Bay Ridge Healthcare Center 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.
Staffing at Bay Ridge Healthcare Center is near the national average, with 3.52 total nursing hours per resident per day (national average: 3.8 hours).
Recent CMS inspections identified 31 deficiencies at Bay Ridge Healthcare Center, including 5 classified as serious — among the most concerning citation levels. The most notable finding involved: safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standar.
Score Breakdown
🏥 Staffing Details
| Staff Type | Hours/Resident/Day | National Avg | Comparison |
|---|---|---|---|
| Total Nursing | 3.52 | 3.8 | Average |
| Registered Nurses (RN) | 0.40 | 0.7 | Below Average |
| Licensed Practical Nurses (LPN) | 1.07 | 0.7 | Above Average |
| Certified Nursing Assistants (CNA) | 2.05 | 2.4 | Below Average |
| Weekend Total Nursing | 3.03 | 3.8 | Below Average |
| Weekend RN Hours | 0.30 | 0.7 | Below Average |
🔍 Inspection & Deficiency History
View recent deficiencies (5 shown)
- Tag 0842 Severity ESafeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standarNov 24, 2025 · Resident Assessment and Care Planning Deficiencies
- Tag 0609 Severity DTimely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.Nov 24, 2025 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
- Tag 0755 Severity DProvide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.Nov 24, 2025 · Pharmacy Service Deficiencies
- Tag 0689 Severity JEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Nov 12, 2025 · Quality of Life and Care Deficiencies
- Tag 0656 Severity EDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.Feb 19, 2025 · Resident Assessment and Care Planning 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 | 4.3% | 4.5% | Average |
| Falls with major injury | 3.0% | 3.0% | Average |
| On antipsychotic medication | 10.2% | 14.5% | Better |
| Urinary tract infections | 1.9% | 2.5% | Better |
| ADL decline (daily activities) | 28.1% | 14.0% | Worse |
| Excessive weight loss | 5.5% | 7.5% | Better |
| New/worsened incontinence | 12.0% | 45.0% | Better |
⚠️ Penalties & Fines
2 penalties recorded by CMS
Total fines: $18,054
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: 3★ → 12 pts (max 20)
- Quality Measures Rating: 2★ → 6 pts (max 15)
- Penalty deductions: -10 pts
- Fine deductions: -1 pts
Grades: A=85+, B=70–84, C=55–69, D=40–54, F=below 40
Facility Details
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