Shiner Nursing and Rehabilitation Center

We want to point out that this facility outperformed its overall score in the area of inspections. In fact, it received a nearly flawless government inspection report this year. As a result, we gave it one of our best grades in that category with an A. We take several aspects of a facility's inspection report into consideration in determining these inspection scores. One of those factors is health deficiencies. It should be noted that the severity of deficiencies is arguably more meaningful than the number of deficiencies, as some deficiencies end up being relatively minor. While this facility had a few minor dings on its inspection report, it had zero severe deficiencies. Severe deficiencies are found in categories G through L. This means that the government inspectors didn't consider any of the deficiencies on this facility's report to pose an imminent threat to patient safety or health. Finally, this facility had no substantiated complaints this year from residents, which is an excellent sign.

This nursing home also performed well in the area of long-term care. Indeed, we gave it a grade of A- for that area, which happens to be one of our most impressive scores. Nursing homes that receive this kind of grade in this category tend to provide consistent around the clock care to make sure residents are kept in good health. After looking at the volume of care provided by nurses and other staff, we then analyzed the facility's vaccination statistics. This nursing home vaccinated 97.31183 percent of its patients for pneumonia. Vaccines are critical to keeping residents out of the hospital. Finally, this facility was able to limit hospitalizations. It had less than one hospitalization per one thousand long-term resident days, which is an impressively low number.

Unfortunately, this facility's next best score was short-term care. Nevertheless, with a grade of D in this category, it still performed relatively poorly. In the area of short-term care, we seek to assess indicators of a facility's rehabilitation. We look at a nursing home's skilled nursing services, such as the ones performed by registered nurses and physical, occupational and other therapists. Unfortunately, we discovered that this place offered less registered nurse and physical therapist hours per resident than most other nursing homes. The last measure we considered in this category is the percentage of patients who were able to leave the facility and return to the community. We discovered that just 0 percent of this facility's residents were able to return home, which is well below average. The combination of these poor metrics was damning for this nursing home's short-term care score.

This nursing home's worst category is nursing, which is the last area we looked at. Sadly, it received a lowly F for this area. Despite multiple acceptable scores in other categories, this score is still concerning so we would like to to make sure you are aware. The nursing score is based on a variety of factors. The most heavily weighted factor is the quantity of hours nurses spend with residents. With a meager 0.3 hours of nursing care per resident daily, this facility's nurse staffing levels were quite a bit below the national average. To go along with its subpar totals in the area of nursing hours per resident, this place also didn't perform as well in the quality-based measures we looked at in computing our nursing scores. We looked at the percentage of patients experiencing major falls and pressure ulcers. This place had more pressure ulcers and falls than the average nursing home.