Crockett, TX

Houston County Nursing Home

5-star overall rating with 5-star inspections with 2 recent health deficiencies

100 N E Loop 304, Crockett, TX

(936) 544-7884

Compare this facility

Overall

5 / 5

CMS overall stars

Health inspections

5 / 5

Survey and complaint cycles

Staffing

1 / 5

RN + nurse staffing

Quality measures

5 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

90

Certified beds

Average residents

40

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

No chain reported

Operator or chain grouping

Approved since

2005-01-01

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

Hours and turnover

RN hours / resident day

0.21

Registered nurse staffing · state 0.44 · national 0.68

LPN hours / resident day

0.92

Licensed practical nurse staffing · state 0.95 · national 0.87

Aide hours / resident day

0.95

Nurse aide staffing · state 2.01 · national 2.35

Total nurse hours

2.08

All reported nurse hours · state 3.40 · national 3.89

Licensed hours

1.13

RN + LPN hours · state 1.38 · national 1.54

Weekend hours

1.96

Weekend nurse staffing · state 2.99 · national 3.43

Weekend RN hours

0.24

Weekend registered nurse coverage · state 0.34 · national 0.47

Physical therapist

0.00

Reported PT staffing · state 0.07 · national 0.07

Adjusted RN hours

0.26

CMS adjusted RN staffing hours

Adjusted total hours

2.53

CMS adjusted total nurse staffing hours

Case-mix index

1.12

Higher values indicate more complex resident acuity

RN turnover

0%

Annual RN turnover

Total nurse turnover

29%

Annual nurse turnover · state 52% · national 46%

SNF VBP

Value-based purchasing

Program rank

5,671

Lower is better among SNFs in the FY 2026 VBP program.

Performance score

35.35

Composite VBP score used to determine payment impact.

Payment multiplier

0.9890

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

Not reported

This facility did not meet this measure's case minimum policy requirement and therefore no measure data is publicly reported.

Healthcare-associated infections

Not reported

This facility did not meet this measure's case minimum policy requirement and therefore no measure data is publicly reported.

Total nurse turnover

7.07

Baseline 29.41% · Performance 34.78% · Measure score 7.07 · Achievement 7.07 · Improvement 0

Adjusted total nurse staffing

0

Baseline 3.35 hours · Performance 2.89 hours · Measure score 0 · Achievement 0 · Improvement 0

SNF QRP

Medicare quality reporting measures

Measure	Facility	National	Note
Potentially preventable 30-day readmission	Not Available	10.72%	Not Available · Eligible stays 4 · Observed rate Not Available · Lower 95% interval Not Available · Too few residents or stays to report publicly.
Discharge to community	Not Available	50.57%	Not Available · Eligible stays 3 · Observed rate Not Available · Lower 95% interval Not Available · Too few residents or stays to report publicly.
Medicare spending per beneficiary	Not Available	1.02	Too few residents or stays to report publicly.
Drug regimen review with follow-up	Not Available	95.27%	Numerator Not Available · Denominator 1 · Too few residents or stays to report publicly.
Falls with major injury	Not Available	0.77%	Numerator Not Available · Denominator 1 · Too few residents or stays to report publicly.
Discharge self-care score	Not Available	53.69%	Numerator Not Available · Denominator 1 · Too few residents or stays to report publicly.
Discharge mobility score	Not Available	50.94%	Numerator Not Available · Denominator 1 · Too few residents or stays to report publicly.
Pressure ulcers or injuries, new or worsened	Not Available	2.29%	Numerator Not Available · Denominator 1 · 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 1 · Observed rate Not Available · Lower 95% interval Not Available · Too few residents or stays to report publicly.
Staff COVID-19 vaccination coverage	Not Available	8.2%	Numerator Not Available · Denominator Not Available · No data were submitted for this measure.
Staff flu vaccination coverage	10.34%	42% 31.7 pts worse	Numerator 3 · Denominator 29
Discharge function score	Not Available	56.45%	Numerator Not Available · Denominator 1 · Too few residents or stays to report publicly.
Transfer of health information to provider	Not Available	95.95%	Numerator Not Available · Denominator Not Available · Newly certified or not enough cases to report.
Transfer of health information to patient	Not Available	96.28%	Numerator Not Available · Denominator Not Available · Newly certified or not enough cases to report.
Resident COVID-19 vaccinations up to date	Not Available	25.2%	Numerator Not Available · Denominator 1 · 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	1.0	2.1 1.1 pts better	1.9 0.9 pts better	Long Stay · 20240701-20250630 · Adjusted 1.0 · Observed 0.5 · Expected 0.9 · Used in QM five-star
Number of outpatient emergency department visits per 1000 long-stay resident days	1.6	2.1 0.5 pts better	1.8 0.2 pts better	Long Stay · 20240701-20250630 · Adjusted 1.6 · Observed 1.0 · Expected 1.0 · Used in QM five-star
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine	91.3%	97.1% 5.8 pts worse	93.4% 2.1 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 97.3% · Q2 92.1% · Q3 86.8% · Q4 88.9% · 4Q avg 91.3%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine	95.0%	97.9% 2.9 pts worse	95.5% 0.5 pts worse	Long Stay · 2024Q3-2025Q2 · 4Q avg 95.0%
Percentage of long-stay residents experiencing one or more falls with major injury	6.0%	3.3% 2.7 pts worse	3.3% 2.7 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 2.7% · Q2 7.9% · Q3 7.9% · Q4 5.6% · 4Q avg 6.0% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms	0.0%	2.7% 2.7 pts better	11.4% 11.4 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 who lose too much weight	8.1%	3.3% 4.8 pts worse	5.4% 2.7 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 6.7% · Q2 3.7% · Q3 10.7% · Q4 11.5% · 4Q avg 8.1%
Percentage of long-stay residents who received an antianxiety or hypnotic medication	31.2%	18.9% 12.3 pts worse	19.6% 11.6 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 30.0% · Q2 33.3% · Q3 28.6% · Q4 33.3% · 4Q avg 31.2%
Percentage of long-stay residents who received an antipsychotic medication	18.6%	10.8% 7.8 pts worse	16.7% 1.9 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 13.8% · Q2 20.0% · Q3 20.8% · Q4 20.8% · 4Q avg 18.6% · Used in QM five-star
Percentage of long-stay residents who were physically restrained	3.4%	0.0% 3.4 pts worse	0.1% 3.3 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 2.7% · Q2 2.6% · Q3 2.6% · Q4 5.6% · 4Q avg 3.4%
Percentage of long-stay residents whose ability to walk independently worsened	9.3%	15.4% 6.1 pts better	16.3% 7 pts better	Long Stay · 2024Q4-2025Q3 · 4Q avg 9.3% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased	10.5%	16.1% 5.6 pts better	14.9% 4.4 pts better	Long Stay · 2024Q4-2025Q3 · Q1 3.7% · Q2 7.7% · Q3 15.4% · Q4 15.4% · 4Q avg 10.5% · 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 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% · Used in QM five-star
Percentage of long-stay residents with a urinary tract infection	1.4%	0.8% 0.6 pts worse	1.7% 0.3 pts better	Long Stay · 2024Q4-2025Q3 · Q1 2.7% · Q2 2.6% · Q3 0.0% · Q4 0.0% · 4Q avg 1.4% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence	10.2%	15.0% 4.8 pts better	19.8% 9.6 pts better	Long Stay · 2024Q4-2025Q3 · Q1 10.6% · Q2 7.6% · Q3 9.8% · Q4 13.2% · 4Q avg 10.2%
Percentage of long-stay residents with pressure ulcers	0.9%	4.2% 3.3 pts better	5.1% 4.2 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 3.6% · Q3 0.0% · Q4 0.0% · 4Q avg 0.9% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine	32.0%	89.7% 57.7 pts worse	81.7% 49.7 pts worse	Short Stay · 2024Q4-2025Q3 · 4Q avg 32.0%

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-06-04 · Fire 2025-06-04

2 health deficiencies

Top issue: Infection Control (1 deficiency)

0 fire-safety deficiencies

No concentrated fire-safety issue counts in this cycle.

Cycle 2 Health 2024-05-08 · Fire 2024-05-08

8 health deficiencies

Top issue: Freedom from Abuse and Neglect and Exploitation (2 deficiencies)

0 fire-safety deficiencies

No concentrated fire-safety issue counts in this cycle.

Cycle 3 Health 2023-04-12 · Fire 2023-04-12

5 health deficiencies

Top issue: Infection Control (1 deficiency)

1 fire-safety deficiencies

Top issue: Smoke (1 deficiency)

Fire safety

Fire-safety citations

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

K372 · Smoke Deficiencies

Fire Safety

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

Corrected 2023-07-01

Inspection history

Recent health citations

E · Potential for more than minimal harm 2025-06-04

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2025-06-05

D · Potential for more than minimal harm 2025-06-04

F677 · Quality of Life and Care Deficiencies

Health

Provide care and assistance to perform activities of daily living for any resident who is unable.

Corrected 2025-06-05

F · Potential for more than minimal harm 2024-05-08

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 2024-06-07

E · Potential for more than minimal harm 2024-05-08

F607 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Develop and implement policies and procedures to prevent abuse, neglect, and theft.

Corrected 2024-06-07

E · Potential for more than minimal harm 2024-05-08

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2024-06-07

E · Potential for more than minimal harm 2024-05-08

F919 · Environmental Deficiencies

Health

Make sure that a working call system is available in each resident's bathroom and bathing area.

Corrected 2024-06-07

D · Potential for more than minimal harm 2024-05-08

F604 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.

Corrected 2024-06-07

D · Potential for more than minimal harm 2024-05-08

F641 · Resident Assessment and Care Planning Deficiencies

Health

Ensure each resident receives an accurate assessment.

Corrected 2024-06-07

D · Potential for more than minimal harm 2024-05-08

F656 · Resident Assessment and Care Planning Deficiencies

Health

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Corrected 2024-06-07

D · Potential for more than minimal harm 2024-05-08

F700 · Quality of Life and Care Deficiencies

Health

Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.

Corrected 2024-06-07