Bonham Nursing and Rehabilitation

With an address in Bonham, Texas, Bonham Nursing and Rehabilitation is one of a mere three nursing homes in this area. This nursing home turns out to be a middle of the road facility, with an overall grade of C. Based on our ratings, there are certainly far worse places out there. One of the major highlights of this nursing home's report card is its exemplary inspection score, which we will address in the next paragraph.

The main reason this turned out to be a decent nursing home is that it earned an elite inspection grade. In fact, its inspection grade was far better than its overall score. In the inspections category, we gave it an A. We take several aspects of a facility's inspection report into consideration in computing these inspection grades. One critical factor is health deficiencies. You should keep in mind that the severity of deficiencies is usually more meaningful than the number of deficiencies, as some of these are relatively insignificant. This facility was hit with 3 deficiencies on its inspection report, but we were relieved to see that none of the deficiencies were considered to be severe. This tells you that CMS did not consider any of the deficiencies to pose an imminent threat to patient health or safety. Finally, this facility had no substantiated complaints this year from residents, which is always a good sign.

This facility also received a favorable grade in our long-term care category. We awarded this nursing home a better than average grade of B+ in this category. When nursing homes receive this type of score in long-term care it is usually a good sign for resident care and suggests that the place is well-staffed with nurses and aids. In addition to considering the amount of care provided by aids and other staff, we also looked at the number of residents vaccinated against pneumonia. This facility administered the vaccine to 99.21875 percent of its patients. Vaccines are vital to keeping residents out of the hospital. Lastly, we looked at the facility's number of hospitalizations. With 1.82 hospitalizations per 1,000 long-term resident days, this place is close to average in this area.

This nursing home's second worse score was short-term care, where it received a grade of just D in that category. This is a relatively poor score. In the area of short-term care, we endeavor to evaluate indicators of a nursing home's rehabilitation services. We assess the facility's skilled nursing services, such as those performed by registered nurses and physical and occupational therapists. With a grade in this range for this area, we were not surprised to discover this place was below average in several staffing metrics we focus on. The facility provided substantially fewer physical therapist and registered nurse hours per resident than most other facilities. The last statistic we looked at in this area is the number of residents who were able to leave the facility and return to the community. We discovered that just 32.7 percent of this facility's patients were able to return home, which is well below average. The combination of these poor statistics doomed this nursing home's short-term care grade.

The last area we scored was nursing, which is this nursing home's least impressive area. We awarded this nursing home a D in this area. Nursing grades are tied to levels of nurse staffing. This nursing home offered just 2.7 hours of nursing care per patient on a daily basis. This nursing home also had terrible marks in several of the quality-based measures to go along with its weak nursing hour totals. For starters, we looked at the percentage of patients sustaining pressure ulcers. This facility was at more than twice the national average in this metric.