Miravilla Care Center

One of the reasons this place received a great overall grade is that it received a very impressive nursing rating. In that area, we awarded this nursing home an A. The nursing grade consists of quite a few subcategories, most of which are tied to quantities of nurse staffing. This nursing home provides 0.4 hours of nursing care per resident per day. Finally, we also assessed several nursing quality measures and this nursing home 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 nation in this category. This is generally a good indicator of quality nursing care. Pressure ulcers can many times be prevented by providing better nursing care, such as by employing a policy of turning patients even once per day.

This nursing home also excelled in inspections. We gave it a grade of B+ for that area, which is one of our highest grades. This is one of the few facilities with an overall grade in this range which received multiple category grades this high. Our inspection scores weigh several factors included in a nursing home's inspection reports. One of the most important criteria we consider is the quantity and severity of deficiencies. Nursing homes with higher scores in this category typically have few of these severe deficiencies. This nursing home was assessed 2 deficiencies on its inspection report, but none were considered severe. This indicates that the government inspectors did not consider any of the deficiencies to create an imminent threat to patient safety or health. We should point out that deficiency-free inspections are uncommon in the industry.

Additionally, this facility also was awarded favorable short-term care scores this year. Indeed, we gave it one of our more favorable scores in that category, with a score of B+. In the category of short-term care, we seek to assess indicators of a facility's rehabilitation. We look at the nursing home's skilled nursing services, including those performed by registered nurses and physical and occupational therapists. Unfortunately, it doesn't appear that this nursing home provided registered nurse or physical therapist staffing data. The final metric we considered in this area is the percentage of residents who who were able to eventually return home from the nursing home. We found that 0 percent of this nursing home's residents returned home as opposed to remaining at the facility on a permanent basis.

The last category we analyzed was long-term care. This nursing home was awarded a strong long-term care score this year, with a B. This nursing home truly did not have any weak spots. Long-term care ratings of this caliber generally require both around the clock care from nurses and aids, as well as quality routine medical care. After we finished assessing the amount of care provided by nurses, we turned to the nursing home's vaccination data. This facility vaccinated 100 percent of its patients for pneumonia, which is what we like to see. Pneumonia sadly can be a deadly condition for nursing home residents so we prefer when a nursing home doesn't leave its residents vulnerable. Clearly, this nursing home is doing something right in this area as it also excelled at keeping its residents out of the hospital. In fact, it had only 0.01 hospitalizations per one thousand long-term resident days, which is a remarkably low figure.