Seven Oaks Nursing and Rehabilitation

Seven Oaks Nursing and Rehabilitation is a small facility located in Bonham, Texas. We awarded this facility an overall grade of B-. A grade in this range requires some respectable marks. This facility seems to have some things working in its favor. The best part of this facility's report card is its remarkable inspection grade. Inspection grades are discussed in the next section.

We want to point out that this nursing home outperformed its overall grade in the category of inspections. In fact, it received a nearly flawless government inspection report this year. As a result, we gave it one of our highest grades in this area with an A. We take several aspects of a facility's inspection report into consideration in determining our inspection ratings. One key factor is health deficiencies. You should keep in mind that the severity of the deficiencies is usually more meaningful than the number of deficiencies, as some of these are relatively insignificant. This facility was assessed 3 deficiencies on its inspection report, but we were relieved to see that none of the deficiencies were considered severe. This means that CMS did not deem any of the deficiencies to cause an imminent threat to resident safety or health. Finally, this facility had no substantiated complaints this year from residents, which is an excellent sign.

Turning to the category of long-term care, we gave this facility a grade of A in that area. Nursing homes that excel in this category typically provide patients with better supervision and stay on top of routine healthcare services. In addition to assessing the quantity of care provided by nurses aids and other staff, we also looked at the number of residents vaccinated for pneumonia. This nursing home administered the vaccine to 100 percent of its residents, which is significantly higher than the vast majority of nursing homes. Finally, we looked at the nursing home's number of hospitalizations. We found that this facility had 2.28 hospitalizations per one thousand long-term resident days.

One of this facility's better category grades was in the area of nursing care. In that area, we gave this facility a grade of C. In determining our nursing ratings, we analyze both the number of hours nurses spend with residents and the levels of licensure of the nurses. This place provides only 2.5 hours of nursing care per resident on a daily basis. This is a somewhat concerning figure which is well below average. Lastly, we also factored in a few quality-based measures in this category. While this nursing home didn't rank highly in terms of nursing hours, it fared much better in some of the quality measures we looked at. In terms of the number of its residents experiencing pressure ulcers, this facility performed better than the national average. This is typically a good indicator that a facility has sufficient quality controls in place. Pressure ulcers can typically be avoided with better nursing care.

The last area we looked at is short-term care, which turned out to be this nursing home's worst category. We gave it an abysmal F for this area, which is obviously a major concern. In calculating our short-term care ratings, we scrutinize the facility's levels of highly skilled nursing services, which includes registered nurses, physical therapists speech therapists and other licensed professionals. This area is generally a fair assessment of a facility's rehabilitation. Unfortunately, we discovered that this facility offers fewer physical therapist and registered nurse hours per patient than most other facilities. The last measure we looked at in this area is the percentage of residents that ultimately returned home from the nursing home. This nursing home struggled quite a bit in this metric as well, with just 34.2 percent of its residents returning home.