Hacienda HealthCare

Although we gave this nursing home a bad overall rating, we awarded it a somewhat respectable grade in the category of inspections, where it received a B-. This was quite a bit better than its other category grades. Inspection grades weigh several factors, including deficiencies, substantiated complaints and federal fines. You can learn more about each of these factors by reviewing copies of nursing homes' inspection reports. Fortunately, although this facility had some minor dings on its report, it had no severe deficiencies. Severe deficiencies are labeled as categories G, H, I, J, K and L. This means the government inspectors did not consider any of the deficiencies on this facility's report to pose an imminent threat to patient health or safety. Finally, this facility was cited by CMS for possible abuse or neglect. We would not recommend this facility under any circumstance.

We also want to point out that this facility received a decent grade in our nursing category. We awarded it a grade of B- in the area. Nursing ratings are mostly based on the nursing home's level of nurse staffing. This nursing home provides 0 hours of nursing care per resident per day. This is a much lower figure than we are used to seeing. Lastly, our nursing scores also consider quality-based measures, such as preventing major falls. Despite not having the most impressive total nursing hours per resident, this facility performed admirably in the metric of preventing major falls. This is often a good indicator that a place has quality controls in place. Many falls can be avoided if a facility supplies enough nurses aids to assist its residents.

The next best category we gave this nursing home in any category came in the area of short-term care, where we gave it a grade of B-. In the category of short-term care, we seek to qualify indicators of a facility's rehabilitation. We analyze the nursing home's skilled nursing services, such as those performed by registered nurses and various therapists. We were surprised to find that this facility was below average in the two key staffing areas we focus on. The facility supplied fewer registered nurse and physical therapist hours per resident than most other facilities. The last item we assessed in this area is the percentage of patients who were able to leave the facility and return to the community. We discovered that just 0 percent of this facility's patients were able to return home, which is below average.

The final area we graded was long-term care. We awarded it a grade of B- in this category. This is basically a middle of the road grade in this category. Our long-term care grades are more meaningful for residents in need of more conventional assistance related to activities of daily living. One of the factors we considered in addition to nurse's aid hours was vaccines. Unfortunately, it doesn't look like this nursing home submitted vaccination data. Finally, this nursing home was able to limit hospitalizations. It had less than one hospitalization per one thousand long-term resident days, which is a remarkably low number.