Scotland County Care Center

Scotland County Care Center is an average-sized government-owned facility located in Memphis, Missouri. Featuring an overall score of B, this is a fine nursing home. Based on our ratings, this facility has quite a bit going for it. This facility's impressive report card was highlighted by its inspection score, which we will address in the next section.

In addition to receiving a great overall grade, this place also earned top notch health inspections in recent years. We gave them one of our higher grades in this category, with an A+. We weigh several aspects of a nursing home's inspection report in determining our inspection scores. One key factor is health deficiencies. You should keep in mind that the severity of these deficiencies is arguably more meaningful than the quantity of deficiencies, as some end up being quite insignificant. Fortunately, although this facility had a few minor dings on its inspection report, it had zero severe deficiencies. Severe deficiencies are ones labeled as categories G, H, I, J, K and L. This means that the government inspectors did not deem any of the deficiencies on this facility's report to pose an imminent threat to patient health or safety. Finally, this facility had no substantiated complaints this year from residents, which is an excellent sign.

We also gave this nursing home a score of A- for our long-term care score. When facilities receive this type of score in long-term care it is typically a good sign for patient care and indicates that the facility is well-staffed with nurses aids. In addition to assessing the amount of care provided by aids and other staff, we also looked at the percentage of residents vaccinated against pneumonia. This facility vaccinated 100 percent of its residents. Vaccines are critical to keeping patients healthy. This facility also keeps its patients out of the hospital. Indeed, it had only 1.52 hospitalizations per 1,000 long-term resident days.

Turning to the category of nursing care, this facility didn't perform quite as well in this area as some of the categories discussed above. Nevertheless, a grade of C in this category is by no means a bad score. Our nursing rating consists of many components, most of which are based on levels of nurse staffing. Based on the CMS data, this nursing home offers 3.8 hours of nursing care per resident per day. Lastly, our nursing grades also factor in some quality-focused statistics. Specifically, we look at the percent of residents who sustained pressure ulcers and major falls. We view these datapoints as good indicators of the quality of nursing care, since better care tends to reduce these problems.

This nursing home's least impressive area was short-term care, which is the last area we looked at. For this category, we gave this nursing home a D. In crafting these short-term care scores, we assess the facility's skilled nursing services, such as those performed by registered nurses, occupational therapists, physical therapists and other types of therapists. The purpose is to create a scale for sizing up the rehabilitation services of different nursing homes. In this nursing home's case, we found that it provides less physical therapist and registered nurse hours per resident than the average facility. Lastly, we assessed the number of residents who who were able to eventually return home from this facility. This facility didn't fare well here either. In fact, we found that just 25.2 percent of this facility's residents were able to return home. This figure was well off the national average.