Songbird Lodge faces challenges in its CMS ratings, earning a D grade with a score of 41/100. The facility ranks in the 45th percentile among Texas nursing homes, suggesting significant room for improvement.
Recent inspections identified 18 deficiencies at Songbird Lodge. While none were classified as the most serious level, families should review the detailed inspection history below.
Score Breakdown
Overall CMS Rating 16 / 40 pts
2 ★ CMS rating
Health Inspections 15 / 25 pts
3 ★ inspection rating
Staffing 4 / 20 pts
1 ★ staffing rating
Quality Measures 12 / 15 pts
4 ★ quality measures
🏥 Staffing Details
Staffing hours data not available for this facility.
🔍 Inspection & Deficiency History
18
Total Deficiencies
Dec 10, 2025
Most Recent Inspection
⚪ 1 Minor 🟠 17 Moderate
View recent deficiencies (5 shown)
- Tag 0801 Severity FEmploy sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a quDec 10, 2025 · Nutrition and Dietary Deficiencies
- Tag 0812 Severity FProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Dec 10, 2025 · Nutrition and Dietary 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.Dec 10, 2025 · Resident Assessment and Care Planning Deficiencies
- Tag 0728 Severity EEnsure that nurse aides who have worked more than 4 months, are trained and competent; and nurse aides who have worked less than 4 months are enrolledDec 10, 2025 · Nursing and Physician Services Deficiencies
- Tag 0803 Severity EEnsure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the neeDec 10, 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 | 4.0% | 4.5% | Better |
| Falls with major injury | 4.3% | 3.0% | Worse |
| On antipsychotic medication | 4.0% | 14.5% | Better |
| Urinary tract infections | 0.0% | 2.5% | Better |
| ADL decline (daily activities) | 9.5% | 14.0% | Better |
| Excessive weight loss | 1.2% | 7.5% | Better |
| New/worsened incontinence | 1.6% | 45.0% | Better |
⚠️ Penalties & Fines
1 penalty recorded by CMS
Total fines: $10,210
How This Grade Was Calculated
This facility's grade of D is based on a score of 41 out of 100, calculated from official CMS Nursing Home Compare data:
- Overall CMS Rating: 2★ → 16 pts (max 40)
- Health Inspection Rating: 3★ → 15 pts (max 25)
- Staffing Rating: 1★ → 4 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
Ownership
Government - Hospital district
Certified Beds
121
Provider Type
Medicare and Medicaid
Resident Council
Yes
Family Council
No
Sprinkler System
Yes
Last Inspection
Dec 10, 2025
Deficiencies (Cycle 1)
12
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