With an address in Fredericksburg, Texas, Windcrest Nursing and Rehabilitation Center is one of four available nursing homes there. This nursing home was given an overall grade of C, which is a decent rating. Based on our analysis, there are definitely far worse places out there. This nursing home didn't meet our expectations in every category we looked at, but it didn't receive any terrible grades either. Additional information about these categories can be found below.

Additional Details:

Accepts Medicare 1 : TrueA checkmark indicating true.

Accepts Medicaid 1 : 120 Beds TrueA checkmark indicating true.

CCRC : FalseUsed to indicate false.

For profit - Limited Liability company

Resident Council: TrueA checkmark indicating true.

Family Council: FalseUsed to indicate false.

Medical Staff Hours Per Patient (2019)

Less:
More:
January
January 1, 2019January 2, 2019January 3, 2019January 4, 2019January 5, 2019January 6, 2019January 7, 2019January 8, 2019January 9, 2019January 10, 2019January 11, 2019January 12, 2019January 13, 2019January 14, 2019January 15, 2019January 16, 2019January 17, 2019January 18, 2019January 19, 2019January 20, 2019January 21, 2019January 22, 2019January 23, 2019January 24, 2019January 25, 2019January 26, 2019January 27, 2019January 28, 2019January 29, 2019January 30, 2019January 31, 2019
February
February 1, 2019February 2, 2019February 3, 2019February 4, 2019February 5, 2019February 6, 2019February 7, 2019February 8, 2019February 9, 2019February 10, 2019February 11, 2019February 12, 2019February 13, 2019February 14, 2019February 15, 2019February 16, 2019February 17, 2019February 18, 2019February 19, 2019February 20, 2019February 21, 2019February 22, 2019February 23, 2019February 24, 2019February 25, 2019February 26, 2019February 27, 2019February 28, 2019
March
March 1, 2019March 2, 2019March 3, 2019March 4, 2019March 5, 2019March 6, 2019March 7, 2019March 8, 2019March 9, 2019March 10, 2019March 11, 2019March 12, 2019March 13, 2019March 14, 2019March 15, 2019March 16, 2019March 17, 2019March 18, 2019March 19, 2019March 20, 2019March 21, 2019March 22, 2019March 23, 2019March 24, 2019March 25, 2019March 26, 2019March 27, 2019March 28, 2019March 29, 2019March 30, 2019March 31, 2019
April
April 1, 2019April 2, 2019April 3, 2019April 4, 2019April 5, 2019April 6, 2019April 7, 2019April 8, 2019April 9, 2019April 10, 2019April 11, 2019April 12, 2019April 13, 2019April 14, 2019April 15, 2019April 16, 2019April 17, 2019April 18, 2019April 19, 2019April 20, 2019April 21, 2019April 22, 2019April 23, 2019April 24, 2019April 25, 2019April 26, 2019April 27, 2019April 28, 2019April 29, 2019April 30, 2019
May
May 1, 2019May 2, 2019May 3, 2019May 4, 2019May 5, 2019May 6, 2019May 7, 2019May 8, 2019May 9, 2019May 10, 2019May 11, 2019May 12, 2019May 13, 2019May 14, 2019May 15, 2019May 16, 2019May 17, 2019May 18, 2019May 19, 2019May 20, 2019May 21, 2019May 22, 2019May 23, 2019May 24, 2019May 25, 2019May 26, 2019May 27, 2019May 28, 2019May 29, 2019May 30, 2019May 31, 2019
June
June 1, 2019June 2, 2019June 3, 2019June 4, 2019June 5, 2019June 6, 2019June 7, 2019June 8, 2019June 9, 2019June 10, 2019June 11, 2019June 12, 2019June 13, 2019June 14, 2019June 15, 2019June 16, 2019June 17, 2019June 18, 2019June 19, 2019June 20, 2019June 21, 2019June 22, 2019June 23, 2019June 24, 2019June 25, 2019June 26, 2019June 27, 2019June 28, 2019June 29, 2019June 30, 2019
July
July 1, 2019July 2, 2019July 3, 2019July 4, 2019July 5, 2019July 6, 2019July 7, 2019July 8, 2019July 9, 2019July 10, 2019July 11, 2019July 12, 2019July 13, 2019July 14, 2019July 15, 2019July 16, 2019July 17, 2019July 18, 2019July 19, 2019July 20, 2019July 21, 2019July 22, 2019July 23, 2019July 24, 2019July 25, 2019July 26, 2019July 27, 2019July 28, 2019July 29, 2019July 30, 2019July 31, 2019
August
August 1, 2019August 2, 2019August 3, 2019August 4, 2019August 5, 2019August 6, 2019August 7, 2019August 8, 2019August 9, 2019August 10, 2019August 11, 2019August 12, 2019August 13, 2019August 14, 2019August 15, 2019August 16, 2019August 17, 2019August 18, 2019August 19, 2019August 20, 2019August 21, 2019August 22, 2019August 23, 2019August 24, 2019August 25, 2019August 26, 2019August 27, 2019August 28, 2019August 29, 2019August 30, 2019August 31, 2019
September
September 1, 2019September 2, 2019September 3, 2019September 4, 2019September 5, 2019September 6, 2019September 7, 2019September 8, 2019September 9, 2019September 10, 2019September 11, 2019September 12, 2019September 13, 2019September 14, 2019September 15, 2019September 16, 2019September 17, 2019September 18, 2019September 19, 2019September 20, 2019September 21, 2019September 22, 2019September 23, 2019September 24, 2019September 25, 2019September 26, 2019September 27, 2019September 28, 2019September 29, 2019September 30, 2019
October
October 1, 2019October 2, 2019October 3, 2019October 4, 2019October 5, 2019October 6, 2019October 7, 2019October 8, 2019October 9, 2019October 10, 2019October 11, 2019October 12, 2019October 13, 2019October 14, 2019October 15, 2019October 16, 2019October 17, 2019October 18, 2019October 19, 2019October 20, 2019October 21, 2019October 22, 2019October 23, 2019October 24, 2019October 25, 2019October 26, 2019October 27, 2019October 28, 2019October 29, 2019October 30, 2019October 31, 2019
November
November 1, 2019November 2, 2019November 3, 2019November 4, 2019November 5, 2019November 6, 2019November 7, 2019November 8, 2019November 9, 2019November 10, 2019November 11, 2019November 12, 2019November 13, 2019November 14, 2019November 15, 2019November 16, 2019November 17, 2019November 18, 2019November 19, 2019November 20, 2019November 21, 2019November 22, 2019November 23, 2019November 24, 2019November 25, 2019November 26, 2019November 27, 2019November 28, 2019November 29, 2019November 30, 2019
December
December 1, 2019December 2, 2019December 3, 2019December 4, 2019December 5, 2019December 6, 2019December 7, 2019December 8, 2019December 9, 2019December 10, 2019December 11, 2019December 12, 2019December 13, 2019December 14, 2019December 15, 2019December 16, 2019December 17, 2019December 18, 2019December 19, 2019December 20, 2019December 21, 2019December 22, 2019December 23, 2019December 24, 2019December 25, 2019December 26, 2019December 27, 2019December 28, 2019December 29, 2019December 30, 2019December 31, 2019

Facility Inspections

A-
Oct 18: A-Nov 18: A-Dec 18: A-Jan 19: A-Feb 19: A-May 19: A-Jun 19: A-Jul 19: A-Aug 19: A-Sep 19: A-Jan 20: A-Mar 20: A-Apr 20: A-May 20: A-Jun 20: A-Jul 20: A-Aug 20: A-
Historical

To pair with its decent overall score, we gave this facility an A- for its inspection grade. This score is far more impressive than the facility's overall score. Inspection scores are tied to datapoints found on the a nursing home's recent inspection reports. Nursing homes that excel in this area have few deficiencies on those reports. Most importantly, these places should not have any severe deficiencies which are associated with risks to patient safety. This facility was hit with 4 deficiencies on its inspection report, but fortunately none were considered to be severe. This means that CMS didn't consider any of these deficiencies to cause an immediate threat to patient health or safety. Finally, this facility had no substantiated complaints this year from residents, which is always a good sign.

Long-term Care Quality

B
Oct 18: A+Nov 18: A+Dec 18: A+Jan 19: B+Feb 19: B+May 19: B+Jun 19: B+Jul 19: B+Aug 19: B+Sep 19: B+Jan 20: BMar 20: BApr 20: BMay 20: BJun 20: BJul 20: BAug 20: B
Historical

Another one of this facility's better category scores was in the category of long-term care. In that category, we awarded this nursing home a B. It actually outperformed most nursing homes in this category. For residents seeking a permanent residence rather than skilled nursing, long-term care grades are very important. On top of considering the volume of care provided by nurses aids and other staff, we looked at the number of residents vaccinated against pneumonia. This nursing home provided the vaccine to 89.37729 percent of its patients, which is slightly lower than we expected. Clearly, this nursing home is doing something right in this area as it was able to keep its patients out of the hospital. Indeed, it had less than one hospitalization per 1,000 long-term resident days, which is an impressively low number.

Short-term Care Quality

B-
Oct 18: B-Nov 18: B-Dec 18: B-Jan 19: BFeb 19: BMay 19: BJun 19: BJul 19: BAug 19: BSep 19: BJan 20: B-Mar 20: B-Apr 20: B-May 20: B-Jun 20: B-Jul 20: B-Aug 20: B-
Historical

This nursing home was given its next highest category score in the category of short-term care. We awarded this facility a grade of B- in this area, which is a respectable score. In calculating our short-term care ratings, we look at a nursing home's levels of skilled nursing services, which includes registered nurses, physical therapists respiratory therapists and other highly trained professionals. This grade is often a solid measure of a nursing home's rehabilitation services. Unfortunately, we found that this place provided fewer physical therapist and registered nurse hours per resident than most other facilities. The key is determining what effect this had on the quality of care. The final metric we looked at in this category is the percentage of patients that returned home from the nursing home. It fared much better in this metric with 59.8 percent of its patients returning home.

Nurse Quality

D
Oct 18: CNov 18: CDec 18: CJan 19: B-Feb 19: B-May 19: CJun 19: CJul 19: B-Aug 19: B-Sep 19: B-Jan 20: DMar 20: DApr 20: DMay 20: DJun 20: DJul 20: DAug 20: D
Historical

The next category we analyzed is nursing, was this facility's worst category. We gave this nursing home a grade of D in this area. Nursing scores are heavily correlated with quantity of nursing care available. This nursing home provides 3 hours of nursing care per resident per day. This is a much lower figure than we are used to seeing. Lastly, we also looked at some quality-based metrics in computing our nursing ratings. This nursing home was above average in two of the major statistics we considered, with solid scores for avoiding pressure ulcers and major falls. These data points are generally good measures of the quality of nursing care provided.

Overall Rating Over Time

Compared to national and state averages across all facilities.

Aug 20
Provider:
C
State:
C
National:
B
FDCB-BB+A-AA+Oct 18Nov 18Dec 18Jan 19Feb 19Mar 19Apr 19May 19Jun 19Jul 19Aug 19Sep 19Oct 19Dec 19Jan 20Mar 20Apr 20May 20Jun 20Jul 20Aug 20
Overall Rating
Nurse Rating
Long-Term Rating
Short-Term Rating
Inspection Rating

Windcrest Nursing and Rehabilitation Center Quality Metrics

Minimizes Pressure Ulcers

This tells you the percent of patients who have had a pressure ulcer. Pressure ulcers, which are also referred to as bed sores, are often the result of patients staying in one position for too long. Better nursing care can reduce the number of pressure ulcers sustained by residents in a nursing home.

Provider
B
7.14%
State
B
7.46%
National
B
7.34%

Percent of Patients with Pressure Ulcers
Lower is Better

Minimizes Serious Falls

This datapoint is a measure of the percentage of long-term residents that sustained a fall leading to severe injury. This is one of the statistics we use in calculating our nursing ratings.

Provider
A
1.1%
State
B
3.37%
National
B
3.36%

Percent of Patients with Serious Falls
Lower is Better

Minimizes Urinary Tract Infections

This indicates the percentage of patients that suffered from a urinary tract infection. These infections are associated with insufficient hygiene.

Provider
B-
2.58%
State
B+
2.22%
National
B
2.66%

Percent of Patients with UTIs
Lower is Better

Appropriately Uses Anti-Psychotic Medication

This is the percent of patients given antipsychotic drugs. These drugs may be used to treat a variety of conditions, such as dementia.

Provider
D
23.22%
State
B+
12.37%
National
B
14.15%

Percent of Patients
Lower is Better

Appropriately Uses Anti-Anxiety Medication

This is a measure of the percentage of long-term residents taking antianxiety medications.

Provider
D
28.5%
State
B-
23.38%
National
B
19.69%

Percent of Patients
Lower is Better

Managing Depression Among Residents

Measures the percent of long-term care patients who are showing signs of depression.

Provider
A+
0%
State
B+
2.92%
National
B+
5.11%

Percent of Patients
Lower is Better

Appropriate Vaccine Usage

This metric measures the percent of long-term care patients who have received the pneumonia and flu vaccines. Respiratory viruses can be very dangerous for nursing home residents, making these types of vaccines important for resident well-being.

Provider
C
92.06%
State
B
92.34%
National
B
92.01%

Percent of Patients
Higher is Better

Residents Maintain Autonomy

This tells you the percentage of residents who required increased assistance with activities of daily living over time. High levels of needing for assistance with ADL's may be a sign of the deterioration of a patient's health.

Provider
B
14.98%
State
B-
17.2%
National
B
14.47%

Percentage of Patients
Lower is Better

Ability to Keep Residents Mobile

This indicates the percent of residents that were able to retain mobility over time. Retaining mobility can be a good sign for residents' health.

Provider
A
25.12%
State
B
18.24%
National
B
17.10%

Percentage of Residents
Higher is Better

Hospitalizations

This indicates the number of times residents are hospitalized per thousand days of care. There is a correlation between staying out of the hospital and the overall quality of long-term care.

Provider
A+
0.85
State
B-
1.92
National
B
1.70

Hospitalizations per 1,000 resident days
Lower is Better

Short-term Care: Rehospitalizations

Measures the number of rehospitalizations per thousand days of short-term patient care.

Provider
D
25.12
State
B
18.24
National
B
17.10

Percentage of Residents Rehospitalized
Lower is Better

Short-term Care: ER Visits

This indicates the number of times residents are sent to the emergency room per thousand days of short-term patient care. There is generally a correlation between having fewer emergency room visits and the quality of care.

Provider
A+
4.47
State
B
10.69
National
B
10.26

Percentage of Patients
Lower is Better

Short-term Care: Facilitates Functional Improvement

This is the percent of short-term care patients who experienced functional improvements, such as enhanced ability to perform activities of daily living. High levels of independence with activities of daily living usually correlates with successful rehabilitation services.

Provider
A-
79.56%
State
C
61.02%
National
B
68.02%

Percentage of Resident
Higher is Better

Nearby Hospitals

Hill Country Memorial Hospital Inc 0.16 mi
1020 South State Highway 16 Fredericksburg Texas 78624
(830) 997-4353
Acute Care Hospitals
Voluntary non-profit - Private