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Tri-County Care Center

Nursing Home
Memory Care

Updated Nov 1, 2023 by Nick Reese

Historical Rating

See Rating Overview

Tri-County Care Center's website

601 North Galloway Road,
Vandalia MO 63382

(573) 594-6467

45.11% estimated occupancy ¹

Note: Tri-County Care Center has been flagged for abuse in the past 12 months. We have capped this facility's overall grade accordingly.

Tri-County Care Center is the lone nursing home we found in Vandalia, Missouri. Our grading system was not favorable to this facility, as it received an overall score of F. This nursing home is really as bad as it gets. More information on this facility's category grades may be found below. Its best category was nursing, which is addressed in the next paragraph.

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Quick Details

Accepts Medicare ¹
Accepts Medicaid ¹
No CCRC
No Resident Council
No Family Council
Government - County
Secure Memory Care
Offers Inpatient Rehab

Specialized Services

Personal Care
Home Making
Speech Therapy
Cardiac Therapy
Physical Therapy
Respiratory Therapy
Pain Management
Orthopedic Rehabilitation

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Registered Staff Hours

Medical Staff Hours Per Patient (2022)

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Nurse Quality

Even though we gave this facility a terrible overall grade, we awarded it a grade of B- for our nursing category. In determining a facility's nursing score, we consider the number of hours nurses commit to patients as well as the levels of training of those nurses. This facility provides 0.4 hours of nursing care per resident daily. This is a much lower figure than we were hoping for. Finally, despite not having the most impressive total nursing hours per resident, this facility actually performed admirably in the metric of preventing major falls. This is generally a reliable indicator that a facility has quality controls in place.

Short-term Care Quality

This nursing home also didn't fare too badly in the category of short-term care. In fact, we awarded it a grade of C in that area, which ended up being another one of its better grades. Short-term care ratings are critical for individuals in need of rehabilitation. Rehabilitation typically utilizes higher levels of skilled nursing services. This means a broad range of nursing services, ranging from registered nurses to physical and occupational therapists, as well as other forms of therapy. Unfortunately, we found that this nursing home provided fewer registered nurse and physical therapist hours per resident than most other nursing homes. The tricky part is determining what effect this had on quality of care. Finally, we assessed the number of residents who returned home from this facility. We found that 3.8 percent of this facility's residents were able to return home. This figure was actually well below the national average.

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Long-term Care Quality

We awarded this nursing home just a D for our long-term care rating. This is not a very good score. Facilities that do not fare well in long-term care often don't provide as much nursing care and also may be lagging in a few of the areas of routine medical care we looked at. After considering the volume of care provided by nurses, we turned to the nursing home's vaccination data. Candidly, we were a bit concerned this facility vaccinated only 76.397514 percent of its residents for pneumonia. To our surprise, this place was actually decent at keeping its patients out of the hospital. Indeed, it had only 0.03 hospitalizations per 1,000 long-term resident days. This is its best feature in this category.

Facility Inspections

Moving on our last category of inspections, this facility received an F here. Since this information is compiled by independent government inspectors, we heavily weight poor results in this area. With facilities that received this bad of an inspection rating, we recommend scrutinizing any severe deficiencies on its inspection report. This facility had 8 deficiencies by government inspectors. The only positive thing we found is that none of these deficiencies were in the categories that suggest they caused a risk to patient safety or health. Lastly, this nursing home was cited by CMS for possible abuse or neglect. This is generally a really bad sign. We would never recommend this facility.

Rating Over Time

Compared to national and state averages across all facilities.

Tri-County Care Center Quality Metrics

Minimizes Pressure Ulcers

In Tri-County Care Center, 31.08% of Patients had Pressure Ulcers

This tells you the percent of residents who sustained a pressure ulcer. Pressure ulcers are considered to be an indicator of the quality of nursing care . Pressure ulcers, also known as bed sores, are often the result of patients not being moved frequently enough.

Minimizes Serious Falls

In Tri-County Care Center, 8.07% of Patients had Serious Falls

This is the percent of patients who suffered from a major fall. Falls leading to serious injury are considered to be a measure of nursing care at a nursing home. Falls leading to injury are often the result of lower quality nursing care.

Minimizes Urinary Tract Infections

In Tri-County Care Center, 1.99% of Patients had UTIs

This figure is an indication of the percentage of long-term stay patients who experienced a UTI. UTI's could be a sign of a facility with lower levels of hygiene. Nevertheless, this statistic could also be skewed for some nursing homes due to inconsistent reporting standards for urinary tract infections.

Appropriately Uses Anti-Psychotic Medication

In Tri-County Care Center, 9.49% of Patients use Anti-Psychotic Medication

This indicates the percent of patients who were prescribed antipsychotic medications. While antipsychotic medications may be helpful for many patients, it is important to make sure these drugs are being used only where medically required. In limited cases, increased usage of these drugs may mean a nursing home is using these medications to subdue residents.

Appropriately Uses Anti-Anxiety Medication

In Tri-County Care Center, 23.45% of Patients use Anti-Anxiety Medication

This tells you the percentage of residents who were prescribed antianxiety drugs. Antianxiety medications are prescribed to residents suffering from depression and anxiety.

Managing Depression Among Residents

In Tri-County Care Center, 3.57% of Patients

This is the percentage of patients showing depressive symptoms. Increased levels of depression may be an indicator worse patient care.

Appropriate Vaccine Usage

In Tri-County Care Center, 85.23% of Patients

This metric is a measure of the percentage of long-term care patients who received the flu and pneumonia vaccines.

Residents Maintain Autonomy

In Tri-County Care Center, 19.49% of Patients

This is the percentage of patients that required additional assistance with activities of daily living over time.

Ability to Keep Residents Mobile

In Tri-County Care Center, 18.83% of Residents

This tells you the percentage of patients who were able to retain mobility over time. Retaining mobility is often a good sign for residents' health.

Hospitalizations

In Tri-County Care Center, 0.03 Hospitalizations per 1,000 resident days

This tells you the number of times residents are hospitalized per 1,000 days of patient care.

Short-term Care: Rehospitalizations

In Tri-County Care Center, 18.83% of Residents Rehospitalized

This is the number of times residents are rehospitalized per 1,000 days of short-term patient care.

Short-term Care: ER Visits

In Tri-County Care Center, 29.29% of Patients

This metric tracks the number of emergency room visits per thousand days of short-term care. Staying out of the emergency room is one way to measure short-term care.

Short-term Care: Facilitates Functional Improvement

In Tri-County Care Center, 55.38% of Resident

This tells you the percent of short-term stay residents that experienced functional improvements, such as enhanced ability to perform activities of daily living. Higher levels of autonomy with ADL's generally correlates with better rehabilitation services.