Greenfield Healthcare Center

Although we gave this facility a terrible overall grade, we awarded it a B- for our inspections rating. In fact, the facility received very impressive inspection report this year. We take several aspects of a facility's inspection report into consideration in computing these inspection ratings. One key factor is deficiencies. It should be noted that the severity of the deficiencies is arguably more important than the quantity of deficiencies, as some end up being relatively insignificant. Fortunately, although this nursing home had some minor dings on its report, it had no severe deficiencies. Severe deficiencies are ones labeled as categories G, H, I, J, K and L. This tells you the government inspectors did not deem any of the deficiencies on this facility's report to pose an imminent threat to patient safety or health. 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.

This facility's second best category was nursing, but even there it received a grade of just D. This is still a well below average grade. Our nursing grade is mostly associated with a nursing home's nurse staffing. This place offered just 0.3 hours of nursing care per resident daily. This is a very low total compared to most nursing homes. Lastly, we also assessed some nursing quality-based metrics in calculating our nursing grades. This facility fared well in terms of minimizing its residents' major falls and pressure ulcers. We consider these areas to be reliable indicators of the quality of nursing care.

This facility wound up receiving a a very poor score in our short-term care category. It was given an F in this area. With our short-term care assessment, we seek to forge a sound measure for rehabilitation. In doing so, we look at the facility's offerings of skilled nursing services, including both registered nurses and physical therapy, as well as speech therapy. With a score in this range for this category, we were not shocked to learn this place was below average in the two key staffing areas we focus on. The nursing home supplied substantially fewer physical therapist and registered nurse hours per resident than most facilities. The final item we looked at in this category is the percentage of residents that ultimately were able to return home from the facility. This facility struggled quite a bit in this metric as well, with just 4.1 percent of its patients returning home. Unfortunately, this was quite a bit below average.

Switching gears to our final category, this facility didn't perform very well here either. With a rock bottom grade of F in long-term care, this is really as terrible as it gets. When nursing homes receive this kind of score in this category it is typically a bad sign for resident care and it may indicate that the nursing home is not as well-staffed with nurses and aids. Once we assessed the quantity of care provided by aids and other staff, we next considered the facility's vaccination records. We were a bit concerned this nursing home vaccinated 69.315674 percent of its patients against pneumonia, which happens to be significantly less than what we expected. To our surprise, this facility was actually able to limit hospitalizations. With just 0.02 hospitalizations per one thousand long-term resident days, this nursing home had less hospitalizations than most nursing homes. This was its best feature in this category.