Green House Cottages of Carmel

While we were not high on this nursing home overall, we awarded it a B in nursing. This score is quite a bit more impressive than the nursing home's overall score. Nursing grades are based largely on levels of nurse staffing. This nursing home averages 0.6 hours of nursing care per resident per day. Finally, our nursing grades also factor in quality-based assessments, such as avoiding major falls. This facility performed well in this area. Avoiding major falls is typically a good indicator that a facility has reliable quality controls in place. Major falls can typically be avoided if more nurses aids and better safety protocols are in place.

One of this nursing home's better category scores was in the area of long-term care. This wound up being its second best category. In that area, we gave this nursing home a grade of B-. Long-term care grades assess a nursing home's personal care instead of the highly skilled nursing and medical services that are critical to a rehabilitation facility. One of the datapoints we considered on top of nurse's aid hours is vaccines. Frankly, we were a bit worried that this facility administered the pneumonia vaccination to just 72.413795 percent of its patients. Nevertheless, this facility excelled at keeping its residents out of the hospital. It had only 0.02 hospitalizations per 1,000 long-term resident days, which is an impressively low figure.

We awarded this nursing home just a D for our short-term care grade. This is not a very good score. In computing our short-term care ratings, we size up the facility's levels of skilled nursing, which includes registered nurses, physical therapists respiratory therapists and other highly skilled individuals. This rating is more often than not a useful measure of a nursing home's ability to rehabilitate patients. With its poor score in this area, we were not surprised to find that this facility provides far fewer physical therapist and registered nurse hours per resident than most nursing homes. The last item we considered in this category is the number of residents who were able to leave the facility and return to the community. We discovered that just 5.3 percent of this facility's patients were able to return home, which is well below average. The combination of these poor statistics doomed this nursing home's short-term care grade.

In the last category of inspections, this facility fared very poorly. It received an F in our inspection category. For places with poor inspection grades, you should really scrutinize any severe deficiencies found on their recent inspection reports. This nursing home had 7 deficiencies on its inspection report. The only positive thing we found is that none of these deficiencies were in the categories that indicate that they caused a risk to resident safety or health. Finally, we also need to point out that this place was assessed significant government fines recently of more than $100,000. This typically suggests that a nursing home's poor performance spanned multiple years.