Wisteria Place faces challenges in its CMS ratings, earning a D grade with a score of 52/100. The facility ranks in the 58th percentile among Texas nursing homes, suggesting significant room for improvement.
With 3.28 total nurse hours per resident per day, Wisteria Place 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 17 deficiencies at Wisteria Place, including 1 classified as serious — among the most concerning citation levels. The most notable finding involved: immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident..
Score Breakdown
🏥 Staffing Details
| Staff Type | Hours/Resident/Day | National Avg | Comparison |
|---|---|---|---|
| Total Nursing | 3.28 | 3.8 | Below Average |
| Registered Nurses (RN) | 0.41 | 0.7 | Below Average |
| Licensed Practical Nurses (LPN) | 0.89 | 0.7 | Above Average |
| Certified Nursing Assistants (CNA) | 1.97 | 2.4 | Below Average |
| Weekend Total Nursing | 2.96 | 3.8 | Below Average |
| Weekend RN Hours | 0.26 | 0.7 | Below Average |
🔍 Inspection & Deficiency History
View recent deficiencies (5 shown)
- Tag 0580 Severity JImmediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.Oct 30, 2025 · Resident Rights Deficiencies
- Tag 0760 Severity DEnsure that residents are free from significant medication errors.Oct 30, 2025 · Pharmacy Service Deficiencies
- Tag 0605 Severity EPrevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.Jul 29, 2025 · Freedom from Abuse, Neglect, and Exploitation 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.Jul 29, 2025 · 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.Jul 29, 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 | 2.8% | 4.5% | Better |
| Falls with major injury | 3.1% | 3.0% | Average |
| On antipsychotic medication | 6.2% | 14.5% | Better |
| Urinary tract infections | 0.9% | 2.5% | Better |
| ADL decline (daily activities) | 20.0% | 14.0% | Worse |
| Excessive weight loss | 0.5% | 7.5% | Better |
| New/worsened incontinence | 17.0% | 45.0% | Better |
⚠️ Penalties & Fines
1 penalty recorded by CMS
Total fines: $21,645
How This Grade Was Calculated
This facility's grade of D is based on a score of 52 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: -2 pts
Grades: A=85+, B=70–84, C=55–69, D=40–54, F=below 40
Facility Details
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