Brookdale Guadalupe River Plaza
808 Guadalupe, Kerrville TX 78028 · (830) 895-2636 · 82.5% estimated occupancy 1Updated: Aug 1, 2020 · By Nick Reese
Brookdale Guadalupe River Plaza is one of five facilities located in Kerrville, Texas. This nursing home received an extremely impressive overall score of A+, resulting in it being the highest graded nursing home in Kerrville. We can't find many bad things to say about this facility. Its grades are impeccable. If you scroll down, you can see this nursing home's category grades, which appear to be just as strong as its overall rating.
Additional Details:
Accepts Medicare 1 :
Accepts Medicaid 1 : 64 Beds
CCRC :
For profit - Corporation
Resident Council:
Family Council:
Medical Staff Hours Per Patient (2019)
Long-term Care Quality
We also found that this facility excelled in our long-term care rating. We awarded them an impressive grade of A+ in this category. Nursing homes that excel in this category tend to be well-staffed and provide extensive hands on care to patients. After considering the quantity of care provided by nurses, we then analyzed the nursing home's vaccination statistics. This facility vaccinated 100 percent of its residents for pneumonia, which is what we like to see. Pneumonia is too frequently a deadly ailment for nursing home residents so we like it when a nursing home does not roll the dice on this issue. Lastly, we looked at its number of hospitalizations. Here we found that this facility had 2.07 hospitalizations per one thousand long-term resident days.
Short-term Care Quality
This facility also fared very well in the area of short-term care, where we awarded it a score of A. Few facilities received a better grade in this area. Our short-term care scores are important for prospective residents in need of rehabilitation. Rehabilitation usually mandates higher levels of highly-skilled nursing services. Skilled nursing means a vast spectrum of services, spanning from registered nurses to physical and occupational therapists, as well as other variations of therapy. Fortunately, we found that this nursing home provided respectable levels of physical therapist and registered nurse hours per resident. Lastly, we considered the percentage of residents who ultimately returned home from this facility. It performed as well as just about any facility in the nation in this area with 65.8 percent of its patients returning home. Most facilities are below 50 percent in this statistic.
Nurse Quality
Among its many impressive grades, this facility received an excellent nursing grade. In fact, we gave it a grade of A in that category. Our nursing grade consists of several components, but the most important one is the quantity of nurse hours spent with patients. This nursing home provides 3.5 hours of nursing care per resident per day. Lastly, we also looked at certain nursing quality-based metrics in computing our nursing grades. These include minimizing residents' pressure ulcers and major falls. We look at these areas as predictive indicators of the quality of nursing care provided, since better care tends to reduce these problems.
Facility Inspections
Wrapping up this facility's impressive profile, we awarded this nursing home an A- for our inspections rating. With this score, the facility completes its straight A report card. Inspection scores weigh a host of factors included in a nursing home's inspection reports. One of the most important criteria we look at is the quantity and severity of deficiencies. Facilities with better grades in this category usually have very few severe deficiencies. Although this place had a few deficiencies on its report, none of them were serious based on CMS' deficiency scale. Finally, this facility had no substantiated complaints this year from residents, which is an excellent sign.
Overall Rating Over Time
Compared to national and state averages across all facilities.
Brookdale Guadalupe River Plaza Quality Metrics
Minimizes Pressure Ulcers
This is the percent of patients that suffered from a pressure ulcer. Pressure ulcers are considered by many experts to be a barometer of the quality of nursing care . Pressure ulcers, also known as bed sores, are often caused by residents not being moved frequently enough.
Percent of Patients with Pressure Ulcers
Lower is Better
Minimizes Serious Falls
This figure indicates the percent of long-term stay patients who have had a fall which resulted in major injury. Falls can arise for a variety of reasons, but excessive numbers of falls could be a sign of lower levels of patient supervision.
Percent of Patients with Serious Falls
Lower is Better
Minimizes Urinary Tract Infections
This is the percent of residents who sustained a urinary tract infection. Urinary tract infections are routinely associated with poor nursing care. More frequent bathing can minimize the percentage of residents in a nursing home who suffer from UTI's. Note that this metric is affected by by the fact that facilities have different reporting standards for urinary tract infections.
Percent of Patients with UTIs
Lower is Better
Appropriately Uses Anti-Psychotic Medication
This indicates the percent of patients who were given antipsychotic medications. Antipsychotic medications are prescribed to residents for a variety of medical conditions, such as cognitive disorders. Tragically, in some cases, high levels of antipsychotic drug use may indicate a facility is using these drugs to subdue residents.
Percent of Patients
Lower is Better
Appropriately Uses Anti-Anxiety Medication
This is the percent of residents given antianxiety drugs. These drugs are used to treat residents experiencing anxiety and depression.
Percent of Patients
Lower is Better
Managing Depression Among Residents
This indicates the percentage of residents who are showing signs of depression.
Percent of Patients
Lower is Better
Appropriate Vaccine Usage
This tells you the percentage of patients who were given the pneumonia and flu vaccines. Higher vaccination rates should be demanded by residents.
Percent of Patients
Higher is Better
Residents Maintain Autonomy
This is the percentage of patients who required more assistance with activities of daily living over time. Higher levels of needing for assistance with ADL's may be a sign of decline of a resident's well-being.
Percentage of Patients
Lower is Better
Ability to Keep Residents Mobile
This datapoint measures the percentage of long-term stay residents that were able to retain mobility. Some experts argue that the ability to move around is critical to patients health.
Percentage of Residents
Higher is Better
Hospitalizations
This tells you the number of hospitalizations per thousand days of patient care. There is typically a correlation between avoiding hospitalizations and the overall quality of care.
Hospitalizations per 1,000 resident days
Lower is Better
Short-term Care: Rehospitalizations
This is a measure of the number of times residents are rehospitalized per 1,000 days of short-term care.
Percentage of Residents Rehospitalized
Lower is Better
Short-term Care: ER Visits
This indicates the number of times residents are sent to the emergency room per 1,000 days of short-term patient care.
Percentage of Patients
Lower is Better
Short-term Care: Facilitates Functional Improvement
This indicates the percentage of short-term stay patients who saw functional improvements, such as with activities of daily living.
Percentage of Resident
Higher is Better