Gregston Nursing Home
711 South Broadway, Marlow OK 73055 · (580) 658-2319 · 65.31% estimated occupancy 1Updated: Aug 1, 2020 · By Sara Levinsohn
With an address in Marlow, Oklahoma, Gregston Nursing Home is one of just two available nursing homes in this area. This is a solid facility, with an overall grade of B-. Based on our assessment, there are certainly far worse places out there. One of the best aspects of this facility's report card is its exemplary inspection rating, which you can find in the next paragraph.
Additional Details:
Accepts Medicare 1 :
Accepts Medicaid 1 : 96 Beds
CCRC :
For profit - Individual
Resident Council:
Family Council:
Medical Staff Hours Per Patient (2019)
Facility Inspections
To pair with its relatively modest overall grade, we gave this nursing home an A+ for our inspections rating. This is far more impressive than the facility's overall score. These inspection scores take several factors into consideration, including deficiencies and federal fines. You can find more information about each of these factors by obtaining copies of nursing homes' inspection reports. While this place had a few deficiencies on its government inspection report, none of them were major deficiencies based on CMS' scale. We should point out that deficiency-free inspections are uncommon in the industry.
Long-term Care Quality
Another one of this nursing home's more impressive category scores came in the category of long-term care. In that category, we gave this nursing home a grade of B. Facilities that do well in this category tend to provide patients with closer supervision and stay on top of routine healthcare services. After we finished assessing the volume of nursing care, we then looked at the facility's vaccination data. This nursing home vaccinated 96.190475 percent of its patients for pneumonia, which is what we like to see. Pneumonia is often a life threatening ailment for nursing home residents so we prefer when a nursing home does not leave this to chance. Lastly, we looked at the nursing home's number of hospitalizations. Although it had 2.12 hospitalizations per 1,000 long-term resident days, its risk adjusted metric was middle of the road since it had more complex patients.
Short-term Care Quality
This facility's third best area came in the area of short-term care. In that area, we awarded this nursing home a grade of B-. In determining our short-term care scores, we scrutinize the nursing home's levels of skilled nursing, which includes registered nurses, physical therapists speech therapists and other licensed professionals. This rating is considered to be a solid measure of the nursing home's ability to rehabilitate patients. Fortunately, this nursing home offers both physical therapists and registered nurses. Not all facilities offer both. Lastly, we considered the number of residents that ultimately returned home from this nursing home and discovered this was this facility's strongest datapoint within this area. It fared well in this metric with 64.2 percent of its patients returning home. Most nursing homes are below 50 percent in this metric.
Nurse Quality
Moving on to the fourth category, this nursing home did not fare well. Due to a poor grade of F in nursing, this is this nursing home's worst category grade. We weighed the qualifications of nurses employed by the facility, in addition to the quantity of hours those nurses were with residents, in calculating our score in this category. According to CMS records, this facility averaged 4.6 hours of nursing care per resident daily. This was actually above the national average. Keep in mind, however, that when we compute our nursing scores, we apply more weight to hours performed by nurses with a higher level of skill. Despite performing well in terms of nursing hours, this nursing home did not perform as well in the quality-based metrics we looked at in determining our nursing scores. We looked at the percent of patients sustaining major falls and pressure ulcers. This nursing home was above the national average in both metrics. This may be a bad sign when you consider that many falls and bed sores are preventable with better nursing care. Unfortunately, these data points dragged down this facility's nursing rating quite a bit.
Overall Rating Over Time
Compared to national and state averages across all facilities.
Gregston Nursing Home Quality Metrics
Minimizes Pressure Ulcers
This statistic tells you the percent of long-term stay patients who have new or worsened pressure ulcers. Many experts believe that pressure ulcers are a solid indicator of quality of care.
Percent of Patients with Pressure Ulcers
Lower is Better
Minimizes Serious Falls
This is the percentage of residents that sustained a fall resulting in severe injury.
Percent of Patients with Serious Falls
Lower is Better
Minimizes Urinary Tract Infections
This is the percent of patients that suffered from a urinary tract infection. Urinary tract infections are considered by many experts to be a barometer of the quality of nursing care at a nursing home. UTI's are often linked to poor nursing care. Nevertheless, this statistic could be skewed for certain facilities due to inconsistent reporting standards for UTI's.
Percent of Patients with UTIs
Lower is Better
Appropriately Uses Anti-Psychotic Medication
This tells you the percent of residents prescribed antipsychotic drugs. Antipsychotic drugs are given to patients for a variety of medical conditions, including cognitive disorders. Sadly, in some situations, increased usage of these drugs may suggest a facility is using these medications to control patient behavior.
Percent of Patients
Lower is Better
Appropriately Uses Anti-Anxiety Medication
This tells you the percentage of patients who were prescribed antianxiety drugs. Antianxiety medications are given to patients experiencing depression and anxiety.
Percent of Patients
Lower is Better
Managing Depression Among Residents
This is the percentage of residents who are showing symptoms of depression.
Percent of Patients
Lower is Better
Appropriate Vaccine Usage
This indicates the percentage of residents that received the pneumonia and flu vaccines. Higher vaccination rates should be the norm at this point.
Percent of Patients
Higher is Better
Residents Maintain Autonomy
This datapoint measures the percentage of long-term residents who required additional assistance with activities of daily living over time. Activities of daily living include activities such as moving around and taking a bath. Many argue this is a reasonable measure of a resident's well-being.
Percentage of Patients
Lower is Better
Ability to Keep Residents Mobile
This is the percent of patients who remained mobile levels over time. Retaining mobility is usually a good sign for residents' well-being.
Percentage of Residents
Higher is Better
Hospitalizations
This is a measure of the number of times residents are hospitalized per 1,000 days of patient care.
Hospitalizations per 1,000 resident days
Lower is Better
Short-term Care: Rehospitalizations
This is a measure of the number of rehospitalizations per 1,000 days of short-term patient care. Minimizing rehospitalizations during rehabilitation is important to restoring the health of patients.
Percentage of Residents Rehospitalized
Lower is Better
Short-term Care: ER Visits
This is the number of emergency room visits per 1,000 days of short-term patient care. There is usually a correlation between staying out of the emergency room and the quality of nursing home care.
Percentage of Patients
Lower is Better
Short-term Care: Facilitates Functional Improvement
This indicates the percent of short-term residents who experienced functional improvements, such as enhanced ability to perform activities of daily living. High levels of performance with ADL's often correlates with better rehabilitation.
Percentage of Resident
Higher is Better