Juliette Fowler Communities

With an overall grade this high, it should come as no surprise that this nursing home excelled in the area of inspections, where it earned an A. Inspection scores are based on several pieces of information found on the a nursing home's recent inspection reports. Facilities that receive favorable grades in this category typically have few deficiencies on their reports. Most importantly, these facilities should not have any severe deficiencies which are associated with endangerment of patients. Although this nursing home had some deficiencies on its inspection report, none were severe based on CMS' deficiency scale. Finally, this facility had no substantiated complaints this year from residents, which is an excellent sign.

This nursing home also received a very impressive nursing grade. In fact, this turned out to be its second best category grade. In that area, we awarded this facility a grade of A. The nursing rating consists of several subcategories, however, the primary consideration is the level of nurse hours spent with patients. This particular nursing home provided 0.4 hours of nursing care per resident per day. Finally, we also assessed several nursing quality-based metrics and this place excelled in some of these areas. With less than five percent of its residents sustaining pressure ulcers, it performed as well as any nursing home Texas in this category. This is generally a good indicator of quality nursing care. Pressure ulcers can many times be avoided by providing better nursing care, such as by having a system of moving a resident at least once a day.

Moving on our third area, this nursing home was given a top-shelf short-term care grade. In fact, we gave it a score of A in that category. In forming our short-term care grades, we assess the nursing home's skilled nursing services, such as those performed by registered nurses, respiratory therapists, physical therapists and other types of therapists. The purpose is to create a barometer for comparing the rehabilitation services of different facilities. Fortunately, it appear that this facility has registered nurses on staff. Not all nursing homes employs these skilled professionals. On the other hand, based on the information this nursing home provided, it does not look like the facility employs physical therapists. Lastly, we considered the number of residents that who were able to eventually return home from this nursing home. We found that 5.7 percent of this nursing home's patients were able to return home.

Switching gears to our fourth area, this nursing home also excelled in our long-term care category. We gave it an A- in this category. This finalized a straight A profile. Facilities that receive this type of score in long-term care typically provide consistent around the clock care to make sure patients are well cared for. On top of looking at the quantity of care provided by nurses and other staff, we also looked at the number of residents vaccinated against pneumonia. This facility gave the vaccine to 75 percent of its patients, which is a bit lower than we expected. Although its vaccination rate was a bit lower than we had hoped, this nursing home was able to limit hospitalizations. It had only 0 hospitalizations per 1,000 long-term resident days, which is a remarkably low number.