Ponderosa Nursing and Rehabilitation Center is a facility located in De Kalb, Texas, which has a population of 5,568 people. Featuring an overall rating of D, this is a subpar facility. This facility seems to have very little going for it. If you aren't deterred by this nursing home's report card, feel free to continue reading to learn more about its category grades. We discuss short-term care in the next paragraph.

Additional Details:

Accepts Medicare 1 : TrueA checkmark indicating true.

Accepts Medicaid 1 : 110 Beds TrueA checkmark indicating true.

CCRC : FalseUsed to indicate false.

For profit - Individual

Resident Council: TrueA checkmark indicating true.

Family Council: FalseUsed to indicate false.

Short-term Care Quality

B+
Oct 18: DNov 18: DDec 18: DJan 19: DFeb 19: DMay 19: B-Jun 19: B-Jul 19: BAug 19: BSep 19: BJan 20: B+Mar 20: B+Apr 20: B+May 20: B+Jun 20: B+Jul 20: B+Aug 20: B+
Historical

This facility received an impressive short-term care grade this year. We gave it a grade of B+ in this area. In the category of short-term care, we try to assess measures of a nursing home's rehabilitation services. We analyze a nursing home's skilled nursing services, such as those performed by registered nurses and various therapists. We were not able to find registered nurse or physical therapy staffing data for this facility. The last statistic we considered in this area is the number of patients who were able to leave the nursing home and return to the community. This place was above average with 50.7 percent of its patients returning home.

Nurse Quality

B
Oct 18: B-Nov 18: B-Dec 18: B-Jan 19: B-Feb 19: B-May 19: A-Jun 19: A-Jul 19: B+Aug 19: B+Sep 19: B+Jan 20: BMar 20: BApr 20: BMay 20: BJun 20: BJul 20: BAug 20: B
Historical

We also gave this facility favorable marks in the area of nursing care, where it received a grade of B. Our nursing grade is mostly based on the nursing home's nurse staffing. This nursing home provides 0 hours of nursing care per resident per day. Lastly, we also looked at some quality-based measures in this category. This place fared well in some of the quality measures we looked at. For example, in terms of the number of its patients suffering from pressure ulcers, this place performed better than the national average. This is generally an indicator that a place has reliable quality controls in place. Pressure ulcers can generally be prevented with better nursing care.

Long-term Care Quality

D
Oct 18: B-Nov 18: B-Dec 18: B-Jan 19: BFeb 19: B-May 19: B-Jun 19: B-Jul 19: CAug 19: CSep 19: CJan 20: DMar 20: DApr 20: DMay 20: DJun 20: DJul 20: DAug 20: D
Historical

As it turns out, this facility only earned a grade of D for its long-term care rating, which is not a score to write home about. Nursing homes that don't fare well in long-term care often don't provide as much nursing care and also may be lagging in some of the areas of routine medical care we looked at. After assessing the volume of care provided by nurses aids and other staff, we turned to the nursing home's vaccination data. This facility vaccinated 93.436295 percent of its residents for pneumonia, which happens to be slightly lower than we were hoping for but still a reasonably acceptable percentage. To our surprise, this place was actually decent at keeping its patients out of the hospital. It had just 1.34 hospitalizations per 1,000 long-term resident days. This is its best score in this category.

Facility Inspections

F
Oct 18: A-Nov 18: A-Dec 18: A-Jan 19: A-Feb 19: A-May 19: B+Jun 19: B+Jul 19: B+Aug 19: B+Sep 19: B+Jan 20: B+Mar 20: A-Apr 20: FMay 20: FJun 20: FJul 20: FAug 20: F
Historical

The final category we looked at was inspections. This facility did not receive positive government inspection reports in recent years. As a result, we gave it an F in this category. When a place has this poor of an inspection score, you should expect some severe deficiencies on its inspection report. Severe deficiencies indicate a risk to patient safety. This nursing home had 6 deficiencies by CMS. The only positive thing we found is that none of its deficiencies were in the categories that suggest they caused a risk to patient health or safety. Finally, this facility also received 5 substantiated complaints in recent years. This is yet another bad sign.

Overall Rating Over Time

Compared to national and state averages across all facilities.

Aug 20
Provider:
D
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

Ponderosa Nursing and Rehabilitation Center Quality Metrics

Minimizes Pressure Ulcers

This indicates the percentage of patients who suffered from a pressure ulcer. Pressure ulcers, which are also called bed sores, are often caused by residents not being moved frequently enough. Better nursing care can reduce the percentage of residents in a nursing home who sustain pressure ulcers.

Provider
B+
5.45%
State
B
7.46%
National
B
7.33%

Percent of Patients with Pressure Ulcers
Lower is Better

Minimizes Serious Falls

This datapoint tells you the percentage of long-term care residents which sustained falls leading to major injury. This is one of the statistics we use in calculating our nursing scores.

Provider
F
8.49%
State
B
3.37%
National
B
3.36%

Percent of Patients with Serious Falls
Lower is Better

Minimizes Urinary Tract Infections

This is the percentage of residents who suffered from a urinary tract infection. These infections may be linked to poorer hygiene.

Provider
F
13.62%
State
B+
2.22%
National
B
2.65%

Percent of Patients with UTIs
Lower is Better

Appropriately Uses Anti-Psychotic Medication

This tells you the percentage of patients who were given antipsychotic drugs. While antipsychotic medications may be vital to many patients, it is important to confirm these medications are being used appropriately. In some cases, excessive reliance on these medications may suggest that a facility is using these drugs to subdue residents.

Provider
C
18.8%
State
B+
12.37%
National
B
14.18%

Percent of Patients
Lower is Better

Appropriately Uses Anti-Anxiety Medication

This indicates the percent of residents who were prescribed antianxiety medications. Antianxiety medications are given to patients experiencing anxiety and depression.

Provider
C
26.5%
State
B-
23.38%
National
B
19.67%

Percent of Patients
Lower is Better

Managing Depression Among Residents

This is a measure of the percentage of long-term stay patients who are demonstrating signs of depression.

Provider
B-
2.92%
State
B+
2.92%
National
B+
5.09%

Percent of Patients
Lower is Better

Appropriate Vaccine Usage

This is the percentage of patients who received the pneumonia and flu vaccines. High vaccination rates should be demanded by residents.

Provider
B-
95.74%
State
B
92.34%
National
B
92.04%

Percent of Patients
Higher is Better

Residents Maintain Autonomy

This metric is a measure of the percentage of long-term stay residents who required more assistance with activities of daily living over time. ADL's include activities such as getting dressed and eating. Some experts argue this is a reliable measure of a patient's well-being.

Provider
F
27.14%
State
B-
17.2%
National
B
14.47%

Percentage of Patients
Lower is Better

Ability to Keep Residents Mobile

This metric is a measure of the percent of long-term residents who retained mobility levels.

Provider
A+
29.98%
State
B
18.24%
National
B
17.09%

Percentage of Residents
Higher is Better

Hospitalizations

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

Provider
A-
1.32
State
B-
1.92
National
B
1.70

Hospitalizations per 1,000 resident days
Lower is Better

Short-term Care: Rehospitalizations

This is the number of times residents are rehospitalized per thousand days of short-term patient care. There is typically a correlation between having fewer hospitalizations and a nursing home's quality of short-term rehabilitation.

Provider
F
29.98
State
B
18.24
National
B
17.09

Percentage of Residents Rehospitalized
Lower is Better

Short-term Care: ER Visits

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

Provider
F
20.93
State
B
10.69
National
B
10.26

Percentage of Patients
Lower is Better