Bandera Nursing & Rehab Center

Although we didn't give this facility a good overall grade, we awarded it a strong score in the area of long-term care, where it earned a B. Long-term care ratings of this caliber generally require both around the clock care from nurses and aids, as well as quality routine healthcare services. After looking at the amount of care provided by nurses aids and other staff, we then analyzed the nursing home's vaccination statistics. This nursing home vaccinated 100 percent of its patients for pneumonia, which is more than the average nursing home. Clearly, this nursing home is doing something right in this area as it also excelled at keeping its patients out of the hospital. It had less than one hospitalization per 1,000 long-term resident days, which is a remarkably low number.

Surprisingly, this nursing home actually earned a good score in the area of inspections as well. We gave it a grade of B for that category, which is one of our better scores. Few nursing homes that were this poor overall earned multiple category grades of this caliber. Inspection grades take several factors into consideration, including deficiencies, substantiated complaints and federal fines. You can find more information about each of these issues by reviewing copies of nursing homes' inspection reports. This particular nursing home had just a single deficiency on its inspection report and it was not one deemed to pose a threat to patient health or safety. In spite of this deficiency, this place still had a relatively favorable report.

This facility ended up receiving a a very poor score in our short-term care category. It was given a lowly F in this area. Our short-term care grade is commonly used to score a facility's rehabilitation services In order to have good rehabilitation services, facilities generally must feature higher levels of highly skilled nursing services. Skilled nursing includes registered nurses, physical therapists, speech therapists and other types of therapists. As you might expect, we found that this facility provides substantially less physical therapist and registered nurse hours per patient than a typical nursing home. Lastly, we considered the percentage of patients who returned home from this facility. This facility didn't fare well here either. In fact, we found that just 4.5 percent of this facility's residents were able to return home. This figure was well off the national average.

Moving on to our last category, this nursing home really didn't fare very well in this area either. Due to a poor grade of F in nursing, this is just about as as uninspiring as it gets. Our nursing rating includes many components, but the primary one is the quantity of nurse hours spent with patients. This nursing home averaged just 0.3 hours of nursing care per patient each day. To go along with its below average total nursing hours per patient, this facility had really bad scores in many of the quality-based measures we looked at in determining our nursing grades. For starters, we looked at the percentage of residents experiencing falls leading to serious injury. This place was at more than 1.5 times the national average in this statistic. This is quite concerning in light of the fact that many falls could likely be avoided with better nursing care. This ended up sealing the nursing home's fate of receiving a poor nursing score.