REFUGIO NURSING AND REHABILITATION CENTER
Address
201 SWIFT ST
REFUGIO, TX 78377
(361) 526-4641
Nursing Home Ratings
| Health Inspections | |
| Quality Measures | |
| Nursing Staff | |
| R.N. Staff Only | |
| Overall Rating | |
Percent of Beds Occupied
80%Number of Residents and Certified Beds
- Residents: 51
- Certified Beds: 64
This Facility Accepts
- Medicare
- Medicaid
Operational Details
- Operated By For Profit - Corporation
- Offers Only Resident Counseling
- This Facility is Not Part of a Chain or Franchise
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 Refugio Nursing and Rehabilitation Center. For more information read our guide on how nursing facilities are reimbursed, types of services, and ADL index scores.
| Resident Services | Resident Conditions | Percent of Service Days |
Very High Rehabilitation Plus Extensive Services
- At least one rehabilitation discipline five days/week
- Tracheostomy care
- Ventilator or respirator
- Isolation for active infectious disease while a resident
- Activities of Daily Living (ADL) score of 2 or more
| ADL Index Range: 2-10 | 15.0% |
| Total Percent: | 15.0% |
Very High Rehabilitation
- At least one rehabilitation discipline five days/week
| ADL Index Range: 11-16 | 7.8% |
| ADL Index Range: 6-10 | 9.6% |
| ADL Index Range: 0-5 | 42.5% |
| Total Percent: | 59.9% |
High Rehabilitation
- At least one rehabilitation discipline five days/week
| ADL Index Range: 11-16 | 8.4% |
| ADL Index Range: 0-5 | 16.8% |
| Total Percent: | 25.1% |
Rating Details For Refugio Nursing and Rehabilitation Center
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 Day | Reported | Expected |
| Registered Nurse (RN) Hours | 13 Minutes | 1 Hour and 9 Minutes |
| Licensed Practical/Vocational Nurse (LPN/LVN) Hours | 50 Minutes | 37 Minutes |
| Certified Nursing Assistant (CNA) Hours | 1 Hour and 45 Minutes | 2 Hours and 8 Minutes |
| Total Licensed Nurse Hours | 1 Hour and 3 Minutes | 1 Hour and 46 Minutes |
| Total Nurse Hours | 2 Hours and 48 Minutes | 3 Hours and 54 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 Facility | Texas Average |
Long-Term Stay Preventive Actions
| Percent of Long-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination | 90-100% | 88% |
| Percent of Long-Stay Residents Given Influenza Vaccination During the Flu Season | 90-100% | 91% |
Long-Term Stay Deficiencies
| Percent of Long-Stay Residents Whose Need for Help with Daily Activities Has Increased | 28% | 18% |
| Percent of High-Risk Long-Stay Residents Who Have Pressure Sores | 11% | 12% |
| Percent of Long-Stay Residents Who Have/Had a Catheter Inserted and Left in Their Bladder | 6% | 5% |
| Percent of Long-Stay Residents Who Were Physically Restrained | - | 4% |
| Percent of Low-Risk Long-Stay Residents Who Lose Control of Their Bowels or Bladder | 49% | 46% |
| Percent of Low-Risk Long-Stay Residents Who Have Pressure Sores | 1% | 3% |
| Percent of Long-Stay Residents Who Spend Most of Their Time in Bed or in a Chair | 1% | 6% |
| Percent of Long-Stay Residents Who Had a Urinary Tract Infection | 24% | 9% |
| Percent of Long-Stay Residents Whose Ability to Move About in and Around Their Room Got Worse | 11% | 12% |
| Percent of Long-Stay Residents Who Have Moderate to Severe Pain | 4% | 4% |
| Percent of Long-Stay Residents Who Are More Depressed or Anxious | 18% | 13% |
| Percent of Long-Stay Residents Who Lose Too Much Weight | 4% | 6% |
Short-Term Stay Preventive Actions
| Percent of Short-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination | 90-100% | 79% |
| Percent of Short-Stay Residents Given Influenza Vaccination During the Flu Season | 90-100% | 84% |
Short-Term Stay Deficiencies
| Percent of Short-Stay Residents Who Have Pressure Sores | 11% | 11% |
| Percent of Short-Stay Residents Who Have Delirium | - | 3% |
| Percent of Short-Stay Residents Who Had Moderate to Severe Pain | 3% | 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 04/07/2011.
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 Inspectors | Degree of Harm | Residents Affected |
Environmental
Have a Program to Keep Infection from Spreading.
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Mistreatment
Write and Use Policies That Forbid Mistreatment, Neglect and Abuse of Residents and Theft of Residents' Property.
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Resident Assessment
Develop a Complete Care Plan That Meets All of a Resident's Needs, with Timetables and Actions That Can Be Measured.
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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 Refugio Nursing and Rehabilitation Center 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 04/06/2011.
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 Inspectors | Degree of Harm | Residents Affected |
Automatic Sprinkler Systems
An Approved Automatic Sprinkler System Connected to the Fire Alarm System.
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Building Service Equipment
Heating and Ventilation Systems That Have Been Properly Installed According to the Manufacturer's Instructions.
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Heating and Ventilation Systems That Have Been Properly Installed According to the Manufacturer's Instructions.
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Electrical
Properly Installed Electrical Wiring and Equipment.
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Exits and Egress
Exits That Are Accessible at All Times.
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Exits That Are Accessible at All Times.
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Illumination and Emergency Power
Properly Located and Lighted "Exit" Signs.
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Smoke Compartmentation and Control
Walls or Barriers That Prevent Smoke from Passing Through and Would Resist Fire for at Least One Hour.
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