Siena Gardens Rehabilitation & Transitional Care

To pair with its relatively modest overall grade, we gave this facility an A for its inspection grade. This score is far more impressive than the facility's overall grade. We weigh several aspects of a nursing home's inspection report in calculating our inspection grades. One of those factors is health deficiencies. It should be noted that the severity of the deficiencies is usually more meaningful than the number of deficiencies, as some deficiencies are relatively insignificant. This place received 2 deficiencies on its inspection report, but we were relieved to see that none were considered to be severe deficiencies. This means that the government inspectors did not consider any of the deficiencies to create an immediate risk to patient health or safety. Keep in mind that deficiency-free inspection reports are rare in the industry.

Another one of this facility's more impressive category scores came in the area of long-term care. In that area, we awarded this nursing home a grade of B. It actually fared better than most facilities in this category. When facilities receive a score in this range in this category it typically means it has plenty of staff and is an overall good place to live on a permanent basis. One of the statistics we considered on top of nursing hours was vaccines. This facility administered the pneumonia vaccine to 95.81006 percent of its patients. This is a great way to avoid unnecessary deaths and hospitalizations for the senior population. Finally, this facility was able to limit hospitalizations. In fact, it had less than one hospitalization per 1,000 long-term resident days, which is an impressively low number.

The next area we looked at was short-term care. In that area, we awarded this nursing home a C. Short-term care grades are typically used to score a facility's performance with rehabilitation In order to provide high-end rehabilitation services, nursing homes generally must have better levels of highly skilled nursing. These types of services include registered nurses, physical therapists, respiratory therapists and other highly trained professionals. Fortunately, it looks like this nursing home employs registered nurses. Not every facility employs these types of nurses. On the other hand, based on the information they provided, they do not appear to employ physical therapists. Lastly, we assessed the number of patients who were able to return to the community from this nursing home. We found that 4.8 percent of this facility's residents returned home. At most facilities, closer to half of their residents are able to return home so this figure is below average.

Switching gears to our last category, we awarded this facility a D for our nursing category. This is the facility's weakest category grade. Naturally, this score pulled down the nursing home's overall grade to some degree. Nursing grades are heavily correlated with nurse staffing levels. This facility provided a meager 0.3 hours of nursing care per patient on a daily basis. This number is well below the national average. On top of its subpar nursing hours, this nursing home received suboptimal scores in some of the quality-based measures we looked at in computing our nursing grades. We found that a higher percentage of this place's residents experienced falls leading to serious injury.