Gilman Healthcare Center

While this place's overall grade was as bad as it gets, it actually didn't perform terribly in the area of inspections. In fact, we awarded it a B- for that category, which is one of our better scores. We believe that one of the most important factors in evaluating an inspection report is deficiencies. We especially look at the severity of those deficiencies. Although this place had a few deficiencies on its government inspection report, none were serious based on CMS' deficiency scale. A few minor deficiencies are not necessarily the end of the world.

We gave this facility a grade of just D for our nursing rating and that actually turned out to be its second highest score. Our nursing rating is largely tied to the nursing home's level of nurse staffing. With a meager 0.3 hours of nursing care per patient daily, this place's nurse staffing levels were significantly below average. Lastly, we also looked at some nursing quality measures in computing our nursing ratings. This nursing home fared well when it comes to avoiding major falls and pressure ulcers.

Another unfortunate development is the F this nursing home received in the area of long-term care. Nursing homes that do not fare well in this category often do not provide as much nursing care and also may be lagging in some of the areas of routine healthcare services we assessed. In addition to considering the amount of care provided by nurses aids and other staff, we analyzed the number of residents vaccinated against pneumonia. We were a bit concerned this facility administered the vaccine to only 83.41969 percent of its residents. To our surprise, this place actually fared well at keeping its patients out of the hospital. Indeed, it had just 0 hospitalizations per one thousand long-term resident days. This was its best feature in this category.

Turning to the last category, this nursing home really did not fare very well in this category either. Due to a poor grade of F in short-term care, this is really as as uninspiring as it gets. In our short-term care rating, we strive to forge a meaningful measure for rehabilitation services. In this process, we analyze a facility's levels of skilled nursing services, including both registered nurses and physical therapy, as well as occupational therapy. With its poor score in this area, we weren't surprised to discover that this facility offers significantly fewer physical therapist and registered nurse hours per patient than most other facilities. Lastly, we looked at the number of residents who were able to return to the community from this facility. This wasn't a strength for this facility. We found that just 3.5 percent of this nursing home's residents returned home. At most facilities, about half of their patients are able to return home so this is well below average.