The Brightpointe is an average performer in CMS ratings, earning a C grade with a score of 56/100. Located in Conroe, Texas, the facility meets baseline standards across most quality metrics.
The Brightpointe provides above-average staffing with 4.32 total nurse hours per resident per day. Higher staffing levels are generally associated with better care outcomes and more attentive staff.
Recent CMS inspections identified 13 deficiencies at The Brightpointe, including 3 classified as serious — among the most concerning citation levels. The most notable finding involved: develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured..
Score Breakdown
🏥 Staffing Details
| Staff Type | Hours/Resident/Day | National Avg | Comparison |
|---|---|---|---|
| Total Nursing | 4.32 | 3.8 | Above Average |
| Registered Nurses (RN) | 0.62 | 0.7 | Below Average |
| Licensed Practical Nurses (LPN) | 1.66 | 0.7 | Above Average |
| Certified Nursing Assistants (CNA) | 2.03 | 2.4 | Below Average |
| Weekend Total Nursing | 3.95 | 3.8 | Average |
| Weekend RN Hours | 0.44 | 0.7 | Below Average |
🔍 Inspection & Deficiency History
View recent deficiencies (5 shown)
- Tag 0656 Severity DDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.May 29, 2024 · Resident Assessment and Care Planning Deficiencies
- Tag 0602 Severity EProtect each resident from the wrongful use of the resident's belongings or money.Mar 19, 2024 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
- Tag 0610 Severity ERespond appropriately to all alleged violations.Mar 19, 2024 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
- Tag 0755 Severity EProvide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.Mar 19, 2024 · Pharmacy Service Deficiencies
- Tag 0684 Severity DProvide appropriate treatment and care according to orders, resident’s preferences and goals.Mar 19, 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 | 12.2% | 4.5% | Worse |
| Falls with major injury | 0.0% | 3.0% | Better |
| On antipsychotic medication | 0.0% | 14.5% | Better |
| Urinary tract infections | 2.1% | 2.5% | Better |
| ADL decline (daily activities) | 16.7% | 14.0% | Worse |
| Excessive weight loss | 2.9% | 7.5% | Better |
| New/worsened incontinence | 10.0% | 45.0% | Better |
⚠️ Penalties & Fines
1 penalty recorded by CMS
Total fines: $21,037
How This Grade Was Calculated
This facility's grade of C is based on a score of 56 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: 3★ → 12 pts (max 20)
- Quality Measures Rating: 4★ → 12 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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