1/5
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.
1/5
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.
The Concierge operates a 114-bed nursing and hospice facility at 2310 Eldridge Parkway South in the Westside of Houston, Harris County, Texas. The community is 19 miles from downtown Houston and sits in a moderately walkable neighborhood (Walk Score: 51). Owned by The Ireland Family Limited Partnership and managed by Freddie Green, the facility’s census is predominantly Medicaid (88.8% of residents), though new admissions run 41% Medicare, 57% private pay, and 1% Medicaid. The average stay is 59 days, reflecting a short-term post-acute care model within a Medicaid-dependent resident base.
The facility’s 1-star CMS overall rating, 66.8% below the state average, reflects critical performance gaps. Health inspection earns 1-star (30.8% below state), staffing is rated 1-star (58.3% below state), and quality measures score 3-star (at state average).
Staffing is structurally misaligned: registered nurses provide 39 minutes per resident daily (50% above state), but certified nursing aides deliver just 11 minutes per day, 91% below the state average of 2 hours 1 minute. Weekend total nursing care plummets to 1h 17m daily, 57% below state.
Inspection records since 2023 document escalating clinical failures. Two immediate jeopardy findings occurred: February 2024 identified improper tracheostomy care and medication administration errors (14% error rate, nearly triple the 5% threshold); November 2023 documented a 12-hour delay in physician notification for a deteriorating resident, resulting in hospitalization with pneumonia, acute kidney failure, and septic shock. December 2025 complaint investigation revealed discharge of a cognitively impaired resident to a homeless shelter and immediate jeopardy pressure ulcer management, with hospital transfer.
Complaint investigations also substantiated incontinent care delays exceeding 10 hours, a resident left alone in an elevator 7-20 minutes, shower failures, and foot care delays.
Federal penalties included $29K in fines and one payment denial.
Pressure ulcers in high-risk residents run 8.9%, 101% worse than state average.
Occupancy at 61.3% is notably low. The facility invests 70.3% of revenue in payroll (among the highest in Texas) and returned to profitability with $397.7K net income in 2023.
The Concierge is structured for short-term post-acute Medicaid care, though immediate jeopardy findings, medication errors, and delayed clinical responses present substantial risk for residents.
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.
| 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.
| 57m per day | ▲ 121% 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.
| 53m per day | ▼ 7% 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.
| 24m per day | ▼ 80% State avg: 2h 1m per day · National avg: 2h 21m 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.
| 1h 43m per day | ▼ 42% 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.
| 15m per day | ▲ 275% 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.
| 20m per day | ▼ 7% State avg: 21m per day · National avg: 29m per day |
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.
| 24 | 6 | This facility has 300% more total citations than a typical Texas nursing home (24 vs. TX avg 6).↑ 300% worse |
|
Citations per year
Average citations per year since 2023.
| 8 | 2 | This facility has 300% more citations per year than a typical Texas nursing home (8 vs. TX avg 2).↑ 300% worse |
An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.
Texas average 7.4
Last Health inspection on Mar 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.
15 of 22 citations resulted from standard inspections; and 7 of 22 resulted from complaint investigations.
100% worse 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.
22% fewer staff per resident than Texas average
10% 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 21 RN Staff are full-time employees. No contractors work on this role.
21
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8 hoursAssists with medical care and medications.
All 26 LPN Staff are full-time employees. No contractors work on this role.
26
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.6 hoursHelps with daily care and mobility.
All 18 CNA Staff are full-time employees. No contractors work on this role.
18
Average shift length. Calculated as total hours divided by days worked and average staff per day.
6.8 hours
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Total hours from contractors
611 contractor hours this quarter
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
| Licensed Practical Nurse | 26 | 0 | 26 | 6,321 | 92 | 100% | 8.6 |
| Registered Nurse | 21 | 0 | 21 | 5,700 | 92 | 100% | 8 |
| Certified Nursing Assistant | 18 | 0 | 18 | 3,318 | 92 | 100% | 6.8 |
| Respiratory Therapy Technician | 8 | 0 | 8 | 2,088 | 91 | 99% | 6.2 |
| Clinical Nurse Specialist | 4 | 0 | 4 | 1,951 | 67 | 73% | 8.1 |
| Physical Therapy Aide | 5 | 0 | 5 | 1,143 | 92 | 100% | 5 |
| RN Director of Nursing | 3 | 0 | 3 | 1,076 | 67 | 73% | 7.1 |
| Physical Therapy Assistant | 7 | 0 | 7 | 1,022 | 82 | 89% | 5.9 |
| Mental Health Service Worker | 3 | 0 | 3 | 940 | 64 | 70% | 6.6 |
| Dietitian | 3 | 0 | 3 | 557 | 64 | 70% | 7.8 |
| Administrator | 2 | 0 | 2 | 536 | 66 | 72% | 8 |
| Qualified Social Worker | 4 | 0 | 4 | 527 | 71 | 77% | 6.7 |
| Feeding Assistant | 0 | 1 | 1 | 390 | 52 | 57% | 7.5 |
| Nurse Practitioner | 2 | 0 | 2 | 344 | 43 | 47% | 8 |
| Medical Director | 0 | 1 | 1 | 221 | 26 | 28% | 8.5 |
| Speech Language Pathologist | 2 | 0 | 2 | 133 | 33 | 36% | 3.9 |
| Medication Aide/Technician | 2 | 0 | 2 | 29 | 3 | 3% | 7.3 |
| Qualified Activities Professional | 1 | 0 | 1 | 4 | 2 | 2% | 2 |
Includes penalties issued in 2023-2024
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)
64% lower than Texas averageTexas average: $80K
20% 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.
1
354% more payment denials than Texas averageTexas average: 0.2
Penalties are imposed by CMS for violations of federal nursing home regulations.
3 penalties in the past 3 years
Multiple penalties were reported in the last 3 years.
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Feb 20, 2024
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
Feb 20, 2024
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Nov 8, 2023Last 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.
6.6
24% better than Texas averageTexas average: 8.6
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
9.4
42% 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
4.8%
70% better than Texas averageTexas average: 16.2%
Percent of long-stay residents whose ability to move independently worsened
14.5%
10% 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
2.5%
23% better than Texas averageTexas average: 3.2%
Percent of long-stay high risk residents with pressure ulcers
8.9%
101% worse than Texas averageTexas average: 4.4%
Percent of long-stay residents with a urinary tract infection
0.7%
19% better than Texas averageTexas average: 0.8%
Percent of long-stay residents who lose too much weight
2.1%
38% better than Texas averageTexas average: 3.5%
Percent of long-stay residents who have depressive symptoms
0.0%
100% better than Texas averageTexas average: 2.9%
Percent of long-stay residents who received an antipsychotic medication
5.1%
35% better 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
90.9%
7% worse than Texas averageTexas average: 97.9%
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
99.8%
10% better than Texas averageTexas average: 90.4%
Percent of short-stay residents who newly received an antipsychotic medication
1.1%
25% better than Texas averageTexas average: 1.4%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
77.8%
12% worse than Texas averageTexas average: 88.0%
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
22.7%
12% better than Texas averageTexas average: 25.9%
Percentage of short-stay residents who had an outpatient emergency department visit.
9.0%
25% better 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.
45.3%
16% worse than Texas averageTexas average: 53.7%
Rate of successful return to home or community from a skilled nursing facility.
59.7%
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.
41% of new residents, usually for short-term rehab.
57% of new residents, often for short stays.
1% of new residents, often for long-term daily care.
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
98Residents meet regularly to discuss policies, care quality, and activities
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 The Concierge from 2011–2023, based on CMS SNF Cost Reports.
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 #109 / 304Payroll — State benchmarkedThis home is ranked 109th out of 304 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.Rankings are based only on facilities in Texas that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State 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 #17 / 304Payroll % — State benchmarkedThis home is ranked 17th out of 304 homes in Texas. Shows payroll as a percentage of revenue versus the Texas average. Well-run Texas facilities typically land around 51–63% — the top third Statewide. Below 25% may signal understaffing or heavy agency use — read with Staffing ratings.Rankings are based only on facilities in Texas that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State 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).
This home supports both short-term rehab and long-term care, with residents staying for a wide range of durations.
Most new residents arrive under private pay (57% of admissions), and a typical private pay stay runs around 2 - 3 months.
Coverage residents most often arrive under.
Coverage residents most often leave under.
2310 Eldridge Pkwy S, Houston, TX 77077
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The information below is reported by the Texas Health and Human Services Commission.
| Caraday of Houston | NH MC RC | Houston (Northside / Northline) | 150
Facility
150
TX AVG
80
Rank
#63 / 988 | - | - | 3.76
Facility
3.76
TX AVG
3.63
Rank
#93 / 296 | -32% | +4% | $0
Facility
$0
TX AVG
$81.8k
Rank
#1 / 301 | 15
Facility
15
TX AVG
25.9
Rank
#66 / 299 | 3.8
Facility
3.8
TX AVG
3.7
Rank
#202 / 299 | - | 12 | - |
41
Facility
41
TX AVG
41
Rank
#709 / 1391 | E&R Cunningham Investments, LP | $2.7M
Facility
$2.7M
TX AVG
$8.4M
Rank
#299 / 304 | $1.8M
Facility
$1.8M
TX AVG
$3.5M
Rank
#297 / 304 | 66.5%
Facility
66.5%
TX AVG
47%
Rank
#103 / 304 | 676470 | ||||
| Houston Transitional Care | NH HC MC NC PC RC | Houston (Braeburn) | 70
Facility
70
TX AVG
80
Rank
#517 / 988 |
90.3%
Facility
90.3%
TX AVG
63.5%
Rank
#18 / 304 | +42% | 3.17
Facility
3.17
TX AVG
3.63
Rank
#222 / 296 | +22% | -13% | $0
Facility
$0
TX AVG
$81.8k
Rank
#1 / 301 | 16
Facility
16
TX AVG
25.9
Rank
#76 / 299 | 5.3
Facility
5.3
TX AVG
3.7
Rank
#274 / 299 | - | 67 | - |
75
Facility
75
TX AVG
41
Rank
#67 / 1391 | Ahmad El-Saadi | $12.3M
Facility
$12.3M
TX AVG
$8.4M
Rank
#31 / 304 | $5.1M
Facility
$5.1M
TX AVG
$3.5M
Rank
#134 / 304 | 41.4%
Facility
41.4%
TX AVG
47%
Rank
#301 / 304 | 676435 | ||||
| Magnolia Crossing Nursing and Rehabilitation Center | NH NC | Houston | 128
Facility
128
TX AVG
80
Rank
#152 / 988 |
73.1%
Facility
73.1%
TX AVG
63.5%
Rank
#110 / 304 | +15% | 3.31
Facility
3.31
TX AVG
3.63
Rank
#191 / 296 | -31% | -9% | $0
Facility
$0
TX AVG
$81.8k
Rank
#1 / 301 | 17
Facility
17
TX AVG
25.9
Rank
#91 / 299 | 2.4
Facility
2.4
TX AVG
3.7
Rank
#57 / 299 | - | 108 | - |
39
Facility
39
TX AVG
41
Rank
#754 / 1391 | Magnolia Crossing Nh LLC | $8.7M
Facility
$8.7M
TX AVG
$8.4M
Rank
#183 / 304 | $6.3M
Facility
$6.3M
TX AVG
$3.5M
Rank
#83 / 304 | 72.2%
Facility
72.2%
TX AVG
47%
Rank
#29 / 304 | 676333 | ||||
| The Heights of North Houston | NH MC RC | Houston (Hollow Tree Lane) | 131
Facility
131
TX AVG
80
Rank
#133 / 988 |
71.1%
Facility
71.1%
TX AVG
63.5%
Rank
#125 / 304 | +12% | 3.32
Facility
3.32
TX AVG
3.63
Rank
#191 / 296 | +22% | -9% | $31.5k
Facility
$31.5k
TX AVG
$81.8k
Rank
#180 / 301 | 29
Facility
29
TX AVG
25.9
Rank
#214 / 299 | 4.8
Facility
4.8
TX AVG
3.7
Rank
#258 / 299 | 3 | 98 | - |
53
Facility
53
TX AVG
41
Rank
#433 / 1391 | Touchstone Strategies-Nw Houston LLC | $8.7M
Facility
$8.7M
TX AVG
$8.4M
Rank
#155 / 304 | $3.7M
Facility
$3.7M
TX AVG
$3.5M
Rank
#139 / 304 | 42.5%
Facility
42.5%
TX AVG
47%
Rank
#120 / 304 | 676356 | ||||
| The Concierge | NH HC | Houston (Westside) | 148
Facility
148
TX AVG
80
Rank
#69 / 988 |
61.3%
Facility
61.3%
TX AVG
63.5%
Rank
#190 / 304 | -3% | - | +143% | - | $216.8k
Facility
$216.8k
TX AVG
$81.8k
Rank
#284 / 301 | 22
Facility
22
TX AVG
25.9
Rank
#163 / 299 | 3.1
Facility
3.1
TX AVG
3.7
Rank
#133 / 299 | 4 | 91 | - |
51
Facility
51
TX AVG
41
Rank
#483 / 1391 | The Ireland Family Limited Partnership | $8.2M
Facility
$8.2M
TX AVG
$8.4M
Rank
#231 / 304 | $5.7M
Facility
$5.7M
TX AVG
$3.5M
Rank
#109 / 304 | 69.8%
Facility
69.8%
TX AVG
47%
Rank
#17 / 304 | 676066 |
The Concierge is located in Houston, Texas.
Here are the financial assistance programs available to residents in Texas.
The Concierge is in the Westside neighborhood of Houston.
The Concierge has a walk score of 51. Moderately walkable. Some errands can be accomplished on foot, with a mix of nearby amenities.
The Concierge's occupancy is 61.3%.
The Concierge is registered as a for-profit in TX.
Yes — there are 5 photos of The Concierge in the photo gallery on this page.
The Concierge is located at 2310 Eldridge Pkwy S, Houston, TX 77077.
(281) 558-3900 will put you in contact with the team at The Concierge.
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