Brownwood, TX

Oak Ridge Manor

4-star overall rating with 3-star inspections with $174,677 in total fines with 3 recent health deficiencies with 2 fire-safety deficiencies in the latest cycle

2501 Morris Sheppard Dr, Brownwood, TX

(325) 643-2746

Compare this facility

Overall

4 / 5

CMS overall stars

Health inspections

3 / 5

Survey and complaint cycles

Staffing

3 / 5

RN + nurse staffing

Quality measures

5 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

114

Certified beds

Average residents

52

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

Creative Solutions In Healthcare

Operator or chain grouping

Approved since

2003-01-08

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Chain footprint

149 facilities

Chain averages 3 overall / 3 health / 2 staffing / 4 quality stars

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

0.68

Registered nurse staffing · state 0.44 · national 0.68

LPN hours / resident day

0.79

Licensed practical nurse staffing · state 0.95 · national 0.87

Aide hours / resident day

1.78

Nurse aide staffing · state 2.01 · national 2.35

Total nurse hours

3.25

All reported nurse hours · state 3.40 · national 3.89

Licensed hours

1.47

RN + LPN hours · state 1.38 · national 1.54

Weekend hours

2.80

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

0.19

Reported PT staffing · state 0.07 · national 0.07

Adjusted RN hours

0.73

CMS adjusted RN staffing hours

Adjusted total hours

3.47

CMS adjusted total nurse staffing hours

Case-mix index

1.28

Higher values indicate more complex resident acuity

RN turnover

50%

Annual RN turnover · state 52% · national 45%

Total nurse turnover

44%

Annual nurse turnover · state 52% · national 46%

SNF VBP

Value-based purchasing

Program rank

10,591

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

Performance score

19.84

Composite VBP score used to determine payment impact.

Payment multiplier

0.9822

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

0

Baseline 21.51% · Performance 22.35% · Measure score 0 · Achievement 0 · Improvement 0

Healthcare-associated infections

0

Baseline 6.62% · Performance 9.81% · Measure score 0 · Achievement 0 · Improvement 0

Total nurse turnover

6.68

Baseline 40.48% · Performance 36.36% · Measure score 6.68 · Achievement 6.68 · Improvement 2.13

Adjusted total nurse staffing

1.25

Baseline 2.40 hours · Performance 2.99 hours · Measure score 1.25 · Achievement 0 · Improvement 1.25

SNF QRP

Medicare quality reporting measures

Measure	Facility	National	Note
Potentially preventable 30-day readmission	10.11%	10.72% 0.6 pts better	No Different than the National Rate · Eligible stays 93 · Observed rate 7.53% · Lower 95% interval 6.96%
Discharge to community	59.17%	50.57% 8.6 pts better	No Different than the National Rate · Eligible stays 60 · Observed rate 63.33% · Lower 95% interval 48.52%
Medicare spending per beneficiary	1.03	1.02 About the same
Drug regimen review with follow-up	100%	95.27% 4.7 pts better	Numerator 74 · Denominator 74
Falls with major injury	1.35%	0.77% 0.6 pts worse	Numerator 1 · Denominator 74
Discharge self-care score	80%	53.69% 26.3 pts better	Numerator 40 · Denominator 50
Discharge mobility score	74%	50.94% 23.1 pts better	Numerator 37 · Denominator 50
Pressure ulcers or injuries, new or worsened	2.7%	2.29% 0.4 pts worse	Numerator 2 · Denominator 74 · Adjusted rate 3.24%
Healthcare-associated infections requiring hospitalization	9.82%	7.12% 2.7 pts worse	No Different than the National Rate · Eligible stays 63 · Observed rate 14.29% · Lower 95% interval 6.16%
Staff COVID-19 vaccination coverage	0%	8.2% 8.2 pts worse	Numerator 0 · Denominator 75
Staff flu vaccination coverage	37.27%	42% 4.7 pts worse	Numerator 41 · Denominator 110
Discharge function score	80%	56.45% 23.5 pts better	Numerator 40 · Denominator 50
Transfer of health information to provider	100%	95.95% 4 pts better	Numerator 57 · Denominator 57
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	27.5%	25.2% 2.3 pts better	Numerator 11 · Denominator 40

Quality measures

Resident outcomes and process scores

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 · Q1 100.0% · Q2 100.0% · Q3 100.0% · Q4 100.0% · 4Q avg 100.0%
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	5.1%	3.3% 1.8 pts worse	3.3% 1.8 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 8.2% · Q2 4.3% · Q3 5.0% · Q4 2.5% · 4Q avg 5.1% · 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	0.0%	3.3% 3.3 pts better	5.4% 5.4 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 received an antianxiety or hypnotic medication	15.3%	18.9% 3.6 pts better	19.6% 4.3 pts better	Long Stay · 2024Q4-2025Q3 · Q1 17.1% · Q2 16.2% · Q3 18.2% · Q4 9.1% · 4Q avg 15.3%
Percentage of long-stay residents who received an antipsychotic medication	8.8%	10.8% 2 pts better	16.7% 7.9 pts better	Long Stay · 2024Q4-2025Q3 · Q1 5.7% · Q2 15.2% · Q3 6.9% · Q4 7.1% · 4Q avg 8.8% · 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	0.0%	15.4% 15.4 pts better	16.3% 16.3 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 whose need for help with daily activities has increased	5.0%	16.1% 11.1 pts better	14.9% 9.9 pts better	Long Stay · 2024Q4-2025Q3 · Q1 2.6% · Q2 2.8% · Q3 6.2% · Q4 9.4% · 4Q avg 5.0% · 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	0.0%	0.8% 0.8 pts better	1.7% 1.7 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 new or worsened bowel or bladder incontinence	0.0%	15.0% 15 pts better	19.8% 19.8 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 with pressure ulcers	2.4%	4.2% 1.8 pts better	5.1% 2.7 pts better	Long Stay · 2024Q4-2025Q3 · Q1 3.4% · Q2 1.7% · Q3 2.0% · Q4 2.3% · 4Q avg 2.4% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine	100.0%	89.7% 10.3 pts better	81.7% 18.3 pts better	Short Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 100.0% · Q3 100.0% · Q4 100.0% · 4Q avg 100.0%
Percentage of short-stay residents who had an outpatient emergency department visit	10.9%	12.0% 1.1 pts better	12.0% 1.1 pts better	Short Stay · 20240701-20250630 · Adjusted 10.9% · Observed 10.8% · Expected 11.1% · Used in QM five-star
Percentage of short-stay residents who newly received an antipsychotic medication	0.6%	1.5% 0.9 pts better	1.6% 1 pts better	Short Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 2.0% · 4Q avg 0.6% · Used in QM five-star
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine	100.0%	88.0% 12 pts better	79.7% 20.3 pts better	Short Stay · 2024Q3-2025Q2 · 4Q avg 100.0%
Percentage of short-stay residents who were rehospitalized after a nursing home admission	28.7%	25.9% 2.8 pts worse	23.9% 4.8 pts worse	Short Stay · 20240701-20250630 · Adjusted 28.7% · Observed 26.2% · Expected 21.7% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-12-30 · Fire 2025-12-30

3 health deficiencies

Top issue: Infection Control (1 deficiency)

2 fire-safety deficiencies

Top issue: Services (1 deficiency)

Cycle 2 Health 2024-09-24 · Fire 2024-09-24

3 health deficiencies

Top issue: Quality of Life and Care (2 deficiencies)

0 fire-safety deficiencies

No concentrated fire-safety issue counts in this cycle.

Cycle 3 Health 2023-08-16 · Fire 2023-08-16

14 health deficiencies

Top issue: Freedom from Abuse and Neglect and Exploitation (3 deficiencies)

0 fire-safety deficiencies

No concentrated fire-safety issue counts in this cycle.

Fire safety

Fire-safety citations

E · Potential for more than minimal harm 2025-12-30

K321 · Smoke Deficiencies

Fire Safety

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

Not marked corrected

E · Potential for more than minimal harm 2025-12-30

K511 · Services Deficiencies

Fire Safety

Have properly installed electrical wiring and gas equipment.

Not marked corrected

Inspection history

Recent health citations

F · Potential for more than minimal harm 2025-12-30

F802 · Nutrition and Dietary Deficiencies

Health

Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.

Corrected 2026-01-20

E · Potential for more than minimal harm 2025-12-30

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2025-12-29

D · Potential for more than minimal harm 2025-12-30

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 2025-12-29

E · Potential for more than minimal harm 2024-09-24

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 2024-09-25

E · Potential for more than minimal harm 2024-09-24

F690 · Quality of Life and Care Deficiencies

Health

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

Corrected 2024-09-25

E · Potential for more than minimal harm 2024-09-24

F695 · Quality of Life and Care Deficiencies

Health

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

Corrected 2024-09-25

F · Potential for more than minimal harm 2023-08-16

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 2023-08-17