Legacy Rehabilitation and Living

Although we were not high on this place's overall performance, it did receive an impressive inspection report this year with few dings from the applicable government inspectors. As a result, it received one of our better grades in that area with a B+. Arguably the most significant factor we consider in determining our inspection ratings is deficiencies. These deficiencies are found on a nursing home's recent inspection reports. It is typically in your best interest to avoid nursing homes that have a long list of deficiencies. While this nursing home had some minor dings on its report, it had zero severe deficiencies. Severe deficiencies are those found in categories G, H, I, J, K and L. This means that CMS didn't deem any of the deficiencies on this facility's report to pose an imminent threat to patient safety or health. A few minor deficiencies are not the end of the world.

This facility also was awarded a favorable score in our long-term care category. We awarded this nursing home a better than average grade of B in that category. When nursing homes receive a score in this range in this category it generally means it has plenty of staff and is a quality place to reside on a permanent basis. In addition to looking at the quantity of care provided by nurses and other staff, we also looked at the percentage of residents vaccinated against pneumonia. This facility provided the vaccine to 100 percent of its patients, which is an impressive figure. Pneumonia can be a life or death ailment for nursing home residents so we prefer when a facility doesn't leave this to chance. Lastly, this nursing home was able to limit hospitalizations. In fact, it had less than one hospitalization per one thousand long-term resident days, which is a remarkably low figure.

As it turns out, this nursing home only received a grade of D for its short-term care rating, which is not a score to write home about. Short-term care ratings are important for prospective residents needing rehabilitation. Rehabilitation usually utilizes higher levels of highly-skilled nursing. Skilled nursing includes a broad scope of services, ranging from registered nurses to physical and respiratory therapists, as well as other types of therapy. With a score in this range for this area, we weren't stunned to learn that this nursing home was well below average in the two key staffing metrics we assess. The facility offered substantially fewer physical therapist and registered nurse hours per patient than most other nursing homes. Lastly, we looked at the number of patients who were able to return to the community from this facility. We found that just 4.6 percent of this facility's patients returned home.

The last area we analyzed was nursing, which proved to be this nursing home's least impressive category. We gave this nursing home a grade of D in that area. In determining a nursing home's nursing grade, we weigh the number of hours nurses spend with residents as well as the levels of training of the nurses. This particular place offered just 0.3 hours of nursing care per resident each day. This figure is quite a bit below the national average. In addition to its subpar nursing hour totals, this nursing home received poor scores in several of the quality-based measures we considered in calculating our nursing ratings. We found that more of this place's residents suffered falls which led to major injury.