Golden Villa faces challenges in its CMS ratings, earning a D grade with a score of 45/100. The facility ranks in the 50th percentile among Texas nursing homes, suggesting significant room for improvement.
Golden Villa provides above-average staffing with 4.50 total nurse hours per resident per day. Higher staffing levels are generally associated with better care outcomes and more attentive staff.
Recent CMS inspections identified 36 deficiencies at Golden Villa, including 4 classified as serious — among the most concerning citation levels. The most notable finding involved: keep all essential equipment working safely..
Score Breakdown
🏥 Staffing Details
| Staff Type | Hours/Resident/Day | National Avg | Comparison |
|---|---|---|---|
| Total Nursing | 4.50 | 3.8 | Above Average |
| Registered Nurses (RN) | 0.35 | 0.7 | Below Average |
| Licensed Practical Nurses (LPN) | 1.22 | 0.7 | Above Average |
| Certified Nursing Assistants (CNA) | 2.93 | 2.4 | Above Average |
| Weekend Total Nursing | 3.13 | 3.8 | Below Average |
| Weekend RN Hours | 0.19 | 0.7 | Below Average |
🔍 Inspection & Deficiency History
View recent deficiencies (5 shown)
- Tag 0908 Severity DKeep all essential equipment working safely.Dec 8, 2025 · Environmental Deficiencies
- Tag 0926 Severity DHave policies on smoking.Nov 12, 2025 · Environmental Deficiencies
- Tag 0755 Severity EProvide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.Jun 23, 2025 · Pharmacy Service Deficiencies
- Tag 0812 Severity FProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Jun 3, 2025 · Nutrition and Dietary Deficiencies
- Tag 0804 Severity EEnsure food and drink is palatable, attractive, and at a safe and appetizing temperature.Jun 3, 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 | 2.5% | 4.5% | Better |
| Falls with major injury | 0.0% | 3.0% | Better |
| On antipsychotic medication | 5.6% | 14.5% | Better |
| Urinary tract infections | 0.0% | 2.5% | Better |
| ADL decline (daily activities) | 11.0% | 14.0% | Better |
| Excessive weight loss | 1.0% | 7.5% | Better |
| New/worsened incontinence | 1.0% | 45.0% | Better |
⚠️ Penalties & Fines
2 penalties recorded by CMS
Total fines: $122,216
How This Grade Was Calculated
This facility's grade of D is based on a score of 45 out of 100, calculated from official CMS Nursing Home Compare data:
- Overall CMS Rating: 3★ → 24 pts (max 40)
- Health Inspection Rating: 2★ → 10 pts (max 25)
- Staffing Rating: 4★ → 16 pts (max 20)
- Quality Measures Rating: 5★ → 15 pts (max 15)
- Penalty deductions: -10 pts
- Fine deductions: -10 pts
Grades: A=85+, B=70–84, C=55–69, D=40–54, F=below 40
Facility Details
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