Carillon Inc faces challenges in its CMS ratings, earning a D grade with a score of 52/100. The facility ranks in the 58th percentile among Texas nursing homes, suggesting significant room for improvement.
Carillon Inc provides above-average staffing with 4.88 total nurse hours per resident per day. Higher staffing levels are generally associated with better care outcomes and more attentive staff.
Recent CMS inspections identified 18 deficiencies at Carillon Inc, including 1 classified as serious — among the most concerning citation levels. The most notable finding involved: honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt e.
Score Breakdown
🏥 Staffing Details
| Staff Type | Hours/Resident/Day | National Avg | Comparison |
|---|---|---|---|
| Total Nursing | 4.88 | 3.8 | Above Average |
| Registered Nurses (RN) | 0.50 | 0.7 | Below Average |
| Licensed Practical Nurses (LPN) | 1.36 | 0.7 | Above Average |
| Certified Nursing Assistants (CNA) | 3.02 | 2.4 | Above Average |
| Weekend Total Nursing | 4.38 | 3.8 | Above Average |
| Weekend RN Hours | 0.37 | 0.7 | Below Average |
🔍 Inspection & Deficiency History
View recent deficiencies (5 shown)
- Tag 0585 Severity EHonor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt eApr 24, 2025 · Resident Rights Deficiencies
- Tag 0812 Severity DProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Apr 24, 2025 · Nutrition and Dietary Deficiencies
- Tag 0880 Severity DProvide and implement an infection prevention and control program.Apr 24, 2025 · Infection Control Deficiencies
- Tag 0755 Severity DProvide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.Feb 27, 2025 · Pharmacy Service Deficiencies
- Tag 0761 Severity DEnsure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologiFeb 27, 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 | 2.2% | 4.5% | Better |
| Falls with major injury | 9.1% | 3.0% | Worse |
| On antipsychotic medication | 12.1% | 14.5% | Better |
| Urinary tract infections | 1.3% | 2.5% | Better |
| ADL decline (daily activities) | 31.4% | 14.0% | Worse |
| Excessive weight loss | 0.6% | 7.5% | Better |
| New/worsened incontinence | 24.1% | 45.0% | Better |
⚠️ Penalties & Fines
2 penalties recorded by CMS
Total fines: $58,719
How This Grade Was Calculated
This facility's grade of D is based on a score of 52 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: 4★ → 16 pts (max 20)
- Quality Measures Rating: 4★ → 12 pts (max 15)
- Penalty deductions: -10 pts
- Fine deductions: -5 pts
Grades: A=85+, B=70–84, C=55–69, D=40–54, F=below 40
Facility Details
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