Generations at Applewood

Although we gave this facility a terrible overall grade, we awarded it a B- for our inspections rating. In fact, the facility received very impressive inspection report this year. Inspection scores take several factors into consideration, including deficiencies and federal fines. You can learn more about each of these items by reviewing copies of nursing homes' inspection reports. This particular nursing home received 6 deficiencies on its inspection report. We are also concerned by the fact that this facility was flagged by CMS for possible abuse or neglect. We prefer to avoid facilities with this designation. Please do your best to find an alternative nursing home.

One of the other reasons we graded this facility so highly is that it earned a very impressive nursing grade. In that area, we gave this nursing home an D. In determining our nursing scores, we weigh both the number of hours nurses spend with residents and the skill levels of the nurses. This facility provided just 0.3 hours of nursing care per resident per day. This is a very low total compared to most nursing homes. Lastly, we also looked at some nursing quality-based metrics in calculating our nursing scores. This nursing home performed well in terms of avoiding pressure ulcers and major falls.

We gave this nursing home a grade of just D for our short-term care grade. This is not a very good score. In our short-term care grade, we strive to craft a sound gauge for rehabilitation services. In this process, we assess a nursing home's level of highly-skilled nursing services, including both registered nurses and physical therapy, as well as respiratory therapy. Not surprisingly, we found that this nursing home provides far less physical therapist and registered nurse hours per resident than the average facility. The last measure we considered in this area is the number of patients who were able to leave the facility and return to the community. We discovered that just 5.1 percent of this facility's residents were able to return home, which is well below average. The combination of these subpar statistics doomed this facility's short-term care grade.

Switching gears to the final category, this nursing home didn't fare well in this category either. Due to a very poor grade of F in long-term care, this is about as as uninspiring as it gets. Facilities that receive this kind of score in long-term care likely don't provide the type of consistent 24/7 care that some other facilities provide. Once we looked at the quantity of care provided by nurses aids and other staff, we then looked at the nursing home's vaccination records. Candidly, we were a bit alarmed this facility vaccinated 41.44385 percent of its residents for pneumonia, which is several points below average. To our surprise, this place actually fared well at keeping its residents out of the hospital. In fact, it had only 0.02 hospitalizations per 1,000 long-term resident days. This is its best feature in this category.