West Oaks Nursing And Rehabilitation Center faces challenges in its CMS ratings, earning a D grade with a score of 48/100. The facility ranks in the 53th percentile among Texas nursing homes, suggesting significant room for improvement.
With 3.05 total nurse hours per resident per day, West Oaks Nursing And Rehabilitation Center 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 30 deficiencies at West Oaks Nursing And Rehabilitation Center, including 3 classified as serious — among the most concerning citation levels. The most notable finding involved: ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents..
Score Breakdown
🏥 Staffing Details
| Staff Type | Hours/Resident/Day | National Avg | Comparison |
|---|---|---|---|
| Total Nursing | 3.05 | 3.8 | Below Average |
| Registered Nurses (RN) | 0.55 | 0.7 | Below Average |
| Licensed Practical Nurses (LPN) | 0.55 | 0.7 | Below Average |
| Certified Nursing Assistants (CNA) | 1.96 | 2.4 | Below Average |
| Weekend Total Nursing | 2.51 | 3.8 | Below Average |
| Weekend RN Hours | 0.36 | 0.7 | Below Average |
🔍 Inspection & Deficiency History
View recent deficiencies (5 shown)
- Tag 0689 Severity DEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Dec 10, 2025 · Quality of Life and Care Deficiencies
- Tag 0760 Severity KEnsure that residents are free from significant medication errors.Feb 10, 2025 · Pharmacy Service Deficiencies
- Tag 0583 Severity EKeep residents' personal and medical records private and confidential.Nov 25, 2024 · Resident Rights 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 biologiNov 25, 2024 · Pharmacy Service Deficiencies
- Tag 0812 Severity EProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Nov 25, 2024 · 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 | 3.9% | 4.5% | Better |
| Falls with major injury | 3.4% | 3.0% | Worse |
| On antipsychotic medication | 12.2% | 14.5% | Better |
| Urinary tract infections | 0.5% | 2.5% | Better |
| ADL decline (daily activities) | 37.2% | 14.0% | Worse |
| Excessive weight loss | 5.8% | 7.5% | Better |
| New/worsened incontinence | 21.1% | 45.0% | Better |
⚠️ Penalties & Fines
2 penalties recorded by CMS
Total fines: $39,527
How This Grade Was Calculated
This facility's grade of D is based on a score of 48 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: -3 pts
Grades: A=85+, B=70–84, C=55–69, D=40–54, F=below 40
Facility Details
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