Texan Nursing & Rehab of Gonzales
3428 Moulton Rd, Gonzales TX 78629 · (830) 672-2867 · 68.87% estimated occupancy 1Updated: Aug 1, 2020 · By Sara Levinsohn
Texan Nursing & Rehab of Gonzales is an average-sized nursing home in Gonzales, Texas. Sporting an overall rating of D, this is a well below average facility. This was not the worse nursing home we looked at, but we would still be very reluctant to recommend it. If you aren't deterred by this nursing home's report card, you can continue reading to find out about its category scores. We discuss inspections in the next paragraph.
Additional Details:
Accepts Medicare 1 :
Accepts Medicaid 1 : 80 Beds
CCRC :
For profit - Corporation
Resident Council:
Family Council:
Medical Staff Hours Per Patient (2019)
Facility Inspections
Although we did not rate this nursing home favorably overall, we want to point out its relatively favorable health inspections in recent years. We gave it a respectable grade of B in this category, which was much better than its overall grade. Inspection grades are tied to several items located in the a nursing home's recent inspection reports. Deficiencies are a key thing to look for on these inspections. Most importantly, you should avoid nursing homes that have severe deficiencies linked to risks to resident well being. This place was assessed 5 deficiencies on its inspection report, but fortunately none of the deficiencies were considered to be severe. This means that the government inspectors didn't consider any of these deficiencies an imminent risk to patient health or safety. A few minor deficiencies aren't the end of the world.
Long-term Care Quality
The next most favorable category we gave this nursing home in any area came in the category of long-term care, where we awarded it a grade of B-. With our long-term care assessment, we assess the amount of care offered by a facility, along with a few quality statistics. On top of looking at the volume of care provided by aids and other staff, we analyzed the number of residents vaccinated for pneumonia. Fortunately, this nursing home vaccinated 100 percent of its patients, which is a very respectable percentage. This place also excelled at keeping its residents out of the hospital. Indeed, it had only 1.49 hospitalizations per one thousand long-term resident days.
Short-term Care Quality
This nursing home's second least favorable score was short-term care, where it earned just a D in that area. This is a relatively poor grade. Our short-term care scores are believed to be more critical for folks in need of rehabilitation services. Rehabilitation generally utilizes more skilled nursing. This includes not just nursing services, but also physical and speech therapy, as well as other variations of therapy. In this nursing home's case, we found that it actually offers far less registered nurse hours per resident than the typical nursing home. Given its score in this area, this did not surprise us. The last item we looked at in this area is the number of residents who were able to leave the nursing home and return to the community. We discovered that just 43.2 percent of this facility's patients were able to return home, which is well below average. This statistic was damning for this facility's short-term care grade.
Nurse Quality
The next area we assessed is nursing, was this nursing home's least impressive area. We gave this facility a grade of D in this category. Our nursing rating includes several components, most of which are tied to levels of nurse staffing. With just 2.8 hours of nursing care per patient per day, this place's nurse staffing levels were significantly below average. Lastly, we also looked at some nursing quality measures in computing our nursing scores. This place performed well in the area of minimizing its residents' major falls and pressure ulcers. We consider these statistics to be reliable measures of the quality of nursing care.
Overall Rating Over Time
Compared to national and state averages across all facilities.
Texan Nursing & Rehab of Gonzales Quality Metrics
Minimizes Pressure Ulcers
This tells you the percent of residents that sustained a pressure ulcer. Pressure ulcers, which are also called bed sores, are routinely caused by patients staying in one position for too long. Better nursing protocols can reduce the percentage of residents in a nursing home who sustain pressure ulcers.
Percent of Patients with Pressure Ulcers
Lower is Better
Minimizes Serious Falls
This is the percentage of patients that have had a fall resulting in serious injury.
Percent of Patients with Serious Falls
Lower is Better
Minimizes Urinary Tract Infections
This is the percentage of residents that have had a urinary tract infection. Urinary tract infections are considered by many experts to be an indicator of the quality of nursing care at a nursing home. UTI's are often associated with a facility with lower levels of hygiene. However, this metric could be misleading for some facilities due to different reporting standards for urinary tract infections.
Percent of Patients with UTIs
Lower is Better
Appropriately Uses Anti-Psychotic Medication
This datapoint indicates the percent of long-term care residents taking antipsychotic medications. While antipsychotic drugs serve an important medical purpose, it is important to confirm these drugs are being used only where medically required. In some situations, excessive reliance on these medications may indicate that a nursing home is using these medications to subdue residents.
Percent of Patients
Lower is Better
Appropriately Uses Anti-Anxiety Medication
This is the percent of residents who were given antianxiety medications. Antianxiety medications are given to patients experiencing depression and anxiety.
Percent of Patients
Lower is Better
Managing Depression Among Residents
This indicates the percent of patients who are exhibiting depressive symptoms. Increased rates of depression could indicate a less hospitable environment.
Percent of Patients
Lower is Better
Appropriate Vaccine Usage
This is a measure of the percentage of long-term residents that were vaccinated against pneumonia and flu.
Percent of Patients
Higher is Better
Residents Maintain Autonomy
This tells you the percent of patients who required increased assistance with activities of daily living over time. High levels of dependence on staff for assistance with ADL's may indicate erosion of a patient's health.
Percentage of Patients
Lower is Better
Ability to Keep Residents Mobile
This tells you the percent of residents that were able to retain mobility over time. Preserving mobility is often a great sign for residents' health.
Percentage of Residents
Higher is Better
Hospitalizations
This datapoint is a measure of the number of hospitalizations per thousand days of patient care. Keeping residents out of the hospital is important to maintaining the physical health of nursing home patients.
Hospitalizations per 1,000 resident days
Lower is Better
Short-term Care: Rehospitalizations
This metric is a measure of the number of rehospitalizations per 1,000 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. Avoiding medical emergencies is one way to measure patient well-being during rehabilitation.
Percentage of Patients
Lower is Better