Greenbrier Health Center

Although we gave this facility a terrible overall grade, we gave it an A for our inspections rating. This grade is far more impressive than the nursing home's overall score. Our inspection ratings weigh several factors found on a facility's inspection report. One key criteria we weigh heavily is the quantity and severity of deficiencies. You generally want to avoid facilities with a bunch of deficiencies flagged. While this place had some deficiencies on its report, none of them were major deficiencies based on CMS' scale. A couple minor deficiencies are not necessarily the end of the world.

This facility wound up receiving a bottom of the barrel score in our long-term care category. It received a lowly F in this category. When nursing homes receive a score in this range in this category it generally means the facility did not perform well in our quality measures relating to patient care. Once we assessed the volume of care provided by nurses aids and other staff, we then looked at the nursing home's vaccination data. We were concerned by the fact that this facility vaccinated a relatively low 71.465965 percent of its patients against pneumonia. Surprisingly, this place actually fared well at keeping its patients out of the hospital. Indeed, it had only 0 hospitalizations per one thousand long-term resident days. This was its best feature in this category.

We also wanted to draw your attention to this facility's poor nursing grade where it received an F. Nursing scores are heavily correlated with quality and quantity of nursing care. 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. Lastly, we also looked at some nursing quality measures in determining our nursing ratings. This nursing home performed well when it comes to minimizing its residents' major falls and pressure ulcers. Many consider these statistics to be good indicators of the quality of nursing care.

The final category we graded is short-term care, where this nursing home received an abysmal score in this area as well. Sadly, it received an F in this category, which is definitely very concerning. Short-term care grades are often employed to assess a nursing home's performance with rehabilitation. To have highly scored rehabilitation services, facilities generally must provide better levels of skilled nursing services. Skilled nursing includes registered nurses, physical therapists, speech therapists and other licensed professionals. With its weak grade in this area, we were not shocked to discover that this place provides substantially fewer physical therapist and registered nurse hours per resident than most nursing homes. Finally, we considered the percentage of patients who were able to return to the community from this nursing home. This definitely wasn't a strength for this nursing home. We found that just 5.1 percent of this nursing home's residents returned home. At most facilities, about half of their residents are able to return home so this is well below average.