The Riverview

Although we did not have many favorable things to say about this facility's overall grade, it earned a respectable inspection report this year. As a result, it received a decent grade in that area with a B-. We weigh several aspects of a nursing home's inspection report in determining our inspection grades. One critical factor is deficiencies. You should keep in mind that the severity of the deficiencies is arguably more meaningful than the quantity of deficiencies, as some end up being relatively insignificant. Although this facility had some deficiencies on its report, none were serious based on CMS' deficiency scale. A few minor deficiencies aren't necessarily the end of the world.

One of this nursing home's more respectable category scores was in the area of short-term care. This wound up being its second most favorable category. In that area, we awarded this facility a B-. Short-term care grades are based in part on a facility's quantity of highly-skilled skilled healthcare professionals. This means a broad scope of services, spanning from registered nurses to physical and occupational therapists, not to mention other variations of therapy. We found that this facility was below average in the two key staffing areas we looked at. The facility offered fewer physical therapist and registered nurse hours per resident than most other facilities. The last item we considered in this area is the number of patients who eventually returned home from the facility. We found that just 0 percent of this facility's residents returned home. Unfortunately, this was below the national average.

Unfortunately, this facility's next best category is long-term care. Nevertheless, with a grade of D in this category, it still performed relatively badly. For prospective residents in need of a permanent residence as opposed to rehabilitation, long-term care is a very important category. On top of assessing the amount of care provided by aids and other staff, we looked at the percentage of residents vaccinated against pneumonia. This nursing home gave the vaccine to 100 percent of its patients, which is more than most nursing homes. Surprisingly, this nursing home was able to limit hospitalizations. With only 0.02 hospitalizations per 1,000 long-term resident days, this nursing home has fewer hospitalizations than many nursing homes. Unfortunately, some of its other scores in the category weren't as favorable as these.

The next category we assessed is nursing, turned out to be this nursing home's worst category. We awarded this facility a grade of D in this area. Our nursing score is mostly tied to a facility's level of nurse staffing. This place averaged only 0.3 hours of nursing care per resident daily. Finally, we also assessed some nursing quality measures in calculating our nursing ratings. This facility performed well when it comes to avoiding major falls and pressure ulcers. We consider these areas to be reliable indicators of the quality of nursing care.