Rambling Oaks Courtyard Extensive Care Community faces challenges in its CMS ratings, earning a D grade with a score of 51/100. The facility ranks in the 56th percentile among Texas nursing homes, suggesting significant room for improvement.
With 3.10 total nurse hours per resident per day, Rambling Oaks Courtyard Extensive Care Community 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 23 deficiencies at Rambling Oaks Courtyard Extensive Care Community, including 1 classified as serious — among the most concerning citation levels. The most notable finding involved: provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist..
Score Breakdown
🏥 Staffing Details
| Staff Type | Hours/Resident/Day | National Avg | Comparison |
|---|---|---|---|
| Total Nursing | 3.10 | 3.8 | Below Average |
| Registered Nurses (RN) | 0.42 | 0.7 | Below Average |
| Licensed Practical Nurses (LPN) | 1.12 | 0.7 | Above Average |
| Certified Nursing Assistants (CNA) | 1.56 | 2.4 | Below Average |
| Weekend Total Nursing | 2.78 | 3.8 | Below Average |
| Weekend RN Hours | 0.45 | 0.7 | Below Average |
🔍 Inspection & Deficiency History
View recent deficiencies (5 shown)
- Tag 0755 Severity EProvide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.Sep 1, 2025 · Pharmacy Service 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 biologiSep 1, 2025 · Pharmacy Service Deficiencies
- Tag 0695 Severity DProvide safe and appropriate respiratory care for a resident when needed.Jul 29, 2025 · Quality of Life and Care Deficiencies
- Tag 0677 Severity EProvide care and assistance to perform activities of daily living for any resident who is unable.Oct 16, 2024 · Quality of Life and Care Deficiencies
- Tag 0689 Severity EEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Oct 16, 2024 · 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 | 10.8% | 4.5% | Worse |
| Falls with major injury | 2.3% | 3.0% | Better |
| On antipsychotic medication | 0.0% | 14.5% | Better |
| Urinary tract infections | 0.0% | 2.5% | Better |
| ADL decline (daily activities) | 14.7% | 14.0% | Average |
| Excessive weight loss | 0.0% | 7.5% | Better |
| New/worsened incontinence | 21.8% | 45.0% | Better |
⚠️ Penalties & Fines
1 penalty recorded by CMS
Total fines: $21,640
How This Grade Was Calculated
This facility's grade of D is based on a score of 51 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: 1★ → 4 pts (max 20)
- Quality Measures Rating: 5★ → 15 pts (max 15)
- Penalty deductions: -5 pts
- Fine deductions: -2 pts
Grades: A=85+, B=70–84, C=55–69, D=40–54, F=below 40
Facility Details
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