A

VILLA HAVEN HEALTH AND REHABILITATION CENTER

300 S JACKSON ST, BRECKENRIDGE, TX 76424
Score: 96 / 100

Villa Haven Health And Rehabilitation Center is one of the top-rated nursing facilities in Breckenridge, Texas, earning an A grade based on CMS data. With a score of 96/100, it ranks in the top 1% of facilities statewide — a strong indicator of quality care.

Staffing at Villa Haven Health And Rehabilitation Center is near the national average, with 3.93 total nursing hours per resident per day (national average: 3.8 hours).

Recent inspections identified 9 deficiencies at Villa Haven Health And Rehabilitation Center. While none were classified as the most serious level, families should review the detailed inspection history below.

Score Breakdown

Overall CMS Rating 40 / 40 pts
5 ★ CMS rating
Health Inspections 25 / 25 pts
5 ★ inspection rating
Staffing 16 / 20 pts
4 ★ staffing rating
Quality Measures 15 / 15 pts
5 ★ quality measures

🏥 Staffing Details

Staff Type Hours/Resident/Day National Avg Comparison
Total Nursing 3.93 3.8 Average
Registered Nurses (RN) 0.47 0.7 Below Average
Licensed Practical Nurses (LPN) 1.29 0.7 Above Average
Certified Nursing Assistants (CNA) 2.17 2.4 Average
Weekend Total Nursing 3.36 3.8 Below Average
Weekend RN Hours 0.51 0.7 Below Average

🔍 Inspection & Deficiency History

9
Total Deficiencies
Dec 26, 2025
Most Recent Inspection
⚪ 2 Minor 🟠 7 Moderate
View recent deficiencies (5 shown)
  • Tag 0880 Severity E
    Provide and implement an infection prevention and control program.
    Dec 18, 2024 · Infection Control Deficiencies
  • Tag 0657 Severity D
    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
    Dec 18, 2024 · Resident Assessment and Care Planning Deficiencies
  • Tag 0880 Severity D
    Provide and implement an infection prevention and control program.
    Jul 17, 2024 · Infection Control Deficiencies
  • Tag 0656 Severity E
    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
    Nov 1, 2023 · Resident Assessment and Care Planning Deficiencies
  • Tag 0812 Severity E
    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
    Nov 1, 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 1.0% 4.5% Better
Falls with major injury 1.1% 3.0% Better
On antipsychotic medication 3.0% 14.5% Better
Urinary tract infections 0.0% 2.5% Better
ADL decline (daily activities) 14.9% 14.0% Average
Excessive weight loss 0.0% 7.5% Better
New/worsened incontinence 3.2% 45.0% Better

How This Grade Was Calculated

This facility's grade of A is based on a score of 96 out of 100, calculated from official CMS Nursing Home Compare data:

  • Overall CMS Rating: 5★ → 40 pts (max 40)
  • Health Inspection Rating: 5★ → 25 pts (max 25)
  • Staffing Rating: 4★ → 16 pts (max 20)
  • Quality Measures Rating: 5★ → 15 pts (max 15)

Grades: A=85+, B=70–84, C=55–69, D=40–54, F=below 40

Facility Details

Ownership
Government - Hospital district
Certified Beds
92
Provider Type
Medicare and Medicaid
Resident Council
Yes
Family Council
No
Sprinkler System
Yes
Last Inspection
Dec 18, 2024
Deficiencies (Cycle 1)
3