Lima Estates

On top of faring well overall, this facility received nearly flawless government inspections. Consequently, it received one of our highest grades in that category with an A+. Arguably the most significant factor we consider in computing our inspection ratings is deficiencies. Deficiencies are found on a facility's inspection reports. Facilities with higher grades in this category most likely dodged the more severe deficiencies involving health risks or even death. Fortunately, although this place had some minor dings on its report, it had no severe deficiencies. Severe deficiencies are ones labeled as categories G, H, I, J, K and L. This means CMS did not 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 an excellent sign.

We also want to alert you to the fact that this facility received an impressive grade of A in our short-term care area. In determining our short-term care ratings, we analyze the facility's levels of highly skilled nursing services, which includes registered nurses, physical therapists respiratory therapists and other licensed professionals. This area is more often than not a solid assessment of the nursing home's ability to rehabilitate patients. Fortunately, it looks like this nursing home employs registered nurses. Not all nursing homes employs these skilled professionals. However, according to the data they provided, it does not look like the facility employs physical therapists. Lastly, we considered the percentage of residents who were able to return home from this nursing home. We found that 0 percent of this facility's residents returned home.

Adding to its strong resume, this facility also received an excellent nursing score, with a grade of A. We analyzed the qualifications of nurses at the nursing home, in addition to the quantity of time the nurses spent with residents, in calculating our score in this category. This nursing home provides 0.4 hours of nursing care per resident per day. Finally, we also looked at some nursing quality measures in determining our nursing grades. This facility performed very well in terms of avoiding pressure ulcers and major falls. We consider these areas to be good indicators of the quality of nursing care.

Switching gears to our final category, this facility also excelled in the long-term care category. We gave it an A- in this category. This rounded out truly elite report card. For residents seeking a permanent residence as opposed to skilled nursing, long-term care grades are a key measure. After assessing the quantity of care provided by aids and other staff, we next considered the nursing home's vaccination statistics. This facility vaccinated 83.941605 percent of its residents against pneumonia, which is slightly less than we were hoping for but still a reasonably acceptable percentage. Clearly, this place is doing something right in this area as it was able to keep its residents out of the hospital. In fact, it had less than one hospitalization per 1,000 long-term resident days, which is a remarkably low number.