Maryville

Although we gave this nursing home a poor overall grade, we actually gave it a fairly respectable grade in nursing, where it received a B-. This was certainly better than its other category scores. Our nursing score assesses the facility's nurse staffing levels. We look at both the levels of training of those nurses and the quantity of hours spent with patients. This nursing home provided just 0.5 hours of nursing care per patient daily. This is a relatively low total compared to most facilities. Despite having low quantities of nursing care, this facility actually excelled in some of the quality-based metrics we looked at. It performed well in terms of avoiding major falls and pressure ulcers. Many consider these areas to be indicators of the quality of nursing care. In some cases, the quality of nursing care is as important as the number of hours of care provided.

This nursing home's next most favorable category is its short-term care score, where it received a grade of B-. Our short-term care grade is generally used to judge a nursing home's performance with rehabilitation. To offer highly graded rehabilitation services, facilities generally must have better levels of highly skilled nursing. Skilled nursing includes registered nurses, physical therapists, occupational therapists and other highly skilled individuals. Unfortunately, this nursing home was below average in terms of its number of physical therapy and registered nurse hours provided to its patients based on the metrics we assessed. The last statistic we assessed in this category is the number of patients who were able to return home from the nursing home. We found that just 6.3 percent of this facility's patients returned home. This figure was below average.

The next area we analyzed was long-term care, where this nursing home was awarded a B- in this category. For patients in need of a permanent place to live rather than rehabilitation, long-term care is a very important category. In addition to looking at the amount of care provided by aids and other staff, we analyzed the percentage of residents vaccinated against pneumonia. Fortunately, this facility vaccinated 95.128204 percent of its residents, which is a very respectable total. Lastly, this facility was also able to limit hospitalizations. In fact, it had only 0.03 hospitalizations per one thousand long-term resident days, which is a remarkably low figure.

The last category we looked at is inspections. This grade is based on the facility's recent inspections. We awarded it a score of C in this area. We weigh several aspects of a nursing home's inspection report in calculating our inspection scores. One of those factors is deficiencies. It should be noted that the severity of these deficiencies is usually more meaningful than the quantity of deficiencies, as some of these end up being quite insignificant. Surprisingly, this nursing home was hit with a category J through K deficiency, which are among the worst possible deficiencies. This often tells you that CMS uncovered a deficiency which placed resident safety or health in imminent danger. We are also concerned by the fact that this facility was flagged by CMS for possible abuse or neglect. We prefer to avoid facilities with this designation. Please do your best to find an alternative nursing home.