Twin Pines North Nursing And Rehabilitation Center faces challenges in its CMS ratings, earning a D grade with a score of 44/100. The facility ranks in the 48th percentile among Texas nursing homes, suggesting significant room for improvement.
With 3.19 total nurse hours per resident per day, Twin Pines North Nursing And Rehabilitation Center falls below the national average of 3.8 hours. Families may want to ask about staffing levels during any facility visit.
Recent inspections identified 26 deficiencies at Twin Pines North Nursing And Rehabilitation Center. While none were classified as the most serious level, families should review the detailed inspection history below.
Score Breakdown
🏥 Staffing Details
| Staff Type | Hours/Resident/Day | National Avg | Comparison |
|---|---|---|---|
| Total Nursing | 3.19 | 3.8 | Below Average |
| Registered Nurses (RN) | 0.29 | 0.7 | Below Average |
| Licensed Practical Nurses (LPN) | 1.09 | 0.7 | Above Average |
| Certified Nursing Assistants (CNA) | 1.81 | 2.4 | Below Average |
| Weekend Total Nursing | 2.68 | 3.8 | Below Average |
| Weekend RN Hours | 0.21 | 0.7 | Below Average |
🔍 Inspection & Deficiency History
View recent deficiencies (5 shown)
- Tag 0677 Severity EProvide care and assistance to perform activities of daily living for any resident who is unable.Dec 17, 2025 · 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 17, 2025 · Resident Assessment and Care Planning Deficiencies
- Tag 0842 Severity DSafeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standarDec 3, 2025 · Resident Assessment and Care Planning Deficiencies
- Tag 0842 Severity DSafeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standarSep 18, 2025 · Resident Assessment and Care Planning Deficiencies
- Tag 0558 Severity DReasonably accommodate the needs and preferences of each resident.Apr 8, 2025 · 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 | 5.0% | 4.5% | Worse |
| Falls with major injury | 7.3% | 3.0% | Worse |
| On antipsychotic medication | 3.2% | 14.5% | Better |
| Urinary tract infections | 2.6% | 2.5% | Average |
| ADL decline (daily activities) | 15.2% | 14.0% | Average |
| Excessive weight loss | 4.5% | 7.5% | Better |
| New/worsened incontinence | 20.5% | 45.0% | Better |
How This Grade Was Calculated
This facility's grade of D is based on a score of 44 out of 100, calculated from official CMS Nursing Home Compare data:
- Overall CMS Rating: 2★ → 16 pts (max 40)
- Health Inspection Rating: 3★ → 15 pts (max 25)
- Staffing Rating: 1★ → 4 pts (max 20)
- Quality Measures Rating: 3★ → 9 pts (max 15)
Grades: A=85+, B=70–84, C=55–69, D=40–54, F=below 40
Facility Details
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