Nacogdoches, TX

Stallings Court Nursing And Rehabilitation

5-star overall rating with 4-star inspections with 2 recent health deficiencies

4616 Ne Stallings Dr, Nacogdoches, TX

(936) 569-5600

Compare this facility

Overall

5 / 5

CMS overall stars

Health inspections

4 / 5

Survey and complaint cycles

Staffing

2 / 5

RN + nurse staffing

Quality measures

5 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

120

Certified beds

Average residents

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

Hmg Healthcare

Operator or chain grouping

Approved since

2007-07-19

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Chain footprint

33 facilities

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

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

0.52

Registered nurse staffing · state 0.44 · national 0.68

LPN hours / resident day

0.87

Licensed practical nurse staffing · state 0.95 · national 0.87

Aide hours / resident day

2.02

Nurse aide staffing · state 2.01 · national 2.35

Total nurse hours

3.41

All reported nurse hours · state 3.40 · national 3.89

Licensed hours

1.39

RN + LPN hours · state 1.38 · national 1.54

Weekend hours

2.89

Weekend nurse staffing · state 2.99 · national 3.43

Weekend RN hours

0.43

Weekend registered nurse coverage · state 0.34 · national 0.47

Physical therapist

0.07

Reported PT staffing · state 0.07 · national 0.07

Adjusted RN hours

0.51

CMS adjusted RN staffing hours

Adjusted total hours

3.29

CMS adjusted total nurse staffing hours

Case-mix index

1.42

Higher values indicate more complex resident acuity

RN turnover

20%

Annual RN turnover · state 52% · national 45%

Total nurse turnover

45%

Annual nurse turnover · state 52% · national 46%

SNF VBP

Value-based purchasing

Program rank

2,897

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

Performance score

47.08

Composite VBP score used to determine payment impact.

Payment multiplier

1.0006

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

4.26

Baseline 21.14% · Performance 19.46% · Measure score 4.26 · Achievement 4.26 · Improvement 3.59

Healthcare-associated infections

9.02

Baseline 9.52% · Performance 5.14% · Measure score 9.02 · Achievement 9.02 · Improvement 9

Total nurse turnover

5.55

Baseline 53.45% · Performance 40.98% · Measure score 5.55 · Achievement 5.55 · Improvement 3.86

Adjusted total nurse staffing

Baseline 3.15 hours · Performance 2.91 hours · Measure score 0 · Achievement 0 · Improvement 0

SNF QRP

Medicare quality reporting measures

Measure	Facility	National	Note
Potentially preventable 30-day readmission	10.36%	10.72% 0.4 pts better	No Different than the National Rate · Eligible stays 122 · Observed rate 10.66% · Lower 95% interval 7.18%
Discharge to community	54.84%	50.57% 4.3 pts better	No Different than the National Rate · Eligible stays 92 · Observed rate 48.91% · Lower 95% interval 45.88%
Medicare spending per beneficiary	0.88	1.02 0.1 pts better
Drug regimen review with follow-up	98%	95.27% 2.7 pts better	Numerator 49 · Denominator 50
Falls with major injury	2%	0.77% 1.2 pts worse	Numerator 1 · Denominator 50
Discharge self-care score	65.79%	53.69% 12.1 pts better	Numerator 25 · Denominator 38
Discharge mobility score	52.63%	50.94% 1.7 pts better	Numerator 20 · Denominator 38
Pressure ulcers or injuries, new or worsened	2%	2.29% 0.3 pts better	Numerator 1 · Denominator 50 · Adjusted rate 2.18%
Healthcare-associated infections requiring hospitalization	5.14%	7.12% 2 pts better	No Different than the National Rate · Eligible stays 73 · Observed rate 0% · Lower 95% interval 2.71%
Staff COVID-19 vaccination coverage	49%	8.2% 40.8 pts better	Numerator 49 · Denominator 100
Staff flu vaccination coverage	60.23%	42% 18.2 pts better	Numerator 53 · Denominator 88
Discharge function score	55.26%	56.45% 1.2 pts worse	Numerator 21 · Denominator 38
Transfer of health information to provider	Not Available	95.95%	Numerator Not Available · Denominator 11 · Too few residents or stays to report publicly.
Transfer of health information to patient	100%	96.28% 3.7 pts better	Numerator 27 · Denominator 27
Resident COVID-19 vaccinations up to date	4.55%	25.2% 20.6 pts worse	Numerator 1 · Denominator 22

Quality measures

Resident outcomes and process scores

Measure	Facility	State	National	Note
Number of hospitalizations per 1000 long-stay resident days	1.3	2.1 0.8 pts better	1.9 0.6 pts better	Long Stay · 20240701-20250630 · Adjusted 1.3 · Observed 1.4 · Expected 2.0 · Used in QM five-star
Number of outpatient emergency department visits per 1000 long-stay resident days	2.9	2.1 0.8 pts worse	1.8 1.1 pts worse	Long Stay · 20240701-20250630 · Adjusted 2.9 · Observed 2.8 · Expected 1.6 · Used in QM five-star
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	2.2%	3.3% 1.1 pts better	3.3% 1.1 pts better	Long Stay · 2024Q4-2025Q3 · Q1 2.7% · Q2 2.8% · Q3 1.6% · Q4 1.6% · 4Q avg 2.2% · 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	4.0%	3.3% 0.7 pts worse	5.4% 1.4 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 3.5% · Q3 7.1% · Q4 5.3% · 4Q avg 4.0%
Percentage of long-stay residents who received an antianxiety or hypnotic medication	10.9%	18.9% 8 pts better	19.6% 8.7 pts better	Long Stay · 2024Q4-2025Q3 · Q1 11.9% · Q2 8.8% · Q3 14.3% · Q4 8.8% · 4Q avg 10.9%
Percentage of long-stay residents who received an antipsychotic medication	9.6%	10.8% 1.2 pts better	16.7% 7.1 pts better	Long Stay · 2024Q4-2025Q3 · Q1 10.4% · Q2 10.6% · Q3 8.7% · Q4 8.5% · 4Q avg 9.6% · 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	10.6%	15.4% 4.8 pts better	16.3% 5.7 pts better	Long Stay · 2024Q4-2025Q3 · 4Q avg 10.6% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased	8.9%	16.1% 7.2 pts better	14.9% 6 pts better	Long Stay · 2024Q4-2025Q3 · Q1 2.1% · Q2 19.6% · Q3 13.5% · Q4 0.0% · 4Q avg 8.9% · 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	11.9%	15.0% 3.1 pts better	19.8% 7.9 pts better	Long Stay · 2024Q4-2025Q3 · Q1 14.5% · Q2 8.5% · Q3 20.6% · Q4 4.4% · 4Q avg 11.9%
Percentage of long-stay residents with pressure ulcers	2.3%	4.2% 1.9 pts better	5.1% 2.8 pts better	Long Stay · 2024Q4-2025Q3 · Q1 2.3% · Q2 2.1% · Q3 2.5% · Q4 2.5% · 4Q avg 2.3% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine	98.3%	89.7% 8.6 pts better	81.7% 16.6 pts better	Short Stay · 2024Q4-2025Q3 · Q1 98.6% · Q2 98.4% · Q3 98.7% · Q4 97.7% · 4Q avg 98.3%
Percentage of short-stay residents who had an outpatient emergency department visit	19.2%	12.0% 7.2 pts worse	12.0% 7.2 pts worse	Short Stay · 20240701-20250630 · Adjusted 19.2% · Observed 19.6% · Expected 11.4% · Used in QM five-star
Percentage of short-stay residents who newly received an antipsychotic medication	0.9%	1.5% 0.6 pts better	1.6% 0.7 pts better	Short Stay · 2024Q4-2025Q3 · Q1 2.0% · Q2 2.3% · Q3 0.0% · Q4 0.0% · 4Q avg 0.9% · Used in QM five-star
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine	98.4%	88.0% 10.4 pts better	79.7% 18.7 pts better	Short Stay · 2024Q3-2025Q2 · 4Q avg 98.4%
Percentage of short-stay residents who were rehospitalized after a nursing home admission	22.4%	25.9% 3.5 pts better	23.9% 1.5 pts better	Short Stay · 20240701-20250630 · Adjusted 22.4% · Observed 21.7% · Expected 23.1% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2026-02-05 · Fire 2026-02-05

2 health deficiencies

Top issue: Nutrition and Dietary (1 deficiency)

0 fire-safety deficiencies

No concentrated fire-safety issue counts in this cycle.

Cycle 2 Health 2024-11-20 · Fire 2024-11-20

10 health deficiencies

Top issue: Quality of Life and Care (4 deficiencies)

1 fire-safety deficiencies

Top issue: Smoke (1 deficiency)

Cycle 3 Health 2023-10-12 · Fire 2023-10-12

15 health deficiencies

Top issue: Resident Assessment and Care Planning (5 deficiencies)

0 fire-safety deficiencies

No concentrated fire-safety issue counts in this cycle.

Fire safety

Fire-safety citations

D · Potential for more than minimal harm 2024-11-20

K324 · Smoke Deficiencies

Fire Safety

Provide properly protected cooking facilities.

Corrected 2024-12-12

Inspection history

Recent health citations

E · Potential for more than minimal harm 2026-02-05

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.

Not marked corrected

E · Potential for more than minimal harm 2026-02-05

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.

Not marked corrected

E · Potential for more than minimal harm 2024-11-20

F657 · Resident Assessment and Care Planning Deficiencies

Health

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Corrected 2024-12-12

E · Potential for more than minimal harm 2024-11-20

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 2024-12-12

E · Potential for more than minimal harm 2024-11-20

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 2024-12-12

E · Potential for more than minimal harm 2024-11-20

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 2024-12-12

E · Potential for more than minimal harm 2024-11-20

F868 · Administration Deficiencies

Health

Have the Quality Assessment and Assurance group have the required members and meet at least quarterly

Corrected 2024-12-12

E · Potential for more than minimal harm 2024-11-20

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2024-12-12

D · Potential for more than minimal harm 2024-11-20

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 2024-12-12

D · Potential for more than minimal harm 2024-11-20

F688 · Quality of Life and Care Deficiencies

Health

Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.

Corrected 2024-12-12

D · Potential for more than minimal harm 2024-11-20

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 2024-12-12

D · Potential for more than minimal harm 2024-09-11

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 2024-10-04

F · Potential for more than minimal harm 2023-10-12

F944 · Administration Deficiencies

Health

Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.

Corrected 2023-10-27

F · Potential for more than minimal harm 2023-10-12

F946 · Administration Deficiencies

Health

Provide training in compliance and ethics.

Corrected 2023-10-27

E · Potential for more than minimal harm 2023-10-12

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 2023-10-27

E · Potential for more than minimal harm 2023-10-12

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2023-10-27

D · Potential for more than minimal harm 2023-10-12

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 2023-10-27

D · Potential for more than minimal harm 2023-10-12

F644 · Resident Assessment and Care Planning Deficiencies

Health

Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

Corrected 2023-10-27

D · Potential for more than minimal harm 2023-10-12

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 2023-10-27

D · Potential for more than minimal harm 2023-10-12

F657 · Resident Assessment and Care Planning Deficiencies

Health

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Corrected 2023-10-27

D · Potential for more than minimal harm 2023-10-12

F756 · Pharmacy Service Deficiencies

Health

Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

Corrected 2023-10-27

D · Potential for more than minimal harm 2023-10-12

F813 · Nutrition and Dietary Deficiencies

Health

Have a policy regarding use and storage of foods brought to residents by family and other visitors.

Corrected 2023-10-27

D · Potential for more than minimal harm 2023-08-28

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 2023-08-30

D · Potential for more than minimal harm 2023-06-29

F644 · Resident Assessment and Care Planning Deficiencies

Health

Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

Corrected 2023-07-03

D · Potential for more than minimal harm 2023-04-25

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 2023-05-08

D · Potential for more than minimal harm 2023-04-25

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 2023-05-08

D · Potential for more than minimal harm 2023-04-25

F695 · Quality of Life and Care Deficiencies

Health

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

Corrected 2023-05-08

Penalties and ownership

What sits behind the stars

Ownership

Winnie-Stowell Hospital District

5% Or Greater Direct Ownership Interest · Organization

100% 75 facilities 2021-10-01

Balsamo, Krystal