Guilford Health Care nursing home

Guilford Health Care Center is a nursing home with 110 beds in Greensboro.

2015 REVIEW: Guilford Health Care Center is now a 4 star or “Above Average” nursing home. Just a few years ago, Guilford Health Care was a 1 star facility, so this is far improved. The staffing levels at Guilford Health Care are also now 4 stars:

Guilford

NC

Total number of residents

82

87.2

87.4

Total number of licensed nurse staff hours per resident per day

1 hour and 52 minutes

1 hour and 39 minutes

1 hour and 40 minutes

RN hours per resident per day

48 minutes

46 minutes

50 minutes

LPN/LVN hours per resident per day

1 hour and 4 minutes

53 minutes

50 minutes

CNA hours per resident per day

2 hours and 18 minutes

2 hours and 24 minutes

2 hours and 27 minutes

Physical therapy staff hours per resident per day

4 minutes

6 minutes

6 minutes

Staffing- The left column is the staffing levels for Guilford Health Care, the middle is the North Carolina average and the far right is the US average. As you can see, the licensed staff levels are above the state average. The CNA staffing levels are right around average. The CNA levels have improved significantly since my last review.

Quality Measures- Guilford Health Care got 3 stars or average for quality measures. I am not sure that they should have got 3 stars. If you look at the short term resident statistics, they aren’t very good. For example, 27% of the residents report severe pain compared to 19% state average. Only 20% of the residents got a flu shot compared to 83% state average. Only 8% got the pneumonia vaccine compared to 83% state average. These are terrible numbers, and these are the lowest scores that I have ever seen for these vaccinations.

As for long term care residents, the quality measures really weren’t any better. For example, 22% of the residents reported severe pain while the average was only 8%. So, almost three times more residents complained of severe pain as opposed to an average nursing home. Also, 10% of high risk residents got pressure sores compared to 7% state average. 70% of the residents were incontinent which is a very large number compared to state average 53%. Sometimes nursing homes will claim that residents are incontinent so they can put diapers on them instead of taking them to the bathroom. 11% of the residents lost weight compared to 8% average. Finally, only 22% of the residents got pneumonia vaccines compared to 93% average. This is just not acceptable. I am surprised that the state allowed such a low level. While the administration of vaccines may seem trivial, it isn’t. One out of twenty elderly adults who gets pneumonia dies from it.

Health Inspections- Guilford Health care got 3 stars or an average rating for inspections. However, they only got 2 health deficiencies and the average in North Carolina is four. Also, only one of the deficiencies was for health care the other was for food service. So, Guilford should have received a better score for inspections, probably a 4.

Conclusion- Guilford Health Care nursing home in Greensboro should be a 3 star or average facility. Their staffing levels have improved greatly, and they really only had one major deficiency. This are great accomplishments and significant improvements from the past. However, their quality measures still lag behind the better nursing homes. At the end of the day, staffing levels are the best indicator of future care but quality measures are a solid indicator of the past. So, it appears that things may be improving at Guilford but they aren’t there yet.

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REVIEW 2012: For 2012, Guilford Health Care is a one star facility overall. Of course, that is the lowest overall rating a nursing home can receive. If you want to see how Guilford Health Care compares to other Greensboro nursing homes, look at my Ranking and Review of all area nursing homes. It is a three star facility for staffing, which is "average". When you really look at these staffing numbers closely, you will see a more complicated picture:

GUILFORD HEALTH CARE CENTER NORTH CAROLINA AVERAGE NATIONAL AVERAGE
Total Number of Residents 93 88.9 88.2
Total Number of Licensed Nurse Staff Hours per Resident per day 1 hour
56 minutes
1 hour
36 minutes
1 hour
36 minutes
RN Hours per Resident per Day 49 minutes 45 minutes 47 minutes
LPN/LVN Hours per Resident per Day 1 hour
8 minutes
52 minutes 50 minutes
CNA Hours per Resident per Day 1 hour
49 minutes
2 hours
25 minutes
2 hours
27 minutes
Physical Therapy Staff Hours per Resident per Day 11 minutes 7 minutes 6 minutes

(The far right is the US average, the middle is the NC average and the left is Guilford Health Care) Guilford Health Care has licensed nursing staff hours that are a little over the state average. However, their CNA staffing is 1 hour and 49 minutes per patient day. The average in NC is 2 hours and 25 minutes per patient day. Therefore, Guilford Health Care has 25% less CNAs hours per patient day than the average nursing home in NC. Remember, that "average" doesn't mean "adequate". Most nursing homes have higher CNA to resident ratios, and some of them still struggle to provide proper attention and care. CNAs provide the vast majority of hands on care to residents. Having such a low ratio at this home will increase the likelihood of inadequate care.

The Quality Measures are very good at four stars. Falls are low, UTIs are low, restraints are low, weight loss is low.

***Guilford Health Care received 11 Health Deficiencies is far more than the state average of 4, which is terrible. They had 7 deficiencies last year. Last year most of the deficiencies are not very severe, but this year three caused "actual harm" to a resident. One deficiency was failure to immediately call a doctor and family when the resident has a significant change in condition. While I don't know the specifics of this event, this can sometimes be problematic. I have seen medication errors occur in other facilities, and doctors were not called for hours. I have seen pressure sores develop in other nursing homes and doctors were not told. Since nursing staff are the "eyes and ears" for the doctors, they must communicate what they see and hear.

If you have any information regarding this nursing home, contact me. If you are from the facility and want to me post relevant information, I will do it. While I am a nursing home neglect attorney, my purpose here is to provide information. In that regard, please click here for the last survey for Guilford Health Care completed November 2012. A quick read of the survey shows various minor problems, but will need to be watched. Two transcription errors were noted, and this certainly can be dangerous. The Plan of Correction signed by the administrator will hopefully help prevent further problems.

UPDATE- I started to try and summarize and rank all of the nursing homes in the Guilford County and Greensboro areas. If you would like to see a ranking of best to worst of all homes, click on Guilford County Greensboro area nursing home review.