Colonial Nursing & Rehabilitation Center has received an F grade based on CMS data, with a score of 30/100 — placing it among the lowest-rated nursing facilities in Texas. Families considering this Lindale facility should carefully review its inspection history and quality metrics.
With 3.25 total nurse hours per resident per day, Colonial Nursing & Rehabilitation 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 18 deficiencies at Colonial Nursing & Rehabilitation Center, including 2 classified as serious — among the most concerning citation levels. The most notable finding involved: provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist..
Score Breakdown
🏥 Staffing Details
| Staff Type | Hours/Resident/Day | National Avg | Comparison |
|---|---|---|---|
| Total Nursing | 3.25 | 3.8 | Below Average |
| Registered Nurses (RN) | 0.35 | 0.7 | Below Average |
| Licensed Practical Nurses (LPN) | 0.77 | 0.7 | Average |
| Certified Nursing Assistants (CNA) | 2.13 | 2.4 | Below Average |
| Weekend Total Nursing | 2.82 | 3.8 | Below Average |
| Weekend RN Hours | 0.21 | 0.7 | Below Average |
🔍 Inspection & Deficiency History
View recent deficiencies (5 shown)
- Tag 0755 Severity DProvide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.Nov 24, 2025 · Pharmacy Service 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.Jan 7, 2025 · Nursing and Physician Services Deficiencies
- Tag 0731 Severity FRequest a waiver if it can't meet the nurse staffing requirements.Jan 7, 2025 · Nursing and Physician Services Deficiencies
- Tag 0812 Severity FProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Jan 7, 2025 · Nutrition and Dietary Deficiencies
- Tag 0641 Severity EEnsure each resident receives an accurate assessment.Jan 7, 2025 · Resident Assessment and Care Planning 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 | 8.3% | 4.5% | Worse |
| Falls with major injury | 4.5% | 3.0% | Worse |
| On antipsychotic medication | 15.8% | 14.5% | Average |
| Urinary tract infections | 0.0% | 2.5% | Better |
| ADL decline (daily activities) | 8.9% | 14.0% | Better |
| Excessive weight loss | 3.2% | 7.5% | Better |
| New/worsened incontinence | 14.9% | 45.0% | Better |
⚠️ Penalties & Fines
1 penalty recorded by CMS
Total fines: $247,572
How This Grade Was Calculated
This facility's grade of F is based on a score of 30 out of 100, calculated from official CMS Nursing Home Compare data:
- Overall CMS Rating: 2★ → 16 pts (max 40)
- Health Inspection Rating: 2★ → 10 pts (max 25)
- Staffing Rating: 1★ → 4 pts (max 20)
- Quality Measures Rating: 5★ → 15 pts (max 15)
- Penalty deductions: -5 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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