Colonial Manor Nursing Center is an average performer in CMS ratings, earning a C grade with a score of 66/100. Located in Cleburne, Texas, the facility meets baseline standards across most quality metrics.
Staffing at Colonial Manor Nursing Center is near the national average, with 3.72 total nursing hours per resident per day (national average: 3.8 hours).
Recent CMS inspections identified 24 deficiencies at Colonial Manor Nursing Center, including 2 classified as serious — among the most concerning citation levels. The most notable finding involved: honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice..
Score Breakdown
🏥 Staffing Details
| Staff Type | Hours/Resident/Day | National Avg | Comparison |
|---|---|---|---|
| Total Nursing | 3.72 | 3.8 | Average |
| Registered Nurses (RN) | 0.30 | 0.7 | Below Average |
| Licensed Practical Nurses (LPN) | 1.34 | 0.7 | Above Average |
| Certified Nursing Assistants (CNA) | 2.07 | 2.4 | Below Average |
| Weekend Total Nursing | 3.21 | 3.8 | Below Average |
| Weekend RN Hours | 0.35 | 0.7 | Below Average |
🔍 Inspection & Deficiency History
View recent deficiencies (5 shown)
- Tag 0561 Severity DHonor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.Sep 3, 2025 · Resident Rights Deficiencies
- Tag 0880 Severity EProvide and implement an infection prevention and control program.Feb 5, 2025 · Infection Control Deficiencies
- Tag 0656 Severity KDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.Dec 22, 2023 · Resident Assessment and Care Planning Deficiencies
- Tag 0600 Severity KProtect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.Dec 22, 2023 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
- Tag 0812 Severity FProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Dec 22, 2023 · Nutrition and Dietary Deficiencies
📊 Resident Outcome Measures
Based on CMS quality measure data. Lower percentages are better for most metrics.
| Measure | This Facility | Nat'l Avg | |
|---|---|---|---|
| Residents with pressure ulcers | 1.8% | 4.5% | Better |
| Falls with major injury | 5.8% | 3.0% | Worse |
| On antipsychotic medication | 12.4% | 14.5% | Better |
| Urinary tract infections | 0.0% | 2.5% | Better |
| ADL decline (daily activities) | 9.5% | 14.0% | Better |
| Excessive weight loss | 3.6% | 7.5% | Better |
| New/worsened incontinence | 9.0% | 45.0% | Better |
⚠️ Penalties & Fines
1 penalty recorded by CMS
Total fines: $35,539
How This Grade Was Calculated
This facility's grade of C is based on a score of 66 out of 100, calculated from official CMS Nursing Home Compare data:
- Overall CMS Rating: 4★ → 32 pts (max 40)
- Health Inspection Rating: 3★ → 15 pts (max 25)
- Staffing Rating: 3★ → 12 pts (max 20)
- Quality Measures Rating: 5★ → 15 pts (max 15)
- Penalty deductions: -5 pts
- Fine deductions: -3 pts
Grades: A=85+, B=70–84, C=55–69, D=40–54, F=below 40
Facility Details
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