Cibolo Creek

The primary reason this facility received a decent overall grade is its excellent inspections in recent years. We gave them one of our better grades in that category, with an A-. This is a notably better score than the facility's overall score, which was decent but not in the elite range. Perhaps the most critical factor we consider in calculating our inspection scores is deficiencies. These deficiencies are found on a facility's recent inspection reports. Facilities with better grades in this category typically dodged the most severe deficiencies involving health risks or even death. This nursing home was hit with 2 deficiencies on its inspection report, but fortunately none of the deficiencies were considered severe. This tells you that the inspectors didn't consider any of these deficiencies to create an immediate risk to patient safety or health. Keep in mind that deficiency-free inspection reports are rare in this industry.

Another one of this facility's more favorable category grades came in the category of long-term care. In that area, we gave this nursing home a grade of B. It actually performed better than most nursing homes in this area. Facilities that do well in this category tend to be well-staffed and provide extensive hands on care to residents. On top of looking at the quantity of care provided by nurses and other staff, we also looked at the number of residents vaccinated for pneumonia. This facility administered the vaccine to 98.809525 percent of its residents. Vaccines are critical to keeping residents out of the hospital. Clearly, this facility is doing something right in this area as it also excelled at keeping its residents out of the hospital. In fact, it had only 0.01 hospitalizations per 1,000 long-term resident days, which is a remarkably low number.

The third category we looked at was short-term care, where this nursing home was given a grade of B- in this category. Our short-term care scores are important for patients seeking rehabilitation. Rehabilitation generally requires additional skilled nursing services. This includes a broad scope of nursing services, ranging from registered nurses to physical and speech therapists, as well as other types of therapy. Unfortunately, we weren't able to find registered nurse or physical therapy staffing data for this nursing home. Finally, we looked at the percentage of patients who were able to return to the community from this nursing home. We found that 6.2 percent of this facility's residents returned home. At most facilities, closer to half of their patients are able to return home so this figure is below average.

The last category we looked at was nursing. For this category, we awarded this nursing home a C. When determining our nursing grades, we assess both the number of hours nurses spend with residents and the training levels of the nurses. This place averages just 0.3 hours of nursing care per patient daily, which is well below average. Lastly, we also assessed some nursing quality measures. Although this nursing home got docked a bit for nursing hours per resident, it excelled in some of these quality measures. With less than five percent of its residents sustaining pressure ulcers, it fared very well in this metric. This is typically a good indicator of quality nursing care. Pressure ulcers can frequently be prevented by offering better nursing care, such as having a policy of moving a patient at least once a day.