Windemere At Westover Hills faces challenges in its CMS ratings, earning a D grade with a score of 52/100. The facility ranks in the 58th percentile among Texas nursing homes, suggesting significant room for improvement.
Staffing at Windemere At Westover Hills is near the national average, with 3.43 total nursing hours per resident per day (national average: 3.8 hours).
Recent CMS inspections identified 22 deficiencies at Windemere At Westover Hills, including 2 classified as serious — among the most concerning citation levels. The most notable finding involved: ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologi.
Score Breakdown
🏥 Staffing Details
| Staff Type | Hours/Resident/Day | National Avg | Comparison |
|---|---|---|---|
| Total Nursing | 3.43 | 3.8 | Average |
| Registered Nurses (RN) | 0.60 | 0.7 | Below Average |
| Licensed Practical Nurses (LPN) | 1.06 | 0.7 | Above Average |
| Certified Nursing Assistants (CNA) | 1.77 | 2.4 | Below Average |
| Weekend Total Nursing | 2.99 | 3.8 | Below Average |
| Weekend RN Hours | 0.39 | 0.7 | Below Average |
🔍 Inspection & Deficiency History
View recent deficiencies (5 shown)
- Tag 0761 Severity EEnsure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologiDec 18, 2025 · Pharmacy Service Deficiencies
- Tag 0689 Severity DEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Dec 18, 2025 · Quality of Life and Care Deficiencies
- Tag 0695 Severity DProvide safe and appropriate respiratory care for a resident when needed.Dec 18, 2025 · Quality of Life and Care Deficiencies
- Tag 0755 Severity DProvide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.Dec 18, 2025 · Pharmacy Service Deficiencies
- Tag 0842 Severity DSafeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standarDec 18, 2025 · 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 | 1.7% | 4.5% | Better |
| Falls with major injury | 3.3% | 3.0% | Worse |
| On antipsychotic medication | 4.7% | 14.5% | Better |
| Urinary tract infections | 0.4% | 2.5% | Better |
| ADL decline (daily activities) | 11.8% | 14.0% | Better |
| Excessive weight loss | 0.4% | 7.5% | Better |
| New/worsened incontinence | 13.2% | 45.0% | Better |
⚠️ Penalties & Fines
1 penalty recorded by CMS
Total fines: $8,281
How This Grade Was Calculated
This facility's grade of D is based on a score of 52 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: 2★ → 8 pts (max 20)
- Quality Measures Rating: 5★ → 15 pts (max 15)
- Penalty deductions: -5 pts
- Fine deductions: -0 pts
Grades: A=85+, B=70–84, C=55–69, D=40–54, F=below 40
Facility Details
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