Lewiston of Cascadia

One of the many reasons this ended up being a great nursing home is that it earned an impressive grade in inspections. In fact, inspections turned out to be its best category. In that category, we awarded this nursing home an A. Our inspection scores account for a host of factors found on a facility's inspection reports. One key criteria we rely on is the number and severity of deficiencies. Facilities with higher scores in this category generally have very few of these severe deficiencies. This facility was assessed 6 deficiencies on its inspection report, but none of the deficiencies were considered to be major deficiencies. This tells you that CMS did not deem any of these deficiencies to pose an imminent risk to resident health or safety. Finally, this facility had no substantiated complaints this year from residents, which is an excellent sign.

This nursing home also was awarded a fine long-term care grade. Indeed, this turned out to be this facility's second most impressive category grade. In that area, we gave this facility a grade of A-. When facilities receive a grade in this range in this category it generally means it has plenty of staff and is a quality place to live on a permanent basis. On top of looking at the quantity of care provided by nurses aids and other staff, we looked at the number of residents vaccinated for pneumonia. This facility administered the vaccine to 99.53704 percent of its residents. Vaccines are critical to keeping residents healthy. Lastly, 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 number.

To complement its strong performance in other areas, we awarded this nursing home a grade of A for our inspections rating. When determining our nursing grades, we factor in both staffing levels and the levels of licensure of the nurses. This nursing home averages 0.4 hours of nursing care per resident per day. Finally, we also assessed several nursing quality-based metrics and this facility excelled in some of these areas. With less than five percent of its residents sustaining pressure ulcers, it performed as well as any nursing home the state in this category. This is generally a good indicator of quality nursing care. Pressure ulcers can many times be prevented by providing better nursing care, such as by having a protocol of turning patients at least once a day.

The last area we analyzed was this facility's worst area. However, even in its weakest link we still gave it a decent grade of B- for short-term care. Short-term care scores are based in part on the facility's quantity of highly-skilled highly skilled professionals. This includes a vast range of nursing services, spanning from registered nurses to physical and occupational therapists, as well as other variations of therapy. Fortunately, it appear that this facility employs registered nurses. Not all facilities employs these types of nurses. However, based on the data this nursing home provided, they do not appear to employ physical therapists. Finally, we assessed the number of residents who were able to return to the community from this nursing home. We found that 4.2 percent of this facility's patients returned home. At most facilities, closer to half of their patients are able to return home so this figure is below average.