Cibolo Creek

The main reason this turned out to be a decent nursing home is that it earned an excellent inspection score. In fact, its inspection grade was far superior to its overall grade. In our inspections category, we gave this facility a grade of A-. Arguably the most significant factor we look at in computing our inspection scores is deficiencies. These deficiencies can be found on a facility's recent inspection reports. Facilities with better grades in this area most likely dodged the most severe deficiencies involving patient abuse or death. Fortunately, although this nursing home had a few minor dings on its government inspection report, it had no severe deficiencies. Severe deficiencies are those found in categories G through L. This tells you the inspectors did not consider any of the deficiencies on this facility's report to pose an imminent threat to patient health or safety. The fact that the deficiencies were relatively minor leaves us less concerned with this inspection report.

This facility also was awarded an impressive long-term care grade. In fact, we awarded them a grade of B+ in that category, which is one of our more favorable scores. Long-term care scores of this caliber generally require both 24/7 care from nurses and aids, as well as quality routine healthcare services. In addition to considering the volume of care provided by nurses and other staff, we looked at the percentage of residents vaccinated for pneumonia. This nursing home provided the vaccine to 99.38271 percent of its residents, which is what we like to see. Pneumonia is often a deadly health condition for nursing home residents so we strongly prefer when a nursing home doesn't take any chances. Lastly, this facility was able to limit hospitalizations. Indeed, it had only 0.02 hospitalizations per 1,000 long-term resident days, which is an impressively low number.

This nursing home's next highest area is its short-term care grade, where it was given a C. In crafting these short-term care grades, we assess the nursing home's skilled nursing services, including those performed by registered nurses, speech therapists, physical therapists and other types of skilled professionals. Our objective is to devise a tool for comparing the rehabilitation services of various nursing homes. Unfortunately, it does not look like this facility submitted information about its staffing of registered nurses or physical therapists. The final metric we looked at in this category is the percentage of residents that were able to return home from the nursing home. We found that just 5.6 percent of this nursing home's patients returned home. Unfortunately, this was below the national average.

The final category we scored is nursing. We gave this facility a D for nursing, rendering this the nursing home's least impressive area. Our nursing grade analyzes the nursing home's nurse staffing levels. We factor in both the levels of licensure of those nurses as well as the amount of time spent with residents. This place provided only 0.3 hours of nursing care per resident on a daily basis. This is a very low total compared to most nursing homes. Finally, we also looked at some nursing quality-based metrics in calculating our nursing grades. This facility fared well in the area of minimizing its residents' major falls and pressure ulcers. Many consider these areas to be good measures of the quality of nursing care.