Heritage House of Marshall Health & Rehabilitation is one of only three nursing homes located in Marshall, Texas. With an overall rating of C, this appears to be a solid facility. At the end of the day, this place looks like a solid choice for most people. One of the better aspects of this facility's profile is its impressive inspection score, which we will address in the next section.
Heritage House of Marshall Health & Rehabilitation
- Nursing Home
Updated Sep 1, 2022 by Nick Reese
- Accepts Medicare 1
- Accepts Medicaid 1
- No CCRC
- Has Resident Council
- No Family Council
- Government - Hospital district
- Offers Hospice
- Offers Post-Acute Care
- Offers Respite Care
- Offers Inpatient Rehab
- Medical Transportation
- Speech Therapy
- Stroke Recovery
- IV Antibiotic Therapy
- Palliative Care
- Wound Care
- Occupational Therapy
- Physical Therapy
- Nutritional Counseling
- Pain Management
Registered Staff Hours
While this nursing home's overall grade was decent, it really excelled in the area of inspections. In fact, we awarded it a grade of A- for that category, which is one of our best scores. Perhaps the most significant factor we consider in determining our inspection scores is deficiencies. Deficiencies can be found on a facility's inspection reports. Places with higher scores in this category typically avoided the most severe deficiencies involving patient abuse or death. While this place had some deficiencies on its government inspection report, none of them were major deficiencies based on CMS' scale. A couple minor deficiencies should not lead you to cross a nursing home off your list.
Long-term Care Quality
Another one of this facility's better category grades was in the area of long-term care. In that category, we awarded this facility a B. Nursing homes that excel in this category typically provide patients with closer supervision and stay on top of routine healthcare services. In addition to assessing the quantity of care provided by nurses aids and other staff, we looked at the percentage of residents vaccinated for pneumonia. This nursing home administered the vaccine to 100 percent of its residents, which is more than the majority of nursing homes. Clearly, this facility is doing something right in this area as it also excelled at keeping its patients out of the hospital. It had only 0.02 hospitalizations per one thousand long-term resident days, which is a remarkably low figure.
Does this page answer your questions about Heritage House of Marshall Health & Rehabilitation?
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 C. In computing a nursing home's nursing grade, we look at the quantity of hours nurses spend with patients as well as the level of skill of the nurses. This nursing home provided just 0.4 hours of nursing care per patient on a daily basis. This is a relatively low total compared to most other facilities. Despite having low quantities of nursing care, this nursing home surprisingly excelled in some of the quality measures we assessed. In fact, it performed well in the area of avoiding pressure ulcers and major falls. We consider these areas to be indicators of the quality of nursing care. In many cases, the quality of nursing care is just as important as the number of hours of care provided.
Short-term Care Quality
This facility's least impressive area is short-term care, which is the final area we scored. We gave it an abysmal F in this area. Even with a few decent scores in other categories, this grade is nevertheless disappointing so we would like to to make a note of it. In computing our short-term care grades, we assess a nursing home's levels of highly skilled nursing, which includes registered nurses, physical therapists occupational therapists and other highly skilled individuals. This area is generally a fair assessment of the nursing home's ability to rehabilitate patients. With a score in this range in this category, we were not stunned to learn that this nursing home was well below average in multiple staffing metrics we focus on. In fact, it supplied far fewer registered nurse and physical therapist hours per resident than most other nursing homes. The final metric we looked at in this category is the percentage of residents that eventually returned home from the nursing home. This nursing home struggled quite a bit in this area as well, with just 4.4 percent of its patients returning home.
Rating Over Time
Compared to national and state averages across all facilities.
Heritage House of Marshall Health & Rehabilitation Quality Metrics
Minimizes Pressure Ulcers
In Heritage House of Marshall Health & Rehabilitation, 7.79% of Patients had Pressure Ulcers
This indicates the percent of patients that sustained a pressure ulcer. Pressure ulcers, which are also called bed sores, are routinely caused by residents staying in one position for too long. Better nursing care can limit the number of pressure ulcers sustained by residents in a nursing home.
Minimizes Serious Falls
In Heritage House of Marshall Health & Rehabilitation, 3.33% of Patients had Serious Falls
This indicates the percentage of patients who have had a fall which caused serious injury.
Minimizes Urinary Tract Infections
In Heritage House of Marshall Health & Rehabilitation, 1.51% of Patients had UTIs
This datapoint is a measure of the percentage of long-term care patients that have sustained urinary tract infections. UTI's could be an indication of lower quality nursing care. However, this datapoint can also be misleading for some nursing homes due to varying reporting standards for urinary tract infections.
Appropriately Uses Anti-Psychotic Medication
In Heritage House of Marshall Health & Rehabilitation, 11.48% of Patients use Anti-Psychotic Medication
This datapoint is a measure of the percentage of long-term residents receiving antipsychotic medications. While antipsychotic drugs serve an important medical purpose, it is important to make sure these drugs are being used appropriately. In some situations, high levels of antipsychotic drug use may suggest a facility is using these medications to subdue residents.
Appropriately Uses Anti-Anxiety Medication
In Heritage House of Marshall Health & Rehabilitation, 22.56% of Patients use Anti-Anxiety Medication
This tells you the percent of residents prescribed antianxiety drugs. These drugs are generally used to treat patients experiencing anxiety or depression.
Managing Depression Among Residents
In Heritage House of Marshall Health & Rehabilitation, 4.81% of Patients
This is the percent of residents who are showing symptoms of depression.
Appropriate Vaccine Usage
In Heritage House of Marshall Health & Rehabilitation, 94.64% of Patients
This datapoint is a measure of the percent of long-term care residents that received the flu and pneumonia vaccines.
Residents Maintain Autonomy
In Heritage House of Marshall Health & Rehabilitation, 17.1% Percentage of Patients
This indicates the percent of residents who needed additional assistance with activities of daily living over time.
Ability to Keep Residents Mobile
In Heritage House of Marshall Health & Rehabilitation, 16.36% Percentage of Residents
This metric tracks the percentage of long-term care patients who were able to retain mobility.
In Heritage House of Marshall Health & Rehabilitation, 1.67 Hospitalizations per 1,000 resident days
This tells you the number of hospitalizations per 1,000 days of care.
Short-term Care: Rehospitalizations
In Heritage House of Marshall Health & Rehabilitation, 16.36 Percentage of Residents Rehospitalized
This tells you the number of times residents are rehospitalized per 1,000 days of short-term care.
Short-term Care: ER Visits
In Heritage House of Marshall Health & Rehabilitation, 11.4 Percentage of Patients
This datapoint measures the number of emergency room visits per thousand days of short-term patient care. Avoiding emergency medical situations is one way to gauge the well-being of patients during rehabilitation.
Short-term Care: Facilitates Functional Improvement
In Heritage House of Marshall Health & Rehabilitation, 66.86% Percentage of Resident
This datapoint is a measure of the percent of short-term stay residents who saw functional improvements, such as enhanced ability to perform activities of daily living. Many in the industry believe that this is a reliable measure of a nursing home's rehabilitation performance.