Sanctuary Medina

While we were not high on this nursing home overall, we awarded it a B+ for our inspections rating. This grade is far better than the facility's overall grade. Our inspection scores account for several factors found on a facility's inspection report. One key criteria we rely on is the number and severity of deficiencies. You generally want to avoid nursing homes with a list of severe deficiencies flagged. Fortunately, although this facility had some minor dings on its report, it had no severe deficiencies. Severe deficiencies are labeled as categories G, H, I, J, K and L. This means CMS didn't consider 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.

We also ended up giving this facility a fairly respectable grade in the area of nursing, where it received a grade of C. Our nursing score is largely associated with a facility's nurse staffing. This place provides 0.3 hours of nursing care per patient each day. This is a much lower figure than we are used to seeing. Despite having low quantities of nursing care, this facility excelled in some of the quality measures we looked at. In fact, it performed well in the area of minimizing its residents' pressure ulcers and major falls. Many consider these areas to be reliable indicators of the quality of nursing care. In many cases, the quality of nursing care is as important as the number of hours of care provided.

Unfortunately, this nursing home only earned a grade of D for its short-term care score, which is well below average in this category. Our short-term care grades are critical for people in need of rehabilitation. Rehabilitation typically mandates additional skilled nursing. Skilled nursing means a wide range of services, ranging from registered nurses to physical and respiratory therapists, as well as other forms of therapy. With its grade in this category, we weren't stunned to learn that this place is well below average in terms of the quantity of physical therapy and registered nurse hours offered to its patients based on the measures we assessed. Lastly, we considered the number of residents that returned home from this nursing home. This facility didn't fare well here either. In fact, we found that just 4.4 percent of this facility's residents were able to return home. This figure was quite a bit off the national average.

The next category we rated is long-term care. This nursing home was given a rock bottom grade of F in that area. Nursing homes that don't score well in long-term care often don't provide as much nursing care and also may be struggling in a few of the areas of routine medical care we assessed. After we finished looking at the volume of care provided by nurses, we then looked at the nursing home's vaccination data. Frankly, we were a bit worried that this nursing home vaccinated only 85.71429 percent of its patients against pneumonia. To our surprise, this nursing home was actually able to limit hospitalizations. With just 0 hospitalizations per one thousand long-term resident days, this facility has less hospitalizations than many nursing homes. This is its best feature in this category.