Wheeler Nursing & Rehabilitation
1000 S Kiowa St, Wheeler TX 79096 · (806) 826-3505 · 44% estimated occupancy 1Updated: Aug 1, 2020 · By Sara Levinsohn
With an address in Wheeler, Texas, Wheeler Nursing & Rehabilitation is the sole option we identified in this city. This turns out to be a decent facility, with an overall grade of B-. This nursing home has a few things going for it. The best part of this facility's report card was its exemplary inspection rating. Inspection reports are discussed in the next paragraph.
Additional Details:
Accepts Medicare 1 :
Accepts Medicaid 1 : 90 Beds
CCRC :
For profit - Corporation
Resident Council:
Family Council:
Medical Staff Hours Per Patient (2019)
Facility Inspections
The primary reason this facility received a decent overall grade is its impeccable government inspections in recent years. We awarded it one of our better grades in that area, with an A+. This is a much better score than the facility's overall grade, which was decent but certainly not elite. Inspection scores are based on several pieces of information located in the a nursing home's recent inspection reports. Facilities that receive favorable grades in this category have few deficiencies on those reports. Most importantly, these places should not have any severe deficiencies which are associated with endangerment of patients. Although this place had a few deficiencies on its report, none were severe based on CMS' scale. Finally, this facility had no substantiated complaints this year from residents, which is an excellent sign.
Long-term Care Quality
This nursing home also excelled in the category of long-term care, where we awarded it a grade of A. Few facilities fared more favorably in this category. Nursing homes that do well in this category typically provide residents with closer supervision and stay on top of routine healthcare services. After considering the quantity of care provided by nurses, we then analyzed the facility's vaccination statistics. This facility vaccinated 100 percent of its patients for pneumonia, which is what we like to see. Pneumonia can be a deadly condition for nursing home patients so we strongly prefer when a facility does not leave this to chance. The last datapoint we looked at is its hospitalization rate. Here we found that this nursing home had 1.99 hospitalizations per 1,000 long-term resident days, which is middle of the road in this area.
Nurse Quality
Another strength of this facility is its favorable grade in nursing. We awarded them one of our better scores in that area, with an impressive grade of D. Nursing ratings are largely tied to a nursing home's level of nurse staffing. This nursing home provides 3.4 hours of nursing care per resident per day, which is slightly below the national average. In addition to its below average nursing hours, this nursing home received poor marks in several of the quality-based measures we considered in calculating our nursing grades. We found that a higher percentage of this nursing home's patients sustained falls leading to serious injury.
Short-term Care Quality
The last area we analyzed was short-term care. We gave it an abysmal F in this category, which is a rock bottom grade. This is certainly a significant concern. Our short-term care grades are based on the nursing home's quantity of highly-skilled nursing services. This includes a vast spectrum of nursing services, ranging from registered nurses to physical and speech therapists, in addition to other types of therapy. Unfortunately, we found that this nursing home provided fewer physical therapist and registered nurse hours per resident than most other facilities. The last measure we assessed in this category is the number of residents that ultimately were able to return home from the nursing home. This nursing home struggled quite a bit in this area as well, with just 27.7 percent of its residents returning home. This was well below average.
Overall Rating Over Time
Compared to national and state averages across all facilities.
Wheeler Nursing & Rehabilitation Quality Metrics
Minimizes Pressure Ulcers
This is an indication of the percentage of long-term care residents who developed new or worsened pressure ulcers . We use this statistic in calculating our nursing grades.
Percent of Patients with Pressure Ulcers
Lower is Better
Minimizes Serious Falls
This tells you the percentage of patients who suffered from a major fall. Falls resulting in major injuries are routinely associated with lower levels of patient supervision. More supervision limits the number of major falls sustained by residents in a nursing home.
Percent of Patients with Serious Falls
Lower is Better
Minimizes Urinary Tract Infections
This indicates the percentage of residents who suffered from a urinary tract infection. Urinary tract infections are often caused by lower quality nursing care. More frequent bathing can minimize the percentage of residents in a nursing home who suffer from UTI's. Note that this metric is affected by by the fact that facilities have incongruent reporting standards for infections.
Percent of Patients with UTIs
Lower is Better
Appropriately Uses Anti-Psychotic Medication
This tells you the percentage of patients who were prescribed antipsychotic medications. While antipsychotic drugs may be vital to many patients, it is important to ensure these medications are being used only where medically required. In some cases, high levels of antipsychotic drug use may indicate that a facility is using these drugs to subdue residents.
Percent of Patients
Lower is Better
Appropriately Uses Anti-Anxiety Medication
This metric is a measure of the percentage of long-term residents taking antianxiety medications.
Percent of Patients
Lower is Better
Managing Depression Among Residents
This datapoint is a measure of the percentage of long-term patients who are exhibiting signs of depression. Many in the industry argue that this is a measure of quality of care.
Percent of Patients
Lower is Better
Appropriate Vaccine Usage
This is a measure of the percentage of long-term stay patients who were given the flu and pneumonia vaccines. Respiratory viruses can be deadly for nursing home residents, making these vaccines vital to patient care.
Percent of Patients
Higher is Better
Residents Maintain Autonomy
This metric measures the percentage of long-term care patients that required additional assistance with activities of daily living over time. Activities of daily living include activities such as dressing and continence. Some experts would argue that this is a reliable measure of a resident's well-being.
Percentage of Patients
Lower is Better
Ability to Keep Residents Mobile
This tells you the percent of residents who retained mobility levels over time. Preserving mobility is usually a good sign for residents' well-being.
Percentage of Residents
Higher is Better
Hospitalizations
This tells you the number of times residents are hospitalized per 1,000 days of care. There is typically a correlation between keeping patients out of the hospital and the quality of care.
Hospitalizations per 1,000 resident days
Lower is Better
Short-term Care: Rehospitalizations
This metric is a measure of the number of rehospitalizations per 1,000 days of short-term patient care. Keeping residents out of the hospital during rehabilitation is critical to restoring the physical abilities of patients.
Percentage of Residents Rehospitalized
Lower is Better