Bedford Wellness & Rehabilitation faces challenges in its CMS ratings, earning a D grade with a score of 46/100. The facility ranks in the 51th percentile among Texas nursing homes, suggesting significant room for improvement.
With 3.23 total nurse hours per resident per day, Bedford Wellness & Rehabilitation falls below the national average of 3.8 hours. Families may want to ask about staffing levels during any facility visit.
Recent CMS inspections identified 20 deficiencies at Bedford Wellness & Rehabilitation, including 1 classified as serious — among the most concerning citation levels. The most notable finding involved: procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards..
Score Breakdown
🏥 Staffing Details
| Staff Type | Hours/Resident/Day | National Avg | Comparison |
|---|---|---|---|
| Total Nursing | 3.23 | 3.8 | Below Average |
| Registered Nurses (RN) | 0.53 | 0.7 | Below Average |
| Licensed Practical Nurses (LPN) | 0.85 | 0.7 | Above Average |
| Certified Nursing Assistants (CNA) | 1.85 | 2.4 | Below Average |
| Weekend Total Nursing | 2.76 | 3.8 | Below Average |
| Weekend RN Hours | 0.30 | 0.7 | Below Average |
🔍 Inspection & Deficiency History
View recent deficiencies (5 shown)
- Tag 0812 Severity FProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Dec 10, 2025 · Nutrition and Dietary Deficiencies
- Tag 0641 Severity DEnsure each resident receives an accurate assessment.Dec 10, 2025 · Resident Assessment and Care Planning Deficiencies
- Tag 0692 Severity DProvide enough food/fluids to maintain a resident's health.Dec 10, 2025 · Quality of Life and Care Deficiencies
- Tag 0842 Severity DSafeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standarDec 10, 2025 · Resident Assessment and Care Planning Deficiencies
- Tag 0690 Severity DProvide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to preventNov 16, 2025 · Quality of Life and Care 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 | 1.3% | 4.5% | Better |
| Falls with major injury | 1.0% | 3.0% | Better |
| On antipsychotic medication | 11.7% | 14.5% | Better |
| Urinary tract infections | 0.0% | 2.5% | Better |
| ADL decline (daily activities) | 7.1% | 14.0% | Better |
| Excessive weight loss | 3.8% | 7.5% | Better |
| New/worsened incontinence | 8.0% | 45.0% | Better |
⚠️ Penalties & Fines
2 penalties recorded by CMS
Total fines: $25,782
How This Grade Was Calculated
This facility's grade of D is based on a score of 46 out of 100, calculated from official CMS Nursing Home Compare data:
- Overall CMS Rating: 3★ → 24 pts (max 40)
- Health Inspection Rating: 3★ → 15 pts (max 25)
- Staffing Rating: 1★ → 4 pts (max 20)
- Quality Measures Rating: 5★ → 15 pts (max 15)
- Penalty deductions: -10 pts
- Fine deductions: -2 pts
Grades: A=85+, B=70–84, C=55–69, D=40–54, F=below 40
Facility Details
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