Greenfield Rehabilitation & Health Care Center

To go along with its strong overall grade, we awarded this nursing home a grade of A for our inspections rating. Inspection scores account for several factors included in a facility's inspection reports. One key criteria we consider is the quantity and severity of deficiencies. Facilities with better grades in this area usually have very few severe deficiencies. While this place had a few minor dings on its government inspection report, it had zero severe deficiencies. Severe deficiencies are those labeled as categories G, H, I, J, K and L. This tells you that CMS did not consider any of the deficiencies on this facility's report to pose an imminent threat to patient safety or health. The fact that none of the deficiencies were severe made us feel better about this inspection report.

Among its many impressive scores, this nursing home received an excellent nursing grade. We gave it an B+ in that category. Our nursing grade is mostly based on a nursing home's level of nurse staffing. This particular nursing home provided 0.3 hours of nursing care per resident per day. Finally, we also looked at 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 nursing home the country in this category. This is generally a good indicator of quality nursing care. Pressure ulcers can many times be prevented by offering better nursing care, such as employing a system of moving residents at least once a day.

Turning to our next area, this nursing home also earned a grade of B for its long-term care rating. This is an above average score in this area. Facilities that excel in this category typically provide patients with closer supervision and stay on top of routine healthcare services. After looking at the quantity of care provided by nurses aids and other staff, we then looked at the nursing home's vaccination data. This nursing home vaccinated 100 percent of its residents against pneumonia, which is much higher than the average nursing home. Lastly, this place was able to limit hospitalizations. It had only 0.01 hospitalizations per 1,000 long-term resident days, which is a remarkably low number.

The next category we looked at is short-term care. We awarded this nursing home a solid grade in that category, with a grade of B-. Although this is not on par with some of this nursing home's other scores, it is still nothing to be ashamed of. In the category of short-term care, we strive to evaluate measures of a nursing home's rehabilitation services. We assess the nursing home's skilled nursing services, including the ones performed by registered nurses and physical therapists. Unfortunately, it does not look like this facility provided registered nurse or physical therapist staffing data. Lastly, we assessed the percentage of patients who were able to return to the community from this nursing home. We found that 0 percent of this facility's patients returned home. At most nursing homes, closer to half of their patients are able to return home so this figure is below average.