Goshen Healthcare Community

While this facility's overall grade was decent, 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. These inspection scores weigh several factors, including deficiencies and federal fines. You can learn more about each of these issues by obtaining copies of nursing homes' inspection reports. This facility was assessed 2 deficiencies on its inspection report, but fortunately none of the deficiencies were considered to be severe deficiencies. This indicates that CMS didn't deem any of these deficiencies to pose an immediate threat to resident health or safety. We should note that deficiency-free inspection reports are uncommon in the industry.

This nursing home also excelled in the category of nursing, where it earned an B+. Few facilities performed better in this area. The nursing grade features many factors. The most important one is the quantity of hours nurses spend with patients. This nursing home averages 0.4 hours of nursing care per resident per day. Finally, we also assessed several nursing quality-based metrics and this nursing home excelled in some of these areas. With less than five percent of its residents sustaining pressure ulcers, it performed as well as any nursing home the state in this category. This is generally a good indicator of quality nursing care. Pressure ulcers can typically be prevented by providing better nursing care, such as employing a protocol of moving patients more frequently.

The next category we assessed was long-term care. In that area, we gave this facility a B. It actually outperformed most nursing homes in this category. Long-term care scores of this caliber generally require both around the clock care from nurses and aids, as well as quality routine medical care. On top of considering the quantity of care provided by nurses aids and other staff, we looked at the percentage of residents vaccinated for pneumonia. This facility gave the vaccine to 99.62406 percent of its residents, which is far higher than the vast majority of nursing homes. Clearly, this place is doing something right in this area as it also excelled at keeping its residents out of the hospital. It had less than one hospitalization per 1,000 long-term resident days, which is a remarkably low number.

This nursing home's least impressive area is short-term care, which is the final category we assessed. For this category, we gave this nursing home a grade of just D. Short-term care grades are often used to measure a facility's rehabilitation services. In order to provide quality rehabilitation services, facilities generally need to provide better levels of highly skilled nursing. Skilled nursing includes registered nurses, physical therapists, occupational therapists and other highly skilled individuals. We found that this place was below average in several staffing metrics we looked at. It supplied fewer registered nurse and physical therapist hours per resident than most facilities. Finally, we considered the percentage of residents who were able to return home from this nursing home. This facility didn't fare well here either. In fact, we found that just 3.2 percent of this facility's patients were able to return home. This figure was well off the national average.