Spring, TX

The Village At Gleannloch Farms

5-star overall rating with 5-star inspections with 2 recent health deficiencies with 1 fire-safety deficiencies in the latest cycle

9505 North Pointe Blvd, Spring, TX

(281) 569-2999

Compare this facility

Overall

5 / 5

CMS overall stars

Health inspections

5 / 5

Survey and complaint cycles

Staffing

4 / 5

RN + nurse staffing

Quality measures

3 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

35

Certified beds

Average residents

28

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

Healthpeak Properties, Inc.

Operator or chain grouping

Approved since

2009-05-08

CMS approved date

Coverage

Medicare

Participation flags

Staffing

Hours and turnover

RN hours / resident day

1.77

Registered nurse staffing

LPN hours / resident day

0.44

Licensed practical nurse staffing

Aide hours / resident day

2.60

Nurse aide staffing

Weekend hours

3.82

Weekend nurse staffing

RN turnover

33%

Annual RN turnover

Total nurse turnover

48%

Annual nurse turnover

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
Percentage of long-stay residents experiencing one or more falls with major injury 13.6%
3.3%
10.3 pts worse
3.3%
10.3 pts worse
Long Stay · 2024Q4-2025Q3
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
Percentage of long-stay residents who lose too much weight 20.0%
3.3%
16.7 pts worse
5.4%
14.6 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who received an antianxiety or hypnotic medication 32.1%
18.9%
13.2 pts worse
19.6%
12.5 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who received an antipsychotic medication 28.6%
10.8%
17.8 pts worse
16.7%
11.9 pts worse
Long Stay · 2024Q4-2025Q3
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
Percentage of long-stay residents whose need for help with daily activities has increased 16.0%
16.1%
0.1 pts better
14.9%
1.1 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with a catheter inserted and left in their bladder 0.9%
0.5%
0.4 pts worse
1.0%
0.1 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with a urinary tract infection 4.9%
0.8%
4.1 pts worse
1.7%
3.2 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with new or worsened bowel or bladder incontinence 5.9%
15.0%
9.1 pts better
19.8%
13.9 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with pressure ulcers 3.8%
4.2%
0.4 pts better
5.1%
1.3 pts better
Long Stay · 2024Q4-2025Q3
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine 97.1%
89.7%
7.4 pts better
81.7%
15.4 pts better
Short Stay · 2024Q4-2025Q3
Percentage of short-stay residents who had an outpatient emergency department visit 12.1%
12.0%
0.1 pts worse
12.0%
0.1 pts worse
Short Stay · 20240701-20250630
Percentage of short-stay residents who newly received an antipsychotic medication 0.4%
1.5%
1.1 pts better
1.6%
1.2 pts better
Short Stay · 2024Q4-2025Q3
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine 94.0%
88.0%
6 pts better
79.7%
14.3 pts better
Short Stay · 2024Q3-2025Q2
Percentage of short-stay residents who were rehospitalized after a nursing home admission 27.5%
25.9%
1.6 pts worse
23.9%
3.6 pts worse
Short Stay · 20240701-20250630

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-09-10 · Fire 2025-09-10

2 health deficiencies

Top issue: Pharmacy Service (2 deficiencies)

1 fire-safety deficiencies

Top issue: Smoke (1 deficiency)

Cycle 2 Health 2024-08-21 · Fire 2024-08-21

5 health deficiencies

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

6 fire-safety deficiencies

Top issue: Smoke (4 deficiencies)

Cycle 3 Health 2023-06-30 · Fire 2023-06-30

1 health deficiencies

Top issue: Nutrition and Dietary (1 deficiency)

1 fire-safety deficiencies

Top issue: Smoke (1 deficiency)

Fire safety

Fire-safety citations

E · Potential for more than minimal harm 2025-09-10

K372 · Smoke Deficiencies

Fire Safety

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

Corrected 2025-09-30

F · Potential for more than minimal harm 2024-08-21

K293 · Egress Deficiencies

Fire Safety

Have properly located and lighted "Exit" signs.

Corrected 2024-08-30

F · Potential for more than minimal harm 2024-08-21

K324 · Smoke Deficiencies

Fire Safety

Provide properly protected cooking facilities.

Corrected 2024-08-30

F · Potential for more than minimal harm 2024-08-21

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2024-08-30

F · Potential for more than minimal harm 2024-08-21

K372 · Smoke Deficiencies

Fire Safety

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

Corrected 2024-08-30

D · Potential for more than minimal harm 2024-08-21

K363 · Smoke Deficiencies

Fire Safety

Install corridor and hallway doors that block smoke.

Corrected 2024-08-30

C · Minimal harm 2024-08-21

K511 · Services Deficiencies

Fire Safety

Have properly installed electrical wiring and gas equipment.

Corrected 2024-08-30

E · Potential for more than minimal harm 2023-06-30

K372 · Smoke Deficiencies

Fire Safety

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

Corrected 2023-06-30

Inspection history

Recent health citations

E · Potential for more than minimal harm 2025-09-10

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 2025-09-30

D · Potential for more than minimal harm 2025-09-10

F759 · Pharmacy Service Deficiencies

Health

Ensure medication error rates are not 5 percent or greater.

Corrected 2025-09-30

D · Potential for more than minimal harm 2024-08-21

F641 · Resident Assessment and Care Planning Deficiencies

Health

Ensure each resident receives an accurate assessment.

Corrected 2024-08-30

D · Potential for more than minimal harm 2024-08-21

F695 · Quality of Life and Care Deficiencies

Health

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

Corrected 2024-08-30

D · Potential for more than minimal harm 2024-08-21

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 2024-08-30

D · Potential for more than minimal harm 2024-08-21

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 2024-08-30

D · Potential for more than minimal harm 2024-08-21

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2024-08-30

D · Potential for more than minimal harm 2023-06-30

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 2023-07-06

Penalties and ownership

What sits behind the stars

Ownership

Ccrc Opco Ventures LLC

5% Or Greater Direct Ownership Interest · Organization

100% 5 facilities 2015-11-17
Arnold, Lisa

Operational/Managerial Control · Individual

0% 1 facilities 2023-02-13
Ccrc Propco - Gleannloch Farms, LLC

5% Or Greater Security Interest · Organization

0% 1 facilities 2015-11-17
Ccrc Propco Ventures, LLC

5% Or Greater Indirect Ownership Interest · Organization

0% 4 facilities 2020-02-01
Coble, Sheldon

Operational/Managerial Control · Individual

0% 1 facilities 2020-02-01
Hcp S-H 2014 Member LLC

5% Or Greater Indirect Ownership Interest · Organization

0% 8 facilities 2015-11-17
Healthpeak Op LLC

5% Or Greater Indirect Ownership Interest · Organization

0% 8 facilities 2023-02-10
Healthpeak Properties Inc

5% Or Greater Indirect Ownership Interest · Organization

0% 10 facilities 2020-02-01
Life Care Services LLC

Operational/Managerial Control · Organization

0% 61 facilities 2020-02-01
Nguyen, Charles

Operational/Managerial Control · Individual

0% 1 facilities 2025-03-01
S-H 2014 Opco Trs Inc

5% Or Greater Indirect Ownership Interest · Organization

0% 8 facilities 2020-02-01

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Fines
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#3

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Staffing
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Fines
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