Courtyard Nursing and Rehabilitation

Courtyard Nursing and Rehabilitation is located in the densely populated metropolitan area of Houston, Texas. This facility was given an overall grade of D, which is a relatively poor grade. Houston received a city grade of B-, so there are some other options in the city worth considering. The only positive thing we can really say about this nursing home is that it did not receive any F's in in any of the major categories. Additional information about its category grades is available below.

Although we did not rate this facility highly overall, we want to draw your attention to its excellent government inspections in recent years. We awarded them an impressive grade of A in this category. Perhaps the most critical factor we look at in determining our inspection grades is deficiencies. These deficiencies can be found on a facility's recent inspection reports. It is generally best to avoid facilities that had too many severe deficiencies. Fortunately, although this place had some minor dings on its government inspection report, it had zero severe deficiencies. Severe deficiencies are found in categories G, H, I, J, K and L. This means that the government inspectors did not consider any of the deficiencies on this facility's report to pose an imminent threat to patient safety or health. A few minor deficiencies aren't necessarily the end of the world.

We also awarded this facility a middle of the pack grade in the area of short-term care, where we awarded it a grade of C. In the area of short-term care, we endeavor to qualify measures of a facility's rehabilitation. We analyze a nursing home's skilled nursing services, including the ones performed by registered nurses and physical and occupational therapists. In this facility's case, we were surprised to learn that it actually provides less physical therapist and registered nurse hours per patient than the average facility. The last statistic we looked at in this category is the number of patients who were able to leave the facility and return home. We discovered that just 0 percent of this facility's patients were able to return home, which is below average.

We also gave this nursing home a middle of the pack score in the category of long-term care, where we gave it a C. Long-term care grades focus on a nursing home's assistance with daily living rather than the highly skilled therapy or healthcare services that are critical to a rehabilitation facility. After considering the quantity of care provided by aids and other staff, we turned to the nursing home's vaccination data. We were optimistic to learn that this facility vaccinated 100 percent of its residents for pneumonia. Lastly, this facility was also able to limit hospitalizations. In fact, it had less than one hospitalization per 1,000 long-term resident days, which is an impressively low figure.

This facility's least impressive category was nursing, which is the final category we scored. In this area, we gave this facility a D. Our nursing rating assesses the facility's nurse staffing levels. We look at both the levels of training of those nurses and the amount of time spent with patients. Quantity of nursing care does not appear to be the problem here. Based on the data, it looks like this facility provides an above average 3.9 hours per patient daily. This is more nursing care than most facilities provide. Despite performing well in terms of nursing hours, this facility had poor scores in some of the quality-based measures we looked at in computing our nursing ratings. We looked at the percent of residents sustaining pressure ulcers and we were very disappointed. This nursing home was at roughly 150 percent of the national average in this statistic. This is likely a bad sign when you consider that many bed sores are believed to be preventable with better nursing care. This statistic helped pull down this facility's nursing grade quite a bit.