Majestic Care of Livonia

Although we gave this facility a terrible overall grade, we awarded it a B- for our inspections rating. In fact, the facility received very impressive inspection report this year. Our inspection ratings are based on many items located in the a nursing home's recent inspection reports. Deficiencies are a key item to look for on these reports. Severe deficiencies indicate a risk to patient safety. While this nursing home had some minor dings on its report, it had zero severe deficiencies. Severe deficiencies are those labeled as categories G, H, I, J, K and L. This means that the government inspectors didn't consider any of the deficiencies on this facility's report to pose an imminent threat to patient safety or health. A couple minor deficiencies aren't necessarily the end of the world.

One of the other reasons we rated this nursing home so highly is that it received a very impressive nursing grade. In fact, nursing turned out to be its second best category grade. In that category, we gave this facility an C. The nursing rating is based on several factors. The most important one is the quantity of hours nurses spend with residents. This facility provided just 0.4 hours of nursing care per resident per day. This is a relatively low total compared to most other facilities. Finally, nursing grades also consider quality-based metrics, such as preventing major falls. Despite not having the highest total nursing hours per resident, this place actually performed admirably in the metric of preventing major falls. This is typically an indicator that a facility has quality controls in place. Many falls can be avoided if a nursing home provides enough nurses aids to assist its patients.

Unfortunately, this facility's next best category was long-term care. Nevertheless, with a grade of D in this category, it still performed somewhat poorly. Nursing homes that don't score well in this category often don't provide as much nursing care and also may be struggling in some of the areas of routine medical care we looked at. On top of considering the volume of care provided by nurses aids and other staff, we also looked at the number of residents vaccinated for pneumonia. Frankly, we were a bit bothered by the fact that this nursing home gave the vaccine to only 90 percent of its patients. Surprisingly, this facility was actually able to limit hospitalizations. With just 0.04 hospitalizations per one thousand long-term resident days, this facility had less hospitalizations than many nursing homes. This was its best feature in this category.

The final category we analyzed was short-term care. We gave it an F in this category, which is a very poor grade. Our short-term care ratings are presumably most important for residents needing a nursing home for rehabilitation. Rehabilitation generally requires more skilled nursing services. This includes not merely nursing services, but also physical and occupational therapy, as well as other forms of therapy. Considering its grade in this area, we weren't stunned to find that this place is well below average in terms of the number of physical therapy and registered nurse hours provided to its patients based on the measures we looked at. Frankly, this was about what we expected to find. The final item we assessed in this area is the number of residents that were able to return home from the facility. This facility struggled quite a bit in this metric as well, with just 4.9 percent of its residents returning home.