Sundance Inn Health Center 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 Sundance Inn Health Center is near the national average, with 3.75 total nursing hours per resident per day (national average: 3.8 hours).
Recent CMS inspections identified 26 deficiencies at Sundance Inn Health Center, including 2 classified as serious — among the most concerning citation levels. The most notable finding involved: immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident..
Score Breakdown
🏥 Staffing Details
| Staff Type | Hours/Resident/Day | National Avg | Comparison |
|---|---|---|---|
| Total Nursing | 3.75 | 3.8 | Average |
| Registered Nurses (RN) | 0.52 | 0.7 | Below Average |
| Licensed Practical Nurses (LPN) | 1.20 | 0.7 | Above Average |
| Certified Nursing Assistants (CNA) | 2.03 | 2.4 | Below Average |
| Weekend Total Nursing | 3.10 | 3.8 | Below Average |
| Weekend RN Hours | 0.25 | 0.7 | Below Average |
🔍 Inspection & Deficiency History
View recent deficiencies (5 shown)
- Tag 0580 Severity DImmediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.Aug 27, 2025 · Resident Rights Deficiencies
- Tag 0628 Severity DProvide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.Aug 27, 2025 · Resident Rights Deficiencies
- 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.Aug 27, 2025 · Resident Assessment and Care Planning Deficiencies
- Tag 0687 Severity DProvide appropriate foot care.Aug 27, 2025 · Quality of Life and Care 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 neeAug 27, 2025 · Nutrition and Dietary 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 | 3.1% | 4.5% | Better |
| Falls with major injury | 6.8% | 3.0% | Worse |
| On antipsychotic medication | 6.9% | 14.5% | Better |
| Urinary tract infections | 0.4% | 2.5% | Better |
| ADL decline (daily activities) | 5.1% | 14.0% | Better |
| Excessive weight loss | 4.1% | 7.5% | Better |
| New/worsened incontinence | 16.2% | 45.0% | Better |
⚠️ Penalties & Fines
1 penalty recorded by CMS
Total fines: $6,364
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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