Pu'uwai 'O Makaha

In addition to receiving a great overall grade, this facility also received an excellent nursing score, with a grade of A. In determining a facility's nursing rating, we consider the number of hours nurses are caring for residents as well as the level of skill of those nurses. This facility provided 0.4 hours of nursing care per resident per day. Finally, our nursing grades also factor in quality-based assessments, such as avoiding major falls. This place performed well in this area. Avoiding major falls is typically a good indicator that a place has reliable quality controls in place. Major falls can frequently be avoided if more nurses aids and better safety protocols are in place.

Adding to its high-end performance in other areas, we awarded this nursing home a score of A for our short-term care rating. Short-term care grades are based in part on a nursing home's quantity of skilled skilled healthcare professionals. This means a wide spectrum of services, ranging from registered nurses to physical and occupational therapists, not to mention other variations of therapy. Fortunately, it appear that this nursing home has registered nurses on staff. Not all nursing homes employs these skilled professionals. On the other hand, based on the data this nursing home provided, they do not appear to employ physical therapists. Finally, we assessed the number of patients who ultimately returned home from this nursing home. We found that 0 percent of this nursing home's patients returned home.

Another strong feature for this nursing home is that it excelled in inspections, with a grade of B in that category. Perhaps the most critical factor we consider in determining our inspection grades is deficiencies. These deficiencies are found on a facility's inspection reports. Nursing homes with higher scores in this category typically avoided the most severe deficiencies involving health risks or even death. This particular nursing home had just a single deficiency on its inspection report and it was not one deemed to pose a threat to patient health or safety. Even some of the best nursing homes receive an occasional ding on their inspection report.

Switching gears to our last category, this facility was given a respectable long-term care score. While this is not quite as elite as many of its other category grades, this is really nothing to be ashamed of. For residents looking for a permanent place to live rather than skilled nursing, long-term care grades are an important measure. After looking at the volume of care provided by nurses aids and other staff, we then looked at the nursing home's vaccination statistics. We were pleased to find that this facility vaccinated 100 percent of its residents against pneumonia. Finally, this facility was also able to limit hospitalizations. In fact, it had only 0 hospitalizations per 1,000 long-term resident days, which is an impressively low figure.