The Grand Rehabilitation and Nrsg at River Valley

The Grand Rehabilitation and Nrsg at River Valley is a large nursing home located in Poughkeepsie, New York. With an overall rating of C, this is likely a middle of the road nursing home. You could definitely do worse than this nursing home. The best part of this nursing home's profile is its remarkable inspection rating. Inspection reports are discussed in the next paragraph.

The main reason this ended up being a decent nursing home is that it earned an excellent inspection grade. Its inspection grade was far superior to its overall grade. In our inspections category, we gave this facility an A. Our inspection ratings weigh several factors included in a facility's inspection report. One of the most important criteria we consider is the quantity and severity of deficiencies. Facilities with better grades in this category typically have very few severe deficiencies. Although this nursing home had some deficiencies on its report, none were severe based on CMS' deficiency scale. Finally, this facility had no substantiated complaints this year from residents, which is always a good sign.

Another one of this nursing home's more favorable category scores was in the category of long-term care. In that area, we awarded this nursing home a grade of B+. 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 residents. Once we assessed the quantity of care provided by aids and other staff, we then looked at the facility's vaccination record. This facility vaccinated 84.26104 percent of its residents against pneumonia, which happens to be a bit below what we anticipated but still a decent figure. Although its vaccination rate was a bit lower than we had hoped, at least this facility was able to limit hospitalizations. Despite having 2.48 hospitalizations per 1,000 long-term resident days, its risk adjusted metric was better than the majority of nursing homes since it had more complicated patients.

Turning to another strength for this facility, it also received an elite nursing grade. We gave this facility an D. When determining a nursing home's nursing grade, we weigh the amount of time nurses are caring for residents as well as the level of licensure of those nurses. This facility provided 3.4 hours of nursing care per resident per day. This is below the national average. On top of receiving below average scores for nursing hours, this nursing home was a bit less impressive in some of the quality-based metrics we looked at in determining our nursing ratings. We looked at the percent of patients experiencing pressure ulcers and found this nursing home was at roughly 150 percent of the national average in this statistic. This is likely a bad sign when you consider that many pressure ulcers are believed to be preventable with better nursing care. Unfortunately, this statistic really dragged down this facility's nursing grade significantly.

The next area we looked at was short-term care, which was this facility's worst area. It received an F for this category, which is certainly very concerning. In the category of short-term care, we try to assess measures of a nursing home's rehabilitation. We look at a nursing home's skilled nursing services, including the ones performed by registered nurses and physical and occupational therapists. Given its poor grade, we were not shocked to find that this nursing home provided substantially fewer registered nurse hours per resident than most other facilities. The last measure we considered in this area is the percentage of patients who were able to leave the nursing home and return to the community. We discovered that just 18.3 percent of this facility's patients were able to return home, which is well below average. This statistic was damning for this facility's short-term care grade.