James River Nursing and Rehabilitation

We want to point out that this facility really outperformed its overall score in the area of inspections. In fact, it received a nearly flawless inspection report this year. As a result, we gave it one of our highest scores in that area with an A. Arguably the most important factor we consider in calculating our inspection grades is deficiencies. Deficiencies can be found on a facility's recent inspection reports. Facilities with better scores in this category most likely avoided the most severe deficiencies involving things like patient abuse. Fortunately, although this facility had a few minor dings on its inspection report, it had zero 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. A few relatively minor dings aren't necessarily something to panic about.

One of this facility's more respectable category scores came in the category of long-term care. This proved to be its second best category. In that category, we awarded this nursing home a grade of B-. If you are seeking services other than short-term rehabilitation, you should take a close look at each facility's long-term care ratings. Once we concluded our assessment of the quantity of nursing care, we then looked at the facility's vaccination records. Frankly, we were a bit bothered by the fact that this nursing home vaccinated only 54.21687 percent of its residents for pneumonia. Fortunately, this facility was able to limit hospitalizations. It had less than one hospitalization per 1,000 long-term resident days, which is an impressively low figure.

Next, we looked at the nursing category where we awarded this nursing home a grade of B-, which is a decent grade. Nursing scores are heavily correlated with quality and quantity of nursing care. This nursing home averages just 0.3 hours of nursing care per resident per day. This is a very low figure. Despite having low quantities of nursing care, this facility surprisingly excelled in some of the quality-based metrics we assessed. It performed well in terms of avoiding major falls and pressure ulcers. Many consider these areas to be reliable indicators of the quality of nursing care. In many cases, the quality of nursing care is as important as the number of hours of care offered.

The final category we analyzed is short-term care, which was this nursing home's weakest category. We awarded this nursing home a grade of D in this area. Unfortunately, this score hurt the facility's overall grade a bit. Our short-term care scores are based on the facility's quantity of skilled highly skilled professionals. This includes a vast scope of services, ranging from registered nurses to physical and occupational therapists, as well as other forms of therapy. We found that this place was subpar in several staffing areas we focus on. The facility supplied fewer registered nurse and physical therapist hours per resident than most nursing homes. The last measure we looked at in this category is the percentage of patients that returned home from the nursing home. This nursing home struggled quite a bit in this area as well, with just 4.8 percent of its patients returning home. Unfortunately, this was quite a bit below the national average.