The Madison

This facility's overall grade was propped up by a strong long-term care rating. We awarded them one of our better grades in that area, with a B+. This is a notably better grade than its overall score. When facilities receive this kind of score in long-term care it is typically a good sign for patient care and suggests that the facility is well-staffed with nurses aids. Once we assessed the quantity of care provided by nurses, we next considered the facility's vaccination record. This nursing home vaccinated 95.80419 percent of its residents for pneumonia, which is what we like to see. Pneumonia is too frequently a life threatening health condition for nursing home residents so we like it when a facility doesn't roll the dice on this issue. Finally, this facility was able to limit hospitalizations. Indeed, it had only 0.03 hospitalizations per 1,000 long-term resident days, which is an impressively low figure.

This nursing home's inspection grade also was better than its overall grade. Due to a quality inspection report this year, it received one of our better scores in that area with a grade of B. Our inspection ratings are based on many items found on the a nursing home's recent government inspections. Nursing homes that excel in this category typically have few deficiencies on those reports. Most importantly, these places should not have any severe deficiencies which are associated with risks to patient safety. Fortunately, although this nursing home had a few minor dings on its inspection report, it had zero severe deficiencies. Severe deficiencies are those found in categories G, H, I, J, K and L. This tells you the government inspectors didn't consider any of the deficiencies on this facility's report to pose an imminent threat to patient safety or health. Finally, this facility had no substantiated complaints this year from residents, which is always a good sign.

The third area we graded is short-term care, where this nursing home was awarded a C in this category. In the category of short-term care, we seek to evaluate indicators of a facility's rehabilitation. We look at the nursing home's skilled nursing services, such as those performed by registered nurses and physical, occupational and other therapists. In this nursing home's case, we were surprised to learn that it actually provides less physical therapist and registered nurse hours per patient than the average facility. The last statistic we considered in this area is the number of patients who were able to leave the nursing home and return to the community. We discovered that just 4.3 percent of this facility's residents were able to return home, which is below average.

This nursing home's worst area was nursing, which is the final area we scored. We gave it a lowly F in this category. In spite of multiple decent grades in other areas, this grade is still alarming so we felt obligated to point it out. We scrutinized the skill-level of nurses working for the nursing home, as well as the number of hours those nurses worked with patients, in computing our rating in this category. This facility provided just 0.3 hours of nursing care per resident per day. This is a very low total compared to most nursing homes. In addition to performing poorly in terms of nursing hours, this facility also had terrible scores in the quality-based metrics we looked at in calculating our nursing scores. For starters, we looked at the percentage of residents experiencing major falls and pressure ulcers. This place was at more than double the national average in both of these data points. This is concerning when you consider that many bed sores and falls are preventable with better nursing care. This sealed this facility's fate of receiving a weak nursing score.