Signature Health of Portland Rehab & Wellness Cent
215 Highland Circle Drive, Portland TN 37148 · (615) 325-9263 · 64.01% estimated occupancy 1Updated: Aug 1, 2020 · By Nick Lata
Signature Health of Portland Rehab & Wellness Cent is the sole option we found in Portland, Tennessee. This is a relatively poor nursing home, with an overall grade of D. Based on our analysis, this facility likely isn't the best fit for most prospective residents. The only positive thing we can say about this facility is that it didn't receive any F's in any of the categories we assessed. More information about these categories can be found below.
Additional Details:
Accepts Medicare 1 :
Accepts Medicaid 1 : 112 Beds
CCRC :
For profit - Corporation
Resident Council:
Family Council:
Medical Staff Hours Per Patient (2019)
Facility Inspections
Although we didn't rate this nursing home favorably overall, we did give it an excellent score in the category of inspections, where it received a grade of A-. Our inspection grades are based on items located in the a nursing home's recent inspection reports. Deficiencies are a key thing to look for on these reports. Most importantly, you should avoid facilities that have severe deficiencies associated with endangerment of patients. This nursing home received 3 deficiencies on its inspection report, but fortunately none of the deficiencies were considered to be major deficiencies. This means that the inspectors didn't consider any of these deficiencies an immediate risk to resident health or safety. A couple minor deficiencies aren't the end of the world.
Short-term Care Quality
This nursing home's short-term care grade appears to be one of its respectable features. The nursing home was awarded a B- in this category. In determining our short-term care scores, we look at a nursing home's levels of skilled nursing services, which includes registered nurses, physical therapists speech therapists and other highly trained professionals. This grade is more often than not a solid assessment of the nursing home's rehabilitation. One of this nursing home's strengths is physical therapy hours. We found that it offers more hours with physical therapists to its residents than most facilities. Lastly, we assessed the percentage of residents who were able to return to the community from this facility. We found that 39.7 percent of this facility's patients returned home. At most facilities, closer to half of their residents are able to return home so this is below average.
Nurse Quality
We were surprised to find that this facility also excelled in the category of nursing. In fact, we gave it a grade of D for that category, which is one of our best scores. Nursing grades are tied to levels of nurse staffing. This facility provided just 3 hours of nursing care per resident per day. This is not a very impressive figure. On top of ranking below average in nursing hours per resident, this facility also had poor scores in the quality-based measures we looked at in calculating our nursing grades. We looked at the percentage of residents experiencing pressure ulcers and major falls. This nursing home was at approximately 1.5 times the national average in both of these datapoints. This is a bad sign when you consider that many falls and bed sores are preventable with better nursing care. These metrics pulled down this facility's nursing grade quite a bit.
Long-term Care Quality
The next category we scored was long-term care, proved to be this nursing home's worst category. We gave this nursing home a grade of D in that category. In a long-term care environment, the nursing home's primary objective 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 patients. In addition to looking at the volume of care provided by nurses aids and other staff, we analyzed the number of residents vaccinated for pneumonia. This nursing home vaccinated 100 percent of its patients. We were far less impressed with its hospitalization rate. We found that this facility had 3.37 hospitalizations per 1,000 long-term resident days, which is nearly twice the national average.
Overall Rating Over Time
Compared to national and state averages across all facilities.
Signature Health of Portland Rehab & Wellness Cent Quality Metrics
Minimizes Pressure Ulcers
This indicates the percent of patients who suffered from a pressure ulcer. Pressure ulcers are damage to the skin due to remaining in the same position for too long.
Percent of Patients with Pressure Ulcers
Lower is Better
Minimizes Serious Falls
This indicates the percentage of patients that have had a major fall. Falls leading to serious injuries are often caused by lower quality nursing care. Closer supervision limits the number of major falls sustained by residents in a nursing home.
Percent of Patients with Serious Falls
Lower is Better
Minimizes Urinary Tract Infections
This is the percent of residents who suffered from a urinary tract infection. UTI's are considered by many in the nursing home industry to be a barometer of nursing care . UTI's are often the result of a facility with lower levels of hygiene. Nevertheless, this datapoint could also be skewed for certain nursing homes due to different reporting standards for infections.
Percent of Patients with UTIs
Lower is Better
Appropriately Uses Anti-Psychotic Medication
This measures the percentage of long-term patients that are given antipsychotic medication. Excessive reliance on these medications may mean that a nursing home is using these drugs to subdue residents in scenarios where such drugs aren't medically required. However, some facilities may need to rely more on these medications due to having more residents suffering from dementia.
Percent of Patients
Lower is Better
Appropriately Uses Anti-Anxiety Medication
This is a measure of the percentage of long-term care patients taking antianxiety drugs.
Percent of Patients
Lower is Better
Managing Depression Among Residents
Measures the percent of long-term care patients demonstrating signs of depression.
Percent of Patients
Lower is Better
Appropriate Vaccine Usage
This indicates the percent of patients that received the pneumonia and flu vaccines. Higher vaccination rates should be the norm at this point.
Percent of Patients
Higher is Better
Residents Maintain Autonomy
Measures the percentage of long-term care residents who required more assistance with activities of daily living over time. Activities of daily living include activities such as dressing and continence.
Percentage of Patients
Lower is Better
Ability to Keep Residents Mobile
This metric is a measure of the percent of long-term care patients that retained mobility levels.
Percentage of Residents
Higher is Better
Hospitalizations
This is the number of hospitalizations per 1,000 days of care.
Hospitalizations per 1,000 resident days
Lower is Better
Short-term Care: Rehospitalizations
This tells you the number of times residents are rehospitalized per 1,000 days of short-term care.
Percentage of Residents Rehospitalized
Lower is Better
Short-term Care: ER Visits
This metric is a measure of the number of times residents are sent to the emergency room per thousand days of short-term care. Avoiding medical emergencies is one way to assess patient well-being during rehabilitation.
Percentage of Patients
Lower is Better
Short-term Care: Facilitates Functional Improvement
This indicates the percent of short-term residents that experienced functional improvements, such as with activities of daily living.
Percentage of Resident
Higher is Better