The Meadows

The Meadows is located in Gatesville, Texas, a city with a total of 23,609 people. Featuring an overall grade of B-, this is likely a middle of the road facility. This place has a few things going for it. You also may want to review this nursing home's category grades below. We discuss long-term care in the next paragraph.

This facility fared well in the category of long-term care, where it received an impressive grade of A+. Few facilities performed better in this category. If it wasn't for this area, this facility's overall grade would have been worse. Long-term care scores in this range generally require both around the clock care from nurses and aids, as well as quality routine medical care. In addition to offering very impressive levels of nurse staffing, this facility provided the pneumonia vaccine to 97.46032 percent of its residents. Vaccines are critical to keeping residents healthy. Lastly, this nursing home was able to limit hospitalizations. With only 1.59 hospitalizations per 1,000 long-term resident days, this nursing home has fewer hospitalizations than the majority of nursing homes.

This nursing home also performed well in the area of inspections. It received one of our highest scores in that category with an A. These inspection grades weigh several factors, including deficiencies and substantiated complaints. You can learn more about each of these items by obtaining copies of nursing homes' inspection reports. This facility received 3 deficiencies on its inspection report, but fortunately none were considered to be major deficiencies. This indicates that CMS didn't consider any of the deficiencies an immediate threat to resident safety or health. Finally, this facility had no substantiated complaints this year from residents, which is an excellent sign.

Another strength of this facility is its favorable grade in nursing. We gave them one of our better scores in that area, with a grade of D. The nursing rating includes several factors, however, the primary consideration is the number of nurse hours spent with patients. Quantity of nursing care does not appear to be the source of this facility's poor nursing grade. This facility provides 4.2 hours of nursing care per resident each day. This is actually better than we expected. In determining our ratings, we apply more weight to hours performed by highly trained nurses such as registered or licensed nurses. Despite being above average in terms of nursing hours, this place had a few less favorable scores in some of the quality-based measures we looked at in determining our nursing scores. We looked at the percent of patients having falls leading to major injury and found this nursing home to be above the national average in this statistic. This is not what we like to see here. We believe that many falls could likely be avoided with better nursing care. This statistic contributed to this facility receiving a poor nursing grade.

This facility's weakest area was short-term care, which is the last area we looked at. Sadly, it received an F for this category. Despite some decent scores in other categories, this score is nevertheless alarming so we wanted to point it out. With our short-term care rating, we seek to create a meaningful barometer for rehabilitation. In this process, we look at a facility's levels of skilled nursing services, including both registered nurses and physical therapy, as well as respiratory therapy. In this place's case, we found that it offered less physical therapist and registered nurse hours per patient than a typical facility. Lastly, we considered the percentage of patients who were able to return to the community from this facility. We found that just 32.9 percent of this nursing home's patients returned home.