Woodland Park Nursing & Rehab has received an F grade based on CMS data, with a score of 5/100 — placing it among the lowest-rated nursing facilities in Texas. Families considering this Shepherd facility should carefully review its inspection history and quality metrics.
With 3.36 total nurse hours per resident per day, Woodland Park Nursing & Rehab 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 32 deficiencies at Woodland Park Nursing & Rehab, including 5 classified as serious — among the most concerning citation levels. The most notable finding involved: provide and implement an infection prevention and control program..
Score Breakdown
🏥 Staffing Details
| Staff Type | Hours/Resident/Day | National Avg | Comparison |
|---|---|---|---|
| Total Nursing | 3.36 | 3.8 | Below Average |
| Registered Nurses (RN) | 0.22 | 0.7 | Below Average |
| Licensed Practical Nurses (LPN) | 1.25 | 0.7 | Above Average |
| Certified Nursing Assistants (CNA) | 1.89 | 2.4 | Below Average |
| Weekend Total Nursing | 3.03 | 3.8 | Below Average |
| Weekend RN Hours | 0.21 | 0.7 | Below Average |
🔍 Inspection & Deficiency History
View recent deficiencies (5 shown)
- Tag 0880 Severity KProvide and implement an infection prevention and control program.Jul 23, 2025 · Infection Control Deficiencies
- Tag 0684 Severity JProvide appropriate treatment and care according to orders, resident’s preferences and goals.Jul 23, 2025 · Quality of Life and Care Deficiencies
- Tag 0686 Severity GProvide appropriate pressure ulcer care and prevent new ulcers from developing.Jul 23, 2025 · Quality of Life and Care Deficiencies
- Tag 0727 Severity FHave a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.Jul 23, 2025 · Nursing and Physician Services Deficiencies
- Tag 0804 Severity FEnsure food and drink is palatable, attractive, and at a safe and appetizing temperature.Jul 23, 2025 · 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 | 5.7% | 4.5% | Worse |
| Falls with major injury | 0.0% | 3.0% | Better |
| On antipsychotic medication | 14.0% | 14.5% | Average |
| Urinary tract infections | 14.7% | 2.5% | Worse |
| ADL decline (daily activities) | 19.0% | 14.0% | Worse |
| Excessive weight loss | 11.5% | 7.5% | Worse |
| New/worsened incontinence | 12.0% | 45.0% | Better |
⚠️ Penalties & Fines
3 penalties recorded by CMS
Total fines: $61,325
How This Grade Was Calculated
This facility's grade of F is based on a score of 5 out of 100, calculated from official CMS Nursing Home Compare data:
- Overall CMS Rating: 1★ → 8 pts (max 40)
- Health Inspection Rating: 1★ → 5 pts (max 25)
- Staffing Rating: 1★ → 4 pts (max 20)
- Quality Measures Rating: 3★ → 9 pts (max 15)
- Penalty deductions: -15 pts
- Fine deductions: -6 pts
Grades: A=85+, B=70–84, C=55–69, D=40–54, F=below 40
Facility Details
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