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Medina Valley Health & Rehabilitation Center

  • Nursing Home

Updated Sep 1, 2022 by Nick Reese

Historical Rating
Grade: B-minus
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See Rating Overview
Medina Valley Health & Rehabilitation Center's website

913 Hwy 90 W,
Castroville TX 78009

(830) 931-2900

71.46% estimated occupancy 1

Medina Valley Health & Rehabilitation Center is an average-sized nursing home located in Castroville, Texas. We gave this facility an overall grade of B-. A score of this caliber requires some decent scores. Based on our analysis, this place ought to meet the needs of many people. One of the major highlights of this facility's profile is its remarkable inspection rating, which is addressed in the next section.

Quick Details

  • Accepts Medicare 1
  • Accepts Medicaid 1
  • No CCRC
  • Has Resident Council
  • No Family Council
  • For profit - Partnership
  • Offers Post-Acute Care 
  • Offers Inpatient Rehab

Specialized Services

  • Personal Care
  • Medication Management
  • Home Making
  • Speech Therapy
  • Stroke Recovery
  • IV Antibiotic Therapy
  • Wound Care
  • Occupational Therapy
  • Cardiac Therapy
  • Physical Therapy
  • Respiratory Therapy
  • Nutritional Counseling
  • Laboratory
  • X-Ray
  • Recreational Therapy
  • Pain Management
  • Orthopedic Rehabilitation

Registered Staff Hours

Medical Staff Hours Per Patient (2021)
Less:
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April
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May
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June
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August
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September
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October
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December
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January
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February
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March
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Facility Inspections

Grade: A

While this facility's overall grade was not bad, 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 highest scores. These inspection ratings weigh several factors, including deficiencies and federal fines. You can learn more about each of these factors by obtaining copies of nursing homes' inspection reports. While this place had some deficiencies on its government inspection report, none were severe based on CMS' deficiency scale. We should point out that deficiency-free inspections are uncommon in the industry.

Long-term Care Quality

Grade: B-plus

This nursing home also was awarded an impressive score in our long-term care category. We awarded this facility a better than average grade of B+ in this area. When facilities receive a score in this range in long-term care it generally means it has plenty of staff and is an overall good place to reside on a permanent basis. One of the datapoints we considered after nursing hours is vaccinations. This facility administered the pneumonia vaccination to 98.611115 percent of its patients. This is a great way to avoid unnecessary deaths and hospitalizations for the elderly population. Clearly, this facility is doing something right in this area as it was able to keep its patients out of the hospital. Indeed, it had only 0.02 hospitalizations per one thousand long-term resident days, which is an impressively low number.

Nurse Quality

Grade: D

Moving on to another strength for this facility, it also earned an elite nursing rating. In fact, we gave this facility an impressive grade of D. Our nursing score analyzes the facility's nurse staffing levels. We factor in both the levels of skill of those nurses as well as the amount of time spent with residents. This nursing home offered just 0.3 hours of nursing care per patient on a daily basis. This is not a very impressive figure. Lastly, we also assessed some nursing quality-based metrics in calculating our nursing grades. This place fared well in terms of minimizing its residents' pressure ulcers and major falls.

Short-term Care Quality

Grade: D

Switching gears to our last category, we gave this facility a D in the area of short-term care. This was the nursing home's weakest category score. Sadly, this score pulled down the nursing home's overall profile a bit. In computing these short-term care scores, we quantify the facility's skilled nursing services, including those performed by registered nurses, respiratory therapists, physical therapists and other types of therapists. Our goal is to create a tool for sizing up the rehabilitation services of various nursing homes. In this facility's case, it looks like it offers less registered nurse and physical therapist hours per patient than a typical facility. The final statistic we assessed in this category is the number of residents that who were able to eventually return home from the facility. This nursing home struggled quite a bit in this metric as well, with just 0 percent of its patients returning home. Unfortunately, this was well below average.

Rating Over Time

Compared to national and state averages across all facilities.

FDCB-BB+A-AA+Oct 18Sep 22

Medina Valley Health & Rehabilitation Center Quality Metrics

Minimizes Pressure Ulcers

Grade: B-plus

In Medina Valley Health & Rehabilitation Center, 7.79% of Patients had Pressure Ulcers

This indicates the percentage of residents that suffered from a pressure ulcer. Pressure ulcers are considered to be an indicator of the quality of nursing care at a nursing home. Pressure ulcers, which are also called bed sores, are routinely the result of residents staying in one position for too long.

Minimizes Serious Falls

Grade: A-minus

In Medina Valley Health & Rehabilitation Center, 3.33% of Patients had Serious Falls

This indicates the percentage of residents who sustained a major fall. Falls leading to major injury are considered to be an indicator of nursing care at a nursing home. Falls leading to injury are routinely caused by poor nursing care.

Minimizes Urinary Tract Infections

Grade: B-minus

In Medina Valley Health & Rehabilitation Center, 1.51% of Patients had UTIs

This metric is a measure of the percentage of long-term residents that suffered from a urinary tract infection. While a higher rate infections may reflect poorly on a nursing home's hygiene protocols, it is problematic to compare between facilities due to facilities having differing reporting standards.

Appropriately Uses Anti-Psychotic Medication

Grade: A

In Medina Valley Health & Rehabilitation Center, 11.48% of Patients use Anti-Psychotic Medication

This figure is an indication of the percentage of long-term stay patients that are given antipsychotic medication. Increased usage of these drugs may indicate that a nursing home is using these medications to subdue residents in situations where such drugs aren't medically required. However, some facilities may need to rely more on these drugs due to an increased number of patients with cognitive disorders.

Appropriately Uses Anti-Anxiety Medication

Grade: B-plus

In Medina Valley Health & Rehabilitation Center, 22.56% of Patients use Anti-Anxiety Medication

This statistic is an indication of the percentage of long-term residents receiving antianxiety medications.

Managing Depression Among Residents

Grade: B-minus

In Medina Valley Health & Rehabilitation Center, 4.81% of Patients

This is a measure of the percentage of long-term stay patients who are exhibiting depressive symptoms. Many argue that this is a reliable measure of patient quality of life.

Appropriate Vaccine Usage

Grade: B

In Medina Valley Health & Rehabilitation Center, 94.64% of Patients

This metric measures the percentage of long-term stay residents that received the flu and pneumonia vaccines.

Residents Maintain Autonomy

Grade: B-minus

In Medina Valley Health & Rehabilitation Center, 17.1% Percentage of Patients

This is a measure of the percent of long-term residents who required more assistance with activities of daily living over time. Activities of daily living include activities such as dressing and bathing.

Ability to Keep Residents Mobile

Grade: D

In Medina Valley Health & Rehabilitation Center, 16.36% Percentage of Residents

This indicates the percent of residents that remained mobile levels over time. Retaining mobility can be a good sign for residents' well-being.

Hospitalizations

Grade: F

In Medina Valley Health & Rehabilitation Center, 1.67 Hospitalizations per 1,000 resident days

This is the number of times residents are hospitalized per thousand days of patient care.

Short-term Care: Rehospitalizations

Grade: A

In Medina Valley Health & Rehabilitation Center, 16.36 Percentage of Residents Rehospitalized

This is the number of rehospitalizations per 1,000 days of short-term care. There is a correlation between having fewer hospitalizations and a nursing homes short-term rehabilitation performance.

Short-term Care: ER Visits

Grade: C

In Medina Valley Health & Rehabilitation Center, 11.4 Percentage of Patients

This metric tracks the number of emergency room visits per 1,000 days of short-term care. Staying out of the emergency room is one way to measure patient care during rehabilitation.

Short-term Care: Facilitates Functional Improvement

Grade: A

In Medina Valley Health & Rehabilitation Center, 66.86% Percentage of Resident

This metric measures the percentage of short-term patients who saw functional improvements.

Nearby Hospitals

  • Medina Regional HospitalCritical Access Hospitals 15.31 miles away3100 Avenue E Hondo Texas 78861Government - Hospital District or Authority(830) 426-7700

Nearby Dialysis

  • Us Renal Care Tri County Dialysis10.45 miles away19910 Interstate 35 S Lytle Texas 78052CMS Rating: 4 stars Dialysis Stations: 25 (830) 772-5784
  • Fresenius Medical Care San Antonio, LLC13.27 miles away5620 Lone Star Parkway San Antonio Texas 78253Dialysis Stations: 17 (210) 688-0377
  • Usrc Westover Hills Dialysis, LLC13.72 miles away11212 State Hwy 151 Medical Plaza Ii Suite 100 San Antonio Texas 78251CMS Rating: 3 stars Dialysis Stations: 13 (210) 521-5923
  • Usrc Hill Country, LLC13.93 miles away12011 State Highway 151 Ste 101 San Antonio Texas 78251Dialysis Stations: 37 (210) 248-1110
  • Westover Dialysis14.2 miles away9846 Westover Hills Blvd #101 San Antonio Texas 78251CMS Rating: 4 stars Dialysis Stations: 18 (210) 681-9180
  • Sng-Columbia Square Dialysis Center, Lp14.55 miles away1711 Columbia Square San Antonio Texas 78227Dialysis Stations: 24 (210) 455-8836
  • Us Renal Care Gateway Dialysis14.59 miles away230 Knollwood Dr San Antonio Texas 78227CMS Rating: 1 stars Dialysis Stations: 25 (210) 673-9200
  • Innovative Dialysis Solutions at Home of Devine14.85 miles away108 South Upson Drive Devine Texas 78016Dialysis Stations: 2 (830) 714-9242

Helpful Articles

Footnotes:

  1. https://www.medicare.gov/nursinghomecompare/profile.html#ID=675974