencies to pose an immediate risk to patient health or safety. A few minor deficiencies should not lead you to cross a nursing home off your list.
Short-term Care Quality
In addition, we also would like to note that this facility was awarded positive short-term care marks in this assessment. We gave them one of our more impressive scores in this category, with a grade of B+. This turned out to be the facility's second best score. In computing our short-term care scores, we size up a facility's levels of skilled nursing, which includes registered nurses, physical therapists speech therapists and other highly trained professionals. This grade is generally a solid measure of the facility's ability to rehabilitate patients. This nursing home employs both physical therapists and registered nurses. Not all facilities employ these skilled professionals. Finally, we looked at the number of residents that returned home from this facility. This nursing home performed better in this area than in its staffing levels. We found that it performed as well as just about any nursing home with 61.7 percent of its residents returning home. Most nursing homes are below 50 percent in this metric.
Long-term Care Quality
Turning to the area of long-term care, this nursing home received a grade of just D in this area. For patients seeking a permanent place to live as opposed to rehabilitation, long-term care is an important category. Once we assessed the volume of care provided by nurses and other staff, we then analyzed the facility's vaccination records. This facility vaccinated 97.1875 percent of its patients against pneumonia, which is better than the majority of nursing homes. To our surprise, this facility also fared well at keeping its residents out of the hospital. It had only 1.07 hospitalizations per 1,000 long-term resident days. Sadly, a few of its other scores in this category weren't as favorable as these.
Nurse Quality
Moving on to our last category, this facility didn't perform very well. With an abysmal grade of F in nursing, this is this nursing home's worst category. Our nursing rating assesses a handful of factors, most of which are based on nursing hours. This place averaged a meager 3.1 hours of nursing care per patient on a daily basis. This is well below average. In addition to rating below average in nursing hours per resident, this place also had poor scores in the quality-based measures we looked at in calculating our nursing scores. We looked at the percentage of patients sustaining major falls and pressure ulcers. This nursing home was at about 150 percent of the national average in both of these statistics. This is likely a bad sign when you consider that many bed sores and falls are believed to be preventable with better nursing care. These statistics pulled down this facility's nursing rating significantly.
Overall Rating Over Time
Compared to national and state averages across all facilities.
Gateway Rehabilitation and Healthcare Quality Metrics
Minimizes Pressure Ulcers
This is the percentage of patients that sustained a pressure ulcer. Pressure ulcers are damage to the skin resulting from staying in one position for too long.
Percent of Patients with Pressure Ulcers
Lower is Better
Minimizes Serious Falls
This indicates the percent of patients who sustained a fall leading to serious injury.
Percent of Patients with Serious Falls
Lower is Better
Minimizes Urinary Tract Infections
This figure is a measure of the percentage of long-term stay residents which had a UTI. UTI's could be an indication of a nursing home with worse hygiene protocols. However, this datapoint may also be misleading for some nursing homes due to varying reporting standards for infections.
Percent of Patients with UTIs
Lower is Better
Appropriately Uses Anti-Psychotic Medication
This statistic indicates the percent of long-term care patients receiving antipsychotic drugs. While antipsychotic medications serve an important medical purpose, it is important to confirm these drugs are being used only where medically required. In some cases, increased usage of these drugs may suggest a facility is using these medications to control patient behavior.
Percent of Patients
Lower is Better
Appropriately Uses Anti-Anxiety Medication
This indicates the percentage of long-term patients that were prescribed antianxiety drugs. These drugs are typically given to residents suffering from anxiety and depression.
Percent of Patients
Lower is Better
Managing Depression Among Residents
This is a measure of the percent of long-term care residents who are demonstrating depressive symptoms. Many believe that this is a reliable measure of quality of care.
Percent of Patients
Lower is Better
Appropriate Vaccine Usage
This indicates the percentage of residents who were given the flu and pneumonia vaccines. High vaccination rates should be the norm at this point.
Percent of Patients
Higher is Better
Residents Maintain Autonomy
This tells you the percent of residents who required increased assistance with activities of daily living over time. High levels of needing for assistance with ADL's could be a sign of erosion of a resident's well-being.
Percentage of Patients
Lower is Better
Ability to Keep Residents Mobile
This datapoint measures the percent of long-term stay patients who remained mobile levels. Some would argue that the ability to move around is important for residents' well-being.
Percentage of Residents
Higher is Better
Hospitalizations
This metric tracks the number of hospitalizations per 1,000 days of patient care. Minimizing hospitalizations is important to the physical health of residents.
Hospitalizations per 1,000 resident days
Lower is Better
Short-term Care: Rehospitalizations
This is the number of rehospitalizations per 1,000 days of short-term patient care.
Percentage of Residents Rehospitalized
Lower is Better
Short-term Care: ER Visits
This metric is a measure of the number of times residents are sent to the emergency room per 1,000 days of short-term patient care. Staying out of the emergency room is one way to measure short-term care.
Percentage of Patients
Lower is Better
Short-term Care: Facilitates Functional Improvement
Measures the percentage of short-term stay residents that experienced functional improvements.
Percentage of Resident
Higher is Better