Westward Trails Nursing and Rehabilitation is an average-sized nursing home located in Nacogdoches, Texas. This facility received an uninspiring overall grade of D, which is a lower end rating. If you are not satisfied with this facility's pedestrian overall grade, you may have to look in other cities as this is the only nursing home in Nacogdoches. If you aren't deterred by this nursing home's report card, feel free to continue reading to find out about its category grades. Inspection grades are discussed in the next paragraph.
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Westward Trails Nursing and Rehabilitation
- Nursing Home
- Memory Care
Updated Apr 1, 2023 by Nick Reese
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- Accepts Medicare 1
- Accepts Medicaid 1
- No CCRC
- Has Resident Council
- No Family Council
- For profit - Limited Liability company
- Offers Hospice
- Offers Post-Acute Care
- Offers Respite Care
- Offers Inpatient Rehab
- Offers Outpatient Rehab
- Personal Care
- Medication Management
- Home Making
- Medical Transportation
- Speech Therapy
- Stroke Recovery
- Wound Care
- Occupational Therapy
- Cardiac Therapy
- Tracheotomy Care
- Diabetes Management
- Physical Therapy
- Respiratory Therapy
- Nutritional Counseling
- Recreational Therapy
- Oncology Care
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Registered Staff Hours
While this nursing home's overall grade was not a highlight, it actually excelled in the category of inspections. In fact, we awarded it an A for that category, which is one of our best scores. We take several aspects of a facility's inspection report into consideration in determining these inspection grades. One of those factors is health deficiencies. It should be noted that the severity of deficiencies is arguably more meaningful than the quantity of deficiencies, as some are relatively insignificant. Fortunately, although this place had a few minor dings on its government inspection report, it had zero severe deficiencies. Severe deficiencies are those labeled as categories G, H, I, J, K and L. This tells you the government inspectors did not deem any of the deficiencies on this facility's report to pose an imminent threat to patient safety or health. A couple minor deficiencies aren't necessarily the end of the world.
Long-term Care Quality
This nursing home was given its next best category score in the area of long-term care. We gave this nursing home a B- in this category, which is a respectable grade. Long-term care grades focus on a nursing home's personal care rather than the highly skilled nursing and medical services that are critical to a skilled nursing facility. One of the criteria we considered after nurse's aid hours was vaccinations. Fortunately, this facility administered the pneumonia vaccination to 97.76119 percent of its patients. This place was able to keep its patients out of the hospital. It had only 0.02 hospitalizations per one thousand long-term resident days, which is a remarkably low figure.
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Among this nursing home's several poor grades was its F in the area of nursing care. In calculating our nursing grades, we weigh both nursing hours and the skill levels of the nurses. This place provided only 0.3 hours of nursing care per resident daily. Finally, we also looked at some nursing quality measures in calculating our nursing scores. This facility fared well in the area of minimizing its residents' pressure ulcers and major falls.
Short-term Care Quality
The last category we scored is short-term care, in which this facility was given a bottom of the barrel grade here also. We gave it an F in this area, which is definitely a major disappointment. In the category of short-term care, we attempt to evaluate indicators of a nursing home's rehabilitation. We look at a nursing home's skilled nursing services, such as those performed by registered nurses and various therapists. With its score in this area, we were not surprised to find that this facility was well below average in terms of its number of physical therapy and registered nurse hours offered to its residents based on the metrics we assessed. Lastly, we looked at the percentage of patients who ultimately 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.
Rating Over Time
Compared to national and state averages across all facilities.
Westward Trails Nursing and Rehabilitation Quality Metrics
Minimizes Pressure Ulcers
In Westward Trails Nursing and Rehabilitation, 7.17% of Patients had Pressure Ulcers
This is the percent of patients that have had a pressure ulcer. Pressure ulcers are damage to the skin resulting from remaining in the same position for an excessive period of time.
Minimizes Serious Falls
In Westward Trails Nursing and Rehabilitation, 3.38% of Patients had Serious Falls
This indicates the percentage of residents that have had a major fall. Falls resulting in severe injuries are often caused by lower levels of patient supervision. Additional nurse staffing reduces the number of major falls sustained by residents in a nursing home.
Minimizes Urinary Tract Infections
In Westward Trails Nursing and Rehabilitation, 1.52% of Patients had UTIs
This tells you the percentage of residents that sustained a urinary tract infection. These infections may be linked to poor hygiene.
Appropriately Uses Anti-Psychotic Medication
In Westward Trails Nursing and Rehabilitation, 10.14% of Patients use Anti-Psychotic Medication
This metric indicates the percent of long-term stay residents who were prescribed antipsychotic drugs. High levels of antipsychotic drug use may indicate that a nursing home is using these drugs to subdue residents in scenarios where such drugs are not medically required. Nevertheless, some nursing homes need to rely more on these medications due to an increased number of residents suffering from Alzheimer's or other dementias.
Appropriately Uses Anti-Anxiety Medication
In Westward Trails Nursing and Rehabilitation, 22.67% of Patients use Anti-Anxiety Medication
This datapoint gauges the percent of long-term stay residents taking antianxiety drugs.
Managing Depression Among Residents
In Westward Trails Nursing and Rehabilitation, 4.84% of Patients
This tells you the percent of patients who are demonstrating depressive symptoms. Increased rates of depression could be an indicator lower quality care.
Appropriate Vaccine Usage
In Westward Trails Nursing and Rehabilitation, 93.69% of Patients
This datapoint measures the percent of long-term stay residents that were given the pneumonia and flu vaccines. Respiratory viruses can be deadly for nursing home residents, making these types of vaccines critical to patient safety.
Residents Maintain Autonomy
In Westward Trails Nursing and Rehabilitation, 17.58% Percentage of Patients
This datapoint measures the percentage of long-term stay residents who required more assistance with activities of daily living over time. Activities of daily living include activities such as moving around and eating. Some believe that this is a reliable measure of a patient's well-being.
Ability to Keep Residents Mobile
In Westward Trails Nursing and Rehabilitation, 13.47% Percentage of Residents
This tells you the percentage of residents that retained mobility levels over time. Retaining mobility is usually a great sign for residents' well-being.
In Westward Trails Nursing and Rehabilitation, 1.89 Hospitalizations per 1,000 resident days
This tells you the number of hospitalizations per 1,000 days of patient care.
Short-term Care: Rehospitalizations
In Westward Trails Nursing and Rehabilitation, 13.47 Percentage of Residents Rehospitalized
This tells you the number of rehospitalizations per 1,000 days of short-term care.
Short-term Care: ER Visits
In Westward Trails Nursing and Rehabilitation, 11.91 Percentage of Patients
This metric tracks the number of emergency room visits per 1,000 days of short-term patient care. Avoiding emergency medical situations is one way to assess patient care during rehabilitation.
Short-term Care: Facilitates Functional Improvement
In Westward Trails Nursing and Rehabilitation, 66.29% Percentage of Resident
This tells you the percentage of short-term stay residents who saw functional improvements, such as enhanced ability to perform activities of daily living. High levels of independence with ADL's often correlates with better rehabilitation services.
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