Grand Manor Nursing & Rehabilitation Center

While we gave this place a bad overall score, we actually gave it a somewhat respectable grade in the category of inspections, where we gave it a B-. This was certainly better than its other categories. Inspection ratings are tied to many pieces of information found on the a nursing home's recent inspection reports. Deficiencies are a key thing to look for on these reports. Severe deficiencies indicate a risk to the well being of residents. Fortunately, although this nursing home had some minor dings on its government inspection report, it had no severe deficiencies. Severe deficiencies are found in categories G, H, I, J, K and L. This tells you the government inspectors did not consider any of the deficiencies on this facility's report to pose an imminent threat to patient safety or health. A couple minor deficiencies are not necessarily the end of the world.

This nursing home actually received a decent grade in the area of nursing as well. We awarded it a grade of B- for that category, which is not a bad score. There are a variety of datapoints included in this grade. Most of these criteria reflect levels of nurse staffing. This nursing home provides 0.3 hours of nursing care per resident per day. This is a much lower figure than we are used to seeing. Finally, we also looked at some nursing quality measures. While this nursing home got docked a bit for nursing hours per resident, it actually excelled in a few of these quality measures. With less than five percent of its residents sustaining pressure ulcers, it fared well in this subcategory. This is typically a good indicator of quality nursing care. Pressure ulcers can many times be avoided by providing better nursing care, such as employing a system of turning a patient at least once a day.

The next best area we gave this nursing home in any area came in the category of long-term care, where we awarded it a grade of B-. In the area of long-term care, we focus on the quantity of care offered by a nursing home, rather than more healthcare-oriented services. On top of looking at the volume of care provided by nurses aids and other staff, we analyzed the number of residents vaccinated against pneumonia. We were a bit worried that this nursing home vaccinated just 59.34066 percent of its residents. Nevertheless, this facility was able to keep its residents out of the hospital. In fact, it had only 0.03 hospitalizations per 1,000 long-term resident days, which is a remarkably low figure.

Switching gears to the last category, this facility really didn't fare well in this area either. Due to a rock bottom grade of F in short-term care, this is really as as uninspiring as it gets. In forming these short-term care scores, we assess the nursing home's skilled nursing services, including those performed by registered nurses, speech therapists, physical therapists and other types of skilled professionals. Our objective is to formulate a scale for comparing the rehabilitation services of different nursing homes. With a grade of this caliber in this area, we were not surprised to find that this facility was below average in several staffing metrics we focus on. It provided far fewer physical therapist and registered nurse hours per patient than most nursing homes. Lastly, we assessed the number of patients that ultimately were able to return home from this nursing home. This facility didn't fare well here either. In fact, we found that just 3.5 percent of this facility's residents were able to return home.