Bandera Nursing & Rehab Center

Nursing Home
Memory Care

Updated Sep 1, 2022 by Nick Reese

Historical Rating

See Rating Overview

Bandera Nursing & Rehab Center's website

222 Fm 1077,
Bandera TX 78003

(830) 796-4077

55.84% estimated occupancy ¹

Bandera Nursing & Rehab Center is an average-sized facility located in Bandera, Texas. With a bottom of the barrel overall grade of F, this facility didn't fare well in our assessment. In our view, you would be better off to avoid of this nursing home. We would not blame you if you are ready to stop reading and find another facility. However, if you want to learn more about this place's category grades, long-term care grades are discussed in the next section.

Quick Details

Accepts Medicare ¹
Accepts Medicaid ¹
Is CCRC
Has Resident Council
Has Family Council
For profit - Limited Liability company
Offers Respite Care
Offers Inpatient Rehab

Specialized Services

Personal Care
Medication Management
Home Making
Transportation
Dialysis Transportation
Medical Transportation
Speech Therapy
Stroke Recovery
IV Antibiotic Therapy
Wound Care
Occupational Therapy
Cardiac Therapy
Mental Health
Diabetes Management
Physical Therapy
Respiratory Therapy
Nutritional Counseling
Recreational Therapy
Orthopedic Rehabilitation

Registered Staff Hours

Medical Staff Hours Per Patient (2021)

Less:

April

May

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December

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February

March

Long-term Care Quality

Even though we graded this nursing home incredibly poorly overall, it actually earned an impressive long-term care rating this year. We awarded it a grade of B in this category. When facilities receive a score in this range in this category it generally means it's well-staffed and is an overall good place to live on a permanent basis. After considering the quantity of care provided by nurses and other staff, we turned to the nursing home's vaccination data. This nursing home vaccinated 100 percent of its patients for pneumonia, which is more than the majority of nursing homes. 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 one thousand long-term resident days, which is a remarkably low number.

Nurse Quality

One of the other reasons we rated this facility so highly is that it received a very impressive nursing grade. In that category, we gave this facility an D. We scrutinized the licensure of nurses at the nursing home, as well as the quantity of time the nurses spent with residents, in determining our score in this area. With just 0.3 hours of nursing care per patient each day, this nursing home's nurse staffing levels were far below the national average. Finally, we also looked at some nursing quality measures in calculating our nursing grades. This facility performed well when it comes to minimizing its residents' pressure ulcers and major falls. Many consider these areas to be measures of the quality of nursing care.

Does this page answer your questions about Bandera Nursing & Rehab Center?

Short-term Care Quality

As it turns out, this nursing home only earned a grade of D for its short-term care rating, which is not one of our better scores. Short-term care scores are based on the facility's quantity of highly-skilled nursing services. This means a wide range of nursing services, spanning from registered nurses to physical and respiratory therapists, as well as other variations of therapy. Based on its poor rating in this category, we weren't shocked to discover that this nursing home provided far fewer physical therapist and registered nurse hours per patient than most nursing homes. The last item we looked at in this category is the number of residents who ultimately were able to return home from the nursing home. This facility struggled quite a bit in this area as well, with just 0 percent of its patients returning home. This was well below average.

Facility Inspections

Moving on our final category of inspections, this nursing home received a horrible grade. For places that received this bad of an inspection rating, we recommend scrutinizing the severe deficiencies on its inspection report. This facility was assessed one deficiency by government inspectors. Fortunately, it was not in one of the categories that suggest that it created a threat to resident safety or health. Finally, we need to point out that this place was assessed significant government fines amounting to over $100,000. This typically means that a nursing home's poor performance spanned several years.

Rating Over Time

Compared to national and state averages across all facilities.

Bandera Nursing & Rehab Center Quality Metrics

Minimizes Pressure Ulcers

In Bandera Nursing & Rehab Center, 7.79% of Patients had Pressure Ulcers

This statistic is is a measure of the percentage of long-term care residents that suffer from new or worsened pressure ulcers. We have found that pressure ulcers are an indicator of nursing care quality.

Minimizes Serious Falls

In Bandera Nursing & Rehab Center, 3.33% of Patients had Serious Falls

This indicates the percent of patients that suffered from a major fall. Falls leading to major injuries are routinely caused by lower levels of patient supervision. Better nursing protocols limits the percentage of residents in a nursing home who sustain major falls.

Minimizes Urinary Tract Infections

In Bandera Nursing & Rehab Center, 1.51% of Patients had UTIs

This tells you the percent of patients who suffered from a urinary tract infection. UTI's are considered by many experts to be a barometer of nursing care . UTI's are routinely linked to a facility with worst hygiene practices. Nevertheless, this datapoint can also be misleading for certain nursing homes due to different reporting standards for these infections.

Appropriately Uses Anti-Psychotic Medication

In Bandera Nursing & Rehab Center, 11.48% of Patients use Anti-Psychotic Medication

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

Appropriately Uses Anti-Anxiety Medication

In Bandera Nursing & Rehab Center, 22.56% of Patients use Anti-Anxiety Medication

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

Managing Depression Among Residents

In Bandera Nursing & Rehab Center, 4.81% of Patients

This metric measures the percent of long-term stay residents showing symptoms of depression. Many in the industry argue this is a reliable measure of quality of care.

Appropriate Vaccine Usage

In Bandera Nursing & Rehab Center, 94.64% of Patients

This metric measures the percent of long-term residents who were vaccinated against pneumonia and flu.

Residents Maintain Autonomy

In Bandera Nursing & Rehab Center, 17.1% Percentage of Patients

This datapoint is a measure of the percentage of long-term residents that needed more assistance with activities of daily living over time. ADL's include activities such as getting dressed and using the bathroom.

Ability to Keep Residents Mobile

In Bandera Nursing & Rehab Center, 16.36% Percentage of Residents

This indicates the percent of patients who remained mobile levels over time. Optimizing mobility is usually a good sign for residents' health.

Hospitalizations

In Bandera Nursing & Rehab Center, 1.67 Hospitalizations per 1,000 resident days

This tells you the number of times residents are hospitalized per thousand days of care.

Short-term Care: Rehospitalizations

In Bandera Nursing & Rehab Center, 16.36 Percentage of Residents Rehospitalized

This metric measures the number of times residents are rehospitalized per thousand days of short-term care.

Short-term Care: ER Visits

In Bandera Nursing & Rehab Center, 11.4 Percentage of Patients

This tells you the number of emergency room visits per 1,000 days of short-term patient care.

Short-term Care: Facilitates Functional Improvement

In Bandera Nursing & Rehab Center, 66.86% Percentage of Resident

This indicates the percent of short-term stay residents that experienced functional improvements, such as with activities of daily living. Higher levels of performance with ADL's typically correlates with successful rehabilitation services.