Continuing Care At Eagles Trace is an average performer in CMS ratings, earning a C grade with a score of 65/100. Located in Houston, Texas, the facility meets baseline standards across most quality metrics.
Continuing Care At Eagles Trace provides above-average staffing with 4.60 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 9 deficiencies at Continuing Care At Eagles Trace, including 2 classified as serious — among the most concerning citation levels. The most notable finding involved: procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards..
Score Breakdown
🏥 Staffing Details
| Staff Type | Hours/Resident/Day | National Avg | Comparison |
|---|---|---|---|
| Total Nursing | 4.60 | 3.8 | Above Average |
| Registered Nurses (RN) | 1.06 | 0.7 | Above Average |
| Licensed Practical Nurses (LPN) | 0.94 | 0.7 | Above Average |
| Certified Nursing Assistants (CNA) | 2.60 | 2.4 | Average |
| Weekend Total Nursing | 4.25 | 3.8 | Above Average |
| Weekend RN Hours | 0.79 | 0.7 | Above Average |
🔍 Inspection & Deficiency History
View recent deficiencies (5 shown)
- Tag 0812 Severity FProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Aug 14, 2024 · Nutrition and Dietary Deficiencies
- Tag 0814 Severity EDispose of garbage and refuse properly.Aug 14, 2024 · Nutrition and Dietary Deficiencies
- Tag 0690 Severity DProvide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to preventAug 14, 2024 · Quality of Life and Care Deficiencies
- Tag 0761 Severity DEnsure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologiAug 14, 2024 · Pharmacy Service Deficiencies
- Tag 0880 Severity DProvide and implement an infection prevention and control program.Aug 14, 2024 · Infection Control 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 | 4.2% | 4.5% | Average |
| Falls with major injury | 3.1% | 3.0% | Average |
| On antipsychotic medication | 20.9% | 14.5% | Worse |
| Urinary tract infections | 7.0% | 2.5% | Worse |
| ADL decline (daily activities) | 22.2% | 14.0% | Worse |
| Excessive weight loss | 1.4% | 7.5% | Better |
| New/worsened incontinence | 18.2% | 45.0% | Better |
⚠️ Penalties & Fines
2 penalties recorded by CMS
Total fines: $22,486
How This Grade Was Calculated
This facility's grade of C is based on a score of 65 out of 100, calculated from official CMS Nursing Home Compare data:
- Overall CMS Rating: 4★ → 32 pts (max 40)
- Health Inspection Rating: 4★ → 20 pts (max 25)
- Staffing Rating: 4★ → 16 pts (max 20)
- Quality Measures Rating: 3★ → 9 pts (max 15)
- Penalty deductions: -10 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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