The Grand Rehabilitation and Nrsg at River Valley

We want to point out that this nursing home really outperformed its overall grade in the category of inspections. In fact, it received an excellent inspection report this year. As a result, we gave it one of our highest scores in that area with an A. Arguably the most significant factor we look at in calculating our inspection grades is deficiencies. Deficiencies are found on a facility's recent inspection reports. Nursing homes with higher grades in this category typically dodged the most severe deficiencies involving health risks or even death. Although this nursing home had a few deficiencies on its government inspection report, none were major deficiencies based on CMS' scale. A few minor deficiencies shouldn't stop you from considering a nursing home.

Additionally, we awarded this nursing home a grade of B+ in our long-term care category. This is one of our more favorable scores. Nursing homes that receive this kind of grade in long-term care tend to provide consistent around the clock care to make sure residents are kept in good health. On top of assessing the volume of care provided by nurses and other staff, we also looked at the percentage of residents vaccinated against pneumonia. This facility gave the vaccine to 97.25275 percent of its residents, which is higher than the majority of nursing homes. Clearly, this facility is doing something right in this area as it was able to keep its patients out of the hospital. In fact, it had only 0.02 hospitalizations per 1,000 long-term resident days, which is an impressively low figure.

The next category we assessed is short-term care. This facility's received a rock-bottom short-term care grade where it received a lowly F. Short-term care ratings are important for residents requiring rehabilitation. Rehabilitation usually mandates higher levels of skilled nursing services. Skilled nursing means a vast spectrum of services, spanning from registered nurses to physical and respiratory therapists, as well as other types of therapy. With its abysmal rating in this area, we weren't surprised to discover this nursing home offered substantially fewer physical therapist and registered nurse hours per patient than most facilities. The last metric we assessed in this category is the percentage of patients that were able to return home from the facility. This nursing home struggled quite a bit in this metric as well, with just 4.3 percent of its residents returning home. Unfortunately, this was well below the national average.

The next category we looked at was nursing, which was this facility's least impressive category. Unfortunately, we gave it a lowly F in this category, which is certainly concerning. Our nursing score considers a number of data points. The most heavily weighted variable is the number of hours nurses spent with residents. With only 0.3 hours of nursing care per resident each day, this nursing home's nurse staffing levels were quite a bit below average. This nursing home also had terrible marks in some of the quality-based metrics to go along with its low nursing hour totals. We looked at the percent of residents suffering pressure ulcers and we were very disappointed. This nursing home was at approximately 150 percent of the national average in this statistic. This is a bad sign in light of the fact that so many bed sores could be avoided with better nursing care. This metric helped pull down this nursing home's nursing rating quite a bit.