The Broadmoor At Creekside Park 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.
Staffing at The Broadmoor At Creekside Park is near the national average, with 3.54 total nursing hours per resident per day (national average: 3.8 hours).
Recent CMS inspections identified 31 deficiencies at The Broadmoor At Creekside Park, including 2 classified as serious — among the most concerning citation levels. The most notable finding involved: make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public..
Score Breakdown
🏥 Staffing Details
| Staff Type | Hours/Resident/Day | National Avg | Comparison |
|---|---|---|---|
| Total Nursing | 3.54 | 3.8 | Average |
| Registered Nurses (RN) | 0.58 | 0.7 | Below Average |
| Licensed Practical Nurses (LPN) | 0.94 | 0.7 | Above Average |
| Certified Nursing Assistants (CNA) | 2.03 | 2.4 | Below Average |
| Weekend Total Nursing | 3.19 | 3.8 | Below Average |
| Weekend RN Hours | 0.39 | 0.7 | Below Average |
🔍 Inspection & Deficiency History
View recent deficiencies (5 shown)
- Tag 0921 Severity EMake sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.Dec 11, 2025 · Environmental Deficiencies
- Tag 0684 Severity DProvide appropriate treatment and care according to orders, resident’s preferences and goals.Nov 19, 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.Dec 16, 2024 · Quality of Life and Care Deficiencies
- Tag 0842 Severity ESafeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standarDec 16, 2024 · Resident Assessment and Care Planning Deficiencies
- Tag 0690 Severity DProvide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to preventDec 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 | 8.6% | 4.5% | Worse |
| Falls with major injury | 2.2% | 3.0% | Better |
| On antipsychotic medication | 6.9% | 14.5% | Better |
| Urinary tract infections | 1.1% | 2.5% | Better |
| ADL decline (daily activities) | 9.9% | 14.0% | Better |
| Excessive weight loss | 4.8% | 7.5% | Better |
| New/worsened incontinence | 11.5% | 45.0% | Better |
⚠️ Penalties & Fines
1 penalty recorded by CMS
Total fines: $36,472
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: 2★ → 8 pts (max 20)
- Quality Measures Rating: 4★ → 12 pts (max 15)
- Penalty deductions: -5 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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