CMS data shows Pilgrim Manor earning a D grade with a score of 44/100, placing it below most facilities in Indiana. Prospective residents and families should carefully review the specific areas of concern detailed below.
With 3.25 total nurse hours per resident per day, Pilgrim Manor falls below the national average of 3.8 hours. Families may want to ask about staffing levels during any facility visit.
Recent inspections identified 26 deficiencies at Pilgrim Manor. While none were classified as the most serious level, families should review the detailed inspection history below.
Score Breakdown
🏥 Staffing Details
| Staff Type | Hours/Resident/Day | National Avg | Comparison |
|---|---|---|---|
| Total Nursing | 3.25 | 3.8 | Below Average |
| Registered Nurses (RN) | 0.65 | 0.7 | Average |
| Licensed Practical Nurses (LPN) | 0.48 | 0.7 | Below Average |
| Certified Nursing Assistants (CNA) | 2.13 | 2.4 | Below Average |
| Weekend Total Nursing | 2.89 | 3.8 | Below Average |
| Weekend RN Hours | 0.53 | 0.7 | Below Average |
🔍 Inspection & Deficiency History
View recent deficiencies (5 shown)
- Tag 0684 Severity GProvide appropriate treatment and care according to orders, resident’s preferences and goals.Nov 26, 2024 · Quality of Life and Care Deficiencies
- Tag 0812 Severity EProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Nov 26, 2024 · Nutrition and Dietary Deficiencies
- Tag 0550 Severity DHonor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.Nov 26, 2024 · Resident Rights Deficiencies
- Tag 0558 Severity DReasonably accommodate the needs and preferences of each resident.Nov 26, 2024 · Resident Rights Deficiencies
- Tag 0641 Severity DEnsure each resident receives an accurate assessment.Nov 26, 2024 · Resident Assessment and Care Planning Deficiencies
📊 Resident Outcome Measures
Based on CMS quality measure data. Lower percentages are better for most metrics.
| Measure | This Facility | Nat'l Avg | |
|---|---|---|---|
| Residents with pressure ulcers | 3.6% | 4.5% | Better |
| Falls with major injury | 3.6% | 3.0% | Worse |
| On antipsychotic medication | 8.1% | 14.5% | Better |
| Urinary tract infections | 5.6% | 2.5% | Worse |
| ADL decline (daily activities) | 22.3% | 14.0% | Worse |
| Excessive weight loss | 8.5% | 7.5% | Worse |
| New/worsened incontinence | 27.1% | 45.0% | Better |
How This Grade Was Calculated
This facility's grade of D is based on a score of 44 out of 100, calculated from official CMS Nursing Home Compare data:
- Overall CMS Rating: 2★ → 16 pts (max 40)
- Health Inspection Rating: 1★ → 5 pts (max 25)
- Staffing Rating: 2★ → 8 pts (max 20)
- Quality Measures Rating: 5★ → 15 pts (max 15)
Grades: A=85+, B=70–84, C=55–69, D=40–54, F=below 40
Facility Details
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