Orchard Rehabilitation & Healthcare Center is in Hayneville, Alabama. We awarded this nursing home an A- overall grade, ranking it in the top quarter of all nursing homes in the country. Based on our ratings, this facility is really as good as it gets. The best aspect of this facility's impressive report card is its long-term care score. We discuss long-term care in the next paragraph

Additional Details:

Accepts Medicare 1 : TrueA checkmark indicating true.

Accepts Medicaid 1 : 72 Beds TrueA checkmark indicating true.

CCRC : FalseUsed to indicate false.

For profit - Corporation

Resident Council: TrueA checkmark indicating true.

Family Council: TrueA checkmark indicating true.

Medical Staff Hours Per Patient (2019)

Less:
More:
July
July 1, 2019July 2, 2019July 3, 2019July 4, 2019July 5, 2019July 6, 2019July 7, 2019July 8, 2019July 9, 2019July 10, 2019July 11, 2019July 12, 2019July 13, 2019July 14, 2019July 15, 2019July 16, 2019July 17, 2019July 18, 2019July 19, 2019July 20, 2019July 21, 2019July 22, 2019July 23, 2019July 24, 2019July 25, 2019July 26, 2019July 27, 2019July 28, 2019July 29, 2019July 30, 2019July 31, 2019
August
August 1, 2019August 2, 2019August 3, 2019August 4, 2019August 5, 2019August 6, 2019August 7, 2019August 8, 2019August 9, 2019August 10, 2019August 11, 2019August 12, 2019August 13, 2019August 14, 2019August 15, 2019August 16, 2019August 17, 2019August 18, 2019August 19, 2019August 20, 2019August 21, 2019August 22, 2019August 23, 2019August 24, 2019August 25, 2019August 26, 2019August 27, 2019August 28, 2019August 29, 2019August 30, 2019August 31, 2019
September
September 1, 2019September 2, 2019September 3, 2019September 4, 2019September 5, 2019September 6, 2019September 7, 2019September 8, 2019September 9, 2019September 10, 2019September 11, 2019September 12, 2019September 13, 2019September 14, 2019September 15, 2019September 16, 2019September 17, 2019September 18, 2019September 19, 2019September 20, 2019September 21, 2019September 22, 2019September 23, 2019September 24, 2019September 25, 2019September 26, 2019September 27, 2019September 28, 2019September 29, 2019September 30, 2019
October
October 1, 2019October 2, 2019October 3, 2019October 4, 2019October 5, 2019October 6, 2019October 7, 2019October 8, 2019October 9, 2019October 10, 2019October 11, 2019October 12, 2019October 13, 2019October 14, 2019October 15, 2019October 16, 2019October 17, 2019October 18, 2019October 19, 2019October 20, 2019October 21, 2019October 22, 2019October 23, 2019October 24, 2019October 25, 2019October 26, 2019October 27, 2019October 28, 2019October 29, 2019October 30, 2019October 31, 2019
November
November 1, 2019November 2, 2019November 3, 2019November 4, 2019November 5, 2019November 6, 2019November 7, 2019November 8, 2019November 9, 2019November 10, 2019November 11, 2019November 12, 2019November 13, 2019November 14, 2019November 15, 2019November 16, 2019November 17, 2019November 18, 2019November 19, 2019November 20, 2019November 21, 2019November 22, 2019November 23, 2019November 24, 2019November 25, 2019November 26, 2019November 27, 2019November 28, 2019November 29, 2019November 30, 2019
December
December 1, 2019December 2, 2019December 3, 2019December 4, 2019December 5, 2019December 6, 2019December 7, 2019December 8, 2019December 9, 2019December 10, 2019December 11, 2019December 12, 2019December 13, 2019December 14, 2019December 15, 2019December 16, 2019December 17, 2019December 18, 2019December 19, 2019December 20, 2019December 21, 2019December 22, 2019December 23, 2019December 24, 2019December 25, 2019December 26, 2019December 27, 2019December 28, 2019December 29, 2019December 30, 2019December 31, 2019

Long-term Care Quality

A+
Oct 18: A-Nov 18: A-Dec 18: A-Jan 19: A-Feb 19: A-Mar 19: A-Apr 19: B+May 19: B+Jun 19: B+Jul 19: A-Aug 19: A-Sep 19: A-Jan 20: A-Mar 20: A-Apr 20: A-May 20: A-Jun 20: A-Jul 20: A+Aug 20: A+
Historical

We also found that this facility excelled in our long-term care rating. We awarded them an impressive grade of A+ in this category. When facilities receive a grade in this range in long-term care it typically means it's well-staffed and is a quality place to reside on a permanent basis. One of the statistics we considered on top of nursing hours was vaccines. This facility provided the pneumonia vaccine to 99.557526 percent of its patients. Vaccination is a great way to avoid unnecessary deaths and hospitalizations for the nursing home population. Clearly, this nursing home is doing something right in this area as it was able to keep its residents out of the hospital. Indeed, it had only 0 hospitalizations per 1,000 long-term resident days, which is a remarkably low number.

Nurse Quality

A
Oct 18: B+Nov 18: B+Dec 18: B+Jan 19: BFeb 19: BMar 19: BApr 19: BMay 19: B+Jun 19: B+Jul 19: B+Aug 19: B+Sep 19: B+Jan 20: AMar 20: AApr 20: AMay 20: AJun 20: AJul 20: AAug 20: A
Historical

Adding to its impressive resume, this nursing home also excelled in our nursing category. In fact, we awarded it a grade of A for that category. In determining our nursing ratings, we weigh both the number of hours nurses spend with residents and the skill levels of the nurses. With 4 hours of nursing care per resident daily, this nursing home surpassed the national average. Lastly, this facility also excelled in the quality-based metrics we looked at. It performed as well as any facility the country in the area of minimizing its residents' major falls and pressure ulcers.

Facility Inspections

A-
Oct 18: ANov 18: ADec 18: AJan 19: AFeb 19: AMar 19: AApr 19: A-May 19: A-Jun 19: A-Jul 19: A-Aug 19: A-Sep 19: A-Jan 20: A-Mar 20: A-Apr 20: A-May 20: A-Jun 20: A-Jul 20: A-Aug 20: A-
Historical

We awarded this facility an A- for our inspections rating. Our inspection scores weigh a host of factors found on a nursing home's inspection reports. One of the most important criteria we weigh heavily is the number and severity of deficiencies. Nursing homes with better grades in this category generally have very few severe deficiencies. This nursing home received 3 deficiencies on its inspection report, but fortunately none were considered to be severe deficiencies. This tells you that CMS didn't deem any of these deficiencies an imminent threat to resident safety or health. Finally, this facility had no substantiated complaints this year from residents, which is an excellent sign.

Short-term Care Quality

B-
Oct 18: B+Nov 18: B+Dec 18: B+Jan 19: B+Feb 19: B+Mar 19: B+Apr 19: B+May 19: B+Jun 19: B+Jul 19: B+Aug 19: B+Sep 19: B+Jan 20: B-Mar 20: B-Apr 20: B-May 20: B-Jun 20: B-Jul 20: B-Aug 20: B-
Historical

The last category we assessed is short-term care, where this nursing home was given a B-. Even though this is its worst category rating, this is nevertheless not a major area of concern. In forming these short-term care ratings, we look at the facility's skilled nursing services, including those performed by registered nurses, occupational therapists, physical therapists and other types of skilled professionals. Our objective is to create a scale for sizing up the rehabilitation services of nursing homes. We were pleased to find that this nursing home employs both registered nurses and physical therapists. The same can't be said for all nursing homes. The final metric we assessed in this category is the percentage of patients that who were able to eventually return home from the facility. We found that just 34.7 percent of this facility's patients returned home.

Overall Rating Over Time

Compared to national and state averages across all facilities.

Aug 20
Provider:
A-
State:
A-
National:
B
FDCB-BB+A-AA+Oct 18Nov 18Dec 18Jan 19Feb 19Mar 19Apr 19May 19Jun 19Jul 19Aug 19Sep 19Oct 19Dec 19Jan 20Mar 20Apr 20May 20Jun 20Jul 20Aug 20
Overall Rating
Nurse Rating
Long-Term Rating
Short-Term Rating
Inspection Rating

Orchard Rehabilitation & Healthcare Center Quality Metrics

Minimizes Pressure Ulcers

This metric tells you the percentage of long-term residents that are suffering from pressure ulcers or bed sores. We factor in this statistic in computing our nursing grades.

Provider
A-
4.9%
State
B
7.31%
National
B
7.34%

Percent of Patients with Pressure Ulcers
Lower is Better

Minimizes Serious Falls

This metric is an indication of the percentage of long-term patients who have suffered a fall resulting in major injury. Falls can happen for a variety of reasons, but high rates of major falls may be an indication of poor nursing care.

Provider
A+
0%
State
B
3.36%
National
B
3.36%

Percent of Patients with Serious Falls
Lower is Better

Minimizes Urinary Tract Infections

This is the percent of residents who sustained a urinary tract infection. These infections may be linked to poor hygiene.

Provider
B-
3.15%
State
B-
3.68%
National
B
2.66%

Percent of Patients with UTIs
Lower is Better

Appropriately Uses Anti-Psychotic Medication

This is the percent of patients given antipsychotic medications. These medications are used for several medical conditions, such as cognitive disorders.

Provider
D
20.77%
State
B-
19.04%
National
B
14.15%

Percent of Patients
Lower is Better

Appropriately Uses Anti-Anxiety Medication

This statistic indicates the percent of long-term patients that were prescribed antianxiety medication. These medications are commonly given to patients suffering from anxiety and depression.

Provider
A+
6.33%
State
B-
24.34%
National
B
19.69%

Percent of Patients
Lower is Better

Managing Depression Among Residents

This is the percentage of patients exhibiting depressive symptoms. Increased levels of depression may be a sign worse patient care.

Provider
A+
0%
State
A-
1.2%
National
B+
5.11%

Percent of Patients
Lower is Better

Appropriate Vaccine Usage

This is the percentage of patients that were administered the flu and pneumonia vaccines. High vaccination rates should be standard at this point.

Provider
C
93.43%
State
B
93.13%
National
B
92.01%

Percent of Patients
Higher is Better

Residents Maintain Autonomy

This is the percentage of residents who required additional assistance with activities of daily living over time. High levels of needing for assistance with activities of daily living could indicate deterioration of a patient's health.

Provider
B-
15.63%
State
B+
13.13%
National
B
14.47%

Percentage of Patients
Lower is Better

Ability to Keep Residents Mobile

This metric measures the percentage of long-term stay patients who were able to retain mobility. Some believe that the ability to move around is important for residents' physical and mental health.

Provider
B
17.31%
State
B-
14.94%
National
B
17.10%

Percentage of Residents
Higher is Better

Short-term Care: Rehospitalizations

This metric is a measure of the number of rehospitalizations per thousand days of short-term patient care. Avoiding the hospital during rehabilitation is critical to restoring the health of residents.

Provider
B
17.31
State
B+
14.94
National
B
17.10

Percentage of Residents Rehospitalized
Lower is Better

Short-term Care: Facilitates Functional Improvement

This metric measures the percent of short-term stay patients who saw functional improvements.

Provider
B+
71.59%
State
B-
65.86%
National
B
68.02%

Percentage of Resident
Higher is Better