Shiner Nursing and Rehabilitation Center

Shiner Nursing and Rehabilitation Center is an average-sized non-profit nursing home located in Shiner, Texas. We gave this facility an overall grade of C. A grade of this caliber requires some respectable marks. You can certainly do worse than this nursing home. The best part of this nursing home's profile is its remarkable inspection grade. Inspection grades are discussed in the next section.

While this facility's overall grade was not bad, it really excelled in the area of inspections. In fact, we awarded it a grade of A for that category, which is one of our best scores. Our inspection ratings are tied to several datapoints located in the a nursing home's recent inspection reports. Facilities that receive favorable grades in this category tend to have very few deficiencies on those reports. Most importantly, these places generally do not have any severe deficiencies which are associated with endangerment of patients. Fortunately, although this nursing home had a few minor dings on its government inspection report, it had zero severe deficiencies. Severe deficiencies are those labeled as categories G through L. This means the inspectors didn't deem 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 always a good sign.

Turning to the area of long-term care, we gave this nursing home a grade of A in that area. Nursing homes that excel in long-term care tend to be well-staffed and provide extensive hands on care to residents. On top of considering the quantity of care provided by nurses and other staff, we analyzed the number of residents vaccinated for pneumonia. This nursing home provided the vaccine to 100 percent of its patients, which is higher than the vast majority of nursing homes. The last datapoint we looked at was its hospitalization rate. We found that this facility had 1.88 hospitalizations per 1,000 long-term resident days, which is close to average in this area.

This nursing home earned a strong nursing grade this year as well. It earned one of our higher grades in that area with a score of F. There are a number of criteria within this grade. Many of these factors reflect nurse staffing. This nursing home averages 3.4 hours of nursing care per resident per day, which is below the national average. To pair with its low total nursing hours per resident, this place had poor marks in several of the quality-based metrics we looked at in determining our nursing ratings. For starters, we looked at the percentage of residents experiencing falls which led to major injury. This nursing home was at more than 1.5 times the national average in this statistic.

The final area we looked at is short-term care. Unfortunately, we gave it an abysmal F in this area, which is a very poor grade. This is obviously a significant disappointment. Short-term care grades are commonly employed to score a nursing home's rehabilitation services. To have highly graded rehabilitation services, nursing homes generally need to feature higher levels of highly skilled nursing. These types of services include registered nurses, physical therapists, occupational therapists and other highly skilled individuals. Not surprisingly, we found that this nursing home provides far less physical therapist and registered nurse hours per resident than the average facility. Finally, we considered the percentage of patients who were able to return to the community from this nursing home. This definitely wasn't a strength for this nursing home. We found that just 16.2 percent of this nursing home's residents returned home. At most facilities, about half of their residents are able to return home so this is well below average.