Heritage Trails Nursing And Rehabilitation Center faces challenges in its CMS ratings, earning a D grade with a score of 51/100. The facility ranks in the 56th percentile among Texas nursing homes, suggesting significant room for improvement.
With 2.86 total nurse hours per resident per day, Heritage Trails Nursing And 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 12 deficiencies at Heritage Trails Nursing And Rehabilitation Center, including 2 classified as serious — among the most concerning citation levels. The most notable finding involved: honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for d.
Score Breakdown
🏥 Staffing Details
| Staff Type | Hours/Resident/Day | National Avg | Comparison |
|---|---|---|---|
| Total Nursing | 2.86 | 3.8 | Below Average |
| Registered Nurses (RN) | 0.40 | 0.7 | Below Average |
| Licensed Practical Nurses (LPN) | 0.93 | 0.7 | Above Average |
| Certified Nursing Assistants (CNA) | 1.53 | 2.4 | Below Average |
| Weekend Total Nursing | 2.52 | 3.8 | Below Average |
| Weekend RN Hours | 0.24 | 0.7 | Below Average |
🔍 Inspection & Deficiency History
View recent deficiencies (5 shown)
- Tag 0584 Severity DHonor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for dMay 7, 2025 · Resident Rights Deficiencies
- Tag 0678 Severity JProvide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advancSep 18, 2024 · Quality of Life and Care Deficiencies
- Tag 0842 Severity JSafeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standarSep 18, 2024 · Resident Assessment and Care Planning Deficiencies
- Tag 0695 Severity EProvide safe and appropriate respiratory care for a resident when needed.Jul 10, 2024 · Quality of Life and Care Deficiencies
- Tag 0880 Severity EProvide and implement an infection prevention and control program.Jul 10, 2024 · Infection Control 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 | 6.0% | 4.5% | Worse |
| Falls with major injury | 3.3% | 3.0% | Worse |
| On antipsychotic medication | 17.2% | 14.5% | Worse |
| Urinary tract infections | 2.5% | 2.5% | Average |
| ADL decline (daily activities) | 15.0% | 14.0% | Average |
| Excessive weight loss | 2.5% | 7.5% | Better |
| New/worsened incontinence | 12.4% | 45.0% | Better |
⚠️ Penalties & Fines
7 penalties recorded by CMS
Total fines: $67,124
How This Grade Was Calculated
This facility's grade of D is based on a score of 51 out of 100, calculated from official CMS Nursing Home Compare data:
- Overall CMS Rating: 4★ → 32 pts (max 40)
- Health Inspection Rating: 4★ → 20 pts (max 25)
- Staffing Rating: 2★ → 8 pts (max 20)
- Quality Measures Rating: 4★ → 12 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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