1 health deficiencies
Top issue: Resident Assessment and Care Planning (1 deficiency)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Temple, TX
5-star overall rating with 5-star inspections with 1 recent health deficiencies
2401 South 31st St, Temple, TX
(254) 771-8200
Overall
5 / 5
CMS overall stars
Health inspections
5 / 5
Survey and complaint cycles
Staffing
5 / 5
RN + nurse staffing
Quality measures
4 / 5
Resident outcomes and process measures
Quick facts
Beds
23
Certified beds
Average residents
20
Average occupied residents
Ownership
Non-Profit
Publicly displayed owner type
Chain
No chain reported
Operator or chain grouping
Approved since
1967-01-01
CMS approved date
Coverage
Medicare
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
Hospital-based
Yes
CMS reports the provider resides in a hospital
Staffing
RN hours / resident day
5.34
Registered nurse staffing · state 0.44 · national 0.68
LPN hours / resident day
1.52
Licensed practical nurse staffing · state 0.95 · national 0.87
Aide hours / resident day
2.30
Nurse aide staffing · state 2.01 · national 2.35
Total nurse hours
9.17
All reported nurse hours · state 3.40 · national 3.89
Licensed hours
6.87
RN + LPN hours · state 1.38 · national 1.54
Weekend hours
8.56
Weekend nurse staffing · state 2.99 · national 3.43
Weekend RN hours
4.84
Weekend registered nurse coverage · state 0.34 · national 0.47
Physical therapist
0.17
Reported PT staffing · state 0.07 · national 0.07
Adjusted RN hours
5.11
CMS adjusted RN staffing hours
Adjusted total hours
8.76
CMS adjusted total nurse staffing hours
Case-mix index
1.43
Higher values indicate more complex resident acuity
RN turnover
37%
Annual RN turnover · state 52% · national 45%
Total nurse turnover
32%
Annual nurse turnover · state 52% · national 46%
SNF VBP
Program rank
667
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
65.64
Composite VBP score used to determine payment impact.
Payment multiplier
1.0198
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
Readmission
4.90
Baseline 20.34% · Performance 19.16% · Measure score 4.90 · Achievement 4.90 · Improvement 3.06
Healthcare-associated infections
6.13
Baseline 5.81% · Performance 6.00% · Measure score 6.13 · Achievement 6.13 · Improvement 0
Total nurse turnover
8.67
Baseline 37.14% · Performance 28.26% · Measure score 8.67 · Achievement 8.67 · Improvement 6.73
Adjusted total nurse staffing
Not reported
This facility did not meet this measure's case minimum policy requirement and therefore no measure data is publicly reported.
SNF QRP
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 9.63% |
10.72%
1.1 pts better
|
No Different than the National Rate · Eligible stays 171 · Observed rate 9.36% · Lower 95% interval 6.88% |
| Discharge to community | 68.26% |
50.57%
17.7 pts better
|
Better than the National Rate · Eligible stays 156 · Observed rate 62.82% · Lower 95% interval 60.48% |
| Medicare spending per beneficiary | 0.79 |
1.02
0.2 pts better
|
|
| Drug regimen review with follow-up | 100% |
95.27%
4.7 pts better
|
Numerator 111 · Denominator 111 |
| Falls with major injury | 0% |
0.77%
0.8 pts better
|
Numerator 0 · Denominator 111 |
| Discharge self-care score | 44.94% |
53.69%
8.8 pts worse
|
Numerator 40 · Denominator 89 |
| Discharge mobility score | 17.98% |
50.94%
33 pts worse
|
Numerator 16 · Denominator 89 |
| Pressure ulcers or injuries, new or worsened | 0.9% |
2.29%
1.4 pts better
|
Numerator 1 · Denominator 111 · Adjusted rate 1.01% |
| Healthcare-associated infections requiring hospitalization | 6% |
7.12%
1.1 pts better
|
No Different than the National Rate · Eligible stays 94 · Observed rate 4.26% · Lower 95% interval 3.1% |
| Staff COVID-19 vaccination coverage | 0% |
8.2%
8.2 pts worse
|
Numerator 0 · Denominator 159 |
| Staff flu vaccination coverage | 94.32% |
42%
52.3 pts better
|
Numerator 299 · Denominator 317 |
| Discharge function score | 40.45% |
56.45%
16 pts worse
|
Numerator 36 · Denominator 89 |
| Transfer of health information to provider | 98.96% |
95.95%
3 pts better
|
Numerator 95 · Denominator 96 |
| Transfer of health information to patient | Not Available |
96.28%
|
Numerator Not Available · Denominator 15 · Too few residents or stays to report publicly. |
| Resident COVID-19 vaccinations up to date | 7.35% |
25.2%
17.9 pts worse
|
Numerator 5 · Denominator 68 |
Quality measures
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 93.8% |
89.7%
4.1 pts better
|
81.7%
12.1 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 96.2% · Q2 96.4% · Q3 93.6% · Q4 89.5% · 4Q avg 93.8% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 10.1% |
12.0%
1.9 pts better
|
12.0%
1.9 pts better
|
Short Stay · 20240701-20250630 · Adjusted 10.1% · Observed 10.1% · Expected 11.2% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 2.4% |
1.5%
0.9 pts worse
|
1.6%
0.8 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 1.9% · Q2 1.7% · Q3 2.5% · Q4 3.3% · 4Q avg 2.4% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 91.3% |
88.0%
3.3 pts better
|
79.7%
11.6 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 91.3% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 16.2% |
25.9%
9.7 pts better
|
23.9%
7.7 pts better
|
Short Stay · 20240701-20250630 · Adjusted 16.2% · Observed 16.5% · Expected 24.2% · Used in QM five-star |
Survey summary
Top issue: Resident Assessment and Care Planning (1 deficiency)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
No concentrated health issue counts in this cycle.
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
No concentrated health issue counts in this cycle.
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Inspection history
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2025-09-20
Penalties and ownership
Operational/Managerial Control · Organization
Operational/Managerial Control · Organization
Operational/Managerial Control · Individual
Operational/Managerial Control · Individual
Operational/Managerial Control · Individual
Operational/Managerial Control · Individual
Operational/Managerial Control · Individual
Operational/Managerial Control · Individual
Corporate Director · Individual
Operational/Managerial Control · Individual
Operational/Managerial Control · Individual
Operational/Managerial Control · Individual
Operational/Managerial Control · Individual
Operational/Managerial Control · Individual
Operational/Managerial Control · Individual
Operational/Managerial Control · Individual
Operational/Managerial Control · Individual
Operational/Managerial Control · Individual
Operational/Managerial Control · Individual
Corporate Director · Individual
Operational/Managerial Control · Individual
Operational/Managerial Control · Individual
Operational/Managerial Control · Individual
Operational/Managerial Control · Organization
Operational/Managerial Control · Individual
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