Madison Medical Center

With an address in Fredericktown, Missouri, Madison Medical Center is one of just a couple available nursing homes in the city. This proved to be an A+ facility. Receiving an A+ in our rating scheme requires first-rate marks across the board. In addition, this facility is also based in a hospital, which often means the nursing home offers a wider array of healthcare services. This also proved to be a very consistent facility with consistent grades in all four of the major categories we assessed. Additional information about its category grades can be found below.

In addition to receiving a great overall grade, this nursing home received an A+ in the area of long-term care. When nursing homes receive this type of score in long-term care it is typically a good sign for patient care and suggests that the nursing home is well-staffed with nurses aids. One of the statistics we considered after nursing hours was vaccinations. This facility administered the pneumonia vaccination to 98.47909 percent of its patients. This is a great way to avoid unnecessary deaths for the senior population. Lastly, we looked at its number of hospitalizations. With 1.94 hospitalizations per one thousand long-term resident days, this nursing home was just about middle of the road in this area.

One of the other reasons we graded this facility so highly is that it received a very impressive nursing score. In that category, we awarded this nursing home an A+. There are a host of criteria within this category. Many of the subcategories are tied to the quantity and quality of nurse staffing. This place provides an impressive 3.8 hours of nursing care per patient daily. Out of this total, more than one quarter of these hours were provided by registered nurses, which is among the most highly skilled levels of nurses. We add more weight to hours worked by skilled nurses in calculating our nursing grades. Finally, we also looked at several nursing quality-based metrics and this place 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 country in this category. This is generally a good indicator of quality nursing care. Pressure ulcers can many times be avoided by providing better nursing care, such as having a policy of turning a resident more often.

Another impressive feature of this nursing home is its inspection score. In that area, we awarded this nursing home a grade of A. We weigh several aspects of a nursing home's inspection report in determining our inspection ratings. One critical factor is health deficiencies. It should be noted that the severity of deficiencies is arguably more important than the quantity of deficiencies, as some deficiencies end up being quite minor. This facility received 3 deficiencies on its inspection report, but none of the deficiencies were considered to be major deficiencies. This tells you that the inspectors didn't deem any of the deficiencies to cause an immediate threat to resident safety or health. Finally, this facility had no substantiated complaints this year from residents, which is an excellent sign.

In the final category, this nursing home also was awarded a very strong short-term care grade, with an A-. This rounded out a very impressive profile. In the category of short-term care, we try to assess indicators of a facility's rehabilitation. We look at the facility's skilled nursing services, including the ones performed by registered nurses and physical and occupational therapists. 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. Finally, we looked at the percentage of patients that returned home from this facility. We found that 0 percent of this facility's residents were able to return home.