Grand Village

While we were not high on this facility overall, we gave it a B- for our inspections rating. This grade is more respectable than the facility's overall score. We weigh several aspects of a nursing home's inspection report in determining our inspection grades. One of those factors is health deficiencies. You should keep in mind that the severity of these deficiencies is arguably more important than the quantity of deficiencies, as some of these end up being relatively minor. This particular nursing home had just a single deficiency on its inspection report and it was not one deemed to pose a threat to patient health or safety. Finally, CMS cited this nursing home for possible abuse or neglect. Hopefully, its performance improves in the future, but until then we simply can't recommend this facility.

We also want to point out that this facility received a decent grade in our nursing category. We awarded it a grade of B- in the area. Our nursing rating focuses on the facility's level of nurse staffing. We factor in both the levels of training of those nurses as well as the quantity of hours spent with residents. This nursing home averages just 0.5 hours of nursing care per resident per day. This is a very low figure. Lastly, we also looked at some nursing quality-based metrics. While this facility got docked a bit for nursing hours, it excelled in a few of these quality metrics. With fewer than five percent of its residents experiencing pressure ulcers, it did remarkably well in this subcategory. This is typically a good indicator of quality nursing care. Pressure ulcers can frequently be prevented by providing better nursing care, such as by employing a system of turning patients even once per day.

The next area we graded is short-term care. In that category, we gave this facility a grade of B-. In forming these short-term care ratings, we quantify the facility's skilled nursing services, such as those performed by registered nurses, speech therapists, physical therapists and other types of skilled professionals. Our purpose is to devise a tool for comparing the rehabilitation services of different nursing homes. We were surprised to find that this nursing home was below average in the two key staffing areas we assessed. It provided fewer registered nurse and physical therapist hours per resident than most other facilities. Finally, we considered the number of residents who eventually returned home from this facility. We found that 5.9 percent of this facility's patients were able to return home. This figure was well below the national average.

The final area we analyzed is long-term care. In this category, we gave this facility a B-. For prospective patients seeking a permanent place to live as opposed to skilled nursing, long-term care grades are a key measure. In addition to considering the amount of care provided by aids and other staff, we looked at the percentage of residents vaccinated against pneumonia. This facility vaccinated 99.245285 percent of its residents, which is higher than most nursing homes. This nursing home keeps its patients out of the hospital. It had only 0 hospitalizations per one thousand long-term resident days, which is a remarkably low number.