Nhc Healthcare, Milan

To go along with its strong overall grade, we awarded this nursing home a grade of A+ for our inspections rating. We weigh several aspects of a nursing home's inspection report in calculating these inspection grades. One key factor is health deficiencies. It should be noted that the severity of the deficiencies is arguably more important than the quantity of deficiencies, as some deficiencies can be relatively insignificant. Fortunately, although this nursing home had a few minor dings on its government inspection report, it had zero severe deficiencies. Severe deficiencies are found in categories G through L. This means that the inspectors didn't consider any of the deficiencies on this facility's report to pose an imminent threat to patient safety or health. Remember that deficiency-free inspection reports are uncommon in the industry.

On the list of its many high-end grades, this nursing home received first-rate short-term care score. In fact, we awarded it a score of A- in that area. Short-term care grades are generally used to gauge a facility's rehabilitation services. In order to offer highly scored rehabilitation services, nursing homes generally need to feature higher levels of skilled nursing services. Skilled nursing includes registered nurses, physical therapists, respiratory therapists and other highly trained professionals. Fortunately, it appear that this nursing home has registered nurses on staff. Not every nursing home employs these skilled professionals. However, based on the information this nursing home provided, it does not look like the facility employs physical therapists. The last measure we assessed in this area is the percentage of residents who were able to leave the facility and return to the community. We discovered that 5.4 percent of this facility's residents returned home.

This facility also excelled in the area of nursing, where it received a grade of A-. Few nursing homes performed better in this area. Nursing ratings are heavily correlated with quality and quantity of nursing care. This nursing home averages 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 nursing home Tennessee in this category. This is generally a good indicator of quality nursing care. Pressure ulcers can generally be prevented by offering better nursing care, such as having a system of turning a patient more frequently.

The last category we rated was long-term care, in which this facility received a B-. While this is its weakest category score, this is nevertheless nothing to be ashamed of. In crafting these long-term care scores, we assess the nursing home's ability to maintain its permanent residents' health and quality of life. Once we looked at the amount of care provided by aids and other staff, we turned to the facility's vaccination data. This nursing home vaccinated 100 percent of its patients against pneumonia, which is higher than most nursing homes. Lastly, this facility was also able to limit hospitalizations. Indeed, it had only 0.01 hospitalizations per 1,000 long-term resident days, which is a remarkably low number.