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.
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Bandera Nursing & Rehab Center
- Nursing Home
- Memory Care
Updated Apr 1, 2023 by Nick Lata
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- Accepts Medicare 1
- Accepts Medicaid 1
- Is CCRC
- Has Resident Council
- No Family Council
- For profit - Limited Liability company
- Offers Respite Care
- Offers Inpatient Rehab
- Personal Care
- Medication Management
- Home Making
- 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
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Registered Staff Hours
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.
Short-term Care Quality
We gave this facility a grade of just D for our short-term care grade and that actually wound up as its next most respectable score. Short-term care ratings are vital for prospective residents in need of rehabilitation. Rehabilitation usually utilizes higher levels of skilled nursing services. Skilled nursing means a wide spectrum of nursing services, ranging from registered nurses to physical and speech therapists, as well as other types of therapy. Given its score in this category, we weren't stunned to learn that this nursing home is well below average in terms of its number of registered nurse and physical therapy hours provided to its patients based on the measures we looked at. The last measure we assessed in this area is the number of residents who ultimately returned home from the nursing home. This facility struggled quite a bit in this metric as well, with just 0 percent of its patients returning home. Unfortunately, this was well below the national average.
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We also wanted to point out this facility's inspection grade where it received an F. We would advise paying close attention to any deficiencies on a facility's inspection reports when it receives this poor of an inspection score. We would pay close attention to the level of severity of the deficiencies. This particular facility was assessed a deficiency by government inspectors. Fortunately, it wasn't in one of the categories that suggest that it caused a threat to patient health or safety. Finally, we need to point out that this facility was assessed large government fines recently amounting to more than $100,000. This often indicates that a facility's bad performance spanned more than one year.
The next area we scored was nursing. This facility was given a poor grade of F in this area. There are several subcategories within this grade. Many of these criteria relate to staffing levels. This place averaged a meager 0.3 hours of nursing care per patient on a daily basis. This is an alarmingly low total. Finally, we also assessed some nursing quality measures in calculating our nursing grades. This nursing home fared well in the area of minimizing its residents' major falls and pressure ulcers.
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, 5.96% of Patients had Pressure Ulcers
This is the percent of residents that sustained a pressure ulcer. Pressure ulcers, which are also referred to as bed sores, are often the result of patients not being moved frequently enough. Better nursing care limits the percentage of residents in a nursing home who sustain pressure ulcers.
Minimizes Serious Falls
In Bandera Nursing & Rehab Center, 6.93% of Patients had Serious Falls
This tells you the percentage of patients that sustained a major fall. Falls leading to major injuries are routinely caused by lower quality nursing care. Better nursing care can limit the number of major falls sustained by residents in a nursing home.
Minimizes Urinary Tract Infections
In Bandera Nursing & Rehab Center, 0.39% of Patients had UTIs
This indicates the percentage of patients that suffered from a urinary tract infection. UTI's are routinely associated with nursing homes with worse hygiene protocols. Additional nurse staffing can reduce the number of UTI's sustained by residents in a nursing home. We want to point out that this datapoint is affected by by the fact that nursing homes have varying reporting standards for UTI's.
Appropriately Uses Anti-Psychotic Medication
In Bandera Nursing & Rehab Center, 7.95% of Patients use Anti-Psychotic Medication
This statistic indicates the percent of long-term care residents taking antipsychotic medications. While antipsychotic drugs play an important role in caring for many residents, it is important to confirm these medications are being used only where medically required. In limited situations, high levels of antipsychotic drug use may indicate that a facility is using these medications to control patient behavior.
Appropriately Uses Anti-Anxiety Medication
In Bandera Nursing & Rehab Center, 16.46% of Patients use Anti-Anxiety Medication
This tells you the percentage of patients prescribed antianxiety medications. Antianxiety drugs are given to residents experiencing depression or anxiety.
Managing Depression Among Residents
In Bandera Nursing & Rehab Center, 13.03% of Patients
This metric is a measure of the percentage of long-term care patients demonstrating depressive symptoms. Many in the industry believe this is a measure of patient quality of life.
Appropriate Vaccine Usage
In Bandera Nursing & Rehab Center, 100% of Patients
This is a measure of the percent of long-term care residents who have received the flu and pneumonia vaccines. Respiratory viruses can be deadly for nursing home patients, making these types of vaccines important for resident well-being.
Residents Maintain Autonomy
In Bandera Nursing & Rehab Center, 13.98% of Patients
This tells you the percent of residents who needed additional assistance with activities of daily living over time. High levels of needing for assistance with activities of daily living may be a sign of decline of a resident's medical condition.
Ability to Keep Residents Mobile
In Bandera Nursing & Rehab Center, 7.35% of Residents
This metric tracks the percent of long-term patients who retained mobility levels.
In Bandera Nursing & Rehab Center, 0.04 Hospitalizations per 1,000 resident days
This tells you the number of times residents are hospitalized per thousand days of patient care. There is typically a correlation between keeping patients out of the hospital and the overall quality of care.
Short-term Care: Rehospitalizations
In Bandera Nursing & Rehab Center, 7.35% of Residents Rehospitalized
This tells you the number of rehospitalizations per thousand days of short-term care. There is generally a correlation between avoiding hospitalizations and a nursing home's quality of short-term rehabilitation.
Short-term Care: ER Visits
In Bandera Nursing & Rehab Center, 11.68% of Patients
This indicates the number of times residents are sent to the emergency room per 1,000 days of short-term patient care.
Short-term Care: Facilitates Functional Improvement
In Bandera Nursing & Rehab Center, 80.31% of Resident
This is the percentage of short-term residents who saw functional improvements, such as enhanced ability to perform activities of daily living. High levels of independence with ADL's generally correlates with higher quality rehabilitation services.