Promedica ManorCare Health Services-Hemet

While this nursing home's overall grade was decent, it really excelled in nursing. We gave it an A- for that category, which is one of our highest scores. Our nursing rating is based on the facility's nurse staffing levels. We consider both the levels of training of the nurses and the amount of time spent with patients. This facility provided 0.5 hours of nursing care per resident per day. Finally, our nursing grades also factor in quality-based assessments, such as avoiding major falls. This nursing home performed well in this area. Avoiding major falls is typically a good indicator that a place has reliable quality controls in place. Major falls can frequently be prevented if more nurses aids and better safety protocols are in place.

We also want to note that this facility received a great short-term care score. In fact, we awarded it one of our best scores in that area with a score of A-. Our short-term care grade is generally used to gauge a nursing home's rehabilitation services. To offer highly scored rehabilitation services, facilities generally must have better levels of skilled nursing services. These types of services include registered nurses, physical therapists, respiratory therapists and other types of therapists. Fortunately, it appear that this nursing home has registered nurses on staff. Not every nursing home employs these skilled professionals. However, based on the data this nursing home provided, it does not look like the facility employs physical therapists. The last statistic we looked at in this area is the percentage of residents that ultimately were able to return home from the facility. We found that 5 percent of this nursing home's residents returned home as opposed to remaining at the nursing home on a permanent basis.

The next area we looked at is long-term care. In that category, we gave this facility a B. It actually outpaced most facilities in this category. Nursing homes that receive this kind of score in long-term care typically provide consistent around the clock care to make sure patients are kept in good health. In addition to assessing the quantity of care provided by nurses aids and other staff, we looked at the number of residents vaccinated for pneumonia. This nursing home vaccinated 100 percent of its patients, which is better than the vast majority of nursing homes. Clearly, this facility is doing something right in this area as it also excelled at keeping its patients out of the hospital. In fact, it had only 0 hospitalizations per 1,000 long-term resident days, which is an impressively low figure.

Turning our final category of inspections, this facility received a grade that's as bad as it gets. Unfortunately, with an F in the inspection category, this facility's overall grade was pulled down significantly. For places with poor inspection scores, you should really focus on any severe deficiencies found on their inspection reports. This particular nursing home was assessed one category G through L deficiency, which rank among the more severe categories of deficiencies. This generally indicates that the deficiencies uncovered by CMS had potential to pose actual harm to patients. Lastly, we also would like to draw your attention to the fact that this facility was assessed significant government fines in recent years of over $100,000. This usually indicates that a nursing home's bad performance spanned several years.