Heartland of Madeira

Although we gave this facility a terrible overall grade, we awarded it a C for our inspections rating. In fact, the facility received very impressive inspection report this year. We take several aspects of a facility's inspection report into consideration in computing our inspection ratings. One of those factors is health deficiencies. It should be noted that the severity of the deficiencies is arguably more meaningful than the number of deficiencies, as some of these end up being quite insignificant. This facility had 3 deficiencies on its government inspection report, but none were in categories G through L. This indicates CMS didn't consider any of the deficiencies to create an imminent risk to patient health or safety. Unfortunately, we also need to draw your attention to the fact that this facility received some government fines in recent years.

This facility's second best category was nursing, but even there it received a grade of just D. This is still a well below average grade. Our nursing rating is mostly associated with the facility's level of nurse staffing. With only 0.3 hours of nursing care per patient daily, this nursing home's nurse staffing levels were quite a bit below average. Finally, we also assessed some nursing quality measures in calculating our nursing ratings. This nursing home performed well in the area of minimizing its residents' pressure ulcers and major falls.

This facility ended up receiving a a terrible grade in our short-term care area. It received a lowly F in this area. In computing our short-term care grades, we look at the nursing home's skilled nursing services, such as those performed by registered nurses, occupational therapists, physical therapists and other types of therapists. Our goal is to create a measure for sizing up the rehabilitation services of nursing homes. Considering its abysmal grade in this area, we were not surprised to discover that this facility offered far fewer registered nurse and physical therapist hours per resident than most nursing homes. The final measure we considered in this area is the number of patients who were able to leave the nursing home and return to the community. We discovered that just 4.8 percent of this facility's patients were able to return home, which is well below average. The combination of these poor statistics sunk this facility's short-term care score.

Moving on to the fourth area, this nursing home did not perform well here either. With a bottom of the barrel grade of F in long-term care, this is just about as terrible as it gets. In a long-term care environment, the facility's primary objective is to keep patients healthy and safe. This is different than skilled nursing or short-term care where the goal is to rehabilitate residents. Once we looked at the amount of care provided by aids and other staff, we then analyzed the facility's vaccination record. We were pleased to find that this nursing home vaccinated 97.27273 percent of its patients against pneumonia. To our surprise, this nursing home was able to limit hospitalizations. With just 0 hospitalizations per 1,000 long-term resident days, this facility has fewer hospitalizations than most nursing homes. Sadly, some of its other scores in this category were not as favorable as these.