Greenbrier Health Care Center

While this facility's overall grade was decent, it really excelled in the category of inspections. In fact, we awarded it a grade of A for that category, which is one of our best scores. These inspection grades weigh several factors, including deficiencies and federal fines. You can learn more about each of these factors by reviewing copies of nursing homes' inspection reports. This place was hit with 4 deficiencies on its inspection report, but none were considered to be major deficiencies. This indicates that CMS didn't consider any of the deficiencies to be an immediate threat to patient safety or health. A couple minor deficiencies should not lead you to cross a nursing home off your list.

This facility also excelled in the category of nursing, where it received a grade of B. We weighed the skill-level of nurses employed by the facility, in addition to the number of hours the nurses spent with residents, in determining our rating in this category. This particular nursing home provided 0.4 hours of nursing care per resident per day. Finally, we also assessed several nursing quality measures 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 facility the country in this category. This is generally a good indicator of quality nursing care. Pressure ulcers can many times be avoided by providing better nursing care, such as employing a policy of moving a patient even once per day.

Unfortunately, this facility's next best category was long-term care. Nevertheless, with a D in this category, it still performed relatively poorly. If you are looking for anything other than rehabilitation, you should take a close look at long-term care scores. On top of assessing the volume of care provided by aids and other staff, we looked at the percentage of residents vaccinated against pneumonia. This nursing home gave the vaccine to 99.55556 percent of its residents, which is better than the majority of nursing homes. To our surprise, this nursing home was able to limit hospitalizations. With only 0.02 hospitalizations per one thousand long-term resident days, this nursing home has less hospitalizations than the majority of nursing homes. Sadly, some of its other scores in this category were not as favorable as these.

Switching gears to our last category, we awarded this nursing home a D in short-term care. This was the facility's worst category grade. In determining our short-term care ratings, we analyze the nursing home's skilled nursing services, including those performed by registered nurses, respiratory therapists, physical therapists and other types of therapists. The objective is to formulate a tool for comparing the rehabilitation services of different facilities. As you might expect, we discovered that this facility offers significantly less registered nurse and physical therapist hours per resident than a typical nursing home. The final statistic we considered in this category is the percentage of residents that ultimately were able to return home from the facility. This nursing home struggled quite a bit in this metric as well, with just 3.2 percent of its residents returning home. This was well below the national average.