Meadow Creek Nursing And Rehabilitation 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.
With 3.09 total nurse hours per resident per day, Meadow Creek Nursing 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 21 deficiencies at Meadow Creek Nursing And Rehabilitation, including 6 classified as serious — among the most concerning citation levels. The most notable finding involved: procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards..
Score Breakdown
🏥 Staffing Details
| Staff Type | Hours/Resident/Day | National Avg | Comparison |
|---|---|---|---|
| Total Nursing | 3.09 | 3.8 | Below Average |
| Registered Nurses (RN) | 0.58 | 0.7 | Below Average |
| Licensed Practical Nurses (LPN) | 0.75 | 0.7 | Average |
| Certified Nursing Assistants (CNA) | 1.76 | 2.4 | Below Average |
| Weekend Total Nursing | 2.87 | 3.8 | Below Average |
| Weekend RN Hours | 0.54 | 0.7 | Below Average |
🔍 Inspection & Deficiency History
View recent deficiencies (5 shown)
- Tag 0812 Severity FProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Apr 9, 2025 · Nutrition and Dietary Deficiencies
- Tag 0558 Severity EReasonably accommodate the needs and preferences of each resident.Apr 9, 2025 · Resident Rights Deficiencies
- Tag 0880 Severity EProvide and implement an infection prevention and control program.Apr 9, 2025 · Infection Control Deficiencies
- Tag 0656 Severity DDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.Apr 9, 2025 · Resident Assessment and Care Planning Deficiencies
- Tag 0689 Severity DEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Apr 9, 2025 · Quality of Life and Care 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 | 7.3% | 4.5% | Worse |
| Falls with major injury | 3.9% | 3.0% | Worse |
| On antipsychotic medication | 10.8% | 14.5% | Better |
| Urinary tract infections | 0.0% | 2.5% | Better |
| ADL decline (daily activities) | 10.9% | 14.0% | Better |
| Excessive weight loss | 3.4% | 7.5% | Better |
| New/worsened incontinence | 23.5% | 45.0% | Better |
⚠️ Penalties & Fines
2 penalties recorded by CMS
Total fines: $119,203
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: 3★ → 24 pts (max 40)
- Health Inspection Rating: 2★ → 10 pts (max 25)
- Staffing Rating: 3★ → 12 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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