Manorcare Health Services - Parma

Manorcare Health Services - Parma is a large non-profit facility located in North Royalton, Ohio. With an overall grade of B-, this is likely a middle of the road facility. With no A rated nursing homes in the city, this proved to be the best facility in North Royalton. The best part of this place's profile was is its inspection grade. We discuss inspections in the next section.

To pair with its relatively modest overall score, we gave this facility an A- for its inspection grade. This is far more impressive than the facility's overall grade. Our inspection grades weigh several factors included in a nursing home's inspection report. One of the most important criteria we rely on is the quantity and severity of deficiencies. Nursing homes with higher grades in this area typically have few severe deficiencies. Although this facility had some deficiencies on its report, none of them were severe based on CMS' deficiency scale. The fact that none of the deficiencies were severe leaves us less concerned with this inspection report.

This facility also received an impressive short-term care grade. In fact, we gave them a B+ in that area, which happens to be one of our more favorable scores. In determining our short-term care scores, we look at the nursing home's skilled nursing services, including those performed by registered nurses, speech therapists, physical therapists and other types of skilled professionals. The objective is to formulate a measure for comparing the rehabilitation services of various nursing homes. This nursing home provided more registered nurse and physical therapist hours per patient than most facilities. Finally, we looked at the percentage of patients who were able to return to the community from this nursing home. We found that it outperformed the majority of facilities in this area with 50.8 percent of its residents able to return home.

One of this facility's better category grades was in the area of nursing care. In that area, we gave this facility a grade of B-. We looked at the licensure of nurses employed by the nursing home, as well as the number of hours those nurses worked with residents, in calculating our score in this category. This nursing home provides 3.4 hours of nursing care per resident per day. Lastly, our nursing grades also factor in some quality-focused statistics. Specifically, we look at the percent of residents who sustained pressure ulcers and major falls. We view these statistics as predictive indicators of the quality of nursing care, since better care tends to reduce these problems.

The last category we scored was long-term care, ended up being this nursing home's weakest category. We awarded this facility a grade of D in that area. This was one of just a few dings on a quality report card. For prospective residents in need of a permanent residence rather than skilled nursing, long-term care grades are an important measure. In addition to assessing the quantity of care provided by aids and other staff, we looked at the percentage of residents vaccinated for pneumonia. This facility administered the vaccine to 94.41341 percent of its patients, which is higher than the average nursing home. To our surprise, this place also keeps its patients out of the hospital. Indeed, it had just 1.53 hospitalizations per one thousand long-term resident days. Sadly, a few of its other scores in this category were not as favorable as these.