Clyde W Cosper Texas State Veterans Home has received an F grade based on CMS data, with a score of 32/100 — placing it among the lowest-rated nursing facilities in Texas. Families considering this Bonham facility should carefully review its inspection history and quality metrics.
Staffing at Clyde W Cosper Texas State Veterans Home is near the national average, with 4.00 total nursing hours per resident per day (national average: 3.8 hours).
Recent CMS inspections identified 37 deficiencies at Clyde W Cosper Texas State Veterans Home, including 4 classified as serious — among the most concerning citation levels. The most notable finding involved: ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs..
Score Breakdown
🏥 Staffing Details
| Staff Type | Hours/Resident/Day | National Avg | Comparison |
|---|---|---|---|
| Total Nursing | 4.00 | 3.8 | Average |
| Registered Nurses (RN) | 0.56 | 0.7 | Below Average |
| Licensed Practical Nurses (LPN) | 0.92 | 0.7 | Above Average |
| Certified Nursing Assistants (CNA) | 2.52 | 2.4 | Average |
| Weekend Total Nursing | 3.27 | 3.8 | Below Average |
| Weekend RN Hours | 0.31 | 0.7 | Below Average |
🔍 Inspection & Deficiency History
View recent deficiencies (5 shown)
- Tag 0805 Severity DEnsure each resident receives and the facility provides food prepared in a form designed to meet individual needs.Nov 24, 2025 · Nutrition and Dietary Deficiencies
- Tag 0686 Severity KProvide appropriate pressure ulcer care and prevent new ulcers from developing.Feb 6, 2025 · Quality of Life and Care Deficiencies
- Tag 0689 Severity JEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Feb 6, 2025 · Quality of Life and Care Deficiencies
- Tag 0699 Severity EProvide care or services that was trauma informed and/or culturally competent.Feb 6, 2025 · Quality of Life and Care 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 biologiFeb 6, 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 | 5.0% | 4.5% | Worse |
| Falls with major injury | 4.0% | 3.0% | Worse |
| On antipsychotic medication | 12.3% | 14.5% | Better |
| Urinary tract infections | 1.0% | 2.5% | Better |
| ADL decline (daily activities) | 16.5% | 14.0% | Worse |
| Excessive weight loss | 4.6% | 7.5% | Better |
| New/worsened incontinence | 16.7% | 45.0% | Better |
⚠️ Penalties & Fines
2 penalties recorded by CMS
Total fines: $216,749
How This Grade Was Calculated
This facility's grade of F is based on a score of 32 out of 100, calculated from official CMS Nursing Home Compare data:
- Overall CMS Rating: 2★ → 16 pts (max 40)
- Health Inspection Rating: 1★ → 5 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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