Castle Pines Health And Rehabilitation faces challenges in its CMS ratings, earning a D grade with a score of 43/100. The facility ranks in the 47th percentile among Texas nursing homes, suggesting significant room for improvement.
With 3.30 total nurse hours per resident per day, Castle Pines Health And Rehabilitation 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 18 deficiencies at Castle Pines Health And Rehabilitation, 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 | 3.30 | 3.8 | Below Average |
| Registered Nurses (RN) | 0.26 | 0.7 | Below Average |
| Licensed Practical Nurses (LPN) | 0.92 | 0.7 | Above Average |
| Certified Nursing Assistants (CNA) | 2.11 | 2.4 | Below Average |
| Weekend Total Nursing | 2.86 | 3.8 | Below Average |
| Weekend RN Hours | 0.22 | 0.7 | Below Average |
🔍 Inspection & Deficiency History
View recent deficiencies (5 shown)
- Tag 0584 Severity EHonor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for dMay 19, 2025 · Resident Rights Deficiencies
- Tag 0812 Severity EProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.May 19, 2025 · Nutrition and Dietary Deficiencies
- Tag 0880 Severity EProvide and implement an infection prevention and control program.May 19, 2025 · Infection Control Deficiencies
- Tag 0887 Severity EEducate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly documentMay 19, 2025 · Infection Control Deficiencies
- Tag 0550 Severity DHonor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.May 19, 2025 · Resident Rights 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 | 7.6% | 4.5% | Worse |
| Falls with major injury | 1.9% | 3.0% | Better |
| On antipsychotic medication | 2.2% | 14.5% | Better |
| Urinary tract infections | 2.5% | 2.5% | Average |
| ADL decline (daily activities) | 15.1% | 14.0% | Average |
| Excessive weight loss | 3.2% | 7.5% | Better |
| New/worsened incontinence | 15.0% | 45.0% | Better |
⚠️ Penalties & Fines
2 penalties recorded by CMS
Total fines: $38,771
How This Grade Was Calculated
This facility's grade of D is based on a score of 43 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: 3★ → 9 pts (max 15)
- Penalty deductions: -10 pts
- Fine deductions: -3 pts
Grades: A=85+, B=70–84, C=55–69, D=40–54, F=below 40
Facility Details
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