Crystal Creek at Preston Hollow: Data Analysis and Ratings
CMS Five Star Rating(3 out of 5):
11409 N CENTRAL EXPWY DALLAS, TX 75243
214-363-5100
Data date: April 01, 2023
The Most Important Data about Crystal Creek at Preston Hollow
We've looked at a lot of nursing homes, this is what we think you need to see first and if you don't want to spend a lot of time. (It's the tl;dr section.)
There is no indication of abuse occuring at Crystal Creek at Preston Hollow. (CMS flags facilities where abuse has either happened or is very likely.)
CMS 5-Star Overall Rating:
(3 out of 5):
(The national average overall star rating is 3 stars.)
Current Trend: Improving
Total Nursing Hours Spent Per Resident Per Day: 6.01
(The national average is 3.74 )
According to our analysis, Crystal Creek at Preston Hollow is ranked #68 out of 158 skilled nursing homes within a 25 mile radius. See detailed information from recent inspection reports, nursing hours analysis, surverys, and information on owners and operators. Click here to view the ranked list of nursing homes near Crystal Creek at Preston Hollow.
What is this page all about?
Below is everything shred of information that we can find about Crystal Creek at Preston Hollow, along with our best effort to make sense of the data. Our purpose here is to help you to make good decisions when picking a nursing home and to keep you informed once you have chosen a home. We know from personal experience that choosing a nursing home is not something you do once and then you forget about it. In fact, it gets worse. Once you select a nursing home and get through the initial steps of figuring out how to pay for it, then the real worries start. Are they taking good care of me or my loved one? This is the question that will keep you up at night: Can I really trust these people? We wish we could answer this question, we can't. What he can do is churn through the tons of data and try and help you to make sense of it. We hope it helps.
General Data Card
These are the basic data points for the facility.
Data date: April 01, 2023
Address: 11409 N CENTRAL EXPWY
DALLAS, TX 75243
Phone: 214-363-5100
Ranking: Crystal Creek at Preston Hollow is ranked #31 out of 64 facilities within a 10 mile radius and #68 out of 158 facilities within a 25 mile radius.
Medicare Provider Number: 675893
Participating in Medicare Since: November 28, 2001
No. of Certified Beds: 122
No. of Residents: 17
Occupancy: 13.93 % (as of 05/21/2023 )
Amount fined in recent period: $28,827.17
Complaints filed: 1
Ratings History for Crystal Creek at Preston Hollow
Review of Crystal Creek at Preston Hollow Ratings and Inspection Scores
CMS regularly inspects every skilled nursing facility. (The timing is supposed to be annually, but since the beginning of the Covid pandemic, these inspections have not occured as frequently.) The results of the multi-day inspection is reduced to a series of scores which are then translated into the star ratings. The health inspection scores are an absolute value, so you can compare one facility's score directly to another. The Overall Star rating is based on the facility's performance as compared to other facilities in the same state, so you cannot easily compare one facility's Overall star rating to a facility in another state.
Ratings
| Overall Rating | 3: |
| Health Inspection Rating | 3: |
| Quality Rating | 4: |
| Staffing Rating | 3: |
Inspection Scores
| Cycle 1 Score (as of April 13, 2022) | 28 |
| Cycle 2 Score (as of June 13, 2019) | 40 |
| Cycle 3 Score (as of July 12, 2018) | 52 |
| Weighted All Cycles Score | 36 |
It has been 11 months since the most recent inspection.
What Goes Into the Nursing Home's 5-Star Rating
CMS has put a lot of effort into creating its very elaborate 5-Star Quality Rating System specifically to provide a quick way for residents and family members to easily understand how well a nursing home is performing and to make comparing nursing homes easier. The rating system allows people to easily compare facilities across numerous dimensions with the express purpose of identifying the best and best performing nursing homes. The rating system was initially developed in 2008 and the methodologies are regularly reviewed and updated.
The rating system has five separate ratings including:
- Overall rating
- Health Inspection rating
- Staff rating
- RN Staffing rating
- Quality Measures rating
Nursing homes are rated from 1-star to 5-stars with 1-star being the best rating and 5-star being the best rating. For the Health Inspection Rating the nursing homes in each state are ranked based on their weighted three year inspection score. The top 10 percent of nursing homes (those with the lowest scores) are awarded a 5-star rating; the bottom 20 percent (those with the highest scores) are awarded a 1-star rating. In between 1-star and 5-star, the remaining homes are divided equally into three tranches which correspond with the stars 2 to 4. The staff ratings and quality measure ratings follow a similar process but the divisions are based on a national ranking. The division between star ratings is called the “cut-rate”. Cut-rates are redefined periodically and are published by CMS. See the latest cut rates on this table.
Calculating the Overall Star Rating is done differently. According to CMS, the reason for adopting a different system is to give the Health Inspection Rating higher weight in the Overall Rating. So, since there are FIVE ratings and FIVE stars for each rating, there must also be a FIVE step process to calculate the Overall Rating (so symetrical!) :
- Begin with the Health Inspection Rating
- Add one star to the Health Inspection Rating if the Staffing Rating is at least four-stars and is higher than the Health Inspection Rating. (We will call this the "Adjusted Rating".)
- Subtract one star from the Health Inspection Rating if the Staffing Rating is one-star.
- Add a star to the Adjusted Rating if the Quality Measure Rating is 5-stars.
- Subtract one star from the Adjusted Rating if the Quality Measure Rating is 1-star.
Throughout the calculation of the Overall Rating, the rating cannot exceed 5-stars. The Overall Rating is capped at 2-stars if the Health Inspection rating is 1-star. No Overall Rating is awarded if the nursing home does not have a Health Inspection Rating (This effectively means that a nursing home is not rated until the home has been operating for more than two years.)
Changes in a nursing homes star rating can be due to the results of a new health inspection report, the processing of new complaints, the aging of older complaints, a new inspection control survey, a revisit, or the resolution of disputes that change the scope and or severity of deficiencies.
Most Recent Nursing Home Inspections
CMS is required to inspect each senior nursing facility at least annually. These inspections take several days. Additional follow-up inspections as conducted as needed or for certain purposes. Inspections stopped for more than seven months in 2020 due to the Covid pandemic. That stoppage has caused all inspections to be delayed as the inspectors continue to deal with a backlog. The table below shows the latest inspections for Crystal Creek at Preston Hollow including health, fire, and inspection control inspections:
| Inspection Type | Inspection Date |
|---|---|
| Fire Safety Standard | April 12, 2022 |
| Fire Safety Standard | June 12, 2019 |
| Fire Safety Standard | July 12, 2018 |
| Health Complaint | November 30, 2021 |
| Health Complaint | June 09, 2021 |
| Health Complaint | December 16, 2020 |
| Health Complaint | November 10, 2020 |
| Health Standard | April 13, 2022 |
| Health Standard | June 13, 2019 |
| Health Standard | July 12, 2018 |
| Infection Control | September 22, 2022 |
| Infection Control | August 02, 2022 |
| Infection Control | June 28, 2022 |
| Infection Control | February 09, 2022 |
| Infection Control | June 09, 2021 |
| Infection Control | January 07, 2021 |
| Infection Control | December 16, 2020 |
| Infection Control | December 08, 2020 |
| Infection Control | November 10, 2020 |
| Infection Control | July 17, 2020 |
| Infection Control | June 19, 2020 |
| Infection Control | April 15, 2020 |
Owner and Operator Information for Crystal Creek at Preston Hollow
Our database of owners and operators shows all direct owners of the nursing nurse, any managers and directors, and the most adjacent indirect owners of the facility (that is, if the direct owner is company, then the owners of that company.) Lists of nursing home owners are available and you can search for nursing home owners and operators on our site.
Business Entity Name:
CHG SENIOR LIVING PRESTON HOLLOW LLC
Owners:
- 1397225 ONTARIO LIMITED (INDIRECT)
- CALIFORNIA PUBLIC EMPLOYEES' RETIREMENT SYSTEM (INDIRECT)
- CHG SENIOR LIVING LLC (INDIRECT)
- CHG SL PRESTON HOLLOW HOLDINGS LLC (DIRECT- 100%)
- CORNERSTONE HEALTHCARE GROUP HOLDING INC (INDIRECT)
- JAMES DONDERO (INDIRECT)
- HIGHLAND CAPITAL MANAGEMENT LP (INDIRECT)
- HIGHLAND CRUSADER OFFSHORE PARTNERS LP (INDIRECT)
- HIGHLAND RESTORATION CAPITAL PARTNERS LP (INDIRECT)
- HIGHLAND RESTORATION CAPITAL PARTNERS MASTER LP (INDIRECT)
- HIGHLAND RESTORATION CAPITAL PARTNERS OFFSHORE LP (INDIRECT)
Managers and Directors:
- GREGORY BOEMER (OFFICER)
- CHG SENIOR LIVING MANAGEMENT LLC (OPERATIONAL/MANAGERIAL CONTROL)
- SALIL GOKHALE (DIRECTOR)
- STEVEN JAKUBCANIN (OFFICER)
- DAVID MCDONOUGH (OFFICER)
- DAVID MCDONOUGH (MANAGING EMPLOYEE)
- KURT SCHULTZ (OFFICER)
Analysis of Nursing Hours Spent Per Patient
CMS provides detailed information about how long nursing staff spends with residents. This data includes nursing subcategories of Registered Nurse, Licensed Practical Nurse, and non-nursing Certified Nursing Assistants. More hours spend per patient should can indicate a better facility or it could indicate more complicated situations.
The nursing staff of Crystal Creek at Preston Hollow spends MORE time on average with its residents than the state average for total nursing homes spent per resident and MORE time than the national average for total nursing homes spent per resident.
| Type | Facility | State / National Avg |
|---|---|---|
| Registered Nurse (RN) | ||
| Hours | 0.81 | 0.36 / 0.65 |
| Case Mix | 0.49 | 0.42 / 0.39 |
| Adjusted | 0.64 | NA / NA |
| Licensed Practical Nurse (LPN) | ||
| Hours | 2.39 | 1.02 / 0.88 |
| Case Mix | 0.89 | NA / NA |
| Adjusted | 1.98 | NA / NA |
| Certified Nursing Assistants (CNA) | ||
| Hours | 2.81 | 1.93 / 2.21 |
| Case Mix | 2.05 | NA / NA |
| Adjusted | 2.79 | NA / NA |
| Total Licensed Staff | ||
| Hours | 3.20 | 1.38 / 1.53 |
| Physical Therapist (PT) | ||
| Hours | 0.25 | 0.06 / 0.07 |
| Total Nursing Homes Spent per Resident on Average | ||
| Hours | 6.01 | 3.30 / 3.74 |
| Case Mix | 3.43 | 3.22 / 3.16 |
| Adjusted | 5.54 | NA / NA |
Quality Measures
Quality measures are based both on patient survey information and on the results of actual claims that are filed with CMS. It is not clear what period is covered in the measures.
| Desc. | Perc. | State Avg. / Comparison | |
|---|---|---|---|
| Percentage of short-stay residents who were rehospitalized after a nursing home admission (qm521) | 22.5% |
24.5% Better |
|
| Percentage of short-stay residents who had an outpatient emergency department visit (qm522) | 8.7% |
12.2% Better |
|
| Number of hospitalizations per 1000 long-stay resident days (qm551) | Not Available | ||
| Number of outpatient emergency department visits per 1000 long-stay resident days (qm552) | Not Available | ||
| Percentage of long-stay residents whose need for help with daily activities has increased (qm401) | Not Available | ||
| Percentage of long-stay residents who lose too much weight (qm404) | Not Available | ||
| Percentage of low risk long-stay residents who lose control of their bowels or bladder (qm405) | Not Available | ||
| Percentage of long-stay residents with a catheter inserted and left in their bladder (qm406) | Not Available | ||
| Percentage of long-stay residents with a urinary tract infection (qm407) | Not Available | ||
| Percentage of long-stay residents who have depressive symptoms (qm408) | Not Available | ||
| Percentage of long-stay residents who were physically restrained (qm409) | Not Available | ||
| Percentage of long-stay residents experiencing one or more falls with major injury (qm410) | Not Available | ||
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine (qm415) | Not Available | ||
| Percentage of long-stay residents who received an antipsychotic medication (qm419) | Not Available | ||
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine (qm430) | 26.4% |
83.9% Worse |
|
| Percentage of short-stay residents who newly received an antipsychotic medication (qm434) | 1.1% |
1.8% Better |
|
| Percentage of long-stay residents whose ability to move independently worsened (qm451) | Not Available | ||
| Percentage of long-stay residents who received an antianxiety or hypnotic medication (qm452) | Not Available | ||
| Percentage of high risk long-stay residents with pressure ulcers (qm453) | Not Available | ||
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine (qm454) | 66.7% |
96.1% Worse |
|
| Percentage of short-stay residents who made improvements in function (qm471) | 27.1% |
66.6% Worse |
|
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine (qm472) | 48.7% |
77.8% Worse |
|
Crystal Creek at Preston Hollow Violations, Complaints and Fines
These are complaints and fines that are reported by CMS. Some of the data is not very recent, but we have decided to include it here so that you have as much information as possible.
Amount fined in recent period: $28,827.17, Complaints filed: 1
| Deficiency | Deficiency Date / Date Corrected |
|---|---|
| Allow residents to self-administer drugs if determined clinically appropriate. (Health) | 07-12-2018 / 07-13-2018 |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. (Health) | 07-12-2018 / 07-13-2018 |
| Make sure that a working call system is available in each resident's bathroom and bathing area. (Health) | 07-12-2018 / 07-13-2018 |
| Install an approved automatic sprinkler system. (Fire Safety) | 07-12-2018 / 07-31-2018 |
| Have simulated fire drills held at unexpected times. (Fire Safety) | 07-12-2018 / 07-13-2018 |
| Conduct risk assessment and an All-Hazards approach. (Fire Safety) | 06-12-2019 / 06-27-2019 |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. (Fire Safety) | 06-12-2019 / 06-27-2019 |
| Install emergency lighting that can last at least 1 1/2 hours. (Fire Safety) | 06-12-2019 / 06-27-2019 |
| Have an enclosure around a vertical opening shaft. (Fire Safety) | 06-12-2019 / 06-27-2019 |
| Provide properly protected cooking facilities. (Fire Safety) | 06-12-2019 / 06-27-2019 |
| Have approved installation, maintenance and testing program for fire alarm systems. (Fire Safety) | 06-12-2019 / 06-27-2019 |
| Install an approved automatic sprinkler system. (Fire Safety) | 06-12-2019 / 06-27-2019 |
| Properly select, install, inspect, or maintain portable fire extinguishes. (Fire Safety) | 06-12-2019 / 06-27-2019 |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. (Fire Safety) | 06-12-2019 / 06-27-2019 |
| Have simulated fire drills held at unexpected times. (Fire Safety) | 06-12-2019 / 06-27-2019 |
| Have generator or other power source capable of supplying service within 10 seconds. (Fire Safety) | 06-12-2019 / 06-27-2019 |
| Ensure precautions for handling oxygen cylinders and equipment are correctly followed. (Fire Safety) | 06-12-2019 / 06-27-2019 |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. (Health) | 06-13-2019 / 07-05-2019 |
| Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. (Health) | 06-13-2019 / 07-05-2019 |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. (Health) | 06-13-2019 / 07-05-2019 |
| Have the Quality Assessment and Assurance group have the required members and meet at least quarterly (Health) | 06-13-2019 / 07-05-2019 |
| Provide and implement an infection prevention and control program. (Health) | 06-13-2019 / 07-05-2019 |
| Provide and implement an infection prevention and control program. (Health) | 11-10-2020 / 12-08-2020 |
| Provide and implement an infection prevention and control program. (Health) | 12-16-2020 / 01-18-2021 |
| Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. (Health) | 06-09-2021 / 07-15-2021 |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. (Health) | 11-30-2021 / 12-06-2021 |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. (Health) | 11-30-2021 / 12-06-2021 |
| Install corridor and hallway doors that block smoke. (Fire Safety) | 04-12-2022 / 06-01-2022 |
| Have generator or other power source capable of supplying service within 10 seconds. (Fire Safety) | 04-12-2022 / 06-01-2022 |
| Provide doctor's orders for the resident's immediate care at the time the resident was admitted. (Health) | 04-13-2022 / 05-20-2022 |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. (Health) | 04-13-2022 / 05-20-2022 |
| Provide care and assistance to perform activities of daily living for any resident who is unable. (Health) | 04-13-2022 / 05-20-2022 |
| Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. (Health) | 04-13-2022 / 05-20-2022 |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. (Health) | 04-13-2022 / 05-20-2022 |
| Provide and implement an infection prevention and control program. (Health) | 04-13-2022 / 05-20-2022 |
Hospitals Near Crystal Creek at Preston Hollow
Quite often skilled nursing facilities and hospitals work closely together to help patients recover or manage a terminal illness. Hospitals deals with acute care while nursing homes treat patients for a longer period of time. New residents at skilled nursing homes typically come from a hospital and nursing home residents may be readmitted to a hospital if their recovery does not proceed well. (Hospital readmission rates are closely monitored by CMS.) Consequently it is important that you consider which hospitals are near a nursing home which choosing one. Below is a list of hospitals near Crystal Creek at Preston Hollow.
This information is based on the most recent Hospital data. Historical data is not available.
| Hospital | 5-Star Overall Rating |
|---|---|
|
MEDICAL CITY ARLINGTON 3301 MATLOCK ROAD ARLINGTON, TX 76015 |
2 |
|
METHODIST RICHARDSON MEDICAL CENTER 2831 E PRESIDENT GEORGE BUSH HIGHWAY RICHARDSON, TX 75082 |
2 |
|
MEDICAL CITY PLANO 3901 W 15TH ST PLANO, TX 75075 |
2 |
|
BAYLOR SCOTT & WHITE MEDICAL CENTER-WHITE ROCK 9440 POPPY DR DALLAS, TX 75218 |
2 |
|
BAYLOR SCOTT AND WHITE MEDICAL CENTER SUNNYVALE 231 SOUTH COLLINS ROAD SUNNYVALE, TX 75182 |
2 |
|
METHODIST CHARLTON MEDICAL CENTER 3500 W WHEATLAND ROAD DALLAS, TX 75237 |
2 |
|
TEXAS HEALTH ARLINGTON MEMORIAL HOSPITAL 800 W RANDOL MILL RD ARLINGTON, TX 76012 |
2 |
|
PARKLAND HEALTH & HOSPITAL SYSTEM 5200 HARRY HINES BLVD DALLAS, TX 75235 |
2 |
|
BAYLOR UNIVERSITY MEDICAL CENTER 3500 GASTON AVE DALLAS, TX 75246 |
3 |
|
TEXAS HEALTH PRESBYTERIAN HOSPITAL ALLEN 1105 CENTRAL EXPRESSWAY NORTH ALLEN, TX 75013 |
3 |
|
METHODIST DALLAS MEDICAL CENTER 1441 NORTH BECKLEY AVENUE DALLAS, TX 75203 |
3 |
|
U S M D HOSPITAL AT ARLINGTON L P 801 W INTERSTATE 20 ARLINGTON, TX 76017 |
3 |
|
SANA HEALTHCARE CARROLLTON D/B/A CARROLLTON REGIONAL MEDICAL CENTER 4343 NORTH JOSEY LANE CARROLLTON, TX 75010 |
3 |
|
TEXAS HEALTH PRESBYTERIAN HOSPITAL DALLAS 8200 WALNUT HILL LANE DALLAS, TX 75231 |
3 |
|
MEDICAL CITY LAS COLINAS 6800 N MACARTHUR BLVD IRVING, TX 75039 |
3 |
|
BAYLOR SCOTT AND WHITE MEDICAL CENTER LAKE POINTE 6800 SCENIC DR ROWLETT, TX 75088 |
3 |
|
METHODIST MANSFIELD MEDICAL CENTER 2700 E BROAD STREET MANSFIELD, TX 76063 |
3 |
|
BAYLOR SCOTT & WHITE MEDICAL CENTER PLANO 4700 ALLIANCE BOULEVARD PLANO, TX 75093 |
3 |
|
TEXAS HEALTH PRESBYTERIAN HOSPITAL PLANO 6200 W PARKER RD PLANO, TX 75093 |
3 |
|
TEXAS HEALTH PRESBYTERIAN HOSPITAL DENTON 3000 N I-35 DENTON, TX 76201 |
3 |
Medical Professionals Associated with Crystal Creek at Preston Hollow
These are the doctors who are affiliated with Crystal Creek at Preston Hollow. The data is from the most recent period. Historical data is not available.
- AHSAN RIAZ ( GENERAL PRACTICE - HOSPITALIST INTERNISTS ASSOCIATES, PLLC )
Detailed Analysis Pages:
Depending on the nursing home, this page can get really long. So, we have also broken up the data onto separate pages to allow you to find what you want more easily. We will keep adding to these pages as we continue to analyze the nursing home database.
CMS Five Star Ratings and Quality Measures for Crystal Creek at Preston Hollow
Five different rating results plus detailed inspection numbers and quality measures for Crystal Creek at Preston Hollow.
Covid Infections at Crystal Creek at Preston Hollow
This report is updated weekly and shows new and historical infection levels.
Nursing Hours Analysis for Crystal Creek at Preston Hollow
How long a nurse spends with a resident can be an important factor in their recovery. This page shows the average nursing hours spent per resident for RNs, LPNs, CNAs, PTs and all licensed staff.
Ownership Details for Crystal Creek at Preston Hollow
A list of all of the registered owners for Crystal Creek at Preston Hollow. This includes direct and indirect owners and managers.
Noted Deficiencies for Crystal Creek at Preston Hollow
A list of all of the deficiencies for the facility. This includes a description, type of deficiency, incident date and when the facility reports that the incident was corrected.
Comparison Ranking of Nearby Skilled Nursing Facilities
How does Crystal Creek at Preston Hollow compare to other skilled nursing facilities? This list shows the competitive set within a 25 mile radius.
Best Nursing Homes in DALLAS, TX
Homes that you should consider. A list ranking the best skilled nursing facilities in DALLAS based on their weighted inspection score as of April 01, 2023.
Worst Nursing Homes in DALLAS, TX
Homes that you avoid if possible. A list ranking the worst skilled nursing facilities in DALLAS based on their weighted inspection score as of April 01, 2023.
Other Data Periods:
Data on Crystal Creek at Preston Hollow is available for the following periods:
