ProMedica Skilled Nursing And Rehabilitation (Parma)

We want to draw your attention to the fact that this facility outperformed its overall score in the category of inspections. In fact, it received a nearly flawless government inspection report this year. As a result, we gave it one of our highest scores in this area with an A. Arguably the most critical factor we consider in determining our inspection scores is deficiencies. These deficiencies are found on a nursing home's recent inspection reports. Facilities with higher scores in this area typically dodged the more severe deficiencies involving health risks or even death. This nursing home was hit with 4 deficiencies on its inspection report, but we were relieved to see that none were considered to be severe. This indicates that CMS did not consider any of the deficiencies to pose an immediate threat to resident safety or health. The fact that the deficiencies were relatively minor leaves us less concerned with this inspection report.

This nursing home also was given a positive long-term care grade. Indeed, we gave them a B in that area, which is one of our more favorable scores. Nursing homes that do well in long-term care typically provide patients with closer supervision and stay on top of routine healthcare services. In addition to looking at the volume of care provided by aids and other staff, we also looked at the number of residents vaccinated against pneumonia. This facility vaccinated 100 percent of its residents, which is what we like to see. Pneumonia can be a life threatening health condition for nursing home residents so we prefer when a facility does not roll the dice on this issue. Finally, this facility was able to limit hospitalizations. In fact, it had less than one hospitalization per 1,000 long-term resident days, which is a remarkably low figure.

This facilities next most favorable category is short-term care. We awarded it a grade of B- in this area. This is basically a middle of the road score in this category. In the area of short-term care, we seek to qualify measures of a nursing home's rehabilitation. We assess the facility's skilled nursing services, such as those performed by registered nurses and various therapists. Fortunately, it looks like this facility has registered nurses on staff. Not all nursing homes employs these skilled professionals. On the other hand, according to the information they provided, it does not look like the facility employs physical therapists. The last item we looked at in this area is the number of residents who eventually returned home from the nursing home. We found that just 4.8 percent of this facility's residents returned home.

Our last area is nursing, where we awarded this facility a B- in that category. In calculating our nursing ratings, we factor in both staffing levels and the skill levels of the nurses. This nursing home provides only 0.3 hours of nursing care per resident on a daily basis. This is a somewhat uninspiring figure as it is well below the national average. Lastly, we also considered a few quality-based metrics in this category. Although this facility didn't rank well in terms of nursing hours, it performed much better in some of the quality-based metrics we assessed. By way of illustration, in terms of the number of its patients suffering from pressure ulcers, this nursing home performed better than the national average. This is usually an indicator that a place has sufficient quality controls in place. Pressure ulcers can typically be avoided with better nursing care.