Shiner Nursing and Rehabilitation Center

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 99.54128 percent of its patients, which is higher than the vast majority of nursing homes. This nursing home was also able to keep its patients out of the hospital. In fact, it had only 1.02 hospitalizations per 1,000 long-term resident days, which is a significantly lower hospitalization rate than the majority of nursing homes.

Moving on to another strength for this facility, it also earned an elite nursing grade. In fact, we gave this facility an D. Our nursing score is based on the facility's nurse staffing levels. We factor in both the levels of training of the nurses as well as the number of hours spent with residents. This facility provided just 3.2 hours of nursing care per resident per day. This is a very low total compared to most nursing homes. In addition to its subpar nursing hours, this facility received poor marks in some of the quality-based metrics we considered in calculating our nursing grades. We found that more of this nursing home's patients experienced falls which led to serious injury. We believe that many falls could likely be prevented with better nursing care. This metric contributed to this facility receiving a poor nursing score.

The final area we analyzed was short-term care, which is this nursing home's worst area. It received a lowly F for this area, which is certainly very concerning. With our short-term care assessment, we seek to forge a meaningful gauge for rehabilitation services. In doing so, we analyze a facility's scope of skilled nursing services, including both registered nurses and physical therapy, as well as occupational therapy. Considering its poor score in this category, we were not surprised to learn that this nursing home offers far fewer physical therapist and registered nurse hours per resident than most other nursing homes. The last measure we looked at in this area is the number of residents that eventually returned home from the facility. This facility struggled quite a bit in this area as well, with just 30.5 percent of its residents returning home.