Madison Health and Rehabilitation

The primary reason this facility received a decent overall grade is its impeccable inspections in recent years. We awarded it one of our higher scores in that category, with an A. This is a notably better grade than the facility's overall grade, which was decent but not in the elite range. Perhaps the most significant factor we look at in determining our inspection scores is deficiencies. These deficiencies are found on a facility's recent inspection reports. Facilities with better grades in this area typically avoided the most severe deficiencies involving patient abuse or death. While this place had some minor dings on its report, it had zero severe deficiencies. Severe deficiencies are labeled as categories G through L. This tells you the inspectors didn't consider any of the deficiencies on this facility's report to pose an imminent threat to patient safety or health. A couple of minor deficiencies should not stop you from considering a nursing home.

This nursing home also was awarded a strong score in our short-term care category. We gave this nursing home an above average grade of B+ in this area. Short-term care ratings are based in part on a nursing home's quantity of highly-skilled highly skilled professionals. This means a wide spectrum of services, ranging from registered nurses to physical and occupational therapists, as well as other forms of therapy. One of this nursing home's strengths is registered nurse hours. We found that it offers more care from registered nurses to its residents than most facilities. The last statistic we considered in this area is the number of residents who were able to leave the nursing home and return home. We found that it fared as well as just about any facility in North Carolina in this area with 64.1 percent of its residents returning home. With most facilities, fewer than half of their short-stay residents are able to return home.

Another strength of this facility is its favorable grade in nursing. We gave them one of our better scores in that area, with an impressive grade of D. There are several subcategories within this category. Most of the datapoints are tied to the quantity of nurse staffing. This facility provided just 2.7 hours of nursing care per resident per day. This is a very low total compared to most nursing homes. To go along with its low total nursing hours per patient, this facility had bad scores in several of the quality-based metrics we looked at in calculating our nursing grades. For starters, we looked at the percent of patients sustaining falls which led to serious injury. This place was at more than 1.5 times the national average in this statistic.

The next area we graded is long-term care. It received an F in this area, which is a rock bottom score. This is obviously a significant disappointment. If you are seeking anything other than short-term rehabilitation, you should take a close look at long-term care ratings. Once we assessed the quantity of care provided by nurses aids and other staff, we next considered the facility's vaccination records. We were pleased to discover that this facility vaccinated 95.94096 percent of its patients against pneumonia. To our surprise, this nursing home was able to keep its patients out of the hospital. In fact, it had just 0.78 hospitalizations per 1,000 long-term resident days. Sadly, a few of its other scores in this category were not as favorable as these.