Las Colinas Of Westover faces challenges in its CMS ratings, earning a D grade with a score of 52/100. The facility ranks in the 58th percentile among Texas nursing homes, suggesting significant room for improvement.
Staffing at Las Colinas Of Westover is near the national average, with 3.83 total nursing hours per resident per day (national average: 3.8 hours).
Recent CMS inspections identified 39 deficiencies at Las Colinas Of Westover, including 4 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 | 3.83 | 3.8 | Average |
| Registered Nurses (RN) | 0.55 | 0.7 | Below Average |
| Licensed Practical Nurses (LPN) | 0.97 | 0.7 | Above Average |
| Certified Nursing Assistants (CNA) | 2.31 | 2.4 | Average |
| Weekend Total Nursing | 3.51 | 3.8 | Average |
| Weekend RN Hours | 0.42 | 0.7 | Below 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.Dec 4, 2025 · Resident Assessment and Care Planning Deficiencies
- Tag 0641 Severity EEnsure each resident receives an accurate assessment.Dec 2, 2025 · Resident Assessment and Care Planning Deficiencies
- Tag 0656 Severity EDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.Dec 2, 2025 · Resident Assessment and Care Planning Deficiencies
- Tag 0695 Severity EProvide safe and appropriate respiratory care for a resident when needed.Dec 2, 2025 · Quality of Life and Care Deficiencies
- Tag 0940 Severity EDevelop, implement, and/or maintain an effective training program for all new and existing staff members.Dec 2, 2025 · Administration 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 | 1.8% | 3.0% | Better |
| On antipsychotic medication | 5.1% | 14.5% | Better |
| Urinary tract infections | 0.0% | 2.5% | Better |
| ADL decline (daily activities) | 18.2% | 14.0% | Worse |
| Excessive weight loss | 0.0% | 7.5% | Better |
| New/worsened incontinence | 12.3% | 45.0% | Better |
⚠️ Penalties & Fines
2 penalties recorded by CMS
Total fines: $38,630
How This Grade Was Calculated
This facility's grade of D is based on a score of 52 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: 4★ → 16 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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