Mshc the Waterton at Cowhorn Creek is located in Texarkana, Texas. The city has 60,677 people. With an overall score of F, we consider this to be a lower end facility. Based on our assessment, you'd be better off to avoid of this place. We would not blame you if you are ready to stop reading and find another nursing home. However, if you want to learn more about this nursing home's category grades, inspection grades are discussed in the next paragraph.

Additional Details:

Accepts Medicare 1 : TrueA checkmark indicating true.

Accepts Medicaid 1 : 76 Beds TrueA checkmark indicating true.

CCRC : FalseUsed to indicate false.

For profit - Limited Liability company

Resident Council: TrueA checkmark indicating true.

Family Council: FalseUsed to indicate false.

Medical Staff Hours Per Patient (2019)

Less:
More:
April
April 1, 2019April 2, 2019April 3, 2019April 4, 2019April 5, 2019April 6, 2019April 7, 2019April 8, 2019April 9, 2019April 10, 2019April 11, 2019April 12, 2019April 13, 2019April 14, 2019April 15, 2019April 16, 2019April 17, 2019April 18, 2019April 19, 2019April 20, 2019April 21, 2019April 22, 2019April 23, 2019April 24, 2019April 25, 2019April 26, 2019April 27, 2019April 28, 2019April 29, 2019April 30, 2019
May
May 1, 2019May 2, 2019May 3, 2019May 4, 2019May 5, 2019May 6, 2019May 7, 2019May 8, 2019May 9, 2019May 10, 2019May 11, 2019May 12, 2019May 13, 2019May 14, 2019May 15, 2019May 16, 2019May 17, 2019May 18, 2019May 19, 2019May 20, 2019May 21, 2019May 22, 2019May 23, 2019May 24, 2019May 25, 2019May 26, 2019May 27, 2019May 28, 2019May 29, 2019May 30, 2019May 31, 2019
June
June 1, 2019June 2, 2019June 3, 2019June 4, 2019June 5, 2019June 6, 2019June 7, 2019June 8, 2019June 9, 2019June 10, 2019June 11, 2019June 12, 2019June 13, 2019June 14, 2019June 15, 2019June 16, 2019June 17, 2019June 18, 2019June 19, 2019June 20, 2019June 21, 2019June 22, 2019June 23, 2019June 24, 2019June 25, 2019June 26, 2019June 27, 2019June 28, 2019June 29, 2019June 30, 2019
July
July 1, 2019July 2, 2019July 3, 2019July 4, 2019July 5, 2019July 6, 2019July 7, 2019July 8, 2019July 9, 2019July 10, 2019July 11, 2019July 12, 2019July 13, 2019July 14, 2019July 15, 2019July 16, 2019July 17, 2019July 18, 2019July 19, 2019July 20, 2019July 21, 2019July 22, 2019July 23, 2019July 24, 2019July 25, 2019July 26, 2019July 27, 2019July 28, 2019July 29, 2019July 30, 2019July 31, 2019
August
August 1, 2019August 2, 2019August 3, 2019August 4, 2019August 5, 2019August 6, 2019August 7, 2019August 8, 2019August 9, 2019August 10, 2019August 11, 2019August 12, 2019August 13, 2019August 14, 2019August 15, 2019August 16, 2019August 17, 2019August 18, 2019August 19, 2019August 20, 2019August 21, 2019August 22, 2019August 23, 2019August 24, 2019August 25, 2019August 26, 2019August 27, 2019August 28, 2019August 29, 2019August 30, 2019August 31, 2019
September
September 1, 2019September 2, 2019September 3, 2019September 4, 2019September 5, 2019September 6, 2019September 7, 2019September 8, 2019September 9, 2019September 10, 2019September 11, 2019September 12, 2019September 13, 2019September 14, 2019September 15, 2019September 16, 2019September 17, 2019September 18, 2019September 19, 2019September 20, 2019September 21, 2019September 22, 2019September 23, 2019September 24, 2019September 25, 2019September 26, 2019September 27, 2019September 28, 2019September 29, 2019September 30, 2019
October
October 1, 2019October 2, 2019October 3, 2019October 4, 2019October 5, 2019October 6, 2019October 7, 2019October 8, 2019October 9, 2019October 10, 2019October 11, 2019October 12, 2019October 13, 2019October 14, 2019October 15, 2019October 16, 2019October 17, 2019October 18, 2019October 19, 2019October 20, 2019October 21, 2019October 22, 2019October 23, 2019October 24, 2019October 25, 2019October 26, 2019October 27, 2019October 28, 2019October 29, 2019October 30, 2019October 31, 2019
November
November 1, 2019November 2, 2019November 3, 2019November 4, 2019November 5, 2019November 6, 2019November 7, 2019November 8, 2019November 9, 2019November 10, 2019November 11, 2019November 12, 2019November 13, 2019November 14, 2019November 15, 2019November 16, 2019November 17, 2019November 18, 2019November 19, 2019November 20, 2019November 21, 2019November 22, 2019November 23, 2019November 24, 2019November 25, 2019November 26, 2019November 27, 2019November 28, 2019November 29, 2019November 30, 2019
December
December 1, 2019December 2, 2019December 3, 2019December 4, 2019December 5, 2019December 6, 2019December 7, 2019December 8, 2019December 9, 2019December 10, 2019December 11, 2019December 12, 2019December 13, 2019December 14, 2019December 15, 2019December 16, 2019December 17, 2019December 18, 2019December 19, 2019December 20, 2019December 21, 2019December 22, 2019December 23, 2019December 24, 2019December 25, 2019December 26, 2019December 27, 2019December 28, 2019December 29, 2019December 30, 2019December 31, 2019

Facility Inspections

B-
Oct 18: B+Nov 18: B+Dec 18: B+Jan 19: B+Feb 19: B+May 19: B-Jun 19: B-Jul 19: B-Aug 19: B-Sep 19: B-Jan 20: BMar 20: B-Apr 20: B-May 20: B-Jun 20: B-Jul 20: B-Aug 20: B-
Historical

While we graded this facility incredibly poorly overall, it received a fairly respectable inspection report this year. As a result, it received a decent grade in that category with a score of B-. We weigh several aspects of a nursing home's inspection report in determining our inspection ratings. One of those factors is health deficiencies. You should keep in mind that the severity of these deficiencies is usually more important than the quantity of deficiencies, as some of these are relatively minor. Although this place had some deficiencies on its government inspection report, none of them were serious based on CMS' scale. A few minor deficiencies aren't the end of the world.

Long-term Care Quality

C
Oct 18: CNov 18: CDec 18: CJan 19: CFeb 19: CMay 19: CJun 19: CJul 19: DAug 19: DSep 19: DJan 20: DMar 20: CApr 20: CMay 20: CJun 20: CJul 20: CAug 20: C
Historical

This nursing home also didn't grade out poorly in the area of long-term care. In fact, we awarded it a C in that category, which happens to be another one of its more favorable grades. In a long-term care setting, the facility's primary goal is to maintain patients' quality of life and keep them safe. After assessing the volume of care provided by aids and other staff, we next considered the facility's vaccination statistics. We were somewhat surprised to discover that this nursing home vaccinated a relatively low 70.55555 percent of its residents against pneumonia. The last datapoint we looked at was the nursing home's hospitalization rate. We found that this nursing home had a relatively high 3.1 hospitalizations per one thousand long-term resident days. Neither its vaccination record nor its hospitalization rate were strengths for this place in this area.

Short-term Care Quality

C
Oct 18: B-Nov 18: B-Dec 18: B-Jan 19: BFeb 19: B-May 19: B-Jun 19: B-Jul 19: B+Aug 19: B+Sep 19: B+Jan 20: B-Mar 20: B-Apr 20: CMay 20: CJun 20: CJul 20: CAug 20: C
Historical

Remarkably, we awarded this facility a C for its short-term care score, which is not too bad of a score. Our short-term care grades are based in part on a facility's quantity of highly-skilled highly skilled professionals. This includes a vast spectrum of services, ranging from registered nurses to physical and occupational therapists, in addition to other forms of therapy. We found that this place was below average in the two key staffing areas we assessed. It provided fewer registered nurse and physical therapist hours per resident than most other facilities. It is still important to determine whether this is adversely impacting the quality of care. Finally, we considered the percentage of patients who eventually returned home from this facility and discovered this was this facility's strongest datapoint within this category. It fared well in this area with 58.9 percent of its patients returning home.

Nurse Quality

D
Oct 18: A-Nov 18: A-Dec 18: A-Jan 19: A-Feb 19: A-May 19: B-Jun 19: B-Jul 19: BAug 19: BSep 19: BJan 20: CMar 20: CApr 20: DMay 20: DJun 20: DJul 20: DAug 20: D
Historical

The last area we rated is nursing, which ended up being this nursing home's worst area. We gave this facility a D in that area. Nursing grades are mostly based on a facility's level of nurse staffing. This nursing home provides 3.3 hours of nursing care per resident per day. This is a much lower figure than we are used to seeing. On top of receiving below average marks for nursing hours, this place was a bit less impressive in some of the quality-based metrics we looked at in computing our nursing ratings. We looked at the percent of patients sustaining pressure ulcers and found this place was at roughly 150 percent of the national average in this statistic. This is a bad sign when you consider that many pressure ulcers are believed to be preventable with better nursing care. This statistic really dragged down this facility's nursing grade significantly.

Overall Rating Over Time

Compared to national and state averages across all facilities.

Aug 20
Provider:
F
State:
C
National:
B
FDCB-BB+A-AA+Oct 18Nov 18Dec 18Jan 19Feb 19Mar 19Apr 19May 19Jun 19Jul 19Aug 19Sep 19Oct 19Dec 19Jan 20Mar 20Apr 20May 20Jun 20Jul 20Aug 20
Overall Rating
Nurse Rating
Long-Term Rating
Short-Term Rating
Inspection Rating

Mshc the Waterton at Cowhorn Creek Quality Metrics

Minimizes Pressure Ulcers

This indicates the percent of patients that have had a pressure ulcer. Pressure ulcers are considered to be a barometer of the quality of nursing care . Pressure ulcers, which are also called bed sores, are routinely the result of residents not being moved frequently enough.

Provider
B-
9.02%
State
B
7.46%
National
B
7.34%

Percent of Patients with Pressure Ulcers
Lower is Better

Minimizes Serious Falls

This indicates the percent of residents that sustained a major fall. Falls resulting in serious injury are considered by many in the nursing home industry to be a measure of the quality of nursing care at a nursing home. Major falls are often the result of lower levels of patient supervision.

Provider
B+
2.78%
State
B
3.37%
National
B
3.36%

Percent of Patients with Serious Falls
Lower is Better

Minimizes Urinary Tract Infections

This indicates the percentage of residents who have had a urinary tract infection. Urinary tract infections are considered to be an indicator of nursing care . UTI's are routinely associated with a facility with worst hygiene practices. However, this metric can be skewed for some facilities due to varying reporting standards for these infections.

Provider
A-
1.12%
State
B+
2.22%
National
B
2.66%

Percent of Patients with UTIs
Lower is Better

Appropriately Uses Anti-Psychotic Medication

This is the percent of patients prescribed antipsychotic medications. Antipsychotic medications are administered to residents for many conditions, such as cognitive disorders. Sadly, in limited situations, excessive reliance on these medications may mean that a facility is using these drugs to subdue residents.

Provider
A
6.59%
State
B+
12.37%
National
B
14.15%

Percent of Patients
Lower is Better

Appropriately Uses Anti-Anxiety Medication

This figure is an indication of the percent of long-term care patients who were prescribed antianxiety drugs. These drugs are prescribed to residents experiencing depression or anxiety.

Provider
B-
22.5%
State
B-
23.38%
National
B
19.69%

Percent of Patients
Lower is Better

Managing Depression Among Residents

Measures the percent of long-term stay patients who are exhibiting symptoms of depression.

Provider
D
11.11%
State
B+
2.92%
National
B+
5.11%

Percent of Patients
Lower is Better

Appropriate Vaccine Usage

This tells you the percent of residents who were given the flu and pneumonia vaccines. High vaccination rates should be the norm at this point.

Provider
F
78.13%
State
B
92.34%
National
B
92.01%

Percent of Patients
Higher is Better

Residents Maintain Autonomy

This datapoint measures the percentage of long-term care patients who required increased assistance with activities of daily living over time. ADL's include activities such as getting dressed and eating.

Provider
D
24.14%
State
B-
17.2%
National
B
14.47%

Percentage of Patients
Lower is Better

Ability to Keep Residents Mobile

Measures the percentage of long-term stay patients that remained mobile levels.

Provider
A-
21.93%
State
B
18.24%
National
B
17.10%

Percentage of Residents
Higher is Better

Hospitalizations

This metric tracks the number of hospitalizations per 1,000 days of patient care.

Provider
F
2.86
State
B-
1.92
National
B
1.70

Hospitalizations per 1,000 resident days
Lower is Better

Short-term Care: Rehospitalizations

This tells you the number of times residents are rehospitalized per 1,000 days of short-term patient care.

Provider
C
21.93
State
B
18.24
National
B
17.10

Percentage of Residents Rehospitalized
Lower is Better

Short-term Care: ER Visits

This tells you the number of times residents are sent to the emergency room per 1,000 days of short-term patient care. There is generally a correlation between having fewer emergency room visits and the overall quality of rehabilitation.

Provider
F
18.07
State
B
10.69
National
B
10.26

Percentage of Patients
Lower is Better

Short-term Care: Facilitates Functional Improvement

This tells you the percentage of short-term patients that experienced functional improvements, such as enhanced ability to perform activities of daily living.

Provider
F
39.31%
State
C
61.02%
National
B
68.02%

Percentage of Resident
Higher is Better

Nearby Hospitals

Christus St Michael Health System 0.66 mi
2600 St Michael Dr Texarkana Texas 75504
(903) 614-1000
Acute Care Hospitals
Voluntary non-profit - Church
Wadley Regional Medical Center 3.45 mi
1000 Pine Street Texarkana Texas 75501
(903) 798-8000
Acute Care Hospitals
Physician
Little River Memorial Hospital 13.99 mi
451 West Locke Street Ashdown Arkansas 71822
(870) 898-5011
Critical Access Hospitals
Voluntary non-profit - Private

Nearby Dialysis

Texarkana Regional Dialysis 0.74 mi
CMS Rating: 3 stars
Dialysis Stations: 34
5502 Medical Parkway Dr. Texarkana Texas 75503
(903) 832-9771
Vamana, Inc 3.88 mi
Dialysis Stations: 11
422 Beech St Texarkana Arkansas 71854
(870) 773-1111
Davita - Miller County Dialysis 4.85 mi
CMS Rating: 4 stars
Dialysis Stations: 20
816 East St Texarkana Arkansas 71854
(870) 772-2756