River Valley Health & Rehabilitation Center
1907 Refinery Rd, Gainesville TX 76240 · (940) 665-0386 · 36.29% estimated occupancy 1Updated: Aug 1, 2020 · By Nick Lata
River Valley Health & Rehabilitation Center is an average-sized government-owned nursing home located in Gainesville, Texas. With an overall score of C, this is likely a solid nursing home. This grade is right in line with the city grade in Gainesville, which admittedly is admittedly a bit below average nationally. One of the major highlights of this facility's report card is its exemplary inspection rating, which is addressed in the next section.
Additional Details:
Accepts Medicare 1 :
Accepts Medicaid 1 : 116 Beds
CCRC :
Government - Hospital district
Resident Council:
Family Council:
Medical Staff Hours Per Patient (2019)
Facility Inspections
We want to draw your attention to the fact that this facility really outperformed its overall score in the area of inspections. In fact, it received an excellent government inspection report this year. As a result, we gave it one of our best scores in this category with a grade of A+. Inspection scores weigh a host of factors found on a nursing home's inspection reports. One of the most important criteria we consider is the number and severity of deficiencies. Places with higher scores in this category typically have few severe deficiencies. Although this nursing home had some deficiencies on its report, none were severe based on CMS' scale. A couple of minor deficiencies shouldn't stop you from considering a nursing home.
Long-term Care Quality
This nursing home's second best area ended up being long-term care. In that category, we gave this facility a grade of C. Long-term care grades assess a facility's assistance with daily living rather than the skilled therapy or healthcare services that are critical to a skilled nursing facility. On top of considering the volume of care provided by nurses aids and other staff, we also looked at the number of residents vaccinated for pneumonia. This facility gave the vaccine to 93.42105 percent of its residents, which is a few points lower than we anticipated. On a more positive note, this place was able to limit hospitalizations. With only 1.09 hospitalizations per one thousand long-term resident days, this nursing home had less hospitalizations than the average nursing home.
Short-term Care Quality
This nursing home was awarded its next most favorable category grade in the category of short-term care. We gave this nursing home a grade of C in this area, which is a decent score. In the area of short-term care, we attempt to evaluate measures of a facility's rehabilitation. We analyze a nursing home's skilled nursing services, such as those performed by registered nurses and physical therapists. In this nursing home's case, we were surprised to learn that it actually provides less registered nurse and physical therapist hours per patient than the average facility. The last datapoint we looked at in this category is the percentage of residents who were able to return home from the facility. We found that it performed much better in this metric with 57.2 percent of its residents returning home.
Nurse Quality
This nursing home's least impressive category is nursing, which is the final category we scored. In this category, we gave this nursing home a D. Our nursing score weighs several data points, however, the main consideration is the number of nurse hours spent with patients. This facility provided just 3.1 hours of nursing care per resident per day. This is a very low total compared to most nursing homes. Lastly, we also looked at a few quality measures in computing our nursing ratings. This nursing home was above average in two of the major areas we focus on, with good marks for avoiding major falls and pressure ulcers. These areas are typically reliable measures of the quality of nursing care offered.
Overall Rating Over Time
Compared to national and state averages across all facilities.
River Valley Health & Rehabilitation Center Quality Metrics
Minimizes Pressure Ulcers
This tells you the percent of residents who have had a pressure ulcer. Pressure ulcers are skin damage due to staying in one position for too long.
Percent of Patients with Pressure Ulcers
Lower is Better
Minimizes Serious Falls
This is the percent of residents who sustained a major fall. Falls resulting in major injury are routinely caused by lower levels of patient supervision. Closer supervision limits the percentage of residents in a nursing home who sustain major falls.
Percent of Patients with Serious Falls
Lower is Better
Minimizes Urinary Tract Infections
This indicates the percentage of patients who have had a urinary tract infection. These infections are associated with insufficient hygiene.
Percent of Patients with UTIs
Lower is Better
Appropriately Uses Anti-Psychotic Medication
This is the percentage of residents who were given antipsychotic medications. While antipsychotic drugs may be helpful for many residents, it is important to make sure these drugs are being used only where medically required. In some situations, increased usage of these drugs may mean a nursing home is using these drugs to control patient behavior.
Percent of Patients
Lower is Better
Appropriately Uses Anti-Anxiety Medication
This metric tells you the percent of long-term patients receiving antianxiety drugs.
Percent of Patients
Lower is Better
Managing Depression Among Residents
This indicates the percent of patients who are exhibiting depressive symptoms. Higher levels of depression could indicate a lower level of care.
Percent of Patients
Lower is Better
Appropriate Vaccine Usage
This indicates the percentage of patients who have received the flu and pneumonia vaccines. High vaccination rates should be demanded by residents.
Percent of Patients
Higher is Better
Residents Maintain Autonomy
This metric measures the percentage of long-term stay patients who required more assistance with activities of daily living over time. Activities of daily living include activities such as dressing and using the bathroom. Many in the industry argue that this is a reasonable measure of a resident's well-being.
Percentage of Patients
Lower is Better
Ability to Keep Residents Mobile
This is a measure of the percentage of long-term patients that were able to retain mobility.
Percentage of Residents
Higher is Better
Hospitalizations
This datapoint is a measure of the number of hospitalizations per 1,000 days of patient care. Keeping residents out of the hospital is critical to preserving the physical health of nursing home patients.
Hospitalizations per 1,000 resident days
Lower is Better
Short-term Care: Rehospitalizations
This tells you the number of times residents are rehospitalized per thousand days of short-term patient care.
Percentage of Residents Rehospitalized
Lower is Better
Short-term Care: ER Visits
This metric is a measure of the number of times residents are sent to the emergency room per 1,000 days of short-term patient care. Staying out of the emergency room is one way to gauge short-term care.
Percentage of Patients
Lower is Better
Short-term Care: Facilitates Functional Improvement
This datapoint is a measure of the percentage of short-term patients who saw functional improvements.
Percentage of Resident
Higher is Better