Colonial Pines Healthcare Center faces challenges in its CMS ratings, earning a D grade with a score of 53/100. The facility ranks in the 59th percentile among Texas nursing homes, suggesting significant room for improvement.
With 3.25 total nurse hours per resident per day, Colonial Pines Healthcare Center 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 26 deficiencies at Colonial Pines Healthcare Center, including 1 classified as serious — among the most concerning citation levels. The most notable finding involved: make sure there is a pest control program to prevent/deal with mice, insects, or other pests..
Score Breakdown
🏥 Staffing Details
| Staff Type | Hours/Resident/Day | National Avg | Comparison |
|---|---|---|---|
| Total Nursing | 3.25 | 3.8 | Below Average |
| Registered Nurses (RN) | 0.23 | 0.7 | Below Average |
| Licensed Practical Nurses (LPN) | 1.14 | 0.7 | Above Average |
| Certified Nursing Assistants (CNA) | 1.88 | 2.4 | Below Average |
| Weekend Total Nursing | 2.78 | 3.8 | Below Average |
| Weekend RN Hours | 0.22 | 0.7 | Below Average |
🔍 Inspection & Deficiency History
View recent deficiencies (5 shown)
- Tag 0925 Severity FMake sure there is a pest control program to prevent/deal with mice, insects, or other pests.Oct 28, 2024 · Environmental Deficiencies
- Tag 0761 Severity EEnsure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologiOct 28, 2024 · Pharmacy Service Deficiencies
- Tag 0805 Severity EEnsure each resident receives and the facility provides food prepared in a form designed to meet individual needs.Oct 28, 2024 · Nutrition and Dietary Deficiencies
- Tag 0921 Severity EMake sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.Oct 28, 2024 · Environmental Deficiencies
- Tag 0802 Severity DProvide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.Oct 28, 2024 · 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 | 2.2% | 4.5% | Better |
| Falls with major injury | 4.5% | 3.0% | Worse |
| On antipsychotic medication | 15.4% | 14.5% | Average |
| Urinary tract infections | 0.0% | 2.5% | Better |
| ADL decline (daily activities) | 5.4% | 14.0% | Better |
| Excessive weight loss | 4.2% | 7.5% | Better |
| New/worsened incontinence | 17.9% | 45.0% | Better |
⚠️ Penalties & Fines
1 penalty recorded by CMS
Total fines: $12,649
How This Grade Was Calculated
This facility's grade of D is based on a score of 53 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: 2★ → 8 pts (max 20)
- Quality Measures Rating: 4★ → 12 pts (max 15)
- Penalty deductions: -5 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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