Kendall House Wellness & Rehabilitation faces challenges in its CMS ratings, earning a D grade with a score of 54/100. The facility ranks in the 61th percentile among Texas nursing homes, suggesting significant room for improvement.
Kendall House Wellness & Rehabilitation provides above-average staffing with 4.75 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 23 deficiencies at Kendall House Wellness & Rehabilitation, including 1 classified as serious — among the most concerning citation levels. The most notable finding involved: develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured..
Score Breakdown
🏥 Staffing Details
| Staff Type | Hours/Resident/Day | National Avg | Comparison |
|---|---|---|---|
| Total Nursing | 4.75 | 3.8 | Above Average |
| Registered Nurses (RN) | 0.92 | 0.7 | Above Average |
| Licensed Practical Nurses (LPN) | 1.56 | 0.7 | Above Average |
| Certified Nursing Assistants (CNA) | 2.27 | 2.4 | Average |
| Weekend Total Nursing | 4.39 | 3.8 | Above Average |
| Weekend RN Hours | 0.94 | 0.7 | Above Average |
🔍 Inspection & Deficiency History
View recent deficiencies (5 shown)
- 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.Jan 1, 2025 · Resident Assessment and Care Planning Deficiencies
- Tag 0689 Severity JEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Nov 23, 2024 · Quality of Life and Care Deficiencies
- Tag 0655 Severity ECreate and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admittedOct 10, 2024 · Resident Assessment and Care Planning Deficiencies
- Tag 0755 Severity EProvide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.Oct 10, 2024 · Pharmacy Service Deficiencies
- Tag 0584 Severity DHonor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for dOct 10, 2024 · Resident Rights 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 | 19.1% | 4.5% | Worse |
| Falls with major injury | 18.9% | 3.0% | Worse |
| Urinary tract infections | 0.0% | 2.5% | Better |
| Excessive weight loss | 4.2% | 7.5% | Better |
| New/worsened incontinence | 28.0% | 45.0% | Better |
⚠️ Penalties & Fines
1 penalty recorded by CMS
Total fines: $88,390
How This Grade Was Calculated
This facility's grade of D is based on a score of 54 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: -5 pts
- Fine deductions: -8 pts
Grades: A=85+, B=70–84, C=55–69, D=40–54, F=below 40
Facility Details
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