Trucare Living Centers - Selma

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.

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.

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.

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.

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.