6 health deficiencies
Top issue: Infection Control (1 deficiency)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Crowley, TX
4-star overall rating with 4-star inspections with 6 recent health deficiencies
724 W. Rendon Crowley Road, Crowley, TX
(817) 297-4141
Overall
4 / 5
CMS overall stars
Health inspections
4 / 5
Survey and complaint cycles
Staffing
4 / 5
RN + nurse staffing
Quality measures
4 / 5
Resident outcomes and process measures
Quick facts
Beds
60
Certified beds
Average residents
45
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
No chain reported
Operator or chain grouping
Approved since
2018-07-03
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Changed ownership
No
Within the last 12 months
Family council
Yes
Resident and family council reported
Sprinklers
Yes
Automatic sprinklers in all required areas
Staffing
RN hours / resident day
0.84
Registered nurse staffing · state 0.44 · national 0.68
LPN hours / resident day
1.13
Licensed practical nurse staffing · state 0.95 · national 0.87
Aide hours / resident day
1.99
Nurse aide staffing · state 2.01 · national 2.35
Total nurse hours
3.96
All reported nurse hours · state 3.40 · national 3.89
Licensed hours
1.97
RN + LPN hours · state 1.38 · national 1.54
Weekend hours
3.61
Weekend nurse staffing · state 2.99 · national 3.43
Weekend RN hours
0.59
Weekend registered nurse coverage · state 0.34 · national 0.47
Physical therapist
0.16
Reported PT staffing · state 0.07 · national 0.07
Adjusted RN hours
0.93
CMS adjusted RN staffing hours
Adjusted total hours
4.40
CMS adjusted total nurse staffing hours
Case-mix index
1.23
Higher values indicate more complex resident acuity
RN turnover
30%
Annual RN turnover · state 52% · national 45%
Total nurse turnover
43%
Annual nurse turnover · state 52% · national 46%
SNF VBP
Program rank
6,435
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
32.86
Composite VBP score used to determine payment impact.
Payment multiplier
0.9873
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
Readmission
5.98
Baseline 22.94% · Performance 19.11% · Measure score 5.98 · Achievement 5.01 · Improvement 5.98
Healthcare-associated infections
0
Baseline 6.36% · Performance 7.97% · Measure score 0 · Achievement 0 · Improvement 0
Total nurse turnover
5.03
Baseline 64.44% · Performance 43.14% · Measure score 5.03 · Achievement 5.03 · Improvement 4.88
Adjusted total nurse staffing
2.14
Baseline 3.68 hours · Performance 3.69 hours · Measure score 2.14 · Achievement 2.14 · Improvement 0
SNF QRP
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 11.58% |
10.72%
0.9 pts worse
|
No Different than the National Rate · Eligible stays 199 · Observed rate 13.07% · Lower 95% interval 8.39% |
| Discharge to community | 60.49% |
50.57%
9.9 pts better
|
Better than the National Rate · Eligible stays 208 · Observed rate 54.81% · Lower 95% interval 53.03% |
| Medicare spending per beneficiary | 0.99 |
1.02
About the same
|
|
| Drug regimen review with follow-up | 100% |
95.27%
4.7 pts better
|
Numerator 132 · Denominator 132 |
| Falls with major injury | 0% |
0.77%
0.8 pts better
|
Numerator 0 · Denominator 132 |
| Discharge self-care score | 75.64% |
53.69%
22 pts better
|
Numerator 59 · Denominator 78 |
| Discharge mobility score | 57.69% |
50.94%
6.8 pts better
|
Numerator 45 · Denominator 78 |
| Pressure ulcers or injuries, new or worsened | 1.52% |
2.29%
0.8 pts better
|
Numerator 2 · Denominator 132 · Adjusted rate 1.44% |
| Healthcare-associated infections requiring hospitalization | 7.97% |
7.12%
0.8 pts worse
|
No Different than the National Rate · Eligible stays 125 · Observed rate 9.6% · Lower 95% interval 5.16% |
| Staff COVID-19 vaccination coverage | 0% |
8.2%
8.2 pts worse
|
Numerator 0 · Denominator 83 |
| Staff flu vaccination coverage | 13.16% |
42%
28.8 pts worse
|
Numerator 15 · Denominator 114 |
| Discharge function score | 83.33% |
56.45%
26.9 pts better
|
Numerator 65 · Denominator 78 |
| Transfer of health information to provider | 97.73% |
95.95%
1.8 pts better
|
Numerator 43 · Denominator 44 |
| Transfer of health information to patient | 91.67% |
96.28%
4.6 pts worse
|
Numerator 77 · Denominator 84 |
| Resident COVID-19 vaccinations up to date | 0% |
25.2%
25.2 pts worse
|
Numerator 0 · Denominator 71 |
Quality measures
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 100.0% |
97.1%
2.9 pts better
|
93.4%
6.6 pts better
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 100.0% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 4.3% |
3.3%
1 pts worse
|
3.3%
1 pts worse
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 4.3% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 23.5% |
2.7%
20.8 pts worse
|
11.4%
12.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 23.5% |
| Percentage of long-stay residents who lose too much weight | 2.8% |
3.3%
0.5 pts better
|
5.4%
2.6 pts better
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 2.8% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 10.8% |
18.9%
8.1 pts better
|
19.6%
8.8 pts better
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 10.8% |
| Percentage of long-stay residents who received an antipsychotic medication | 0.0% |
10.8%
10.8 pts better
|
16.7%
16.7 pts better
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 0.0% · Used in QM five-star |
| Percentage of long-stay residents who were physically restrained | 0.0% |
0.0%
About the same
|
0.1%
0.1 pts better
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 0.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | 23.6% |
15.4%
8.2 pts worse
|
16.3%
7.3 pts worse
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 23.6% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 31.4% |
16.1%
15.3 pts worse
|
14.9%
16.5 pts worse
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 31.4% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.0% |
0.5%
0.5 pts better
|
1.0%
1 pts better
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 0.0% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 0.0% |
0.8%
0.8 pts better
|
1.7%
1.7 pts better
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 0.0% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 22.7% |
15.0%
7.7 pts worse
|
19.8%
2.9 pts worse
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 22.7% |
| Percentage of long-stay residents with pressure ulcers | 9.6% |
4.2%
5.4 pts worse
|
5.1%
4.5 pts worse
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 9.6% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 99.8% |
89.7%
10.1 pts better
|
81.7%
18.1 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 99.6% · Q2 99.6% · Q3 100.0% · Q4 100.0% · 4Q avg 99.8% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 13.3% |
12.0%
1.3 pts worse
|
12.0%
1.3 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 13.3% · Observed 13.6% · Expected 11.4% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 1.2% |
1.5%
0.3 pts better
|
1.6%
0.4 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 1.3% · Q2 1.7% · Q3 1.0% · Q4 0.9% · 4Q avg 1.2% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 98.2% |
88.0%
10.2 pts better
|
79.7%
18.5 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 98.2% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 36.5% |
25.9%
10.6 pts worse
|
23.9%
12.6 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 36.5% · Observed 36.9% · Expected 24.1% · Used in QM five-star |
Survey summary
Top issue: Infection Control (1 deficiency)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Top issue: Nutrition and Dietary (2 deficiencies)
3 fire-safety deficiencies
Top issue: Emergency Preparedness (1 deficiency)
No concentrated health issue counts in this cycle.
1 fire-safety deficiencies
Top issue: Miscellaneous (1 deficiency)
Fire safety
Fire Safety
Conduct risk assessment and an All-Hazards approach.
Corrected 2024-08-04
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2024-08-04
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2024-06-21
Fire Safety
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Corrected 2023-06-05
Inspection history
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2025-07-30
Health
Provide and implement an infection prevention and control program.
Corrected 2025-07-30
Health
Ensure medication error rates are not 5 percent or greater.
Corrected 2025-07-30
Health
Post nurse staffing information every day.
Corrected 2025-07-30
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2025-08-01
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2025-04-01
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2024-06-20
Health
Dispose of garbage and refuse properly.
Corrected 2024-06-20
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2024-05-29
Health
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Corrected 2024-05-29
Health
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2024-05-29
Penalties and ownership
5% Or Greater Direct Ownership Interest · Individual
5% Or Greater Direct Ownership Interest · Individual
5% Or Greater Direct Ownership Interest · Individual
5% Or Greater Direct Ownership Interest · Individual
5% Or Greater Indirect Ownership Interest · Organization
Operational/Managerial Control · Organization
Operational/Managerial Control · Individual
Nearby options
Crowley, TX
5-star overall rating with 4-star inspections with $18,470 in total fines with 5 recent health deficiencies
Burleson, TX
3-star overall rating with 2-star inspections with abuse icon flag with $65,855 in total fines with 4 recent health deficiencies with 2 fire-safety deficiencies in the latest cycle
Burleson, TX
3-star overall rating with 4-star inspections with 5 recent health deficiencies
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