Lacoba Homes
850 Highway 60, PO Box 885, Monett MO 65708 · (417) 235-7895 · 74.81% estimated occupancy 1Updated: Aug 1, 2020 · By Nick Reese
With an address in Monett, Missouri, Lacoba Homes is one of just a few nursing homes in this city. With an A- overall grade, we rated this nursing home in the top third of all nursing homes in the United States. As far as we can see, this facility looks like a wonderful choice for most people. This nursing home's impressive report card was highlighted by its inspection grade, which is addressed in the next section.
Additional Details:
Accepts Medicare 1 :
Accepts Medicaid 1 : 79 Beds
CCRC :
Non profit - Church related
Resident Council:
Family Council:
Medical Staff Hours Per Patient (2019)
Facility Inspections
In addition to faring well overall, this nursing home also earned a nearly flawless inspection report. As a result, it received one of our highest grades in that area with a grade of A+. Inspection grades weigh several factors, including deficiencies, substantiated complaints and federal fines. You can learn more about each of these issues by reviewing copies of nursing homes' inspection reports. This particular nursing home had just a single deficiency on its inspection report and it was not one deemed to pose a threat to patient health or safety. Finally, this facility had no substantiated complaints this year from residents, which is an excellent sign.
Long-term Care Quality
This nursing home also received a fine long-term care grade. In fact, this ended up being its second most impressive category grade. In that area, this facility received a score of A-. When nursing homes receive a score in this range in this category it generally means it's well-staffed and is a quality place to live on a permanent basis. On top of looking at the quantity of care provided by aids and other staff, we looked at the number of residents vaccinated for pneumonia. This facility provided the vaccine to 100 percent of its patients. Vaccines are critical to keeping patients out of the hospital. Clearly, this place is doing something right in this area as it was able to keep its patients out of the hospital. Indeed, it had only 0.7 hospitalizations per 1,000 long-term resident days, which is a remarkably low number.
Short-term Care Quality
This nursing home was awarded a strong short-term care score as well. We awarded it one of our higher scores in that category with a score of B+. Our short-term care ratings are thought to be more meaningful for residents requiring rehabilitation from their nursing home. Rehabilitation typically mandates more highly-skilled nursing. This means not merely nursing, but also physical and speech therapy, as well as other types of therapy. One of this nursing home's strengths is physical therapy hours. We found that it offers more hours with physical therapists to its residents than most facilities. The last metric we looked at in this area is the percentage of residents who were able to leave the facility and return to the community. We discovered that 42.8 percent of this facility's residents were able to return home.
Nurse Quality
The next area we looked at turned out to be this facility's poorest category. Nevertheless, even its lowest point would likely be a highlight for most facilities. We awarded it an above average grade of B in nursing. In computing our nursing grades, we factor in both the number of hours nurses spend with residents and the skill levels of the nurses. This nursing home offers high levels of nursing care, with an average of 4 hours per resident each day. This is more nursing care than most nursing homes provide. Lastly, we also looked at nursing quality-based metrics in determining our nursing grades. These include minimizing residents' pressure ulcers and major falls. We view these data points as reliable measures of the quality of nursing care provided, since better care tends to reduce these problems.
Overall Rating Over Time
Compared to national and state averages across all facilities.
Lacoba Homes Quality Metrics
Minimizes Pressure Ulcers
This is a measure of the percent of long-term residents which developed pressure ulcers . We factor in this statistic in computing both nursing and long-term care grades.
Percent of Patients with Pressure Ulcers
Lower is Better
Minimizes Serious Falls
This is the percent of patients that sustained a fall which resulted in severe injury.
Percent of Patients with Serious Falls
Lower is Better
Minimizes Urinary Tract Infections
This indicates the percentage of patients that suffered from a urinary tract infection. UTI's are routinely caused by lower quality nursing care. Closer supervision can limit the number of UTI's sustained by residents in a nursing home. Note that this datapoint is affected by by the fact that facilities have varying reporting standards for UTI's.
Percent of Patients with UTIs
Lower is Better
Appropriately Uses Anti-Psychotic Medication
This indicates the percentage of patients who were given antipsychotic drugs. While antipsychotic drugs may be vital to many patients, it is important to ensure these medications are being used only where medically required. In limited cases, excessive reliance on these medications may mean that a nursing home is using these drugs to subdue residents.
Percent of Patients
Lower is Better
Appropriately Uses Anti-Anxiety Medication
This indicates the percentage of residents given antianxiety medications. These medications are commonly used to treat residents experiencing depression or anxiety.
Percent of Patients
Lower is Better
Managing Depression Among Residents
This tells you the percentage of patients demonstrating depressive symptoms.
Percent of Patients
Lower is Better
Appropriate Vaccine Usage
This is the percentage of patients that were given the flu and pneumonia vaccines. Higher vaccination rates should be demanded by residents.
Percent of Patients
Higher is Better
Residents Maintain Autonomy
This datapoint measures the percent of long-term care patients who required more assistance with activities of daily living over time. Activities of daily living include activities such as moving around and eating. Many argue that this is a reasonable measure of a resident's well-being.
Percentage of Patients
Lower is Better
Ability to Keep Residents Mobile
This is the percent of patients who retained mobility levels over time. Optimizing mobility is often a good sign for residents' well-being.
Percentage of Residents
Higher is Better
Hospitalizations
This tells you the number of times residents are hospitalized per 1,000 days of care. There is usually a correlation between avoiding hospitalizations and the quality of nursing home care.
Hospitalizations per 1,000 resident days
Lower is Better
Short-term Care: Rehospitalizations
This metric measures the number of times residents are rehospitalized per 1,000 days of short-term patient care.
Percentage of Residents Rehospitalized
Lower is Better
Short-term Care: ER Visits
This indicates the number of emergency room visits per thousand days of short-term care.
Percentage of Patients
Lower is Better
Short-term Care: Facilitates Functional Improvement
This is a measure of the percent of short-term patients who experienced functional improvements.
Percentage of Resident
Higher is Better