Jacaranda Manor

Although we gave this facility a terrible overall grade, we awarded it a grade of B- for our inspections rating. In fact, the facility received very impressive inspection report this year. Inspection scores account for several factors found on a facility's inspection reports. One of the most important criteria we look at is the quantity and severity of deficiencies. While this nursing home had some deficiencies on its government inspection report, none of them were severe based on CMS' scale. Lastly, this nursing home was cited by CMS for possible abuse or neglect. This is generally a really bad sign. We would never recommend this facility.

We were also surprised to discover that this facility earned a reasonably solid long-term care rating in our assessment. We gave it a grade of B- in this category. Our long-term care grade focuses on a facility's personal care rather than the skilled nursing and healthcare services that are critical to a skilled nursing facility. On top of looking at the amount of care provided by nurses aids and other staff, we analyzed the percentage of residents vaccinated for pneumonia. This facility provided the vaccine to 96.375 percent of its patients, which is higher than the average nursing home. Lastly, we looked at the facility's number of hospitalizations. Here we found that this facility had 3.03 hospitalizations per 1,000 long-term resident days. Although this figure is quite a bit higher than the national average, this number may be skewed for some facilities due to the preexisting medical conditions of patients.

This nursing home also didn't perform terribly in the area of nursing. In fact, we awarded it a grade of C for that category, which is another one its better scores. Our nursing grade analyzes a handful of datapoints, however, the paramount one is the number of nurse hours per patient per week. This nursing home provides 4.3 hours of nursing care per resident each day. This is better than average. In determining our ratings, we add additional weight to hours performed by more highly trained nurses such as registered nurses. Lastly, our nursing grade also includes applicable quality-based measures. While this facility excelled in terms of quantity of nursing hours, it lagged a bit in certain datapoints that focused on quality. This place's nursing grade was hurt by its weak performance in the area of minimizing pressure ulcers. We found that 13.2 percent of this facility's residents suffered from pressure ulcers. Since some pressure ulcers could be avoided with good nursing protocols, we reduce a facility's nursing score when we see this kind of prevalence of pressure ulcers.

The last area we looked at is short-term care, where this facility received a very poor grade in this category also. It received a lowly F for this category, which is obviously a major concern. In calculating our short-term care ratings, we look at the nursing home's levels of skilled nursing, which includes registered nurses, physical therapists respiratory therapists and other licensed professionals. This area is typically a useful assessment of the facility's rehabilitation. Not surprisingly, we found that this nursing home provides far less physical therapist and registered nurse hours per resident than the average facility. Finally, we assessed the percentage of patients who were able to return home from this nursing home. This facility didn't fare well here either. In fact, we found that just 19.6 percent of this facility's patients were able to return home.