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
🏥 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
View recent deficiencies (5 shown)
- Tag 0880 Severity EProvide and implement an infection prevention and control program.Dec 18, 2024 · Infection Control Deficiencies
- Tag 0657 Severity DDevelop 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 DProvide and implement an infection prevention and control program.Jul 17, 2024 · Infection Control 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.Nov 1, 2023 · Resident Assessment and Care Planning Deficiencies
- Tag 0812 Severity EProcure 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
Other Facilities in Texas
- FAvir at BeaumontBEAUMONT
- FAvir at New BraunfelsNew Braunfels
- A
- BKNOPP HEALTHCARE AND REHAB CENTER INCFREDERICKSBURG
- B