Palms Care Center is a small facility located in Chowchilla, California. This nursing home received an F, which is really a bottom of the barrel score in our grading scheme. This place does not seem to have any redeeming qualities. We wouldn't blame you if you are ready to stop reading and find another nursing home. However, if you want to learn more about this nursing home's category grades, long-term care grades are discussed in the next section.
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Palms Care Center
- Nursing Home
- Memory Care
Updated Apr 1, 2023 by Nick Reese
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- Accepts Medicare 1
- Accepts Medicaid 1
- No CCRC
- Has Resident Council
- No Family Council
- For profit - Corporation
- Offers Hospice
- Offers Respite Care
- Offers Inpatient Rehab
Specialized Services
- Personal Care
- Medication Management
- Home Making
- Transportation
- Dialysis Transportation
- Medical Transportation
- Speech Therapy
- Stroke Recovery
- Amputee Recovery
- IV Antibiotic Therapy
- Dentistry
- Wound Care
- Occupational Therapy
- Cardiac Therapy
- Podiatry
- Mental Health
- Diabetes Management
- Physical Therapy
- Respiratory Therapy
- Nutritional Counseling
- Laboratory
- X-Ray
- Recreational Therapy
- Pain Management
- Optometry
- Audiology
- Colostomy Care
- Catheter Care
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Registered Staff Hours
Long-term Care Quality
Neither this nursing home's overall grade nor its category grades gave us much to highlight here. Its best category was long-term care, but even there it received just a D. This is still a well below average grade. When facilities receive a grade in this range in long-term care it generally means the nursing home didn't perform well in our measures relating to patient care. One of the factors we considered in addition to nurse's aid hours is vaccines. Candidly, we were a bit bothered by the fact that this facility administered the pneumonia vaccination to a relatively low 77.36842 percent of its residents. To our surprise, this nursing home was actually able to limit hospitalizations. With only 0.02 hospitalizations per 1,000 long-term resident days, this nursing home had fewer hospitalizations than the average nursing home. This is its best score in this category.
Facility Inspections
Sadly, this place's next best category was inspections, but even there it earned a D. This is still a well below average grade. Inspection scores account for several factors included in a nursing home's inspection report. Generally, you should be most cautious when considering a facility with severe deficiencies on a recent inspection report. This nursing home had 3 deficiencies by government inspectors. The only positive thing we can say is that none of these deficiencies were in the categories that suggest they caused a threat to patient safety or health. Lastly, we also need to point out that this nursing home received significant government fines in recent years totaling over $100,000. This generally suggests that a nursing home'sbad track record spanned more than one year.
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Nurse Quality
Unfortunately, this facility only received a grade of D for its nursing grade, which was actually one of its better category grades. Nursing ratings are heavily correlated with levels of nurse staffing. With just 0.3 hours of nursing care per resident on a daily basis, this facility's nurse staffing levels were significantly below average. Finally, we also looked at some nursing quality-based metrics in calculating our nursing scores. This place performed well when it comes to minimizing its residents' major falls and pressure ulcers. We consider these metrics to be reliable measures of the quality of nursing care.
Short-term Care Quality
The next area we analyzed is short-term care, in which this nursing home was given a very poor score in this category also. It received an F for this area, which is definitely a major disappointment. Short-term care scores are critical for prospective residents requiring rehabilitation. Rehabilitation generally mandates additional skilled nursing. This means a vast range of nursing services, spanning from registered nurses to physical and occupational therapists, as well as other variations of therapy. With its abysmal grade in this category, we weren't shocked to learn this facility offered far fewer physical therapist and registered nurse hours per patient than most nursing homes. Lastly, we assessed the percentage of patients that returned home from this nursing home. This facility didn't fare well here either. In fact, we found that just 5.2 percent of this facility's residents were able to return home. This figure was quite a bit off the national average.
Rating Over Time
Compared to national and state averages across all facilities.
Palms Care Center Quality Metrics
Minimizes Pressure Ulcers
In Palms Care Center, 16.09% of Patients had Pressure Ulcers
This tells you the percentage of residents who sustained a pressure ulcer. Pressure ulcers are considered by many in the nursing home industry to be a measure of nursing care . Pressure ulcers, also called bed sores, are routinely caused by residents staying in one position for too long.
Minimizes Serious Falls
In Palms Care Center, 0.53% of Patients had Serious Falls
This measures the percent of long-term stay patients who sustained falls which caused serious injury. Falls can arise for a variety of reasons, but high rates of major falls could be an indication of lower quality nursing care.
Minimizes Urinary Tract Infections
In Palms Care Center, 0% of Patients had UTIs
This measures the percent of long-term residents that had a UTI. UTI's may be a sign of poor nursing care. However, this metric may be skewed for some nursing homes due to varying reporting standards for infections.
Appropriately Uses Anti-Psychotic Medication
In Palms Care Center, 6.17% of Patients use Anti-Psychotic Medication
This figure indicates the percentage of long-term patients receiving antipsychotic drugs. While antipsychotic medications play an important role in caring for many residents, it is important to ensure these medications are being used appropriately. In limited cases, excessive reliance on these medications may indicate that a nursing home is using these medications to subdue residents.
Appropriately Uses Anti-Anxiety Medication
In Palms Care Center, 14.53% of Patients use Anti-Anxiety Medication
This is the percentage of residents who were given antianxiety drugs. Antianxiety drugs are administered to patients suffering from anxiety or depression.
Managing Depression Among Residents
In Palms Care Center, 2.25% of Patients
This indicates the percent of residents demonstrating symptoms of depression.
Appropriate Vaccine Usage
In Palms Care Center, 78.27% of Patients
This tells you the percentage of residents that were given the pneumonia and flu vaccines. High vaccination rates should be the norm at this point.
Residents Maintain Autonomy
In Palms Care Center, 1.87% of Patients
This is a measure of the percent of long-term stay patients that required more assistance with activities of daily living over time. ADL's include activities such as taking medications and eating.
Ability to Keep Residents Mobile
In Palms Care Center, 3.2% of Residents
This datapoint is a measure of the percentage of long-term stay residents who retained mobility levels. Some experts believe that the ability to move around is vital to patients mental and physical health.
Hospitalizations
In Palms Care Center, 0.02 Hospitalizations per 1,000 resident days
Measures the number of hospitalizations per 1,000 days of patient care. Keeping residents out of the hospital is critical to the physical health of nursing home patients.
Short-term Care: Rehospitalizations
In Palms Care Center, 3.2% of Residents Rehospitalized
This tells you the number of times residents are rehospitalized per 1,000 days of short-term care.
Short-term Care: ER Visits
In Palms Care Center, 17.5% of Patients
This metric tracks the number of emergency room visits per 1,000 days of short-term patient care.
Short-term Care: Facilitates Functional Improvement
In Palms Care Center, 77.2% of Resident
This is a measure of the percent of short-term stay residents who saw functional improvements.
Nearby Hospitals
- Mercy Medical CenterAcute Care Hospitals 18.65 miles away333 Mercy Avenue Merced California 95340Voluntary non-profit - Private(209) 564-5000
Nearby Dialysis
- Madera Kidney Center15.25 miles away1560 Country Club Rd Madera California 93638CMS Rating: 3 stars Dialysis Stations: 17 (559) 673-5259
- North Madera Dialysis15.73 miles away720 N. I St. Madera California 93637Dialysis Stations: 22 (559) 664-8780
- North Merced Dialysis Center17.21 miles away3393 G Street, Bld a Siute A Merced California 95340CMS Rating: 4 stars Dialysis Stations: 32 (209) 723-0013
- Almond-Wood Dialysis17.38 miles away501 E Almond Avenue Madera California 93637CMS Rating: 4 stars Dialysis Stations: 22 (559) 664-9252
- Merced East Dialysis18.04 miles away464 East Yosemite Avenue Ste B Merced California 95340Dialysis Stations: 12 (209) 205-1126
- Satellite Dialysis Merced19.16 miles away3376 North Highway 59 Suite I Merced California 95348CMS Rating: 3 stars Dialysis Stations: 24 (209) 383-7370