Middletown Nursing and Rehabilitation Center

One of the reasons this ended up being a quality nursing home is that it earned a very impressive inspection grade. Inspections turned out to be its best category grade. In that area, we gave it a grade of A. Arguably the most critical factor we look at in computing our inspection scores is deficiencies. Deficiencies are found on a nursing home's recent inspection reports. Nursing homes with better grades in this area most likely dodged the more severe deficiencies involving health risks or even death. Although this place had a few deficiencies on its inspection report, none of them were major deficiencies based on CMS' deficiency scale. The fact that the deficiencies were relatively minor made us feel better about this inspection report.

One of the other reasons we graded this facility so highly is that it earned a very impressive nursing score. In fact, nursing proved to be its second best category grade. In that area, we awarded this nursing home an A-. Our nursing grade weighs many subcategories, however, the paramount one is the number of nurse hours spent with patients. This facility provided 0 hours of nursing care per resident per day. Finally, our nursing grades also factor in quality-based assessments, such as avoiding major falls. This nursing home performed well in this area. Avoiding major falls is typically a good indicator that a place has reliable quality controls in place. Major falls can generally be prevented if more nurses aids and better safety protocols are in place.

This facilities third most favorable category is short-term care. We gave it a B- in this category. This is basically a slightly below average grade in this category. In our short-term care grade, we strive to create a meaningful gauge for rehabilitation services. In doing so, we analyze a facility's offerings of skilled nursing services, including both registered nurses and physical therapy, as well as occupational therapy. Unfortunately, we were not able to find registered nurse or physical therapy staffing data for this nursing home. Finally, we considered the percentage of residents who were able to return home from this nursing home. We found that 4.1 percent of this facility's patients were able to return home. This figure was actually quite a bit below average.

The next category we looked at was long-term care, turned out to be this nursing home's worst area. We gave this nursing home a grade of D in this area. This really was one of just a few weak links in a quality report card. For long-term care residents, the facility's primary goal is to maintain patients' quality of life and keep them safe. In addition to assessing the amount of care provided by nurses and other staff, we also looked at the percentage of residents vaccinated against pneumonia. Fortunately, this nursing home gave the vaccine to 95.454544 percent of its residents, which is an above average percentage. To our surprise, this nursing home also keeps its residents out of the hospital. Indeed, it had just 0 hospitalizations per 1,000 long-term resident days. Unfortunately, some of its other scores in this category were not as favorable as these.