Silver Spring has received an F grade based on CMS data, with a score of 37/100 — placing it among the lowest-rated nursing facilities in Texas. Families considering this Abilene facility should carefully review its inspection history and quality metrics.
With 3.31 total nurse hours per resident per day, Silver Spring 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 Silver Spring, including 7 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 | 3.31 | 3.8 | Below Average |
| Registered Nurses (RN) | 0.59 | 0.7 | Below Average |
| Licensed Practical Nurses (LPN) | 0.73 | 0.7 | Average |
| Certified Nursing Assistants (CNA) | 1.99 | 2.4 | Below Average |
| Weekend Total Nursing | 2.99 | 3.8 | Below Average |
| Weekend RN Hours | 0.51 | 0.7 | Below 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.Jan 29, 2026 · Nutrition and Dietary Deficiencies
- Tag 0803 Severity DEnsure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the neeJan 29, 2026 · Nutrition and Dietary Deficiencies
- Tag 0697 Severity JProvide safe, appropriate pain management for a resident who requires such services.Jun 24, 2025 · Quality of Life and Care Deficiencies
- Tag 0726 Severity JEnsure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.Jun 24, 2025 · Nursing and Physician Services Deficiencies
- Tag 0638 Severity EAssure that each resident’s assessment is updated at least once every 3 months.Nov 6, 2024 · Resident Assessment and Care Planning 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 | 4.3% | 4.5% | Average |
| Falls with major injury | 5.3% | 3.0% | Worse |
| On antipsychotic medication | 9.1% | 14.5% | Better |
| Urinary tract infections | 0.0% | 2.5% | Better |
| ADL decline (daily activities) | 20.4% | 14.0% | Worse |
| Excessive weight loss | 1.1% | 7.5% | Better |
| New/worsened incontinence | 9.3% | 45.0% | Better |
⚠️ Penalties & Fines
1 penalty recorded by CMS
Total fines: $25,974
How This Grade Was Calculated
This facility's grade of F is based on a score of 37 out of 100, calculated from official CMS Nursing Home Compare data:
- Overall CMS Rating: 2★ → 16 pts (max 40)
- Health Inspection Rating: 1★ → 5 pts (max 25)
- Staffing Rating: 2★ → 8 pts (max 20)
- Quality Measures Rating: 5★ → 15 pts (max 15)
- Penalty deductions: -5 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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