Grand Oaks Nursing and Rehabilitation

While this place's overall grade was as bad as it gets, it actually didn't perform terribly in the area of inspections. In fact, we awarded it a C for that category, which is one of our better scores. Inspection scores are tied to many items located in the a nursing home's recent inspection reports. Deficiencies are an important item to look for on these inspections. Severe deficiencies indicate a threat to patient safety. Surprisingly, this place was hit with a category J through K deficiency, which are among the worst possible categories of deficiencies. This often tells you inspectors found a deficiency which placed resident safety or health in immediate danger. Unfortunately, we also need to draw your attention to the fact that this facility received significant government fines in recent years.

Moving on to the category of short-term care, this facility was given a grade of just D in that area. As it turns out, this wound up being one of its better grades. Our short-term care grade is generally employed to judge a nursing home's rehabilitation services. To provide good rehabilitation services, facilities generally need to provide better levels of skilled nursing. These types of services include registered nurses, physical therapists, respiratory therapists and other highly trained professionals. With a grade in this range in this area, we weren't stunned to find this place was below average in two of the key staffing areas we looked at. The facility supplied significantly fewer physical therapist and registered nurse hours per patient than most other nursing homes. The last metric we considered in this area is the number of residents who were able to leave the nursing home and return to the community. We discovered that just 5.6 percent of this facility's residents were able to return home, which is well below average. The combination of these subpar metrics doomed this nursing home's short-term care score.

Among this nursing home's several poor grades was its F in the area of nursing care. We scrutinized the levels of nurses working for the nursing home, as well as the quantity of time the nurses spent with residents, in calculating our rating in this area. With just 0.2 hours of nursing care per resident on a daily basis, this place's nurse staffing levels were well below the national average. Lastly, we also assessed some nursing quality-based metrics in computing our nursing ratings. This place performed well when it comes to avoiding pressure ulcers and major falls.

The final category we analyzed is long-term care, where this nursing home received a bottom of the barrel grade in this category also. We gave it a lowly F in this category, which is obviously somewhat alarming. When facilities receive a grade in this range in this category it generally means the facility didn't perform well in our quality measures relating to resident care. One of the factors we considered in addition to nursing hours is vaccinations. We were a bit bothered by the fact that this nursing home administered the pneumonia vaccine to only 82.12291 percent of its residents. To our surprise, this facility actually fared well at keeping its residents out of the hospital. It had only 0 hospitalizations per 1,000 long-term resident days. This is its best score in this category.