Rancho Manor Healthcare and Rehabilitation Center

Although this nursing home's overall grade was terrible, it actually fared well in the area of inspections. In fact, we awarded it a grade of B for that area, which is one of our better scores. Arguably the most important factor we consider in determining our inspection scores is deficiencies. Deficiencies can be found on a nursing home's recent inspection reports. It is generally in your best interest to avoid nursing homes that had a long list of severe deficiencies. While this facility had a few minor dings on its inspection report, it had zero severe deficiencies. Severe deficiencies are those found in categories G through L. This tells you the inspectors did not deem any of the deficiencies on this facility's report to pose an imminent threat to patient safety or health. A few minor deficiencies are not necessarily the end of the world.

Incredibly, we gave this nursing home a grade of C for its long-term care rating, which isn't too bad of a score. In a long-term care setting, the nursing home's primary goal is to keep patients as healthy and safe as possible. This is different than skilled nursing or short-term care where the goal is to rehabilitate residents. After assessing the volume of care provided by nurses and other staff, we then looked at the nursing home's vaccination record. Frankly, we were a bit concerned this facility vaccinated 89.01515 percent of its residents against pneumonia, which is quite a few points less than what we were hoping for. Nevertheless, this nursing home keeps its patients out of the hospital. In fact, it had less than one hospitalization per one thousand long-term resident days, which is an impressively low number.

Additionally, we gave this facility a rock-bottom F in the area of short-term care. In our short-term care grade, we endeavor to craft a valuable gauge for rehabilitation services. In this process, we analyze the nursing home's scope of highly-skilled nursing services, including both registered nurses and physical therapy, as well as respiratory therapy. Not surprisingly, we discovered that this nursing home offers far less registered nurse and physical therapist hours per resident than the average facility. Finally, we assessed the percentage of residents who were able to return to the community from this facility. This definitely was not a strength for this nursing home. We found that just 0 percent of this nursing home's patients returned home. At most facilities, around half of their patients are able to return home so this is well below average.

Turning to the fourth area, this nursing home really didn't fare very well here either. Due to a poor grade of F in nursing, this is really as terrible as it gets. In computing a facility's nursing score, we weigh the number of hours nurses are with residents and the skill levels of those nurses. This facility provided just 2 hours of nursing care per resident per day. This is a very low total compared to most nursing homes. This facility also had terrible scores in some of the quality-based measures to pair with its weak nursing hours. We looked at the percent of residents sustaining pressure ulcers. This nursing home was at more than double the national average in this metric.