1719 Bellevue Avenue, Richmond VA 23227 · (804) 262-7364 · 83.75% estimated occupancy 1Updated: Aug 1, 2020 · By Nick Reese
Note: Manorcare Health Services-Imperial has been flagged for abuse in the past 12 months. We have capped this facility's overall grade accordingly.
Manorcare Health Services-Imperial is a large non-profit facility in Richmond, Virginia. With an overall score of F, we consider this to be a very poor nursing home. Richmond received a city grade of B-, so there are other options in the city worth considering. More information on this facility's category grades may be found below. Its best category was short-term care, which is addressed in the next paragraph.
Additional Details:
Accepts Medicare 1 :
Accepts Medicaid 1 : 128 Beds
CCRC :
Non profit - Corporation
Resident Council:
Family Council:
Medical Staff Hours Per Patient (2019)
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January
February
March
April
May
June
July
August
September
October
November
December
Short-term Care Quality
B-
Historical
Although we gave this facility a terrible overall grade, we awarded it a grade of B- for our short-term care rating. In our short-term care assessment, we seek to create a fair measure for rehabilitation services. In this process, we analyze the facility's scope of skilled nursing services, including both registered nurses and physical therapy, as well as speech therapy. One of this facility's strengths is physical therapy hours. It offers at least one and a half times as many hours with physical therapists to its residents than most other nursing homes. Finally, we looked at the percentage of patients who ultimately returned home from this nursing home. On top of performing well in the area of physical therapy hours, we found that it also performed well in this metric with 64.5 percent of its patients returning home.
Facility Inspections
C
Historical
Interestingly, this facility's terrible overall grade can't really be attributed to its government inspection reports. We awarded it a C for inspections. We believe that one of the most critical factors in assessing an inspection report is deficiencies. We especially look at the severity of the deficiencies. This nursing home was hit with 10 deficiencies on its inspection report, but fortunately none were in any of the categories labeled G through L. This means the government inspectors didn't consider any of the deficiencies to create an imminent threat to patient safety or health. Finally, CMS cited this nursing home for possible abuse or neglect. Hopefully, its performance improves in the future, but until then we simply can't recommend this facility.
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Nurse Quality
D
Historical
Turning to the area of nursing care, this facility received a grade of just D in this category. Our nursing score is based on quite a few factors, however, the most important one is the quantity of nurse hours per patient per week. This nursing home offered a meager 2.9 hours of nursing care per resident per day. Lastly, we also looked at some nursing quality measures in calculating our nursing ratings. This facility performed well in the area of avoiding pressure ulcers and major falls. We consider these areas to be reliable indicators of the quality of nursing care.
Long-term Care Quality
D
Historical
The last area we graded was long-term care, which proved to be a weak spot for this nursing home. We gave this nursing home a grade of just D for long-term care. Nursing homes that receive this type of score in this category may not provide the kind of consistent around the clock care that some other nursing homes offer. After looking at the quantity of care provided by aids and other staff, we turned to the nursing home's vaccination data. We were concerned by the fact that this facility vaccinated a relatively low 72.98245 percent of its residents against pneumonia. Finally, we looked at the facility's number of hospitalizations. We found that this nursing home had 2.58 hospitalizations per one thousand long-term resident days. Unfortunately, this figure is also alarming.
Overall Rating Over Time
Compared to national and state averages across all facilities.
Aug 20
Provider:
F
State:
B
National:
B
Overall Rating
Nurse Rating
Long-Term Rating
Short-Term Rating
Inspection Rating
Manorcare Health Services-Imperial Quality Metrics
Minimizes Pressure Ulcers
This tells you the percent of residents who have had a pressure ulcer. Pressure ulcers are skin damage due to staying in one position for too long.
Provider
A
3.72%
State
B
7.69%
National
B
7.32%
Percent of Patients with Pressure Ulcers Lower is Better
Minimizes Serious Falls
This is the percent of residents who sustained a major fall. Falls resulting in major injury are routinely caused by lower levels of patient supervision. Closer supervision limits the percentage of residents in a nursing home who sustain major falls.
Provider
A-
1.75%
State
B
3.53%
National
B
3.36%
Percent of Patients with Serious Falls Lower is Better
Minimizes Urinary Tract Infections
This indicates the percentage of patients who have had a urinary tract infection. These infections are associated with insufficient hygiene.
Provider
A+
0%
State
B
3.23%
National
B
2.65%
Percent of Patients with UTIs Lower is Better
Appropriately Uses Anti-Psychotic Medication
This is the percentage of residents who were given antipsychotic medications. While antipsychotic drugs may be helpful for many residents, it is important to make sure these drugs are being used only where medically required. In some situations, increased usage of these drugs may mean a nursing home is using these drugs to control patient behavior.
Provider
A-
9.77%
State
B
14.26%
National
B
14.18%
Percent of Patients Lower is Better
Appropriately Uses Anti-Anxiety Medication
This metric tells you the percent of long-term patients receiving antianxiety drugs.
Provider
B+
15.5%
State
B
20.01%
National
B
19.68%
Percent of Patients Lower is Better
Managing Depression Among Residents
This indicates the percent of patients who are exhibiting depressive symptoms. Higher levels of depression could indicate a lower level of care.
Provider
A+
0%
State
B+
2.32%
National
B+
5.07%
Percent of Patients Lower is Better
Appropriate Vaccine Usage
This indicates the percentage of patients who have received the flu and pneumonia vaccines. High vaccination rates should be demanded by residents.
Provider
D
83.29%
State
B
91.4%
National
B
92.05%
Percent of Patients Higher is Better
Residents Maintain Autonomy
This metric measures the percentage of long-term stay patients who required more assistance with activities of daily living over time. Activities of daily living include activities such as dressing and using the bathroom. Many in the industry argue that this is a reasonable measure of a resident's well-being.
Provider
D
21%
State
B
15.53%
National
B
14.45%
Percentage of Patients Lower is Better
Ability to Keep Residents Mobile
This is a measure of the percentage of long-term patients that were able to retain mobility.
Provider
A+
28.9%
State
B+
19.76%
National
B
17.08%
Percentage of Residents Higher is Better
Hospitalizations
This datapoint is a measure of the number of hospitalizations per 1,000 days of patient care. Keeping residents out of the hospital is critical to preserving the physical health of nursing home patients.
Provider
D
2.58
State
B+
1.48
National
B
1.70
Hospitalizations per 1,000 resident days Lower is Better
Short-term Care: Rehospitalizations
This tells you the number of times residents are rehospitalized per thousand days of short-term patient care.
Provider
F
28.9
State
B-
19.76
National
B
17.08
Percentage of Residents Rehospitalized Lower is Better
Short-term Care: ER Visits
This metric is a measure of the number of times residents are sent to the emergency room per 1,000 days of short-term patient care. Staying out of the emergency room is one way to gauge short-term care.