Madisonville Health & Rehabilitation

We want to point out that this facility really outperformed its overall grade in the category of inspections. In fact, it received a nearly flawless government inspection report this year. As a result, it received one of our highest scores in this category with an A. We take several aspects of a facility's inspection report into consideration in determining these inspection grades. One of those factors is health deficiencies. You should keep in mind that the severity of these deficiencies is arguably more meaningful than the number of deficiencies, as some of these can be relatively minor. Unfortunately, we weren't able to find information about this nursing home's deficiencies. We wish we had more information about this nursing home. Without the information regarding deficiencies, it is a challenge to fully grade the place in the inspections category.

Additionally, we awarded this facility a grade of B in our long-term care category. This is one of our better grades. Nursing homes that receive this type of score in this category tend to provide consistent 24/7 care to ensure residents are well cared for. After considering the amount of care provided by nurses, we turned to the nursing home's vaccination records. This facility vaccinated 98.765434 percent of its residents for pneumonia, which is what we like to see. Pneumonia can be a life threatening ailment for nursing home residents so we strongly prefer when a facility does not leave this to chance. The last statistic we looked at is the nursing home's hospitalization rate. Here we found that this facility had 1.99 hospitalizations per 1,000 long-term resident days, which is close to average in this area.

Another strength of this facility is its favorable grade in nursing. We gave them one of our better scores in that area, with an impressive grade of D. Our nursing rating is based on a handful of subcategories, however, the primary one is the quantity of nurse hours per patient per week. This place offered only 3 hours of nursing care per patient daily. This is well below average. Unfortunately, this nursing home also had terrible marks in some of the quality-based measures to pair with its low nursing hours. We looked at the percentage of residents sustaining pressure ulcers and we were quite disappointed. This facility was at roughly 1.5 times the national average in this metric. This is likely a bad sign when you consider that so many bed sores are preventable with better nursing care. This statistic helped pull down this nursing home's nursing grade quite a bit.

This nursing home's weakest area is short-term care, which is the last category we scored. It received an abysmal F for this area. In spite of a few acceptable grades in other categories, this grade is still concerning so we would like to to make a note of it. Our short-term care grades are believed to be most important for individuals requiring rehabilitation services. Rehabilitation typically utilizes higher levels of skilled nursing services. Skilled nursing includes not merely nursing services, but also physical and respiratory therapy, as well as other types of therapy. Given its grade in this area, we weren't stunned to find that this facility was well below average in terms of the number of physical therapy and registered nurse hours provided to its residents based on the measures we assessed. Honestly, this was about what we expected here. Lastly, we considered the percentage of patients who were able to return to the community from this nursing home. This definitely wasn't a strength for this facility. We found that just 20.3 percent of this facility's patients returned home. At most facilities, around half of their patients are able to return home so this is well below average.