CONTACT INFORMATION REVIEWS & MORE DATA
Comfort Nursing and Rehabilitation Center
- Date Updated: November 01, 2024
- CMS Overall 5-Star Rating:
-
Address: 615 FALTIN AVE
COMFORT TX 78013 Map - Phone: 830-995-3757
- Website: Click Here
- Medicare Provider Number: 675871
- Participating in Medicare Since: April 26, 2001
- No. of Certified Beds: 76
- No. of Residents: N/A
- Occupancy: N/A
- Amount Fined: $0.00
- Complaints Filed: 11
- Accepts: Medicare and Medicaid
About Comfort Nursing and Rehabilitation Center
Comfort Nursing And Rehabilitation Center, located in COMFORT, TX, is a government owned organization that accepts Medicare and Medicaid. It is not part of a continuing care retirement community. It is not located in a hospital. Comfort Nursing And Rehabilitation Center offers a range of services including skilled nursing, long-term care, short-term rehabilitation, and specialized memory care. The center is equipped with modern amenities and a supportive environment designed to enhance the quality of life for its residents. With a focus on personalized care plans and community engagement.
- Comfort Nursing and Rehabilitation Center is ranked #1 out of 1 facilities within a 10 mile radius and #8 out of 19 facilities within a 25 mile radius. See Ranking Report
- Review Specific City Measures
- CMS 5-Star Overall Rating is (3 out of 5):
- Current Trend: Improving
-
Total Nursing Hours Spent Per Resident Per Day: 2.75
(The national average is 3.84 ) - The percentage of short-stay residents who were re-hospitalized after a nursing home admission is 32.62% .
- There is no indication of abuse occuring at Comfort Nursing and Rehabilitation Center. (CMS flags facilities where abuse has either happened or is very likely.)
Comfort Nursing and Rehabilitation Center Owner & Operator Information
Business Entity Name:
HAMILTON COUNTY HOSPITAL DISTRICT
Owners:
- HAMILTON COUNTY HOSPITAL DISTRICT (DIRECT- 100%)
Managers and Directors:
- GRADY HOOPER (CORPORATE OFFICER)
- ROBERT MARTINEZ (MANAGING EMPLOYEE)
- CASSANDRA MISTRETTA (OPERATIONAL/MANAGERIAL CONTROL)
- SLP COMFORT LLC (OPERATIONAL/MANAGERIAL CONTROL)
Comfort Nursing and Rehabilitation Center Ratings and Inspection Scores
Centers for Medicare and Medicaid (CMS) regularly inspects every skilled nursing facility. The results of the multi-day inspection is a series of star ratings. The health inspection scores are an absolute value, so you can compare one facility's score directly to another.
Ratings
| Overall Rating | 3: |
| Health Inspection Rating | 3: |
| Quality Rating | 5: |
| Staffing Rating | 1: |
Inspection Scores
| Cycle 1 Score (as of July 10, 2024) | 24 |
| Cycle 2 Score (as of June 08, 2023) | 136 |
| Cycle 3 Score (as of May 06, 2022) | 40 |
| Weighted All Cycles Score | 64 |
Complaints by Residents
This table shows complaints filed by residents in Comfort Nursing and Rehabilitation Center:
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | 03/29/2024 |
| Provide and implement an infection prevention and control program. | 03/29/2024 |
| Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members. | 07/19/2023 |
| Ensure that staff members are educated on resident rights and facility responsibilities to properly care for its residents. | 07/19/2023 |
| Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation. | 07/19/2023 |
| Include as part of its infection prevention and control program, mandatory training that includes written standards, policies, and procedures for the program. | 07/19/2023 |
| Provide training in compliance and ethics. | 07/19/2023 |
| Develop, implement, and/or maintain an effective training program for all new and existing staff members. | 07/10/2023 |
| Ensure that residents are free from significant medication errors. | 07/07/2023 |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | 04/29/2022 |
| Respond appropriately to all alleged violations. | 04/29/2022 |
Nursing Hours Spent Per Patient
CMS provides detailed information about how long nursing staff spends with residents. This data includes nursing subcategories of Registered Nurse, Licensed Practical Nurse, and non-nursing Certified Nursing Assistants. More hours spend per patient should can indicate a better facility or it could indicate more complicated situations.
The nursing staff of Comfort Nursing and Rehabilitation Center spends LESS time on average with its residents than the state average and LESS time than the national average for total nursing hours spent per resident.
| Type | Facility | State / National Avg |
|---|---|---|
| Registered Nurse (RN) | ||
| Hours | 0.27 | 0.41 / 0.67 |
| Case Mix | 0.56 | 0.64 / 0.66 |
| Adjusted | 0.31 | NA / NA |
| Licensed Practical Nurse (LPN) | ||
| Hours | 1.06 | 1.00 / 0.88 |
| Case Mix | 0.74 | NA / NA |
| Adjusted | 1.25 | NA / NA |
| Certified Nursing Assistants (CNA) | ||
| Hours | 1.42 | 1.96 / 2.29 |
| Case Mix | 1.94 | NA / NA |
| Adjusted | 1.67 | NA / NA |
| Total Licensed Staff | ||
| Hours | 1.33 | 1.41 / 1.54 |
| Physical Therapist (PT) | ||
| Hours | 0.21 | 0.07 / 0.07 |
| Total Nursing Hours Spent per Resident on Average | ||
| Hours | 2.75 | 3.37 / 3.84 |
| Case Mix | 3.24 | 3.66 / 3.82 |
| Adjusted | 3.24 | NA / NA |
Quality Measures
Quality measures are based both on patient survey information and on the results of actual claims that are filed with CMS. It is not clear what period is covered in the measures.
| Desc. | Perc./ State Avg. / Comparison |
|---|---|
|
Percentage of short-stay residents who were rehospitalized after a nursing home admission (qm521)
This measure is considered when computing the 5-Star Overall Rating |
32.6%
/
24.5% Worse |
|
Percentage of short-stay residents who had an outpatient emergency department visit (qm522)
This measure is considered when computing the 5-Star Overall Rating |
4.9%
/
12.2% Better |
|
Number of hospitalizations per 1000 long-stay resident days (qm551)
This measure is considered when computing the 5-Star Overall Rating |
2.5%
/
1.9% Worse |
|
Number of outpatient emergency department visits per 1000 long-stay resident days (qm552)
This measure is considered when computing the 5-Star Overall Rating |
0.5%
/
1.9% Better |
| Percentage of long-stay residents whose need for help with daily activities has increased (qm401) |
12.3%
/
16.6% Better |
| Percentage of long-stay residents who lose too much weight (qm404) |
6.6%
/
4.6% Worse |
| Percentage of low risk long-stay residents who lose control of their bowels or bladder (qm405) |
63.0%
/
53.4% Worse |
| Percentage of long-stay residents with a catheter inserted and left in their bladder (qm406) |
0.0%
/
1.1% Better |
| Percentage of long-stay residents with a urinary tract infection (qm407) |
1.1%
/
1.0% Worse |
| Percentage of long-stay residents who have depressive symptoms (qm408) |
2.3%
/
4.7% Better |
| Percentage of long-stay residents who were physically restrained (qm409) |
0.0%
/
0.0% Better |
| Percentage of long-stay residents experiencing one or more falls with major injury (qm410) |
0.0%
/
3.4% Better |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine (qm415) |
100.0%
/
97.1% Better |
| Percentage of long-stay residents who received an antipsychotic medication (qm419) |
25.0%
/
8.7% Worse |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine (qm430) |
99.0%
/
89.4% Better |
| Percentage of short-stay residents who newly received an antipsychotic medication (qm434) |
0.0%
/
1.5% Better |
| Percentage of long-stay residents whose ability to move independently worsened (qm451) |
9.6%
/
12.7% Better |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication (qm452) |
33.8%
/
23.1% Worse |
| Percentage of high risk long-stay residents with pressure ulcers (qm453) |
0.0%
/
6.7% Better |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine (qm454) |
100.0%
/
97.6% Better |
| Percentage of short-stay residents who made improvements in function (qm471) |
87.6%
/
70.0% Better |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine (qm472) |
94.4%
/
84.5% Better |
Hospitals Near Comfort Nursing and Rehabilitation Center
Quite often skilled nursing facilities and hospitals work closely together to help patients recover or manage a terminal illness. Hospitals deals with acute care while nursing homes treat patients for a longer period of time. New residents at skilled nursing homes typically come from a hospital and nursing home residents may be readmitted to a hospital if their recovery does not proceed well. (Hospital readmission rates are closely monitored by CMS.) Consequently it is important that you consider which hospitals are near a nursing home which choosing one. Below is a list of hospitals near Comfort Nursing and Rehabilitation Center.
Comfort Nursing and Rehabilitation Center is near several hospitals, each with its own rating based on overall performance:
| Hospital | 5-Star Overall Rating |
|---|---|
|
PETERSON REGIONAL MEDICAL CENTER 551 HILL COUNTRY DRIVE KERRVILLE, TX 78028 |
4 |
|
HILL COUNTRY MEMORIAL HOSPITAL 1020 SOUTH STATE HIGHWAY 16 FREDERICKSBURG, TX 78624 |
5 |
Ratings History for Comfort Nursing and Rehabilitation Center
Medical Professionals Associated with Comfort Nursing and Rehabilitation Center
These are the doctors who are affiliated with Comfort Nursing and Rehabilitation Center. The data is from the most recent period. Historical data is not available.
- MILTON SHAW ( GERIATRIC MEDICINE - CURANA HEALTH MEDICAL GROUP LLC )
Local Nursing Homes
When evaluating nursing homes, it's important to consider other nearby facilities to understand the available options and make comparisons. Below is a list of nursing homes near Brookline Healthcare and Rehabilitation, including Brookline itself. This list is ranked based on each home's health inspection scores, also known as the "weighted all cycles score." Additionally, we provide the facility's 5-star overall rating for a more complete view of its performance. If a nursing home has been flagged by CMS for abuse, you'll see a special icon () next to its name.
The data is based on the dataset as of November 01, 2024.
Our Analysis
Best and Worst Nursing Homes in COMFORT, TX
Here is our analysis of the Best Nursing Homes in COMFORT and Worst Nursing Homes in COMFORT so that you can make better decisions when choosing a nursing home. You should also use these lists after choosing a home to stay abreast of changes.
Ownership Details for Comfort Nursing and Rehabilitation Center
A list of all of the registered owners for Comfort Nursing and Rehabilitation Center. This includes direct and indirect owners and managers.
Noted Deficiencies for Comfort Nursing and Rehabilitation Center
A list of all of the deficiencies for the facility. This includes a description, type of deficiency, incident date and when the facility reports that the incident was corrected.
Nursing Hours Analysis for Comfort Nursing and Rehabilitation Center
How long a nurse spends with a resident can be an important factor in their recovery. This page shows the average nursing hours spent per resident for RNs, LPNs, CNAs, PTs and all licensed staff.
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