Presidential Post Acute

In addition to being an elite nursing home overall, this facility also performed well in the area of inspections, where it earned an A+. Very few places fared this well in this area. Arguably the most important factor we consider in determining our inspection scores is deficiencies. These deficiencies are found on a nursing home's inspection reports. Facilities with higher scores in this category typically avoided the most severe deficiencies involving health risks or even death. While this facility had a few deficiencies on its inspection report, none of them were severe based on CMS' scale. We should note that deficiency-free inspections are rare in the industry.

Another one of this facility's above average category scores came in the area of short-term care. We gave them one of our stronger grades in that area, with a grade of B+. In determining our short-term care grades, we size up a facility's levels of skilled nursing, which includes registered nurses, physical therapists occupational therapists and other highly skilled individuals. This rating is generally a fair measure of a nursing home's ability to rehabilitate patients. Fortunately, it looks like this nursing home has registered nurses on staff. Not all nursing homes employs these types of nurses. On the other hand, according to the data they provided, they do not appear to employ physical therapists. The last item we considered in this category is the percentage of residents that ultimately were able to return home from the nursing home. We found that 5.9 percent of this nursing home's residents returned home as opposed to remaining at the nursing home on a permanent basis.

In addition, this facility also received favorable nursing grades this year. In fact, we awarded them one of our better scores in that area, with a grade of B+. Our nursing grade is based on the facility's nurse staffing levels. We look at both the levels of training of the nurses and the number of hours spent with patients. This facility provided 0.3 hours of nursing care per resident per day. Lastly, we also assessed some nursing quality measures in determining our nursing grades. This place performed very well when it comes to avoiding major falls and pressure ulcers. We consider these areas to be good indicators of the quality of nursing care.

Switching gears to the fourth area, we gave this facility a grade of D for long-term care. This was the nursing home's weakest category score. However, you should not dwell on one poor area. Long-term care scores of this caliber generally are a bad sign for the quantity and quality of care provided by nurses and aids, as well as the levels of routine medical care available. On top of assessing the amount of care provided by nurses aids and other staff, we also looked at the number of residents vaccinated for pneumonia. This nursing home vaccinated 93.08943 percent of its residents. This is slightly less than we expected but still a respectable percentage. To our surprise, this facility was actually decent at keeping its residents out of the hospital. It had just 0.01 hospitalizations per 1,000 long-term resident days. This was its best feature in this category.