Greenfield Healthcare Center

While this facility's overall grade was as bad as it gets, it actually didn't perform terribly in the area of inspections. In fact, we awarded it a B- for that category, which is one of our better scores. Our inspection scores weigh a host of factors found on a facility's inspection reports. One of the most important criteria we rely on is the number and severity of deficiencies. Although this place had some deficiencies on its inspection report, none of them were serious based on CMS' deficiency scale. A couple minor deficiencies are not the end of the world.

As it turns out, this nursing home only earned a grade of D for its short-term care grade, which is actually one of its more respectable category scores. Our short-term care grades are likely most important for residents in need of a nursing home for rehabilitation. Rehabilitation generally mandates additional highly-skilled nursing. This includes not just nursing services, but also physical and respiratory therapy, as well as other variations of therapy. Not surprisingly, we found that this nursing home provides far less physical therapist and registered nurse hours per resident than the average facility. Lastly, we looked at the number of patients who were able to return to the community from this facility. We were surprised to find that it performed better in this area, with 54.4 percent of its patients returning home. This was just about this nursing home's sole highlight in this category.

Among this nursing home's several poor grades was its F in the area of nursing care. The nursing rating is based on a variety of subcategories. The most important variable is the quantity of hours nurses spend with residents. This facility provided 3.4 hours of nursing care per resident per day. This is below the national average. To go along with its low totals in the area of nursing hours per patient, this nursing home also didn't fare as well in the quality-based measures we looked at in computing our nursing scores. We looked at the percent of residents experiencing pressure ulcers and major falls. This nursing home had more pressure ulcers and falls than the average facility.

The final category we looked at was long-term care, where this nursing home received an abysmal score in this area as well. Unfortunately, we gave it an F for this category, which is definitely somewhat alarming. Nursing homes that don't score well in long-term care often do not provide as much nursing care and also may be struggling in a few of the areas of routine personal care we looked at. One of the statistics we considered on top of nurse's aid hours was vaccinations. We were a bit bothered by the fact that this nursing home provided the pneumonia vaccination to just 81.47139 percent of its residents. To our surprise, this facility was not as bad as we expected at keeping its patients out of the hospital. Although it had 2.06 hospitalizations per 1,000 long-term resident days, its risk adjusted score wasn't bad due to it having some more complex patients.