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. A few minor deficiencies are not necessarily the end of the world.

One of the other reasons we rated this nursing home so highly is that it earned a very impressive nursing rating. This turned out to be its second best category grade. In that area, we gave this nursing home a grade of D. Our nursing rating is primarily tied to the nursing home's nurse staffing. 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. Finally, we also assessed some nursing quality measures in determining our nursing scores. This facility performed well in terms of avoiding pressure ulcers and major falls.

The next area we assessed is long-term care, where this facility was given an F. Facilities that receive this kind of grade in this category may not provide the kind of consistent around the clock care that some other facilities offer. One of the statistics we considered on top of nurse's aid hours is vaccines. Frankly, we were a bit worried that this nursing home administered the pneumonia vaccination to a relatively low 64.33566 percent of its patients. Surprisingly, this facility was actually able to limit hospitalizations. With only 0.03 hospitalizations per one thousand long-term resident days, this facility has less hospitalizations than the average nursing home. This was its best feature in this category.

The next area we scored was short-term care, in which this nursing home received a very poor score in this category also. We gave it an abysmal F in this area, which is definitely somewhat alarming. Our short-term care grades are important for people looking for rehabilitation. Rehabilitation typically utilizes higher levels of skilled nursing. This includes a vast spectrum of nursing services, ranging from registered nurses to physical and respiratory therapists, as well as other variations of therapy. Given its score in this area, we were not surprised to discover that this place was well below average in terms of its quantity of physical therapy and registered nurse hours offered to its patients based on the measures we assessed. The final statistic we looked at in this category is the percentage of patients who were able to leave the nursing home and return to the community. We discovered that just 5 percent of this facility's patients were able to return home, which is well below average. The combination of these poor metrics sunk this facility's short-term care score.