Madisonville Health & Rehabilitation

We want to point out that this nursing home outperformed its overall grade in the category of inspections. In fact, it received an excellent government inspection report this year. As a result, it received one of our highest scores in this category with an A+. We weigh several aspects of a nursing home's inspection report in calculating these inspection grades. One critical factor is deficiencies. You should keep in mind that the severity of deficiencies is arguably more meaningful than the quantity of deficiencies, as some deficiencies end up being relatively insignificant. Unfortunately, it does not look like we were able to find deficiency counts for this nursing home. Finally, this facility had no substantiated complaints this year from residents, which is an excellent sign.

In addition, we also wanted to draw your attention to the fact that this nursing home was awarded favorable long-term care marks this year. We gave them one of our higher scores in this area, with a grade of B+. This proved to be the facility's second highest grade. In a long-term care setting, the primary objective is to keep patients as healthy and safe as possible. This is different than skilled nursing or short-term care where the goal is to rehabilitate residents. After looking at the quantity of care provided by nurses aids and other staff, we next considered the facility's vaccination records. This facility vaccinated 80.4054 percent of its residents for pneumonia, which happens to be slightly below what we anticipated but still a decent figure. Although its vaccination rate was a bit lower than we like to see, we were pleased to find place was able to limit hospitalizations. In fact, it had only 0.01 hospitalizations per 1,000 long-term resident days, which is an impressively low figure.

One of this facility's better category grades was in the area of nursing care. In that area, we gave this facility a grade of C. When determining our nursing scores, we weigh both the number of hours nurses spend with residents and the levels of licensure of the nurses. This nursing home provides 0.3 hours of nursing care per resident per day. This is a much lower figure than we are used to seeing. Finally, while this facility got docked a bit for nursing hours, it actually excelled in some of our quality-based metrics. With less than five percent of its patients suffering from pressure ulcers, it fared remarkably well in this metric.

This facility's weakest category was short-term care, which is the final area we scored. We gave it an F in this area. In spite of a few solid grades in other categories, this score is nevertheless disappointing so we felt obligated to point it out. In the area of short-term care, we try to qualify measures of a facility's rehabilitation services. We look at a nursing home's skilled nursing services, including those performed by registered nurses and physical therapists. Unfortunately, we found that this nursing home provided fewer physical therapist and registered nurse hours per resident than most other facilities. Finally, we considered the number of residents that ultimately returned home from this facility. This nursing home didn't fare well here either. In fact, we found that just 1.2 percent of this facility's residents were able to return home.