The Village of Lebanon

With an overall grade this high, it should come as no surprise that this nursing home performed well in inspections, where it earned an A. Arguably the most critical factor we look at in calculating our inspection scores is deficiencies. These deficiencies can be found on a facility's inspection reports. Nursing homes with better scores in this category most likely dodged the most severe deficiencies involving patient abuse or death. This nursing home was hit with 2 deficiencies on its inspection report, but none of the deficiencies were considered to be severe deficiencies. This indicates that CMS didn't deem any of the deficiencies to create an imminent threat to patient safety or health. Finally, this facility had no substantiated complaints this year from residents, which is an excellent sign.

On the list of its many dominant grades, this nursing home was given first-rate long-term care score. In fact, we awarded it a grade of A in that area. When facilities receive this type of grade in long-term care it is typically a good sign for resident care and suggests that the nursing home is well-staffed with nurses aids. On top of assessing the quantity of care provided by nurses and other staff, we also looked at the percentage of residents vaccinated against pneumonia. This nursing home administered the vaccine to 100 percent of its residents, which is what we like to see. Pneumonia tragically can be a life or death illness for nursing home residents so we like it when a facility does not take any chances. Clearly, this place is doing something right in this area as it was able to keep its residents out of the hospital. It had less than one hospitalization per 1,000 long-term resident days, which is an impressively low number.

Compounding its high-end profile, this facility also was awarded a dominant short-term care grade, with a grade of A. In determining these short-term care ratings, we look at the facility's skilled nursing services, such as those performed by registered nurses, speech therapists, physical therapists and other types of therapists. Our objective is to formulate a tool for sizing up the rehabilitation services of different facilities. We were not able to track down information about this nursing home's registered nurse or physical therapy staffing. Lastly, we looked at the percentage of residents who eventually returned home from this facility. We found that 6.4 percent of this facility's patients returned home.

In our last area, we gave this nursing home a grade of A for our nursing score. This finished off an elite report card. In determining a facility's nursing score, we weigh the number of hours nurses are caring for patients and the level of skill of the nurses. This particular nursing home provided 0 hours of nursing care per resident per day. Finally, our nursing grades also factor in quality-based assessments, such as avoiding major falls. This facility performed well in this area. Avoiding major falls is typically a good indicator that a nursing home has reliable quality controls in place. Major falls can generally be avoided if more nurses aids and better safety protocols are in place.