Hondo, TX

Community Care Center of Hondo

1-star overall rating with 2-star inspections with $18,889 in total fines with 10 recent health deficiencies with 4 fire-safety deficiencies in the latest cycle

2001 Ave E, Hondo, TX

(830) 426-3087

Compare this facility

Overall

1 / 5

CMS overall stars

Health inspections

2 / 5

Survey and complaint cycles

Staffing

1 / 5

RN + nurse staffing

Quality measures

4 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

Certified beds

Average residents

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

No chain reported

Operator or chain grouping

Approved since

1986-11-14

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Changed ownership

Within the last 12 months

Family council

Yes

Resident and family council reported

Sprinklers

Yes

Automatic sprinklers in all required areas

Staffing

Hours and turnover

RN hours / resident day

0.71

Registered nurse staffing · state 0.44 · national 0.68

LPN hours / resident day

0.69

Licensed practical nurse staffing · state 0.95 · national 0.87

Aide hours / resident day

2.26

Nurse aide staffing · state 2.01 · national 2.35

Total nurse hours

3.66

All reported nurse hours · state 3.40 · national 3.89

Licensed hours

1.40

RN + LPN hours · state 1.38 · national 1.54

Weekend hours

3.26

Weekend nurse staffing · state 2.99 · national 3.43

Weekend RN hours

0.58

Weekend registered nurse coverage · state 0.34 · national 0.47

Physical therapist

0.12

Reported PT staffing · state 0.07 · national 0.07

Adjusted RN hours

0.60

CMS adjusted RN staffing hours

Adjusted total hours

3.08

CMS adjusted total nurse staffing hours

Case-mix index

1.62

Higher values indicate more complex resident acuity

RN turnover

Annual RN turnover

Total nurse turnover

Annual nurse turnover

SNF QRP

Medicare quality reporting measures

Measure	Facility	National	Note
Potentially preventable 30-day readmission	9.87%	10.72% 0.9 pts better	No Different than the National Rate · Eligible stays 37 · Observed rate 5.41% · Lower 95% interval 6.42%
Discharge to community	Not Available	50.57%	Not Available · Eligible stays 14 · Observed rate Not Available · Lower 95% interval Not Available · Too few residents or stays to report publicly.
Medicare spending per beneficiary	1.62	1.02 0.6 pts worse
Drug regimen review with follow-up	Not Available	95.27%	Numerator Not Available · Denominator 10 · Too few residents or stays to report publicly.
Falls with major injury	Not Available	0.77%	Numerator Not Available · Denominator 10 · Too few residents or stays to report publicly.
Discharge self-care score	Not Available	53.69%	Numerator Not Available · Denominator 7 · Too few residents or stays to report publicly.
Discharge mobility score	Not Available	50.94%	Numerator Not Available · Denominator 7 · Too few residents or stays to report publicly.
Pressure ulcers or injuries, new or worsened	Not Available	2.29%	Numerator Not Available · Denominator 10 · Adjusted rate Not Available · Too few residents or stays to report publicly.
Healthcare-associated infections requiring hospitalization	Not Available	7.12%	Not Available · Eligible stays 21 · Observed rate Not Available · Lower 95% interval Not Available · Too few residents or stays to report publicly.
Staff COVID-19 vaccination coverage	0%	8.2% 8.2 pts worse	Numerator 0 · Denominator 52
Staff flu vaccination coverage	38.46%	42% 3.5 pts worse	Numerator 30 · Denominator 78
Discharge function score	Not Available	56.45%	Numerator Not Available · Denominator 7 · Too few residents or stays to report publicly.
Transfer of health information to provider	Not Available	95.95%	Numerator Not Available · Denominator 3 · Too few residents or stays to report publicly.
Transfer of health information to patient	Not Available	96.28%	Numerator Not Available · Denominator 2 · Too few residents or stays to report publicly.
Resident COVID-19 vaccinations up to date	Not Available	25.2%	Numerator Not Available · Denominator 8 · Too few residents or stays to report publicly.

Quality measures

Resident outcomes and process scores

Measure	Facility	State	National	Note
Number of hospitalizations per 1000 long-stay resident days	3.3	2.1 1.2 pts worse	1.9 1.4 pts worse	Long Stay · 20240701-20250630 · Adjusted 3.3 · Observed 2.2 · Expected 1.3 · Used in QM five-star
Number of outpatient emergency department visits per 1000 long-stay resident days	3.9	2.1 1.8 pts worse	1.8 2.1 pts worse	Long Stay · 20240701-20250630 · Adjusted 3.9 · Observed 3.1 · Expected 1.3 · Used in QM five-star
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine	99.5%	97.1% 2.4 pts better	93.4% 6.1 pts better	Long Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 100.0% · Q3 98.0% · Q4 100.0% · 4Q avg 99.5%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine	100.0%	97.9% 2.1 pts better	95.5% 4.5 pts better	Long Stay · 2024Q3-2025Q2 · 4Q avg 100.0%
Percentage of long-stay residents experiencing one or more falls with major injury	12.6%	3.3% 9.3 pts worse	3.3% 9.3 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 14.6% · Q2 12.0% · Q3 12.2% · Q4 11.4% · 4Q avg 12.6% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms	6.4%	2.7% 3.7 pts worse	11.4% 5 pts better	Long Stay · 2024Q4-2025Q3 · Q1 2.1% · Q2 8.2% · Q3 14.6% · Q4 0.0% · 4Q avg 6.4%
Percentage of long-stay residents who lose too much weight	1.2%	3.3% 2.1 pts better	5.4% 4.2 pts better	Long Stay · 2024Q4-2025Q3 · Q1 2.4% · Q2 2.3% · Q3 0.0% · Q4 0.0% · 4Q avg 1.2%
Percentage of long-stay residents who received an antianxiety or hypnotic medication	33.9%	18.9% 15 pts worse	19.6% 14.3 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 35.6% · Q2 41.3% · Q3 34.1% · Q4 23.8% · 4Q avg 33.9%
Percentage of long-stay residents who received an antipsychotic medication	12.3%	10.8% 1.5 pts worse	16.7% 4.4 pts better	Long Stay · 2024Q4-2025Q3 · Q1 11.1% · Q2 11.8% · Q3 16.7% · Q4 9.4% · 4Q avg 12.3% · 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 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0%
Percentage of long-stay residents whose ability to walk independently worsened	5.3%	15.4% 10.1 pts better	16.3% 11 pts better	Long Stay · 2024Q4-2025Q3 · Q1 4.7% · Q2 9.9% · 4Q avg 5.3% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased	12.4%	16.1% 3.7 pts better	14.9% 2.5 pts better	Long Stay · 2024Q4-2025Q3 · Q1 11.4% · Q2 9.1% · Q3 11.9% · Q4 17.5% · 4Q avg 12.4% · Used in QM five-star
Percentage of long-stay residents with a catheter inserted and left in their bladder	1.2%	0.5% 0.7 pts worse	1.0% 0.2 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 4.5% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 1.2% · Used in QM five-star
Percentage of long-stay residents with a urinary tract infection	0.6%	0.8% 0.2 pts better	1.7% 1.1 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 2.1% · Q3 0.0% · Q4 0.0% · 4Q avg 0.6% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence	12.2%	15.0% 2.8 pts better	19.8% 7.6 pts better	Long Stay · 2024Q4-2025Q3 · Q1 22.8% · Q2 13.6% · Q3 11.1% · Q4 0.0% · 4Q avg 12.2%
Percentage of long-stay residents with pressure ulcers	1.2%	4.2% 3 pts better	5.1% 3.9 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 2.4% · Q3 0.0% · Q4 2.5% · 4Q avg 1.2% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine	98.2%	89.7% 8.5 pts better	81.7% 16.5 pts better	Short Stay · 2024Q4-2025Q3 · 4Q avg 98.2%
Percentage of short-stay residents who had an outpatient emergency department visit	9.1%	12.0% 2.9 pts better	12.0% 2.9 pts better	Short Stay · 20240701-20250630 · Adjusted 9.1% · Observed 9.5% · Expected 11.7% · Used in QM five-star
Percentage of short-stay residents who newly received an antipsychotic medication	0.0%	1.5% 1.5 pts better	1.6% 1.6 pts better	Short Stay · 2024Q4-2025Q3 · 4Q avg 0.0% · Used in QM five-star
Percentage of short-stay residents who were rehospitalized after a nursing home admission	21.5%	25.9% 4.4 pts better	23.9% 2.4 pts better	Short Stay · 20240701-20250630 · Adjusted 21.5% · Observed 23.8% · Expected 26.4% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-09-12 · Fire 2025-09-12

10 health deficiencies

Top issue: Resident Rights (3 deficiencies)

4 fire-safety deficiencies

Top issue: Gas and Vacuum and Electrical Systems (2 deficiencies)

Cycle 2 Health 2024-08-16 · Fire 2024-08-16

3 health deficiencies

Top issue: Environmental (1 deficiency)

6 fire-safety deficiencies

Top issue: Smoke (3 deficiencies)

Cycle 3 Health 2023-07-21 · Fire 2023-07-21

13 health deficiencies

Top issue: Resident Rights (4 deficiencies)

5 fire-safety deficiencies

Top issue: Smoke (3 deficiencies)

Fire safety

Fire-safety citations

E · Potential for more than minimal harm 2025-09-12

K511 · Services Deficiencies

Fire Safety

Have properly installed electrical wiring and gas equipment.

Corrected 2025-09-12

E · Potential for more than minimal harm 2025-09-12

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have generator or other power source capable of supplying service within 10 seconds.

Corrected 2025-09-26

E · Potential for more than minimal harm 2025-09-12

K929 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure precautions for handling oxygen cylinders and equipment are correctly followed.

Corrected 2025-09-26

C · Minimal harm 2025-09-12

K521 · Services Deficiencies

Fire Safety

Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

Not marked corrected

E · Potential for more than minimal harm 2024-08-16

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2024-09-10

E · Potential for more than minimal harm 2024-08-16

K372 · Smoke Deficiencies

Fire Safety

Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

Corrected 2024-09-11

E · Potential for more than minimal harm 2024-08-16

K511 · Services Deficiencies

Fire Safety

Have properly installed electrical wiring and gas equipment.

Corrected 2024-09-11

E · Potential for more than minimal harm 2024-08-16

K916 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have a battery powered remote alarm panel in a location accessible by operating personnel.

Corrected 2024-08-20

D · Potential for more than minimal harm 2024-08-16

K351 · Smoke Deficiencies

Fire Safety

Install an approved automatic sprinkler system.

Corrected 2024-09-11

C · Minimal harm 2024-08-16

K521 · Services Deficiencies

Fire Safety

Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

Corrected 2024-08-15

F · Potential for more than minimal harm 2023-07-21

K324 · Smoke Deficiencies

Fire Safety

Provide properly protected cooking facilities.

Corrected 2023-07-24

F · Potential for more than minimal harm 2023-07-21

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have generator or other power source capable of supplying service within 10 seconds.

Corrected 2023-07-21

E · Potential for more than minimal harm 2023-07-21

K355 · Smoke Deficiencies

Fire Safety

Properly select, install, inspect, or maintain portable fire extinguishes.

Corrected 2023-07-25

D · Potential for more than minimal harm 2023-07-21

K341 · Smoke Deficiencies

Fire Safety

Install a fire alarm system that can be heard throughout the facility.

Corrected 2023-08-01

C · Minimal harm 2023-07-21

K521 · Services Deficiencies

Fire Safety

Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

Corrected 2023-07-21

Inspection history

Recent health citations

F · Potential for more than minimal harm 2025-09-12

F576 · Resident Rights Deficiencies

Health

Ensure residents have reasonable access to and privacy in their use of communication methods.

Corrected 2025-10-01

E · Potential for more than minimal harm 2025-09-12

F805 · Nutrition and Dietary Deficiencies

Health

Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.

Corrected 2025-10-03

E · Potential for more than minimal harm 2025-09-12

F912 · Environmental Deficiencies

Health

Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.

Corrected 2025-09-08

D · Potential for more than minimal harm 2025-09-12

F550 · Resident Rights Deficiencies

Health

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Corrected 2025-09-15

D · Potential for more than minimal harm 2025-09-12

F578 · Resident Rights Deficiencies

Health

Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.

Corrected 2025-09-29

D · Potential for more than minimal harm 2025-09-12

F641 · Resident Assessment and Care Planning Deficiencies

Health

Ensure each resident receives an accurate assessment.

Corrected 2025-10-01

D · Potential for more than minimal harm 2025-09-12

F695 · Quality of Life and Care Deficiencies

Health

Provide safe and appropriate respiratory care for a resident when needed.

Corrected 2025-10-05

D · Potential for more than minimal harm 2025-09-12

F761 · Pharmacy Service Deficiencies

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 2025-10-06

D · Potential for more than minimal harm 2025-09-12

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2025-10-05

J · Immediate jeopardy 2025-04-26

F689 · Quality of Life and Care Deficiencies

Health

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Corrected 2025-04-27

E · Potential for more than minimal harm 2024-08-16

F812 · Nutrition and Dietary Deficiencies

Health

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Corrected 2024-09-09

D · Potential for more than minimal harm 2024-08-16

F557 · Resident Rights Deficiencies

Health

Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.

Corrected 2024-09-09

B · Minimal harm 2024-08-16

F912 · Environmental Deficiencies

Health

Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.

Corrected 2024-09-09

K · Immediate jeopardy 2023-11-14

F925 · Environmental Deficiencies

Health

Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.

Corrected 2023-11-15

J · Immediate jeopardy 2023-11-14

F600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Corrected 2023-11-15

F · Potential for more than minimal harm 2023-07-21

F925 · Environmental Deficiencies

Health

Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.

Corrected 2023-08-06

D · Potential for more than minimal harm 2023-07-21

F550 · Resident Rights Deficiencies

Health

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Corrected 2023-08-11

D · Potential for more than minimal harm 2023-07-21

F563 · Resident Rights Deficiencies

Health

Honor the resident's right to receive visitors of his or her choosing, at the time of his or her choosing.

Corrected 2023-08-11

D · Potential for more than minimal harm 2023-07-21

F755 · Pharmacy Service Deficiencies

Health

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Corrected 2023-07-24

D · Potential for more than minimal harm 2023-07-21

F757 · Pharmacy Service Deficiencies

Health

Ensure each resident’s drug regimen must be free from unnecessary drugs.

Corrected 2023-07-26

D · Potential for more than minimal harm 2023-07-21

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2023-07-26

B · Minimal harm 2023-07-21

F912 · Environmental Deficiencies

Health

Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.

Corrected 2023-08-11

D · Potential for more than minimal harm 2023-04-12

F584 · Resident Rights Deficiencies

Health

Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

Corrected 2023-05-05

D · Potential for more than minimal harm 2023-04-12

F585 · Resident Rights Deficiencies

Health

Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.

Corrected 2023-05-05

D · Potential for more than minimal harm 2023-04-12

F602 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Protect each resident from the wrongful use of the resident's belongings or money.

Corrected 2023-05-05

D · Potential for more than minimal harm 2023-04-12

F610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Respond appropriately to all alleged violations.

Corrected 2023-05-05

Penalties and ownership

What sits behind the stars

$11,196 2025-04-26

Fine

Fine · fine $11,196

Fine

$7,693 2023-11-14

Fine

Fine · fine $7,693

Fine