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The Overall CMS Rating is scored from 1 to 5 stars and combines results from health inspections, staffing levels, and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
The Overall CMS Rating is scored from 1 to 5 stars and combines results from health inspections, staffing levels, and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Columbus Oaks Healthcare Community is Columbus’s leading provider of short-term rehabilitation and long-term care. It offers personalized attention, meaningful activities, and the dignity residents deserve. The facility focuses on recovery and comfort with individualized care plans.
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Based on the results of the facility's three most recent standard inspections and any complaint investigations. CMS reviews the number, scope, and severity of deficiencies, with more recent findings weighted more heavily.
Measures average nursing staff hours per resident per day, including Registered Nurses (RNs) and total nursing staff. Ratings are adjusted based on the level of care residents require and are compared to state and national benchmarks.
Based on clinical and physical health indicators reported to CMS, such as hospital readmissions, falls, pressure ulcers, and improvements in mobility. These measures reflect how well residents' health needs are being managed.
Daily nursing hours per resident by staff type, reported to CMS. Higher is generally better — compare this facility to state and national averages to see where staffing stands.
This home is ranked 105th out of 289 homes in Texas. Total adjusted nursing hours per resident per day, combining RN, LPN, and aide time. CMS adjusts this for case-mix so facilities can be fairly compared.
| Staff type | Hours / Day / Resident | vs state avg |
|---|---|---|
|
Registered Nurse (RN)
RNs hold the highest nursing license and can assess residents, interpret test results, and direct care plans. More RN hours per day often signals stronger clinical oversight and faster response to health changes.
| 45m per day | ▲ 73% State avg: 26m per day · National avg: 41m per day |
|
LPN / LVN
Licensed Practical Nurses (LPNs) or Licensed Vocational Nurses (LVNs) deliver routine hands-on care — medication administration, wound dressing, and monitoring vital signs. They work under RN supervision and make up a large share of daily bedside care.
| 44m per day | ▼ 23% State avg: 57m per day · National avg: 52m per day |
|
Nurse Aide
Certified Nurse Aides (CNAs) provide the most direct day-to-day assistance: bathing, dressing, feeding, and mobility. Nurse aide hours are typically the largest staffing category and directly affect residents' quality of life.
| 2h 3m per day | ■ Avg State avg: 2h 1m per day · National avg: 2h 20m per day |
|
Weekend Total Nursing
Combined nursing hours (RN + LPN + Nurse Aide) per resident per day on weekends. Staffing often drops on weekends — this figure reveals whether the facility maintains adequate coverage outside of weekday hours.
| 2h 37m per day | ▼ 13% State avg: 2h 59m per day · National avg: 3h 26m per day |
|
Physical Therapist
Hours per resident per day provided by licensed Physical Therapists (PTs) or PT Assistants. PT services help residents recover mobility after injury or illness and are especially important for post-acute (short-stay) rehabilitation.
| 4m per day | ■ Avg State avg: 4m per day · National avg: 4m per day |
|
Weekend RN
Registered nurse hours specifically on weekends. Facilities sometimes reduce RN presence on Saturdays and Sundays — a low weekend RN figure compared to weekday hours can indicate reduced clinical oversight when most administrative staff are absent.
| 27m per day | ▲ 35% State avg: 20m per day · National avg: 28m per day |
Lower than the Texas average: 63.5%Columbus Oaks Healthcare Community is legally operated by Pmg Opco - Columbus Llc.
In Texas, the Health and Human Services Commission (HHSC) is the primary regulatory body that conducts unannounced inspections and publishes quality reports for all long-term care homes.
This scorecard compares key inspection, citation, and complaint metrics at this facility against the Texas state average. Metrics rated ≥15% worse than average are highlighted in red; those ≥15% better are highlighted in green.
Citations
| This Facility | TX Average | vs. TX Avg |
|---|---|---|---|
|
Total citations
Formal regulatory issues recorded by inspectors across all inspection types.
| 4 | 6 | This facility has 33% fewer total citations than a typical Texas nursing home (4 vs. TX avg 6).↓ 33% better |
|
Health citations
Violations related to resident care, clinical practices, and day-to-day operations.
| 4 | 2 | This facility has 100% more health citations than a typical Texas nursing home (4 vs. TX avg 2).↑ 100% worse |
|
Life safety citations
Violations related to building safety — fire prevention, emergency egress, and similar.
| 4 | 6 | This facility has 33% fewer life safety citations than a typical Texas nursing home (4 vs. TX avg 6).↓ 33% better |
Inspections
| This Facility | TX Average | vs. TX Avg |
|---|---|---|---|
|
Inspections with citations
Inspections that resulted in at least one regulatory citation.
| 1 | 1 | This facility has inspections with citations in line with the Texas average (1 vs. TX avg 1).— At avg |
An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.
COLUMBUS OAKS HEALTHCARE COMMUNITY underwent a comprehensive inspection on July 25, 2023, resulting in 5 violations of state standards. The deficiencies cited were primarily related to Life Safety Code requirements, including fire safety and building maintenance issues. Specifically, the facility failed to comply with Chapter 19 of NFPA 101, ensure resident bedroom doors met licensing standards, provide exit signs with emergency power, maintain adequate lighting levels, and inspect, test, and maintain the required sprinkler system. These deficiencies were identified during a previous inspection on January 29, 2019, and corrected by February 18, 2019. No Health Code violations were listed in the inspection report. As of the most recent inspection, no enforcement actions had been taken against the facility.
Read the full inspection reports for this facility, including detailed findings and corrective actions.
Show Inspection ReportsTexas average 7.4
Last Health inspection on Apr 2025
Texas average 25.9
Texas average 3.67
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
8 of 21 citations resulted from standard inspections; 3 of 21 resulted from complaint investigations; and 10 of 21 came from combined inspections (standard and complaint).
100% better than Texas averageTexas average: 2
150% worse than Texas averageTexas average: 0.4
Corrected
Corrected
Corrected
Corrected
Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.
16% worse than Texas average
12% better than Texas average
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Manages medical care and health needs.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
10.8 hoursNo contractors work on this role.
Assists with medical care and medications.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.5 hoursNo contractors work on this role.
Helps with daily care and mobility.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.2 hoursNo contractors work on this role.
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Total hours from contractors
2,042 contractor hours this quarter
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
| Certified Nursing Assistant | 42 | 0 | 42 | 12,429 | 92 | 100% | 9.2 |
| Licensed Practical Nurse | 19 | 0 | 19 | 5,286 | 92 | 100% | 9.5 |
| Medication Aide/Technician | 9 | 0 | 9 | 2,168 | 92 | 100% | 9.6 |
| RN Director of Nursing | 2 | 1 | 3 | 660 | 69 | 75% | 8.4 |
| Physical Therapy Aide | 0 | 3 | 3 | 659 | 42 | 46% | 7.8 |
| Registered Nurse | 2 | 0 | 2 | 646 | 57 | 62% | 10.8 |
| Clinical Nurse Specialist | 1 | 1 | 2 | 583 | 68 | 74% | 8.2 |
| Speech Language Pathologist | 0 | 3 | 3 | 485 | 41 | 45% | 7.6 |
| Physical Therapy Assistant | 0 | 1 | 1 | 371 | 42 | 46% | 8.8 |
| Dietitian | 1 | 0 | 1 | 360 | 46 | 50% | 7.8 |
| Mental Health Service Worker | 1 | 0 | 1 | 344 | 43 | 47% | 8 |
| Nurse Practitioner | 2 | 0 | 2 | 300 | 36 | 39% | 8.3 |
| Respiratory Therapy Technician | 0 | 2 | 2 | 296 | 34 | 37% | 8.7 |
| Administrator | 1 | 0 | 1 | 224 | 28 | 30% | 8 |
| Qualified Social Worker | 0 | 4 | 4 | 113 | 27 | 29% | 3.8 |
| Other Dietary Services Staff | 1 | 0 | 1 | 109 | 13 | 14% | 8.4 |
| Occupational Therapy Aide | 0 | 1 | 1 | 16 | 2 | 2% | 8.2 |
Federal penalties imposed by CMS for regulatory violations, including civil money penalties (fines) and denials of payment for new Medicare/Medicaid admissions.
Source: CMS Penalties Database (Data as of Jan 2026)
88% lower than Texas averageTexas average: $80K
60% fewer fines than Texas averageTexas average: 2.5
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
0
100% fewer payment denials than Texas averageTexas average: 0.2
No penalties in the past 3 years
No civil money penalties or payment denials were reported in the last 3 years.
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
9.1
6% worse than Texas averageTexas average: 8.6
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
11.4
29% better than Texas averageTexas average: 16.0
CMS star rating based on long-stay quality measure performance. 5 stars = significantly above average, 1 star = significantly below average.
Percent of long-stay residents whose need for help with daily activities has increased
11.5%
29% better than Texas averageTexas average: 16.2%
Percent of long-stay residents whose ability to move independently worsened
13.9%
14% better than Texas averageTexas average: 16.2%
Percent of low risk long-stay residents who lose control of their bowels or bladder
8.7%
44% better than Texas averageTexas average: 15.7%
Percent of long-stay residents experiencing one or more falls with major injury
7.6%
135% worse than Texas averageTexas average: 3.2%
Percent of long-stay high risk residents with pressure ulcers
5.7%
28% worse than Texas averageTexas average: 4.4%
Percent of long-stay residents with a urinary tract infection
0.0%
100% better than Texas averageTexas average: 0.8%
Percent of long-stay residents who lose too much weight
6.8%
95% worse than Texas averageTexas average: 3.5%
Percent of long-stay residents who have depressive symptoms
0.4%
86% better than Texas averageTexas average: 2.9%
Percent of long-stay residents who received an antipsychotic medication
13.0%
64% worse than Texas averageTexas average: 7.9%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
99.6%
In line with Texas averageTexas average: 97.3%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
98.7%
In line with Texas averageTexas average: 97.9%
Number of hospitalizations per 1,000 long-stay resident days.
2.62
23% worse than Texas averageTexas average: 2.13
Number of outpatient emergency department visits per 1,000 long-stay resident days.
2.80
35% worse than Texas averageTexas average: 2.07
CMS star rating based on short-stay quality measure performance. 5 stars = much above average, 1 star = much below average.
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
98.7%
9% better than Texas averageTexas average: 90.4%
Percent of short-stay residents who newly received an antipsychotic medication
3.4%
134% worse than Texas averageTexas average: 1.4%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
87.5%
In line with Texas averageTexas average: 88.0%
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
21.2%
18% better than Texas averageTexas average: 25.9%
Percentage of short-stay residents who had an outpatient emergency department visit.
16.4%
37% worse than Texas averageTexas average: 12.0%
Percentage of SNF residents who experience falls with major injury during their stay.
0.0%
100% better than Texas averageTexas average: 0.8%
Percentage of residents at or above expected ability to care for themselves at discharge.
40.0%
25% worse than Texas averageTexas average: 53.7%
Rate of successful return to home or community from a skilled nursing facility.
43.4%
14% worse than Texas averageTexas average: 50.6%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
47% of new residents, usually for short-term rehab.
25% of new residents, often for short stays.
27% of new residents, often for long-term daily care.
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
78Residents meet regularly to discuss policies, care quality, and activities
Part of a Continuing Care Retirement Community offering multiple care levels
Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.
Data sourced from CMS Long-Term Care Facility Characteristics quarterly report. Payer mix reflects the current resident census by primary payment source.
Historical financial and operational data for Columbus Oaks Healthcare Community based on CMS SNF Cost Reports.
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Rank #182 / 297Payroll — State benchmarkedThis home is ranked 182nd out of 297 homes in Texas. Shows total annual staff payroll benchmarked to the Texas average. Higher payroll investment relative to peers often signals better staffing and less reliance on cheaper contract labor.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Most residents typically stay for a few weeks or months before returning home or moving on.
0.0 miles from city center
Estimated distance in miles from Columbus's city center to Columbus Oaks Healthcare Community's address, calculated via Google Maps.
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Columbus Oaks Healthcare Community is located in COLUMBUS, Texas.
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The information below is reported by the Texas Health and Human Services Commission.
| Park Manor of CyFair |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence. | Houston (White Oak Bend) | 120 | 75.2% | +19% | 3.27 | +82% | -10% | $0 | 7 | 2.3 | - | 114 | - | 55 | Hmg Park Manor Of Cyfair, L.l.c. | $10.9M | $5.1M | 46.5% | 675818 | ||||
| Parkwood Assisted Living |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
IL Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support.
MC Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk. | Bedford | 84 | 62.6% | -1% | 4.87 | -36% | +34% | $0 | 15 | 3.8 | - | 61 | - | 34 | Lcs Phc Operator Mm LLC | $10.8M | $6.1M | 56.4% | 675565 | ||||
| Saint Francis Nursing Home |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
IL Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support.
MC Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk. | San Antonio (Midtown) | 116 | 65.0% | +2% | 6.10 | -66% | +68% | $0 | 17 | 4.3 | - | 75 | - | 71 | Ginger Dixon | $10.2M | $4.9M | 48.5% | 45410 | ||||
| Columbus Oaks Healthcare Community |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence. | Columbus | 137 | 58.0% | -9% | 3.67 | -73% | +1% | $9.8k | 21 | 4.2 | 1 | 78 | - | 47 | Dhc Opco-Columbus, LLC | $7.9M | $4.5M | 57% | 675996 | ||||
| The Bartlett Skilled Nursing and Rehabilitation Facility |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence. | El Paso (Northwest El Paso) | 70 | 90.4% | +42% | 3.73 | -100% | +3% | $0 | 33 | 5.5 | 1 | 56 | A+ | 52 | Douglas G Pendergras Sr. Estate | $12.0M | $5.3M | 44.2% | 676457 |
The legal owner and operator of Columbus Oaks Healthcare Community is Pmg Opco - Columbus Llc.
Columbus Oaks Healthcare Community has a walk score of 47. Somewhat walkable. A few nearby services may be reachable on foot, but most trips require transportation.
Columbus Oaks Healthcare Community's occupancy is 58%.
Columbus Oaks Healthcare Community has 137 beds.
Columbus Oaks Healthcare Community has had 4 recently reported deficiencies.
Columbus Oaks Healthcare Community is located at 203 CHARTER ST.
(979) 732-2347 will put you in contact with the team at Columbus Oaks Healthcare Community.
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