Respiratory and Nursing Center of Dayton

The main reason this nursing home received a decent overall score is its excellent inspections in recent years. We gave them one of our higher grades in that category, with an A+. This is a much better grade than the facility's overall grade, which was decent but not in the elite range. We take several aspects of a facility's inspection report into consideration in calculating our inspection grades. One critical factor is health deficiencies. You should keep in mind that the severity of these deficiencies is usually more important than the quantity of deficiencies, as some deficiencies are quite insignificant. While this nursing home had some deficiencies on its government inspection report, none were severe based on CMS' scale. Finally, this facility had no substantiated complaints this year from residents, which is always a good sign.

In addition, we also wanted to point out that this nursing home was awarded strong long-term care marks in this assessment. We gave them one of our more impressive grades in that area, with a grade of B+. This proved to be the facility's second highest score. Nursing homes that excel in long-term care typically provide residents with more supervision and stay on top of routine medical care. In addition to looking at the quantity of care provided by aids and other staff, we looked at the number of residents vaccinated for pneumonia. This facility provided the vaccine to 100 percent of its patients. Vaccines are vital to keeping patients healthy. Clearly, this facility is doing something right in this area as it also excelled at keeping its patients out of the hospital. Indeed, it had only 0.04 hospitalizations per one thousand long-term resident days, which is an impressively low number.

Next, we looked at the nursing category where we gave this nursing home an F. This is certainly not one of this facility's better areas. Our nursing grade analyzes the facility's nurse staffing levels. We look at both the levels of training of those nurses as well as the quantity of hours spent with patients. This facility provided just 0.3 hours of nursing care per resident per day. This is a very low total compared to most nursing homes. Lastly, we also assessed some nursing quality-based metrics in calculating our nursing grades. This nursing home fared well in the area of minimizing its residents' pressure ulcers and major falls. We consider these areas to be indicators of the quality of nursing care.

The last category we graded was short-term care, which was this facility's worst area. Unfortunately, we gave it an F in this category, which is clearly very concerning. Our short-term care grade is often employed to judge a nursing home's performance with rehabilitation. To have high-end rehabilitation services, nursing homes generally need to provide better levels of highly skilled nursing. Skilled nursing includes registered nurses, physical therapists, speech therapists and other highly trained professionals. Given its score in this area, we weren't stunned to find that this facility was well below average in terms of the quantity of physical therapy and registered nurse hours provided to its residents based on the measures we looked at. Frankly, this was about what we expected to find. The final item we looked at in this area is the number of residents who who were able to eventually return home from the facility. This nursing home struggled quite a bit in this metric as well, with just 0 percent of its patients returning home.