3/5
CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
3/5
CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
Cornerstone Court is an assisted living and memory care community on North Ruby Road in the Fairwood neighborhood of Spokane. Led by RyLee Mason, the 40-bed home has a strong 95 percent occupancy rate, signaling solid local demand.
The facility specializes in caring for occupants with dementia and Alzheimer’s disease, plus those managing mental health issues and diabetes. All residents benefit from 24/7 licensed staff who provide attentive support with daily activities, including housekeeping, medication management, and meal preparation. Accepted are Medicaid, private pay, and long-term care insurance, offering families numerous ways for coverage. Situated in an average walkable area with a Walk Score of 51, Cornerstone Court sits near the Avalon Care Center at Northpointe, roughly 1.74 miles away for those needing more medical resources. Some errands can be done on foot, with most trips requiring a quick drive.
Strong compliance has been shown by state inspections. The latest inspection in October 2025 found no deficiencies and affirmed that medication-related issues marked in earlier visits had been corrected. Subsequently addressed was a July 2025 fire safety inspection that documented missing documentation for annual system testing.
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.
Staffing hours
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.
Hours per resident per day vs Texas averages
Total nursing care
This home is ranked 38th out of 233 homes in Texas for nurse hours. 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.
4h 35m
26% above state avg
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.
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.
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.
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.
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.
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.
1 of 6 metrics below state avg
Average number of days residents stay at this facility, based on CMS cost report data. Shorter stays often reflect post-acute or rehab care; longer stays reflect long-term care.
Cornerstone Retirement Community is legally operated by Methodist Retirement Communities.
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.
| 0 | 6 | This facility has 100% fewer total citations than a typical Texas nursing home (0 vs. TX avg 6).↓ 100% 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 |
Texas average 7.4
Last Health inspection on Nov 2024
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.
15 of 16 citations resulted from standard inspections; and 1 of 16 came from combined inspections (standard and complaint).
50% better than Texas averageTexas average: 2
100% better 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.
51% more staff per resident than Texas average
15% worse 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.
All 6 RN Staff are full-time employees. No contractors work on this role.
6
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.5 hoursAssists with medical care and medications.
All 11 LPN Staff are full-time employees. No contractors work on this role.
11
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.2 hoursHelps with daily care and mobility.
All 25 CNA Staff are full-time employees. No contractors work on this role.
25
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.1 hours
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Total hours from contractors
2,071 contractor hours this quarter
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
| Certified Nursing Assistant | 25 | 0 | 25 | 5,773 | 92 | 100% | 7.1 |
| Licensed Practical Nurse | 11 | 0 | 11 | 2,213 | 92 | 100% | 9.2 |
| Medication Aide/Technician | 7 | 0 | 7 | 1,265 | 91 | 99% | 7.7 |
| Registered Nurse | 6 | 0 | 6 | 1,243 | 84 | 91% | 9.5 |
| Clinical Nurse Specialist | 3 | 0 | 3 | 926 | 65 | 71% | 7.8 |
| Physical Therapy Aide | 0 | 3 | 3 | 526 | 77 | 84% | 4 |
| Nurse Practitioner | 1 | 0 | 1 | 480 | 60 | 65% | 8 |
| Mental Health Service Worker | 1 | 0 | 1 | 464 | 58 | 63% | 8 |
| Dietitian | 1 | 0 | 1 | 437 | 56 | 61% | 7.8 |
| Administrator | 1 | 0 | 1 | 336 | 42 | 46% | 8 |
| Speech Language Pathologist | 0 | 2 | 2 | 316 | 77 | 84% | 3.5 |
| Therapeutic Recreation Specialist | 0 | 1 | 1 | 276 | 39 | 42% | 7.1 |
| Qualified Social Worker | 0 | 2 | 2 | 247 | 68 | 74% | 3.6 |
| Occupational Therapy Aide | 0 | 4 | 4 | 219 | 72 | 78% | 3 |
| Respiratory Therapy Technician | 0 | 2 | 2 | 214 | 58 | 63% | 3.7 |
| Feeding Assistant | 0 | 2 | 2 | 206 | 42 | 46% | 3.9 |
| Physical Therapy Assistant | 0 | 1 | 1 | 28 | 23 | 25% | 1.2 |
| Occupational Therapy Assistant | 0 | 2 | 2 | 27 | 12 | 13% | 2.1 |
| Medical Director | 0 | 1 | 1 | 13 | 13 | 14% | 1 |
Includes penalties issued in 2024
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)
51% 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
Penalties are imposed by CMS for violations of federal nursing home regulations.
1 penalty in the past 3 years
Nov 6, 2024 · $40K
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Nov 6, 2024Last updated: Jan 2026
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.
16.8
95% worse than Texas averageTexas average: 8.6
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
26.6
66% worse 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
18.0%
12% worse than Texas averageTexas average: 16.2%
Percent of long-stay residents whose ability to move independently worsened
33.4%
106% worse than Texas averageTexas average: 16.2%
Percent of low risk long-stay residents who lose control of their bowels or bladder
28.4%
81% worse than Texas averageTexas average: 15.7%
Percent of long-stay residents experiencing one or more falls with major injury
3.8%
17% worse than Texas averageTexas average: 3.2%
Percent of long-stay high risk residents with pressure ulcers
5.7%
29% worse than Texas averageTexas average: 4.4%
Percent of long-stay residents with a urinary tract infection
1.9%
137% worse than Texas averageTexas average: 0.8%
Percent of long-stay residents who lose too much weight
23.2%
568% worse than Texas averageTexas average: 3.5%
Percent of long-stay residents who have depressive symptoms
1.2%
58% better than Texas averageTexas average: 2.9%
Percent of long-stay residents who received an antipsychotic medication
14.2%
80% worse than Texas averageTexas average: 7.9%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
100.0%
In line with Texas averageTexas average: 97.3%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
In line with Texas averageTexas average: 97.9%
Number of hospitalizations per 1,000 long-stay resident days.
1.64
23% better than Texas averageTexas average: 2.13
Number of outpatient emergency department visits per 1,000 long-stay resident days.
2.41
16% 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
93.8%
In line with Texas averageTexas average: 90.4%
Percent of short-stay residents who newly received an antipsychotic medication
1.5%
In line with Texas averageTexas average: 1.4%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
93.1%
6% better than Texas averageTexas average: 88.0%
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
33.3%
29% worse than Texas averageTexas average: 25.9%
Percentage of short-stay residents who had an outpatient emergency department visit.
7.1%
41% better than Texas averageTexas average: 12.0%
Percentage of SNF residents who experience falls with major injury during their stay.
2.7%
251% worse than Texas averageTexas average: 0.8%
Percentage of residents at or above expected ability to care for themselves at discharge.
52.7%
In line with Texas averageTexas average: 53.7%
Rate of successful return to home or community from a skilled nursing facility.
59.6%
18% better 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.
57% of new residents, usually for short-term rehab.
41% of new residents, often for short stays.
2% of new residents, often for long-term daily care.
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
34Residents meet regularly to discuss policies, care quality, and activities
State-approved Nurse Aide Training and Competency Evaluation Program on-site
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 Cornerstone Retirement Community from 2015–2023, based on CMS SNF Cost Reports.
Key figures below are for fiscal year ending in 12/2023.
Based on CMS SNF Cost Report for fiscal year ending in 12/2023.
Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
Money the home earns outside of resident care — such as investments, grants, rentals and other non-operating sources (CMS cost report, Worksheet G-3). It is tracked separately from net patient revenue: it is not part of that figure, and it is not included in net patient income.
Staff salaries plus wage-related costs — benefits such as payroll taxes, health insurance and retirement — from the home's own accounting records (CMS cost report, Worksheet A). Contract or agency labor is counted separately, under other operating costs.
Rank #81 / 219Payroll costs — State benchmarkedThis home is ranked 81st out of 219 homes in Texas. Shows total staff payroll — salaries plus wage-related benefits — benchmarked to the Texas average, among facilities reporting a recent fiscal year. Higher payroll relative to peers often signals better staffing and less reliance on contract labor.Facilities with the same value for a metric share the same rank. Rankings are based only on facilities in Texas that report data for that category. Facilities without available data are excluded from the ranking.
Payroll as a share of revenue: staff salaries and wage-related benefits divided by net patient revenue. A higher figure means more of each revenue dollar goes to staff pay.
Rank #13 / 200Payroll % of net patient revenue — State benchmarkedThis home is ranked 13th out of 200 homes in Texas. Shows payroll as a percentage of net patient revenue versus the Texas average, among facilities reporting a recent fiscal year. Below 25% may signal understaffing or heavy agency use — read with Staffing ratings.Facilities with the same value for a metric share the same rank. Rankings are based only on facilities in Texas that report data for that category. Facilities without available data are excluded from the ranking.
Everything it costs to run the home apart from payroll — food, utilities, supplies, maintenance, contract labor and administration. Calculated as total operating expense minus payroll (staff salaries and wage-related benefits).
The home's total operating expense for the year — all the costs of running it, salaries included (CMS cost report, Worksheet G-3).
Pets Allowed
Most residents typically stay for a few weeks or months before returning home or moving on.
Most new residents arrive under Medicare (57% of admissions), and a typical Medicare stay runs around 21 days.
Coverage residents most often arrive under.
Coverage residents most often leave under.
8.5 miles from city center
Estimated distance in miles from Texarkana's city center to Cornerstone Retirement Community's address, calculated via Google Maps.
Add your location
Cornerstone Retirement Community is located in TEXARKANA, Texas.
Here are the financial assistance programs available to residents in Texas.
Cornerstone Retirement Community is legally operated by Methodist Retirement Communities.
Cornerstone Retirement Community's occupancy is 89.9%.
Yes — see the floorplan options available at Cornerstone Retirement Community on this page.
Yes, Cornerstone Retirement Community allows residents to bring their pets.
Cornerstone Retirement Community is registered as a non-profit in TX.
Cornerstone Retirement Community has 66 beds.
Cornerstone Retirement Community has no reported citations since 2026 according to records from Texas Health and Human Services (HHSC).
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