Rambling Oaks Courtyard Extensive Care Community
112 Barnett Blvd, Lewisville TX 75077 · (972) 317-1174 · 56.28% estimated occupancy 1Updated: Aug 1, 2020 · By Nick Lata
Rambling Oaks Courtyard Extensive Care Community is a small nursing home located in Lewisville, Texas. Sporting an overall rating of A-, this facility is ranked among the more impressive facilities we assessed. We were not surprised to discover that this is actually the number one rated facility in Lewisville. Lastly, this nursing home's ownership changed in the last year, so we will need to monitor it to confirm it maintains its high level of care.
Additional Details:
Accepts Medicare 1 :
Accepts Medicaid 1 : 70 Beds
CCRC :
For profit - Partnership
Resident Council:
Family Council:
Medical Staff Hours Per Patient (2019)
Short-term Care Quality
One of the reasons this turned out to be a great facility is that it earned a very impressive short-term care grade. In that category, we awarded this facility an A. In our short-term care category, we strive to create a valuable barometer for rehabilitation services. In this process, we analyze the nursing home's scope of skilled nursing services, including both registered nurses and physical therapy, as well as occupational therapy. Remarkably, this facility provides its residents with at least 50% more physical therapist hours per week than the average facility. Lastly, we looked at the percentage of residents who were able to return home from this nursing home. In addition to excelling in the area of physical therapy hours, we found that it fared as well as just about any nursing home in the country with 64.3 percent of its residents returning home.
Facility Inspections
In addition, this facility also received a nearly flawless government inspection report. As a result, it earned one of our best grades in that category with an A-. We weigh several aspects of a nursing home's inspection report in determining our inspection grades. One key factor is health deficiencies. It should be noted that the severity of the deficiencies is usually more important than the number of deficiencies, as some deficiencies are relatively insignificant. This particular nursing home had just a single deficiency on its inspection report and it was not one deemed to pose a threat to patient health or safety. Even some of the best nursing homes receive an occasional ding on their inspection report.
Nurse Quality
We also wanted to emphasize the fact that this facility received an impressive grade of A- in our nursing category. We scrutinized the qualifications of nurses working for the facility, as well as the quantity of hours the nurses spent with residents, in determining our grade in this category. This particular nursing home provided 5.7 hours of nursing care per patient daily, which was among the more impressive totals we found. Lastly, this facility also excelled in several of the quality measures we looked at. With fewer than five percent of its residents experiencing pressure ulcers, this place performed as well as any nursing home the nation in this category. This is generally a good indicator that a place has reliable quality controls. Many pressure ulcers can be avoided by offering better nursing care and a policy of turning residents even once per day.
Long-term Care Quality
Moving on to the last category, this nursing home also excelled in the long-term care category. We awarded it a B+ in that area. This completed a first-rate profile. Nursing homes that do well in long-term care tend to be well-staffed and offer extensive hands on care to patients. On top of offering well above average levels of nursing care and other staffing, this facility gave the pneumonia vaccine to 100 percent of its patients. This figure is also much better than the average nursing home. Lastly, this nursing home was able to limit hospitalizations. With just 1.47 hospitalizations per one thousand long-term resident days, this facility has less hospitalizations than the average nursing home.
Overall Rating Over Time
Compared to national and state averages across all facilities.
Rambling Oaks Courtyard Extensive Care Community Quality Metrics
Minimizes Pressure Ulcers
This figure measures the percentage of long-term care residents who developed pressure ulcers . We use this statistic in calculating both nursing and long-term care grades.
Percent of Patients with Pressure Ulcers
Lower is Better
Minimizes Serious Falls
This indicates the percent of residents that suffered from a fall leading to severe injury.
Percent of Patients with Serious Falls
Lower is Better
Minimizes Urinary Tract Infections
This is the percent of patients that have had a urinary tract infection. These infections are sometimes associated with poor hygiene.
Percent of Patients with UTIs
Lower is Better
Appropriately Uses Anti-Psychotic Medication
This tells you the percent of long-term care patients who were administered antipsychotic medication. Excessive reliance on these medications may suggest that a facility is using these medications to control patient behavior in situations where such medications aren't medically required. However, some facilities may need to rely more on these drugs due to an increased number of residents with dementia.
Percent of Patients
Lower is Better
Appropriately Uses Anti-Anxiety Medication
This indicates the percent of patients given antianxiety medications. These medications are given to patients suffering from anxiety and depression.
Percent of Patients
Lower is Better
Managing Depression Among Residents
This is a measure of the percentage of long-term care patients demonstrating signs of depression. Some would argue this is a reliable measure of quality of life.
Percent of Patients
Lower is Better
Appropriate Vaccine Usage
This datapoint is a measure of the percent of long-term care patients who were vaccinated against pneumonia and flu.
Percent of Patients
Higher is Better
Residents Maintain Autonomy
This tells you the percent of patients that needed increased assistance with activities of daily living over time. High levels of needing for assistance with ADL's may be a sign of decline of a resident's well-being.
Percentage of Patients
Lower is Better
Ability to Keep Residents Mobile
This tells you the percentage of patients that were able to retain mobility over time. Retaining mobility is often a great sign for residents' health.
Percentage of Residents
Higher is Better
Hospitalizations
This datapoint measures the number of hospitalizations per thousand days of patient care.
Hospitalizations per 1,000 resident days
Lower is Better
Short-term Care: Rehospitalizations
This is a measure of the number of rehospitalizations per 1,000 days of short-term care. Staying out of the hospital during rehabilitation is important to restoring the physical abilities of patients.
Percentage of Residents Rehospitalized
Lower is Better
Short-term Care: ER Visits
This is the number of times residents are sent to the emergency room per 1,000 days of short-term patient care.
Percentage of Patients
Lower is Better
Short-term Care: Facilitates Functional Improvement
This is a measure of the percentage of short-term patients that experienced functional improvements, such as enhanced ability to perform activities of daily living. Some would argue that this is a measure of a facility's rehabilitation services.
Percentage of Resident
Higher is Better