FREDERICKSBURG NURSING AND REHABILITATION LP

The information listed below provides an in-depth look into the type and quality of care offered at Fredericksburg Nursing and Rehabilitation Lp. It is important to note that when evaluating if a nursing home is right for you or a loved one, ratings should not be taken as the sole deciding factor, but as one of many aspects to be considered.

Address

FREDERICKSBURG NURSING AND REHABILITATION LP
1117 S ADAMS ST
FREDERICKSBURG, TX 78624
(830) 997-4364

Nursing Home Ratings

Health Inspections
Quality Measures
Nursing Staff
R.N. Staff Only
Overall Rating

Percent of Beds Occupied

76%

Number of Residents and Certified Beds

  • Residents: 68
  • Certified Beds: 90

This Facility Accepts

  • Medicare
  • Medicaid

Operational Details

  • Operated By For Profit - Partnership
  • Offers Only Resident Counseling
  • This Facility is Part of a Chain or Franchise

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Nearby Cities:

Kerrville | Comfort | Johnson City

Resident Services

The information below lists services this facility has provided for residents from October through December 2010. During this period, the most common type of service provided was "Very High Rehabilitation". To get a better idea of the types of services that are commonly performed, compare the "Percent of Service Days" column below. These services are based on submitted claims to Medicare and do not provide a complete overview of all the services provided by Fredericksburg Nursing and Rehabilitation Lp. For more information read our guide on how nursing facilities are reimbursed, types of services, and ADL index scores.

Resident ServicesResident ConditionsPercent of Service Days

Ultra-High Rehabilitation

Rehabilitation 720 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
  • A second rehabilitation discipline three days/week
ADL Index Range: 6-108.9%
Total Percent:8.9%
 

Very High Rehabilitation

Rehabilitation 500 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
ADL Index Range: 6-1011.6%
ADL Index Range: 0-520.5%
Total Percent:32.0%
 

High Rehabilitation

Rehabilitation 325 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
ADL Index Range: 6-1011.6%
ADL Index Range: 0-511.9%
Total Percent:23.4%
 

Medium Rehabilitation

Rehabilitation 150 Minutes Per Week Minimum
  • Five days any combination of three rehabilitation disciplines
ADL Index Range: 11-162.1%
ADL Index Range: 6-104.2%
ADL Index Range: 0-513.1%
Total Percent:19.3%
 

Low Rehabilitation

Rehabilitation 45 Minutes Per Week Minimum
  • Three days any combination of three rehabilitation disciplines
  • Two services of restorative nursing six days per week
ADL Index Range: 11-160.3%
Total Percent:0.3%
 

Clinically Complex

  • Pneumonia, hemiplegia with ADL score >=5
  • Surgical wounds or open lesions with treatment
  • Burns
  • Chemotherapy while a resident
  • Oxygen therapy while a resident
  • IV medications or transfusions while a resident
  • Extensive Services, Special Care High or Special Care Low qualifier and ADL score of 0 or 1
ADL Index Range: 6-10
- No Signs of depression
0.6%
ADL Index Range: 2-5
- No Signs of depression
3.0%
Total Percent:3.6%
 

Reduced Physical Function

  • Urinary and/or bowel training program
  • Passive and/or active range of motion (ROM)
  • Amputation/prosthesis training
  • Dressing or grooming training
  • Eating or swallowing training
  • Transfer training
  • Splint or brace assistance
  • Bed mobility and/or walking training
  • Communication training
ADL Index Range: 6-10
- Less restorative nursing
4.2%
ADL Index Range: 2-5
- Less restorative nursing
1.8%
ADL Index Range: 0-1
- Less restorative nursing
6.5%
Total Percent:12.5%
 

Rating Details For Fredericksburg Nursing and Rehabilitation Lp

Nursing Staff -

The nursing staff is the most important part of what determines the quality of care and comfort of a resident in a nursing home. Government regulations set expectations on time spent with each resident based on the services being provided. The breakdown below lists the nursing types (RN, LPN, LVN, CNA) and a comparison of the reported and expected hours per resident per day.

Nursing Hours Per Resident Per DayReportedExpected
Registered Nurse (RN) Hours17 Minutes57 Minutes
Licensed Practical/Vocational Nurse (LPN/LVN) Hours1 Hour and 11 Minutes34 Minutes
Certified Nursing Assistant (CNA) Hours2 Hours and 28 Minutes2 Hours and 14 Minutes
Total Licensed Nurse Hours1 Hour and 28 Minutes1 Hour and 31 Minutes
Total Nurse Hours3 Hours and 55 Minutes3 Hours and 45 Minutes

Quality of Care -

Medicare determines quality of care ratings for nursing facilities by surveying several "quality measures", which are broken down into long-term and short-term stay residents, as well as if the action is preventive or if there is a deficiency in the quality of care. State averages for Texas are also provided for comparison purposes. Note: Figures below are averaged over the past nine months.

This FacilityTexas Average

Long-Term Stay Preventive Actions

Percent of Long-Stay Residents Given Influenza Vaccination During the Flu Season90-100%91%
Percent of Long-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination90-100%88%

Long-Term Stay Deficiencies

Percent of Long-Stay Residents Who Were Physically Restrained-4%
Percent of Long-Stay Residents Who Have Moderate to Severe Pain1%4%
Percent of Long-Stay Residents Whose Need for Help with Daily Activities Has Increased14%18%
Percent of Long-Stay Residents Whose Ability to Move About in and Around Their Room Got Worse3%12%
Percent of Long-Stay Residents Who Lose Too Much Weight2%6%
Percent of Low-Risk Long-Stay Residents Who Lose Control of Their Bowels or Bladder55%46%
Percent of Long-Stay Residents Who Spend Most of Their Time in Bed or in a Chair3%6%
Percent of Long-Stay Residents Who Are More Depressed or Anxious8%13%
Percent of Long-Stay Residents Who Had a Urinary Tract Infection3%9%
Percent of Low-Risk Long-Stay Residents Who Have Pressure Sores1%3%
Percent of High-Risk Long-Stay Residents Who Have Pressure Sores3%12%
Percent of Long-Stay Residents Who Have/Had a Catheter Inserted and Left in Their Bladder4%5%

Short-Term Stay Preventive Actions

Percent of Short-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination90-100%79%
Percent of Short-Stay Residents Given Influenza Vaccination During the Flu Season90-100%84%

Short-Term Stay Deficiencies

Percent of Short-Stay Residents Who Have Delirium-3%
Percent of Short-Stay Residents Who Have Pressure Sores12%11%
Percent of Short-Stay Residents Who Had Moderate to Severe Pain5%16%

Health Inspection Details -

All Medicare and/or Medicaid certified nursing home must undergo health inspections on average once a year, but may be more frequent if the facility is peforming poorly. These inspections cover most aspects of life in a nursing home, and are broken down into deficiencies types, which including: Pharmacy Service, Administration, Resident Rights, Nutrition and Dietary, Resident Assessment, Environmental, and Mistreatment. Below are the list of deficiencies found by inspectors in the past few years along with the degree of harm and how many residents may have been affected. Note: The most recent health survey was on 03/31/2011.

Degree of Harm

  • - Potential for Minimal Harm
  • - Minimal Harm or Potential for Harm
  • - Resident Harmed
  • - Immediate Jeopardy to Resident Health

Residents Affected

  • - Isolated
  • - Some Residents
  • - Many Residents
Deficiencies Found By InspectorsDegree of HarmResidents Affected

Administration

Make Sure That Nurse Aides Show They Have the Skills to Be Able to Care for Residents.
  • Inspection Date: 03/19/2009
  • Correction Date: 04/24/2009
Get Services Outside the Nursing Home That Meet Professional Standards.
  • Inspection Date: 03/31/2011
  • Correction Date: 05/02/2011
Keep Accurate and Appropriate Medical Records.
  • Inspection Date: 03/31/2011
  • Correction Date: 05/02/2011

Environmental

Have a Program to Keep Infection from Spreading.
  • Inspection Date: 03/19/2009
  • Correction Date: 04/24/2009
Provide Rooms That Are Big Enough for Each Resident.
  • Inspection Date: 03/19/2009
  • Correction Date: 01/01/1900
Provide Rooms That Are Big Enough for Each Resident.
  • Inspection Date: 04/15/2010
  • Correction Date: 01/01/1900
Provide Needed Housekeeping and Maintenance.
  • Inspection Date: 03/31/2011
  • Correction Date: 05/02/2011
Provide Rooms That Are Big Enough for Each Resident.
  • Inspection Date: 03/31/2011
  • Correction Date: 01/01/1900

Pharmacy Service

Have Drugs and Other Similar Products Available, Which Are Needed Every Day and in Emergencies, and Give Them out Properly.
  • Inspection Date: 03/31/2011
  • Correction Date: 05/02/2011

Quality Care

Give Proper Treatment to Residents with Feeding Tubes to Prevent Problems (Such As Aspiration Pneumonia, Diarrhea, Vomiting, Dehydration, Metabolic Abnormalities, Nasal-Pharyngeal Ulcers) and Help Restore Eating Skills, if Possible.
  • Inspection Date: 04/15/2010
  • Correction Date: 04/16/2010

Resident Assessment

Make Sure All Assessments Are Accurate, Coordinated by an Rn, Done by the Right Professional, and Are Signed by the Person Completing Them.
  • Inspection Date: 03/31/2011
  • Correction Date: 05/02/2011

Resident Rights

Provide Care in a Way That Keeps or Builds Each Resident's Dignity and Self Respect.
  • Inspection Date: 04/15/2010
  • Correction Date: 04/16/2010

Deficiencies from Complaints and Incidents

The table below lists incident reports by the nursing staff or administration for Fredericksburg Nursing and Rehabilitation Lp, as well as complaints by residents or their family in the previous three years.

Degree of Harm

  • - Potential for Minimal Harm
  • - Minimal Harm or Potential for Harm
  • - Resident Harmed
  • - Immediate Jeopardy to Resident Health

Residents Affected

  • - Isolated
  • - Some Residents
  • - Many Residents
Formal ComplaintsDegree of HarmResidents Affected

Nutrition and Dietary

Store, Cook, and Give out Food in a Safe and Clean Way.
  • Complaint Filed: 04/15/2010
  • Correction Date: 04/16/2010

Fire Safety

Nursing homes certified by Medicare and/or Medicaid are required to have fire safety inspections to meet Life Safety Code (LSC) standards. Below is a list of deficiencies that Fredericksburg Nursing and Rehabilitation Lp had in recent fire safety inspections. This information can be used to see if all standards were met, the degree of harm, the number of residents affected, and the date when deficiencies were corrected. Note: The most recent fire safety survey was on 03/30/2011.

Degree of Harm

  • - Potential for Minimal Harm
  • - Minimal Harm or Potential for Harm
  • - Resident Harmed
  • - Immediate Jeopardy to Resident Health

Residents Affected

  • - Isolated
  • - Some Residents
  • - Many Residents
Deficiencies Found By InspectorsDegree of HarmResidents Affected

Automatic Sprinkler Systems

Properly Working Alarms on Sprinkler Valves.
  • Inspection Date: 03/19/2009
  • Correction Date: 05/01/2009
Automatic Sprinkler Systems That Have Been Maintained in Working Order.
  • Inspection Date: 03/19/2009
  • Correction Date: 05/01/2009
Properly Working Sprinkler Alarm System.
  • Inspection Date: 04/13/2010
  • Correction Date: 04/16/2010
Portable Fire Extinguishers.
  • Inspection Date: 04/13/2010
  • Correction Date: 04/16/2010

Building Construction

Approved Construction Type or Materials.
  • Inspection Date: 03/19/2009
  • Correction Date: 05/01/2009

Building Service Equipment

Heating and Ventilation Systems That Have Been Properly Installed According to the Manufacturer's Instructions.
  • Inspection Date: 03/30/2011
  • Correction Date: 01/01/1900

Electrical

Properly Installed Electrical Wiring and Equipment.
  • Inspection Date: 03/19/2009
  • Correction Date: 04/10/2009
Properly Installed Electrical Wiring and Equipment.
  • Inspection Date: 04/13/2010
  • Correction Date: 04/16/2010
Properly Installed Electrical Wiring and Equipment.
  • Inspection Date: 03/30/2011
  • Correction Date: 05/02/2011

Fire Alarm Systems

A Fire Alarm System That Can Be Heard Throughout the Facility.
  • Inspection Date: 03/19/2009
  • Correction Date: 05/01/2009

Hazardous Area

Construction That Can Resist Fire for One Hour or an Approved Fire Extinguishing System.
  • Inspection Date: 03/19/2009
  • Correction Date: 05/01/2009

Illumination and Emergency Power

Proper Backup Exit Lighting.
  • Inspection Date: 04/13/2010
  • Correction Date: 04/16/2010

Smoke Compartmentation and Control

Proper Construction of Ducts Through Walls Designed to Prevent Smoke Passage.
  • Inspection Date: 03/19/2009
  • Correction Date: 04/10/2009
Source: Medicare Nursing Home Compare; Department of Aging and Disability Services - Retrieved 2011