Conroe Health Care Center faces challenges in its CMS ratings, earning a D grade with a score of 48/100. The facility ranks in the 53th percentile among Texas nursing homes, suggesting significant room for improvement.
Staffing at Conroe Health Care Center is near the national average, with 3.89 total nursing hours per resident per day (national average: 3.8 hours).
Recent CMS inspections identified 20 deficiencies at Conroe Health Care Center, including 1 classified as serious — among the most concerning citation levels. The most notable finding involved: provide appropriate pressure ulcer care and prevent new ulcers from developing..
Score Breakdown
🏥 Staffing Details
| Staff Type | Hours/Resident/Day | National Avg | Comparison |
|---|---|---|---|
| Total Nursing | 3.89 | 3.8 | Average |
| Registered Nurses (RN) | 0.52 | 0.7 | Below Average |
| Licensed Practical Nurses (LPN) | 1.13 | 0.7 | Above Average |
| Certified Nursing Assistants (CNA) | 2.24 | 2.4 | Average |
| Weekend Total Nursing | 3.57 | 3.8 | Average |
| Weekend RN Hours | 0.48 | 0.7 | Below Average |
🔍 Inspection & Deficiency History
View recent deficiencies (5 shown)
- Tag 0686 Severity GProvide appropriate pressure ulcer care and prevent new ulcers from developing.Apr 10, 2025 · Quality of Life and Care Deficiencies
- Tag 0583 Severity FKeep residents' personal and medical records private and confidential.Apr 10, 2025 · Resident Rights Deficiencies
- Tag 0641 Severity EEnsure each resident receives an accurate assessment.Apr 10, 2025 · Resident Assessment and Care Planning 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.Apr 10, 2025 · Resident Assessment and Care Planning 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 biologiApr 10, 2025 · Pharmacy Service 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 | 6.5% | 4.5% | Worse |
| Falls with major injury | 2.7% | 3.0% | Average |
| On antipsychotic medication | 15.5% | 14.5% | Average |
| Urinary tract infections | 0.4% | 2.5% | Better |
| ADL decline (daily activities) | 10.7% | 14.0% | Better |
| Excessive weight loss | 7.3% | 7.5% | Average |
| New/worsened incontinence | 19.4% | 45.0% | Better |
⚠️ Penalties & Fines
1 penalty recorded by CMS
Total fines: $12,860
How This Grade Was Calculated
This facility's grade of D is based on a score of 48 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: 4★ → 16 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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