Lewiston of Cascadia

This nursing home received a strong overall score as described above, but we especially would like to emphasize its excellent health inspections in recent years. We gave them an A- in this category. We take several aspects of a facility's inspection report into consideration in determining our inspection grades. One of those factors is deficiencies. It should be noted that the severity of these deficiencies is arguably more meaningful than the number of deficiencies, as some can be quite insignificant. While this facility had some deficiencies on its report, none of them were severe based on CMS' scale. Finally, this facility had no substantiated complaints this year from residents, which is an excellent sign.

Among this facility's other strengths is its elite long-term care score. We awarded them one of our better scores in that area, with a score of A-. Facilities that excel in long-term care tend to provide patients with better supervision and stay on top of routine healthcare services. On top of considering the volume of care provided by nurses and other staff, we analyzed the number of residents vaccinated for pneumonia. This facility administered the vaccine to 99.03846 percent of its residents, which is much higher than most nursing homes. Clearly, this nursing home is doing something right in this area as it was able to keep its patients out of the hospital. In fact, it had only 0.01 hospitalizations per one thousand long-term resident days, which is an impressively low figure.

This facility is also strong in the area of nursing, where it received a grade of B+. It outperformed most nursing homes in this category. When computing our nursing scores, we assess both staffing levels and the training levels of those nurses. This facility provided 0.3 hours of nursing care per resident per day. Finally, we also assessed some nursing quality measures in determining our nursing grades. This nursing home performed very well in terms of minimizing its residents' major falls and pressure ulcers. We consider these areas to be good indicators of the quality of nursing care.

The last area we assessed was this facility's weakest area. However, even in its worst category we still awarded it a decent grade of C for short-term care. Our short-term care grades are believed to be more meaningful for those in need of rehabilitation from their nursing home. Rehabilitation generally utilizes higher levels of highly-skilled nursing. This includes not just nursing, but also physical and respiratory therapy, as well as other forms of therapy. Fortunately, it appear that this nursing home has registered nurses on staff. Not every facility employs these skilled professionals. However, according to the information this nursing home provided, they do not appear to employ physical therapists. The final measure we looked at in this category is the number of residents who were able to leave the nursing home and return to the community. We discovered that just 4.8 percent of this facility's residents were able to return home, which is actually below average.