Granbury Rehab & Nursing

We want to draw your attention to the fact that this facility outperformed its overall grade in the area of inspections. In fact, it received a nearly flawless government inspection report this year. As a result, we gave it one of our highest scores in this area with a grade of A. Inspection scores are tied to items located in the a nursing home's recent inspection reports. Places that score well in this area tend to have few deficiencies on those reports. Most importantly, these places generally do not have any severe deficiencies which are associated with endangerment of patients. This place was assessed 2 deficiencies on its inspection report, but fortunately none of the deficiencies were considered to be severe deficiencies. This indicates that CMS did not consider any of these deficiencies to create an imminent risk to patient safety or health. A few minor deficiencies should not stop you from considering a nursing home.

We also gave this facility a middle of the pack score in the area of long-term care, where we gave it a grade of B-. Long-term care grades are generally used to measure a nursing home's performance as a traditional convalescent home, as opposed to focusing more on the skilled nursing services provided by a rehabilitation facility. One of the factors we considered in addition to nursing hours is vaccines. Fortunately, this nursing home administered the pneumonia vaccination to 100 percent of its residents. This facility keeps its patients out of the hospital. In fact, it had only 0.01 hospitalizations per one thousand long-term resident days, which is a remarkably low number.

The next highest grade we gave this nursing home in any area came in the category of nursing, where we gave it a grade of B-. The nursing grade assesses many subcategories, but the paramount consideration is the level of nurse hours spent with patients. This nursing home provides 0.3 hours of nursing care per resident per day. This is a much lower figure than we are used to seeing. Finally, we also looked at several nursing quality measures. Although this place got dinged a bit for its nursing hours per resident, it actually excelled in some of these quality-based measures. With fewer than five percent of its patients suffering from pressure ulcers, it performed very well in this subcategory. This is often an indicator of quality nursing care. Pressure ulcers can often be prevented by offering better nursing care, such as having a protocol of turning patients even once per day.

The last area we looked at was short-term care, ended up being this facility's worst area. We gave this facility a D in that category. In crafting these short-term care scores, we analyze the nursing home's skilled nursing services, such as those performed by registered nurses, occupational therapists, physical therapists and other types of skilled professionals. Our goal is to create a barometer for comparing the rehabilitation services of different nursing homes. Based on its poor rating in this area, we were not stunned to find that this place provided significantly fewer registered nurse and physical therapist hours per patient than most nursing homes. Finally, we looked at the number of residents who were able to return to the community from this facility. We found that just 4.6 percent of this nursing home's residents returned home.