Greystone Health Care Center

The main reason this ended up being a decent nursing home is that it received an elite inspection score. In fact, its inspection score was far better than its overall score. In the inspections category, we gave it an A. Inspection scores account for several factors found on a facility's inspection report. One key criteria we consider is the quantity and severity of deficiencies. Nursing homes with higher grades in this category generally have few of these severe deficiencies. This place was hit with 3 deficiencies on its inspection report, but none were considered to be severe deficiencies. This tells you that CMS didn't consider any of the deficiencies to create an imminent risk to patient safety or health. A couple of minor deficiencies should not lead you to cross a nursing home off your list.

One of this facility's higher category grades was in the category of long-term care. This proved to be its second best category. In that category, we gave this nursing home a B-. In our long-term care assessment, we weigh the amount of services offered by a nursing home, along with a handful of qualitative statistics. Once we concluded our assessment of the volume of nursing care, we next considered the facility's vaccination records. We were pleased to learn that this facility vaccinates 96.742676 percent of its residents for pneumonia. Lastly, we looked at the facility's number of hospitalizations. Although it had 3.48 hospitalizations per one thousand long-term resident days, its risk adjusted score was not too far off the national average.

Turning to another strength for this facility, it also received an elite nursing grade. We gave this facility an D. In determining a facility's nursing score, we assess the quantity of hours nurses commit to patients and the level of licensure of those nurses. Quantity of nursing care does not appear to be the source of this facility's poor nursing grade. This place provides 4.1 hours of nursing care per patient each day. This is actually better than we expected. In determining our ratings, we apply additional weight to hours performed by highly trained nurses such as registered nurses. Despite performing well in terms of nursing hours, this facility did not perform as well in the quality-based metrics we looked at in computing our nursing grades. We looked at the percent of residents sustaining major falls and pressure ulcers. This nursing home was above the national average in both statistics. This may be a bad sign when you consider that many falls and bed sores are preventable with better nursing care. These statistics pulled down this facility's nursing grade significantly.

Switching gears to our fourth area, this facility did not perform well. With a bottom of the barrel grade of F in short-term care, this was this facility's worst area. Our short-term care grades are based on the nursing home's quantity of skilled skilled healthcare professionals. This includes a wide spectrum of nursing services, ranging from registered nurses to physical and occupational therapists, not to mention other variations of therapy. With its score in this area, we weren't surprised to find that this place is well below average in terms of the number of registered nurse and physical therapy hours offered to its residents based on the metrics we looked at. Frankly, this was about what we expected here. Finally, we looked at the number of residents that who were able to eventually return home from this facility. This nursing home didn't fare well here either. In fact, we found that just 28.5 percent of this facility's residents were able to return home.