Graham Healthcare and Rehabilitation Center is located in Robbinsville, North Carolina. We awarded this nursing home an overall grade of B-. A score of this caliber requires some decent scores. This place has a few things working in its favor. The best part of this facility's profile is its exemplary inspection score. Inspection reports are discussed in the next section.
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Graham Healthcare and Rehabilitation 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 Post-Acute Care
- Offers Respite Care
- Offers Inpatient Rehab
- Personal Care
- Medication Management
- Speech Therapy
- Stroke Recovery
- Amputee Recovery
- IV Antibiotic Therapy
- Wound Care
- Occupational Therapy
- Cardiac Therapy
- Mental Health
- Diabetes Management
- Physical Therapy
- Respiratory Therapy
- Nutritional Counseling
- Pain Management
- Orthopedic Rehabilitation
- Total Parenteral Nutrition
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Registered Staff Hours
We want to draw your attention to the fact that this facility outperformed its overall grade in the area of inspections. In fact, it received an excellent inspection report this year. As a result, we gave it one of our best scores in this area with a grade of A+. Inspection ratings weigh several factors, including deficiencies, substantiated complaints and federal fines. You can learn more about each of these factors by reviewing copies of nursing homes' inspection reports. While this facility had a few deficiencies on its government inspection report, none were major deficiencies based on CMS' scale. The fact that the deficiencies were relatively minor made us feel better about this inspection report.
Another one of this nursing home's stronger areas was in the category of nursing care. In that area, we gave this facility a grade of B. Nursing ratings are largely tied to a nursing home's level of nurse staffing. This nursing home provides 0.4 hours of nursing care per resident per day. Finally, we also assessed several nursing quality-based metrics and this facility 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 North Carolina in this category. This is generally a good indicator of quality nursing care. Pressure ulcers can frequently be avoided by offering better nursing care, such as by employing a protocol of turning residents more frequently.
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Short-term Care Quality
This facilities third best category was short-term care. We awarded it a grade of C in this category. This is essentially a middle of the pack score in this area. Our short-term care ratings are meaningful for people requiring rehabilitation. Rehabilitation usually utilizes more highly-skilled nursing. This includes a vast scope of services, spanning from registered nurses to physical and respiratory therapists, as well as other types of therapy. Fortunately, it looks like this nursing home employs registered nurses. Not every nursing home employs these skilled professionals. On the other hand, based on the information this nursing home provided, they do not appear to employ physical therapists. The final metric we assessed in this area is the number of residents who ultimately were able to return home from the nursing home. We found that just 4.7 percent of this facility's patients returned home. Unfortunately, this was below the national average.
Long-term Care Quality
This facility's weakest area was long-term care, which is the last category we looked at. Unfortunately, we gave it an F in this category. Despite several decent scores in other categories, this score is nevertheless of a concern so we wanted to make a note of it. For prospective patients in need of a permanent residence as opposed to skilled nursing, long-term care grades are a key measure. In addition to looking at the volume of care provided by nurses aids and other staff, we also looked at the percentage of residents vaccinated for pneumonia. Thankfully, this facility gave the vaccine to 98.96373 percent of its residents, which is an above average statistic. To our surprise, this nursing home was able to limit hospitalizations. With only 0 hospitalizations per 1,000 long-term resident days, this facility has fewer hospitalizations than many nursing homes. Sadly, a few of its other scores in the category weren't as favorable as these.
Rating Over Time
Compared to national and state averages across all facilities.
Graham Healthcare and Rehabilitation Center Quality Metrics
Minimizes Pressure Ulcers
In Graham Healthcare and Rehabilitation Center, 14.15% of Patients had Pressure Ulcers
This tells you the percent of patients who suffered from a pressure ulcer. Pressure ulcers are damage to the skin caused by staying in one position for too long.
Minimizes Serious Falls
In Graham Healthcare and Rehabilitation Center, 1.04% of Patients had Serious Falls
This tells you the percent of patients who suffered from a major fall. Falls leading to major injury are considered by many in the nursing home industry to be a measure of the quality of nursing care at a nursing home. Falls leading to injury are routinely caused by poor nursing care.
Minimizes Urinary Tract Infections
In Graham Healthcare and Rehabilitation Center, 4.49% of Patients had UTIs
This gauges the percent of long-term residents who had UTI's. UTI's may be an indication of a facility with worst hygiene practices. However, this datapoint may also be skewed for some nursing homes due to inconsistent reporting standards for these infections.
Appropriately Uses Anti-Psychotic Medication
In Graham Healthcare and Rehabilitation Center, 9.57% of Patients use Anti-Psychotic Medication
This tells you the percentage of residents who were given antipsychotic drugs. While antipsychotic drugs may be vital to many patients, it is important to ensure these medications are being used appropriately. In limited situations, high levels of antipsychotic drug use may indicate that a nursing home is using these medications to subdue residents.
Appropriately Uses Anti-Anxiety Medication
In Graham Healthcare and Rehabilitation Center, 28.27% of Patients use Anti-Anxiety Medication
This statistic tells you the percent of long-term stay patients which were administered antianxiety drugs. These medications are commonly prescribed to patients experiencing anxiety or depression.
Managing Depression Among Residents
In Graham Healthcare and Rehabilitation Center, 9.14% of Patients
This metric is a measure of the percent of long-term care residents showing depressive symptoms. Some believe this is a reasonable measure of quality of care.
Appropriate Vaccine Usage
In Graham Healthcare and Rehabilitation Center, 99.48% of Patients
This indicates the percentage of residents who have received the flu and pneumonia vaccines. Higher vaccination rates should be standard at this point.
Residents Maintain Autonomy
In Graham Healthcare and Rehabilitation Center, 15.76% of Patients
This is the percentage of patients who required additional assistance with activities of daily living over time.
Ability to Keep Residents Mobile
In Graham Healthcare and Rehabilitation Center, 18.05% of Residents
This tells you the percentage of residents that maintained mobility over time. Preserving mobility can be a great sign for residents' well-being.
In Graham Healthcare and Rehabilitation Center, 0.49 Hospitalizations per 1,000 resident days
This tells you the number of hospitalizations per thousand days of patient care.
Short-term Care: Rehospitalizations
In Graham Healthcare and Rehabilitation Center, 18.05% of Residents Rehospitalized
This metric measures the number of rehospitalizations per 1,000 days of short-term patient care. Keeping residents out of the hospital during rehabilitation is important to restoring the health of residents.
Short-term Care: ER Visits
In Graham Healthcare and Rehabilitation Center, 9.98% of Patients
This is the number of emergency room visits per thousand days of short-term patient care. There is usually a correlation between keeping patients out of the emergency room and the quality of care.
Short-term Care: Facilitates Functional Improvement
In Graham Healthcare and Rehabilitation Center, 92.52% of Resident
This indicates the percentage of short-term patients who experienced functional improvements, such as with activities of daily living. Higher levels of independence with ADL's typically correlates with higher quality rehabilitation.
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