Marshall Manor Nursing & Rehabilitation Center

To pair with its favorable overall performance, we awarded this nursing home an A for the area of inspections. Inspection ratings account for several factors found on a facility's inspection reports. One key criteria we weigh heavily is the quantity and severity of deficiencies. Places with higher grades in this category generally have few severe deficiencies. While this place had some minor dings on its government inspection report, it had zero severe deficiencies. Severe deficiencies are those found in categories G through L. This means the inspectors did not consider any of the deficiencies on this facility's report to pose an imminent threat to patient health or safety. We should note that deficiency-free inspection reports are rare in the industry.

Another one of this facility's above average category scores came in the category of long-term care. We gave them one of our more favorable grades in that category, with a grade of B+. Nursing homes that excel in long-term care typically provide patients with more supervision and stay on top of routine healthcare services. On top of assessing the amount of care provided by nurses aids and other staff, we also looked at the percentage of residents vaccinated for pneumonia. This nursing home administered the vaccine to 100 percent of its residents. Vaccines are critical to keeping patients out of the hospital. Finally, this nursing home was able to limit hospitalizations. It had only 0.02 hospitalizations per one thousand long-term resident days, which is a remarkably low figure.

This nursing home also received a strong nursing score. In fact, we awarded it an above average grade of B in this area. When determining a facility's nursing score, we assess the number of hours nurses spend with patients and the levels of training of the nurses. This nursing home averages 0.5 hours of nursing care per resident per day. Finally, we also assessed several nursing quality measures and this facility excelled in some of these areas. With less than five percent of its residents sustaining pressure ulcers, it performed as well as any facility the state in this category. This is generally a good indicator of quality nursing care. Pressure ulcers can many times be avoided by offering better nursing care, such as by having a system of turning a patient more frequently.

The final category we scored is short-term care, ended up being this nursing home's least impressive category. We awarded this nursing home a grade of D in this category. This really was one of the few weak links of a quality profile. Our short-term care grades are critical for patients seeking rehabilitation. Rehabilitation usually mandates more highly-skilled nursing. This means a broad spectrum of services, ranging from registered nurses to physical and speech therapists, as well as other types of therapy. Unfortunately, we found that this nursing home provided fewer physical therapist and registered nurse hours per resident than most other facilities. Lastly, we considered the number of patients who were able to return to the community from this facility. We found that just 4.7 percent of this facility's patients returned home.