The Villages On Macarthur faces challenges in its CMS ratings, earning a D grade with a score of 49/100. The facility ranks in the 54th percentile among Texas nursing homes, suggesting significant room for improvement.
With 3.35 total nurse hours per resident per day, The Villages On Macarthur 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 36 deficiencies at The Villages On Macarthur, including 1 classified as serious — among the most concerning citation levels. The most notable finding involved: make sure that a working call system is available in each resident's bathroom and bathing area..
Score Breakdown
🏥 Staffing Details
| Staff Type | Hours/Resident/Day | National Avg | Comparison |
|---|---|---|---|
| Total Nursing | 3.35 | 3.8 | Below Average |
| Registered Nurses (RN) | 0.47 | 0.7 | Below Average |
| Licensed Practical Nurses (LPN) | 0.88 | 0.7 | Above Average |
| Certified Nursing Assistants (CNA) | 2.00 | 2.4 | Below Average |
| Weekend Total Nursing | 2.93 | 3.8 | Below Average |
| Weekend RN Hours | 0.42 | 0.7 | Below Average |
🔍 Inspection & Deficiency History
View recent deficiencies (5 shown)
- Tag 0919 Severity EMake sure that a working call system is available in each resident's bathroom and bathing area.Jan 1, 2026 · Environmental Deficiencies
- Tag 0600 Severity GProtect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.Jul 2, 2025 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
- Tag 0919 Severity FMake sure that a working call system is available in each resident's bathroom and bathing area.Jul 2, 2025 · Environmental Deficiencies
- Tag 0757 Severity EEnsure each resident’s drug regimen must be free from unnecessary drugs.Jul 2, 2025 · Pharmacy Service Deficiencies
- Tag 0804 Severity EEnsure food and drink is palatable, attractive, and at a safe and appetizing temperature.Jul 2, 2025 · Nutrition and Dietary 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 | 3.3% | 4.5% | Better |
| Falls with major injury | 1.6% | 3.0% | Better |
| On antipsychotic medication | 12.0% | 14.5% | Better |
| Urinary tract infections | 0.0% | 2.5% | Better |
| ADL decline (daily activities) | 9.6% | 14.0% | Better |
| Excessive weight loss | 6.3% | 7.5% | Better |
| New/worsened incontinence | 9.8% | 45.0% | Better |
⚠️ Penalties & Fines
2 penalties recorded by CMS
Total fines: $25,259
How This Grade Was Calculated
This facility's grade of D is based on a score of 49 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: 3★ → 12 pts (max 20)
- Quality Measures Rating: 5★ → 15 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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