Texan Nursing & Rehab of Gonzales

While we were not complementary of this place's overall performance, it did receive an impressive inspection report this year with few dings from the applicable government inspectors. As a result, it received one of our better grades in that category with a B+. We take several aspects of a facility's inspection report into consideration in computing our inspection grades. One key factor is deficiencies. You should keep in mind that the severity of the deficiencies is usually more meaningful than the quantity of deficiencies, as some deficiencies can be relatively minor. Although this facility had a few deficiencies on its report, none were severe based on CMS' scale. A few minor deficiencies aren't necessarily the end of the world.

Another one of this facility's better category grades came in the category of long-term care. In that area, we gave this facility a B. Long-term care grades in this range generally require both around the clock care from nurses and aids, as well as quality routine medical care. On top of looking at the quantity of care provided by nurses aids and other staff, we analyzed the number of residents vaccinated for pneumonia. This facility vaccinated 100 percent of its residents, which is higher than the majority of nursing homes. Finally, this facility was able to limit hospitalizations. In fact, it had less than one hospitalization per 1,000 long-term resident days, which is a remarkably low number.

Among this nursing home's several poor grades was its F in the area of nursing care. When determining a facility's nursing score, we assess the amount of time nurses are with residents as well as the level of skill of those nurses. This particular place averaged a meager 0.3 hours of nursing care per resident daily. This number is well below the national average. Finally, we also looked at some nursing quality-based metrics in calculating our nursing scores. This place fared well when it comes to avoiding pressure ulcers and major falls.

The last category we rated was short-term care. Sadly, it received an F in this category, which is a poor grade. Our short-term care grades are important for patients requiring rehabilitation. Rehabilitation usually requires more skilled nursing. Skilled nursing includes a broad range of nursing services, spanning from registered nurses to physical and occupational therapists, as well as other variations of therapy. Considering its poor score in this category, we were not surprised to discover this place offered substantially fewer registered nurse and physical therapist hours per patient than most nursing homes. Lastly, we assessed the number of residents that eventually returned home from this facility. This facility didn't fare well here either. In fact, we found that just 0 percent of this facility's residents were able to return home. This figure was well off the national average.