Cycle 1
Health 2025-08-22 · Fire 2025-08-22
3 health deficiencies
Top issue: Nutrition and Dietary (1 deficiency)
1 fire-safety deficiencies
Top issue: Smoke (1 deficiency)
Pearland, TX
Tuscany Village
4-star overall rating with 4-star inspections with $14,069 in total fines with 3 recent health deficiencies with 1 fire-safety deficiencies in the latest cycle
2750 Miller Ranch Rd, Pearland, TX
(713) 770-5300
Overall
4 / 5
CMS overall stars
Health inspections
4 / 5
Survey and complaint cycles
Staffing
4 / 5
RN + nurse staffing
Quality measures
4 / 5
Resident outcomes and process measures
Quick facts
Facility snapshot
Beds
132
Certified beds
Average residents
103
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
No chain reported
Operator or chain grouping
Approved since
2008-10-04
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
0.98
Registered nurse staffing · state 0.44 · national 0.68
LPN hours / resident day
1.16
Licensed practical nurse staffing · state 0.95 · national 0.87
Aide hours / resident day
3.14
Nurse aide staffing · state 2.01 · national 2.35
Total nurse hours
5.27
All reported nurse hours · state 3.40 · national 3.89
Licensed hours
2.13
RN + LPN hours · state 1.38 · national 1.54
Weekend hours
4.78
Weekend nurse staffing · state 2.99 · national 3.43
Weekend RN hours
0.75
Weekend registered nurse coverage · state 0.34 · national 0.47
Physical therapist
0.08
Reported PT staffing · state 0.07 · national 0.07
Adjusted RN hours
0.88
CMS adjusted RN staffing hours
Adjusted total hours
4.77
CMS adjusted total nurse staffing hours
Case-mix index
1.51
Higher values indicate more complex resident acuity
RN turnover
46%
Annual RN turnover · state 52% · national 45%
Total nurse turnover
60%
Annual nurse turnover · state 52% · national 46%
SNF VBP
Value-based purchasing
Program rank
1,417
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
56.83
Composite VBP score used to determine payment impact.
Payment multiplier
1.0120
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
10
Baseline 18.94% · Performance 15.27% · Measure score 10 · Achievement 10 · Improvement 9
Healthcare-associated infections
8.30
Baseline 4.68% · Performance 5.35% · Measure score 8.30 · Achievement 8.30 · Improvement 0
Total nurse turnover
0
Baseline 61.68% · Performance 62.89% · Measure score 0 · Achievement 0 · Improvement 0
Adjusted total nurse staffing
4.43
Baseline 3.43 hours · Performance 4.34 hours · Measure score 4.43 · Achievement 4.43 · Improvement 3.37
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 9.2% |
10.72%
1.5 pts better
|
No Different than the National Rate · Eligible stays 363 · Observed rate 8.82% · Lower 95% interval 7.56% |
| Discharge to community | 64.65% |
50.57%
14.1 pts better
|
Better than the National Rate · Eligible stays 354 · Observed rate 54.8% · Lower 95% interval 60.05% |
| Medicare spending per beneficiary | 0.87 |
1.02
0.2 pts better
|
|
| Drug regimen review with follow-up | 98.42% |
95.27%
3.2 pts better
|
Numerator 249 · Denominator 253 |
| Falls with major injury | 0.79% |
0.77%
About the same
|
Numerator 2 · Denominator 253 |
| Discharge self-care score | 30% |
53.69%
23.7 pts worse
|
Numerator 57 · Denominator 190 |
| Discharge mobility score | 36.32% |
50.94%
14.6 pts worse
|
Numerator 69 · Denominator 190 |
| Pressure ulcers or injuries, new or worsened | 5.14% |
2.29%
2.8 pts worse
|
Numerator 13 · Denominator 253 · Adjusted rate 3.91% |
| Healthcare-associated infections requiring hospitalization | 5.35% |
7.12%
1.8 pts better
|
No Different than the National Rate · Eligible stays 215 · Observed rate 4.19% · Lower 95% interval 3.4% |
| Staff COVID-19 vaccination coverage | 0% |
8.2%
8.2 pts worse
|
Numerator 0 · Denominator 181 |
| Staff flu vaccination coverage | 28.95% |
42%
13.1 pts worse
|
Numerator 55 · Denominator 190 |
| Discharge function score | 46.84% |
56.45%
9.6 pts worse
|
Numerator 89 · Denominator 190 |
| Transfer of health information to provider | 91.53% |
95.95%
4.4 pts worse
|
Numerator 54 · Denominator 59 |
| Transfer of health information to patient | 100% |
96.28%
3.7 pts better
|
Numerator 157 · Denominator 157 |
| Resident COVID-19 vaccinations up to date | 31.67% |
25.2%
6.5 pts better
|
Numerator 38 · Denominator 120 |
Quality measures
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 2.7 |
2.1
0.6 pts worse
|
1.9
0.8 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 2.7 · Observed 4.2 · Expected 2.9 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 1.0 |
2.1
1.1 pts better
|
1.8
0.8 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.0 · Observed 1.2 · Expected 1.9 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 86.3% |
97.1%
10.8 pts worse
|
93.4%
7.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 84.9% · Q2 75.0% · Q3 90.0% · Q4 96.0% · 4Q avg 86.3% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 72.4% |
97.9%
25.5 pts worse
|
95.5%
23.1 pts worse
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 72.4% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 2.4% |
3.3%
0.9 pts better
|
3.3%
0.9 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 3.8% · Q2 3.8% · Q3 2.0% · Q4 0.0% · 4Q avg 2.4% · 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 | 10.5% |
3.3%
7.2 pts worse
|
5.4%
5.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 14.0% · Q2 11.9% · Q3 12.2% · Q4 4.4% · 4Q avg 10.5% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 9.7% |
18.9%
9.2 pts better
|
19.6%
9.9 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 8.9% · Q2 9.1% · Q3 9.5% · Q4 11.1% · 4Q avg 9.7% |
| Percentage of long-stay residents who received an antipsychotic medication | 11.3% |
10.8%
0.5 pts worse
|
16.7%
5.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 10.5% · Q2 8.1% · Q3 11.4% · Q4 15.0% · 4Q avg 11.3% · 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 | 16.7% |
15.4%
1.3 pts worse
|
16.3%
0.4 pts worse
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 16.7% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 11.3% |
16.1%
4.8 pts better
|
14.9%
3.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 14.6% · Q2 10.0% · Q3 15.4% · Q4 5.1% · 4Q avg 11.3% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.3% |
0.5%
0.2 pts better
|
1.0%
0.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 1.1% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.3% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 1.0% |
0.8%
0.2 pts worse
|
1.7%
0.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 2.0% · Q4 2.0% · 4Q avg 1.0% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 10.8% |
15.0%
4.2 pts better
|
19.8%
9 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 17.4% · Q2 8.6% · Q3 17.3% · Q4 0.0% · 4Q avg 10.8% |
| Percentage of long-stay residents with pressure ulcers | 9.5% |
4.2%
5.3 pts worse
|
5.1%
4.4 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 8.3% · Q2 13.0% · Q3 7.5% · Q4 9.2% · 4Q avg 9.5% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 49.0% |
89.7%
40.7 pts worse
|
81.7%
32.7 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 39.6% · Q2 42.4% · Q3 55.1% · Q4 57.8% · 4Q avg 49.0% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 12.6% |
12.0%
0.6 pts worse
|
12.0%
0.6 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 12.6% · Observed 12.4% · Expected 11.0% · Used in QM five-star |
| 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 · Q1 0.9% · Q2 0.3% · Q3 0.3% · Q4 0.0% · 4Q avg 0.4% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 46.6% |
88.0%
41.4 pts worse
|
79.7%
33.1 pts worse
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 46.6% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 20.7% |
25.9%
5.2 pts better
|
23.9%
3.2 pts better
|
Short Stay · 20240701-20250630 · Adjusted 20.7% · Observed 22.9% · Expected 26.3% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2024-07-25 · Fire 2024-07-25
2 health deficiencies
Top issue: Nutrition and Dietary (1 deficiency)
4 fire-safety deficiencies
Top issue: Smoke (3 deficiencies)
Cycle 3
Health 2023-06-02 · Fire 2023-06-02
2 health deficiencies
Top issue: Infection Control (1 deficiency)
2 fire-safety deficiencies
Top issue: Smoke (2 deficiencies)
Fire safety
Fire-safety citations
E · Potential for more than minimal harm
2025-08-22
K345 · Smoke Deficiencies
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2025-09-16
F · Potential for more than minimal harm
2024-07-25
K351 · Smoke Deficiencies
Fire Safety
Install an approved automatic sprinkler system.
Corrected 2024-08-21
F · Potential for more than minimal harm
2024-07-25
K352 · Smoke Deficiencies
Fire Safety
Properly install and monitor supervisory attachments on automatic sprinkler systems.
Corrected 2024-08-26
D · Potential for more than minimal harm
2024-07-25
K353 · Smoke Deficiencies
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2024-08-26
D · Potential for more than minimal harm
2024-07-25
K511 · Services Deficiencies
Fire Safety
Have properly installed electrical wiring and gas equipment.
Corrected 2024-07-25
F · Potential for more than minimal harm
2023-06-02
K345 · Smoke Deficiencies
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2023-06-21
E · Potential for more than minimal harm
2023-06-02
K372 · Smoke Deficiencies
Fire Safety
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected 2023-06-21
Inspection history
Recent health citations
E · Potential for more than minimal harm
2025-08-22
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 2025-09-19
E · Potential for more than minimal harm
2025-08-22
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 2025-09-19
D · Potential for more than minimal harm
2025-08-22
F842 · Resident Assessment and Care Planning Deficiencies
Health
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2025-09-19
J · Immediate jeopardy
2025-01-29
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 2025-01-30
E · Potential for more than minimal harm
2024-07-25
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 2024-08-15
F · Potential for more than minimal harm
2023-06-02
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2023-06-22
D · Potential for more than minimal harm
2023-06-02
F759 · Pharmacy Service Deficiencies
Health
Ensure medication error rates are not 5 percent or greater.
Corrected 2023-06-23
Penalties and ownership
What sits behind the stars
$14,069
2025-01-29
Fine
Fine · fine $14,069
Fine
Ownership
Memorial Medical Center
5% Or Greater Direct Ownership Interest · Organization
Barcelo, Cecil
Operational/Managerial Control · Individual
Thomas, Roshanda
Corporate Officer · Individual
Village Post Acute Health Services LLC
Operational/Managerial Control · Organization
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#3
Terra Bella Health and Wellness Suites
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