Majestic Care of North Vernon

While this nursing home's overall grade was as bad as it gets, it actually didn't perform terribly in the area of inspections. In fact, we awarded it a B- for that category, which is one of our better scores. We would argue that one of the most critical factors in evaluating an inspection report is deficiencies. We especially focus on the severity of those deficiencies. Sadly, this place was hit with a category L deficiency, which was not what we expected based on its inspection score. This category of deficiency indicates the government inspectors identified a widespread deficiency placing resident health or safety in immediate jeopardy. While other aspects of this nursing home's inspection report were favorable, we have some reservations.

Included in this facility's litany of rock-bottom scores was its F in the category of short-term care. Our short-term care scores are believed to be most meaningful for patients needing a nursing home for rehabilitation. Rehabilitation typically requires additional skilled nursing. Skilled nursing means not just nursing, but also physical and speech therapy, as well as other types of therapy. Based on its grade in this category, we weren't surprised to learn that this nursing home is well below average in terms of the number of physical therapy and registered nurse hours provided to its patients based on the measures we looked at. The last item we considered in this category is the percentage of residents that returned home from the nursing home. This facility struggled quite a bit in this metric as well, with just 4.2 percent of its residents returning home. Unfortunately, this was quite a bit below the national average.

This nursing home ended up receiving a a very poor grade in our long-term care category. It was given a lowly F in this category. In a long-term care environment, the nursing home's primary objective is to keep patients as healthy and safe as possible. This is different than skilled nursing or short-term care where the goal is to rehabilitate residents. After we finished looking at the quantity of nursing care, we then looked at the nursing home's vaccination data. We were optimistic to learn that this facility vaccinates 99.234695 percent of its patients against pneumonia. To our surprise, this facility also keeps its patients out of the hospital. Indeed, it had only 0.01 hospitalizations per one thousand long-term resident days. Unfortunately, some of its other scores in this category weren't as favorable as these.

The last area we looked at was nursing. Sadly, it received a lowly F for this category, which is a very poor score. The nursing score is based on many data points, most of which are based on levels of nurse staffing. This nursing home provided just 0.3 hours of nursing care per patient per day. This figure is significantly below the national average. To pair with its subpar totals in the area of nursing hours per patient, this place also didn't fare as well in the quality-based measures we looked at in computing our nursing grades. We looked at the percent of patients experiencing major falls and pressure ulcers. This facility had more falls and pressure ulcers than the average nursing home. This could be a bad sign when you consider that many falls and bed sores are believed to be preventable with better nursing care. Unfortunately, these scores hurt this nursing home's nursing grade significantly.