The Colonnades At Reflection Bay has received an F grade based on CMS data, with a score of 19/100 — placing it among the lowest-rated nursing facilities in Texas. Families considering this Pearland facility should carefully review its inspection history and quality metrics.
With 3.35 total nurse hours per resident per day, The Colonnades At Reflection Bay 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 43 deficiencies at The Colonnades At Reflection Bay, including 5 classified as serious — among the most concerning citation levels. The most notable finding involved: ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologi.
Score Breakdown
🏥 Staffing Details
| Staff Type | Hours/Resident/Day | National Avg | Comparison |
|---|---|---|---|
| Total Nursing | 3.35 | 3.8 | Below Average |
| Registered Nurses (RN) | 0.48 | 0.7 | Below Average |
| Licensed Practical Nurses (LPN) | 0.80 | 0.7 | Above Average |
| Certified Nursing Assistants (CNA) | 2.07 | 2.4 | Below Average |
| Weekend Total Nursing | 3.06 | 3.8 | Below Average |
| Weekend RN Hours | 0.41 | 0.7 | Below Average |
🔍 Inspection & Deficiency History
View recent deficiencies (5 shown)
- 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 19, 2025 · Pharmacy Service Deficiencies
- Tag 0689 Severity DEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Nov 19, 2025 · Quality of Life and Care Deficiencies
- Tag 0755 Severity DProvide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.Nov 19, 2025 · Pharmacy Service Deficiencies
- Tag 0689 Severity JEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Oct 23, 2025 · Quality of Life and Care Deficiencies
- Tag 0693 Severity JEnsure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a fOct 23, 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 | 5.2% | 4.5% | Worse |
| Falls with major injury | 2.9% | 3.0% | Average |
| On antipsychotic medication | 3.5% | 14.5% | Better |
| Urinary tract infections | 0.0% | 2.5% | Better |
| ADL decline (daily activities) | 15.7% | 14.0% | Worse |
| Excessive weight loss | 5.3% | 7.5% | Better |
| New/worsened incontinence | 4.8% | 45.0% | Better |
⚠️ Penalties & Fines
4 penalties recorded by CMS
Total fines: $115,667
How This Grade Was Calculated
This facility's grade of F is based on a score of 19 out of 100, calculated from official CMS Nursing Home Compare data:
- Overall CMS Rating: 2★ → 16 pts (max 40)
- Health Inspection Rating: 1★ → 5 pts (max 25)
- Staffing Rating: 2★ → 8 pts (max 20)
- Quality Measures Rating: 5★ → 15 pts (max 15)
- Penalty deductions: -15 pts
- Fine deductions: -10 pts
Grades: A=85+, B=70–84, C=55–69, D=40–54, F=below 40
Facility Details
Other Facilities in Texas
- FAvir at BeaumontBEAUMONT
- FAvir at New BraunfelsNew Braunfels
- A
- BKNOPP HEALTHCARE AND REHAB CENTER INCFREDERICKSBURG
- B