Las Brisas Rehabilitation And Wellness Center faces challenges in its CMS ratings, earning a D grade with a score of 47/100. The facility ranks in the 52th percentile among Texas nursing homes, suggesting significant room for improvement.
With 3.15 total nurse hours per resident per day, Las Brisas Rehabilitation And Wellness Center 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 17 deficiencies at Las Brisas Rehabilitation And Wellness Center, including 2 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 | 3.15 | 3.8 | Below Average |
| Registered Nurses (RN) | 0.45 | 0.7 | Below Average |
| Licensed Practical Nurses (LPN) | 0.82 | 0.7 | Above Average |
| Certified Nursing Assistants (CNA) | 1.88 | 2.4 | Below Average |
| Weekend Total Nursing | 2.70 | 3.8 | Below Average |
| Weekend RN Hours | 0.39 | 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.Oct 1, 2024 · Nutrition and Dietary Deficiencies
- Tag 0880 Severity EProvide and implement an infection prevention and control program.Oct 1, 2024 · Infection Control Deficiencies
- Tag 0925 Severity EMake sure there is a pest control program to prevent/deal with mice, insects, or other pests.Oct 1, 2024 · Environmental Deficiencies
- Tag 0759 Severity DEnsure medication error rates are not 5 percent or greater.Oct 1, 2024 · Pharmacy Service Deficiencies
- Tag 0761 Severity DEnsure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologiOct 1, 2024 · Pharmacy Service 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 | 7.6% | 3.0% | Worse |
| On antipsychotic medication | 12.0% | 14.5% | Better |
| Urinary tract infections | 0.0% | 2.5% | Better |
| ADL decline (daily activities) | 12.7% | 14.0% | Average |
| Excessive weight loss | 1.4% | 7.5% | Better |
| New/worsened incontinence | 11.0% | 45.0% | Better |
⚠️ Penalties & Fines
2 penalties recorded by CMS
Total fines: $18,274
How This Grade Was Calculated
This facility's grade of D is based on a score of 47 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: 1★ → 4 pts (max 20)
- Quality Measures Rating: 5★ → 15 pts (max 15)
- Penalty deductions: -10 pts
- Fine deductions: -1 pts
Grades: A=85+, B=70–84, C=55–69, D=40–54, F=below 40
Facility Details
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