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Brookdale Guadalupe River Plaza

  • Nursing Home

Updated Nov 1, 2021 by Nick Reese

Historical Rating
Grade: A
Oct 18: ANov 18: ADec 18: AJan 19: A-Feb 19: A-May 19: A-Jun 19: A-Jul 19: A-Aug 19: A-Sep 19: A-Jan 20: A-Mar 20: A-Apr 20: A+May 20: A+Jun 20: A+Jul 20: A+Aug 20: A+Sep 20: AOct 20: A+Jan 21: AFeb 21: AMar 21: AApr 21: AMay 21: AJun 21: AJul 21: A-Aug 21: A-Sep 21: A-Oct 21: ANov 21: A
See Rating Overview

808 Guadalupe,
Kerrville TX 78028

(830) 895-2636

42.34% estimated occupancy 1

Brookdale Guadalupe River Plaza is one of four available facilities located in Kerrville, Texas. This is an A rated facility. This facility was given one of the highest grades we offer. A score of this caliber requires top-notch scores across the board. We flat out can not say enough favorable things about this place. This place also received consistently good grades in all of the major categories we assessed. Additional information about these categories is available below.

Quick Details

  • Accepts Medicare 1
  • Accepts Medicaid 1
  • Is CCRC
  • Has Resident Council
  • No Family Council
  • For profit - Corporation

Specialized Services

  • Occupational Therapy
  • Physical Therapy
  • Nutritional Counseling


Best Nursing Home in Kerrville, Texas badge

Best Nursing Home in Kerrville, Texas Awards 2019

Top Nursing Home in Texas badge

Top Nursing Home in Texas Awards 2020

Best Nursing Home in Kerrville, Texas badge

Best Nursing Home in Kerrville, Texas Awards 2020

Best Nursing Home in Kerrville, Texas badge

Best Nursing Home in Kerrville, Texas Awards 2021

Registered Staff Hours

Medical Staff Hours Per Patient (2021)
April 1, 2021April 2, 2021April 3, 2021April 4, 2021April 5, 2021April 6, 2021April 7, 2021April 8, 2021April 9, 2021April 10, 2021April 11, 2021April 12, 2021April 13, 2021April 14, 2021April 15, 2021April 16, 2021April 17, 2021April 18, 2021April 19, 2021April 20, 2021April 21, 2021April 22, 2021April 23, 2021April 24, 2021April 25, 2021April 26, 2021April 27, 2021April 28, 2021April 29, 2021April 30, 2021
May 1, 2021May 2, 2021May 3, 2021May 4, 2021May 5, 2021May 6, 2021May 7, 2021May 8, 2021May 9, 2021May 10, 2021May 11, 2021May 12, 2021May 13, 2021May 14, 2021May 15, 2021May 16, 2021May 17, 2021May 18, 2021May 19, 2021May 20, 2021May 21, 2021May 22, 2021May 23, 2021May 24, 2021May 25, 2021May 26, 2021May 27, 2021May 28, 2021May 29, 2021May 30, 2021May 31, 2021
June 1, 2021June 2, 2021June 3, 2021June 4, 2021June 5, 2021June 6, 2021June 7, 2021June 8, 2021June 9, 2021June 10, 2021June 11, 2021June 12, 2021June 13, 2021June 14, 2021June 15, 2021June 16, 2021June 17, 2021June 18, 2021June 19, 2021June 20, 2021June 21, 2021June 22, 2021June 23, 2021June 24, 2021June 25, 2021June 26, 2021June 27, 2021June 28, 2021June 29, 2021June 30, 2021
July 1, 2021July 2, 2021July 3, 2021July 4, 2021July 5, 2021July 6, 2021July 7, 2021July 8, 2021July 9, 2021July 10, 2021July 11, 2021July 12, 2021July 13, 2021July 14, 2021July 15, 2021July 16, 2021July 17, 2021July 18, 2021July 19, 2021July 20, 2021July 21, 2021July 22, 2021July 23, 2021July 24, 2021July 25, 2021July 26, 2021July 27, 2021July 28, 2021July 29, 2021July 30, 2021July 31, 2021
August 1, 2021August 2, 2021August 3, 2021August 4, 2021August 5, 2021August 6, 2021August 7, 2021August 8, 2021August 9, 2021August 10, 2021August 11, 2021August 12, 2021August 13, 2021August 14, 2021August 15, 2021August 16, 2021August 17, 2021August 18, 2021August 19, 2021August 20, 2021August 21, 2021August 22, 2021August 23, 2021August 24, 2021August 25, 2021August 26, 2021August 27, 2021August 28, 2021August 29, 2021August 30, 2021August 31, 2021
September 1, 2021September 2, 2021September 3, 2021September 4, 2021September 5, 2021September 6, 2021September 7, 2021September 8, 2021September 9, 2021September 10, 2021September 11, 2021September 12, 2021September 13, 2021September 14, 2021September 15, 2021September 16, 2021September 17, 2021September 18, 2021September 19, 2021September 20, 2021September 21, 2021September 22, 2021September 23, 2021September 24, 2021September 25, 2021September 26, 2021September 27, 2021September 28, 2021September 29, 2021September 30, 2021

Short-term Care Quality

Grade: A-plus

One of the many reasons this turned out to be a great nursing home is that it received an A+ short-term care grade. This is simply as good as it gets in this category. In the area of short-term care, we try to assess indicators of a nursing home's rehabilitation services. We assess the nursing home's skilled nursing services, including those performed by registered nurses and physical, occupational and other therapists. Fortunately, it looks like this facility has registered nurses on staff. Not every nursing home employs these types of nurses. On the other hand, based on the information they provided, they do not appear to employ physical therapists. The final statistic we looked at in this category is the number of residents that ultimately were able to return home from the nursing home. We found that 6.6 percent of this nursing home's residents returned home as opposed to remaining at the facility on a permanent basis.

Nurse Quality

Grade: A

Adding to its strong resume, this facility also received an excellent nursing score, with a grade of A. Our nursing grade is primarily based on the facility's level of nurse staffing. This facility provided 0.5 hours of nursing care per resident per day. Finally, our nursing grades also factor in quality-based assessments, such as avoiding major falls. This place performed well in this area. Avoiding major falls is typically a good indicator that a nursing home has reliable quality controls in place. Major falls can many times be avoided if more nurses aids and better safety protocols are in place.

Long-term Care Quality

Grade: A-minus

We also wanted to alert you to the fact that this nursing home received an elite grade of A- in our long-term care area. Facilities that do well in long-term care tend to provide patients with better supervision and stay on top of routine healthcare services. One of the factors we considered on top of nursing hours was vaccinations. This nursing home provided the pneumonia vaccine to 100 percent of its residents. Vaccination is a great way to minimize unnecessary deaths for the aged 65 and up population. Finally, this place was able to limit hospitalizations. In fact, it had only 0.01 hospitalizations per 1,000 long-term resident days, which is a remarkably low number.

Facility Inspections

Grade: B-plus

Building on its impressive profile, this facility also performed well in the area of inspections. It received a nearly flawless government inspection this year. As a result, it received one of our highest scores in that category with a score of B+. These inspection ratings weigh several factors, including deficiencies, substantiated complaints and federal fines. You can find more information about each of these factors by reviewing copies of nursing homes' inspection reports. Although this nursing home had a few deficiencies on its report, none of them were serious based on CMS' scale. A few minor deficiencies are not necessarily the end of the world.

Rating Over Time

Compared to national and state averages across all facilities.

FDCB-BB+A-AA+Oct 18Sep 22

Brookdale Guadalupe River Plaza Quality Metrics

Minimizes Pressure Ulcers

Grade: A

In Brookdale Guadalupe River Plaza, 7.79% of Patients had Pressure Ulcers

This is the percent of patients that suffered from a pressure ulcer. Pressure ulcers are damage to the skin due to staying in the same position for too long.

Minimizes Serious Falls

Grade: D

In Brookdale Guadalupe River Plaza, 3.33% of Patients had Serious Falls

This is the percent of residents that suffered from a fall which caused severe injury.

Minimizes Urinary Tract Infections

Grade: A-minus

In Brookdale Guadalupe River Plaza, 1.51% of Patients had UTIs

This figure measures the percentage of long-term patients which have experienced urinary tract infections. While a higher rate infections could reflect poorly on a facility's nursing care, it is problematic to compare different nursing homes due to inconsistent reporting standards.

Appropriately Uses Anti-Psychotic Medication

Grade: B-plus

In Brookdale Guadalupe River Plaza, 11.48% of Patients use Anti-Psychotic Medication

This indicates the percent of patients who were prescribed antipsychotic medications. These medications are sometimes used for treating a variety of medical conditions, such as Alzheimer's or other dementias.

Appropriately Uses Anti-Anxiety Medication

Grade: B

In Brookdale Guadalupe River Plaza, 22.56% of Patients use Anti-Anxiety Medication

This measures the percent of long-term patients receiving antianxiety drugs.

Managing Depression Among Residents

Grade: B-minus

In Brookdale Guadalupe River Plaza, 4.81% of Patients

This metric is a measure of the percentage of long-term care patients who are demonstrating signs of depression.

Appropriate Vaccine Usage

Grade: A

In Brookdale Guadalupe River Plaza, 94.64% of Patients

This datapoint measures the percent of long-term patients that were vaccinated against pneumonia and flu.

Residents Maintain Autonomy

Grade: C

In Brookdale Guadalupe River Plaza, 17.1% Percentage of Patients

This is the percent of residents who required increased assistance with activities of daily living over time.

Ability to Keep Residents Mobile

Grade: A-minus

In Brookdale Guadalupe River Plaza, 16.36% Percentage of Residents

This is the percent of patients that maintained mobility over time. Retaining mobility can be a good sign for residents' health.


Grade: D

In Brookdale Guadalupe River Plaza, 1.67 Hospitalizations per 1,000 resident days

Measures the number of times residents are hospitalized per thousand days of patient care. Keeping residents out of the hospital is important to the physical well-being of nursing home patients.

Short-term Care: Rehospitalizations

Grade: C

In Brookdale Guadalupe River Plaza, 16.36 Percentage of Residents Rehospitalized

This indicates the number of rehospitalizations per 1,000 days of short-term care. There is a correlation between reduced hospitalizations and a nursing home's quality of short-term rehabilitation.

Short-term Care: ER Visits

Grade: C

In Brookdale Guadalupe River Plaza, 11.4 Percentage of Patients

This indicates the number of times residents are sent to the emergency room per 1,000 days of short-term patient care. There is typically a correlation between reduced emergency room visits and the quality of short-term care.

Short-term Care: Facilitates Functional Improvement

Grade: D

In Brookdale Guadalupe River Plaza, 66.86% Percentage of Resident

This datapoint is a measure of the percent of short-term residents that saw functional improvements, such as with activities of daily living. Some experts believe this is a reasonable measure of rehabilitation services.

Scores for Kerrville, TX

  • Overall Rating has a grade of C
  • Nurse Rating has a grade of D
  • Long-term Care Rating has a grade of C
  • Short-term Care Rating has a grade of C
  • Inspection Rating has a grade of B-plus

Looking for more options? Kerrville, Texas has 3 other nursing homes

Nearby Hospitals

  • Peterson Regional Medical CenterAcute Care Hospitals 0.98 miles away551 Hill Country Drive Kerrville Texas 78028Voluntary non-profit - Private(830) 896-4200

Nearby Dialysis

  • Kerrville Dialysis1.29 miles away515-a Granada Kerrville Texas 78028Dialysis Stations: 16 (830) 257-8734