Monroe Rehabilitation Center

Although we didn't rate this nursing home favorably overall, we actually gave it an excellent grade in the category of inspections, where it received an A-. We take several aspects of a facility's inspection report into consideration in computing our inspection ratings. One critical factor is health deficiencies. You should keep in mind that the severity of the deficiencies is arguably more important than the number of deficiencies, as some of these are quite insignificant. This place was assessed 4 deficiencies on its inspection report, but fortunately none of the deficiencies were considered to be major deficiencies. This tells you that the government inspectors didn't consider any of these deficiencies an imminent threat to patient safety or health. A couple minor deficiencies aren't the end of the world.

Moving on to the area of long-term care, this facility was given a grade of just D in this category. Unfortunately, this ended up being one of its better features. Facilities that do not fare well in long-term care often don't provide as much nursing care and also may be struggling in a few of the areas of routine medical care we looked at. Once we assessed the volume of care provided by nurses and other staff, we next considered the nursing home's vaccination record. This nursing home vaccinated 92.25 percent of its residents against pneumonia, which is somewhat lower than we were hoping for but still a reasonably acceptable percentage. Surprisingly, this nursing home was actually able to limit hospitalizations. With just 0.01 hospitalizations per one thousand long-term resident days, this facility has fewer hospitalizations than the majority of nursing homes. This was its best feature in this category.

We awarded this facility just a D for our short-term care score. This is not a very good score. Short-term care grades are commonly employed to assess a nursing home's rehabilitation services In order to offer good rehabilitation services, nursing homes generally must provide higher levels of highly skilled nursing. These types of services include registered nurses, physical therapists, speech therapists and other highly skilled individuals. Based on its score in this category, we weren't surprised to find that this nursing home is well below average in terms of its quantity of physical therapy and registered nurse hours offered to its residents based on the metrics we looked at. Honestly, this was what we expected here. Lastly, we considered the number of residents who were able to return to the community from this facility. This definitely wasn't a strength for this nursing home. We found that just 4 percent of this nursing home's residents returned home. At most facilities, around half of their residents are able to return home so this is well below average.

The final area we looked at is nursing, where this facility was given a rock bottom grade here also. We gave it an F for this category, which is definitely a major disappointment. In determining our nursing grades, we analyze both nursing hours and the levels of licensure of the nurses. This nursing home averaged only 0.3 hours of nursing care per resident each day. This facility also had abysmal marks in some of the quality-based measures to go along with its weak nursing hours. We looked at the percent of patients experiencing pressure ulcers. This nursing home was at more than double the national average in this datapoint.