Trucare Living Centers - Selma
16550 Retama Parkway, Schertz TX 78154 · (210) 886-8393 · 62.18% estimated occupancy 1Updated: Aug 1, 2020 · By Sara Levinsohn
Trucare Living Centers - Selma is a large facility located in Schertz, Texas. This nursing home received an F, which is really a bottom of the barrel score in our grading scheme. If you are not satisfied with this facility's low overall grade, you may find you have slim pickings in Schertz. The city has just two other nursing homes. Lastly, this facility had an ownership change in the last year. Hopefully, new ownership is able to elevate its quality standards.
Additional Details:
Accepts Medicare 1 :
Accepts Medicaid 1 : 128 Beds
CCRC :
For profit - Corporation
Resident Council:
Family Council:
Medical Staff Hours Per Patient (2019)
Facility Inspections
Although we gave this nursing home a horrible overall score, we awarded it an A- for our inspections rating. This grade is far more impressive than the nursing home's overall score. We weigh several aspects of a nursing home's inspection report in calculating these inspection scores. One key factor is deficiencies. It should be noted that the severity of these deficiencies is usually more important than the number of deficiencies, as some of these can be relatively minor. While this nursing home had some minor dings on its inspection report, it had no severe deficiencies. Severe deficiencies are those found in categories G, H, I, J, K and L. This tells you that the inspectors didn't deem any of the deficiencies on this facility's report to pose an imminent threat to patient health or safety. A few minor deficiencies aren't necessarily the end of the world.
Short-term Care Quality
This facility also didn't rate terribly in the category of short-term care. Indeed, we awarded it a grade of B- in that area, which is among its better scores. In the area of short-term care, we seek to assess indicators of a nursing home's rehabilitation. We look at the facility's skilled nursing services, such as those performed by registered nurses and physical therapists. One of this nursing home's strength is that it offers more hours of physical therapy per week to its residents. Finally, we considered the number of residents who were able to return to the community from this facility. This place outperformed most nursing homes in this metric with 56 percent of its residents returning home.
Long-term Care Quality
This nursing home ended up receiving a bottom of the barrel score in our long-term care area. It was given an F in this area. If you are looking for anything other than rehabilitation, you should take a close look at long-term care grades. After considering the amount of nursing care, we then looked at the facility's vaccination data. We were pleased to learn that this nursing home vaccinated 99.6139 percent of its patients for pneumonia. To our surprise, this facility also was not as bad as we expected at keeping its patients out of the hospital. While it had 1.94 hospitalizations per one thousand long-term resident days, its risk adjusted score was not bad since it had more complex patients.
Nurse Quality
The final category we looked at was nursing. This nursing home received a rock bottom grade of F in that area. There are a host of factors within this category. Many of the subcategories relate to staffing levels. This nursing home averages 3.5 hours of nursing care per resident per day, which is below the national average. To pair with its low totals in the area of nursing hours per resident, this place also did not perform as well in the quality-based measures we looked at in calculating our nursing scores. We looked at the percentage of residents sustaining major falls and pressure ulcers. This facility had more pressure ulcers and falls than the average facility.
Overall Rating Over Time
Compared to national and state averages across all facilities.
Trucare Living Centers - Selma Quality Metrics
Minimizes Pressure Ulcers
This datapoint measures the percent of long-term stay patients that have pressure ulcers or bed sores. We factor in this statistic in computing our nursing grades.
Percent of Patients with Pressure Ulcers
Lower is Better
Minimizes Serious Falls
This indicates the percentage of residents who have had a major fall. Falls leading to severe injuries are often linked to lower quality nursing care. Better nursing protocols can limit the percentage of residents in a nursing home who sustain major falls.
Percent of Patients with Serious Falls
Lower is Better
Minimizes Urinary Tract Infections
This figure is an indication of the percent of long-term residents that suffered from UTI's. UTI's could be an indication of a nursing home with worse hygiene protocols. Nevertheless, this metric may be misleading for certain nursing homes due to different reporting standards for infections.
Percent of Patients with UTIs
Lower is Better
Appropriately Uses Anti-Psychotic Medication
This datapoint indicates the percentage of long-term care residents who were prescribed antipsychotic drugs. High levels of antipsychotic drug use may indicate a facility is using these drugs to subdue residents in situations where such drugs are not medically required. However, some facilities may need to rely more on these medications due to an increased number of residents with cognitive disorders.
Percent of Patients
Lower is Better
Appropriately Uses Anti-Anxiety Medication
This is a measure of the percentage of long-term care patients that are administered antianxiety medication. These drugs are given to patients suffering from anxiety and depression.
Percent of Patients
Lower is Better
Managing Depression Among Residents
This tells you the percentage of patients who are demonstrating depressive symptoms. Higher levels of depression could be a sign a less hospitable environment.
Percent of Patients
Lower is Better
Appropriate Vaccine Usage
Measures the percentage of long-term care residents who were administered the flu and pneumonia vaccines. Respiratory viruses can be fatal for nursing home residents, making these vaccines critical to patient health.
Percent of Patients
Higher is Better
Residents Maintain Autonomy
Measures the percent of long-term stay patients that needed increased assistance with activities of daily living over time. ADL's include activities such as taking medications and taking a bath.
Percentage of Patients
Lower is Better
Ability to Keep Residents Mobile
This is the percentage of residents who retained mobility levels over time. Optimizing mobility is often a great sign for residents' well-being.
Percentage of Residents
Higher is Better
Hospitalizations
This is a measure of the number of times residents are hospitalized per thousand days of patient care.
Hospitalizations per 1,000 resident days
Lower is Better
Short-term Care: Rehospitalizations
This tells you the number of rehospitalizations per thousand days of short-term patient care.
Percentage of Residents Rehospitalized
Lower is Better
Short-term Care: ER Visits
This metric tracks the number of emergency room visits per 1,000 days of short-term patient care. Avoiding medical emergencies is one way to assess short-term care.
Percentage of Patients
Lower is Better
Short-term Care: Facilitates Functional Improvement
This is a measure of the percent of short-term stay residents who experienced functional improvements, such as enhanced ability to perform activities of daily living. Some would argue that this is a measure of rehabilitation services.
Percentage of Resident
Higher is Better