Gretna Health and Rehabilitation Center

In addition to performing well overall, this facility also earned a nearly flawless inspection report. As a result, it received one of our best grades in that area with an A+. We weigh several aspects of a nursing home's inspection report in computing these inspection grades. One critical factor is health deficiencies. You should keep in mind that the severity of these deficiencies is arguably more meaningful than the quantity of deficiencies, as some deficiencies end up being quite minor. Fortunately, although this nursing home had a few minor dings on its inspection report, it had zero severe deficiencies. Severe deficiencies are labeled as categories G, H, I, J, K and L. This means that CMS did not deem any of the deficiencies on this facility's report to pose an imminent threat to patient health or safety. Finally, this facility had no substantiated complaints this year from residents, which is an excellent sign.

Another one of this facility's quality category scores came in the category of long-term care. We awarded them one of our more positive grades in that area, with a grade of B+. Long-term care ratings of this caliber generally require both 24/7 care from nurses and aids, as well as quality routine medical care. In addition to assessing the quantity of care provided by nurses and other staff, we also looked at the number of residents vaccinated against pneumonia. This nursing home gave the vaccine to 97.41379 percent of its patients, which is far higher than most nursing homes. Lastly, this facility was able to limit hospitalizations. In fact, it had less than one hospitalization per one thousand long-term resident days, which is a remarkably low figure.

This facility is also strong in the category of short-term care, where it was given a grade of B+. It performed more favorably than most facilities in this area. Our short-term care grade is commonly used to score a nursing home's performance with rehabilitation In order to have quality rehabilitation services, facilities generally must have better levels of highly skilled nursing services. Skilled nursing includes registered nurses, physical therapists, speech therapists and other types of therapists. Fortunately, it looks like this nursing home has registered nurses on staff. Not every facility employs these types of nurses. However, based on the data this nursing home provided, they do not appear to employ physical therapists. The final measure we looked at in this category is the number of patients that returned home from the facility. We found that 5.7 percent of this nursing home's residents returned home as opposed to remaining at the facility on a permanent basis.

The final area we graded is nursing, where this nursing home was awarded a B. This facility ended up being relatively strong across the board. The nursing score weighs a host of data points. The most heavily weighted one is the quantity of hours nurses spent with patients. This nursing home provides 0.4 hours of nursing care per resident per day. Finally, we also assessed several nursing quality-based metrics and this place excelled in some of these areas. With less than five percent of its residents sustaining pressure ulcers, it performed as well as any facility the country in this category. This is generally a good indicator of quality nursing care. Pressure ulcers can often be avoided by offering better nursing care, such as having a protocol of moving a patient even once per day.