Hollymead: Data Analysis and Ratings

CMS Five Star Rating(1 out of 5):

 4101 LONG PRAIRIE ROAD FLOWER MOUND, TX 75028

  214-285-3200

Data date: April 01, 2023

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The Most Important Data about Hollymead

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 Hollymead. (CMS flags facilities where abuse has either happened or is very likely.)

CMS 5-Star Overall Rating: (1 out of 5):
(The national average overall star rating is 3 stars.)

Current Trend: Improving

Total Nursing Hours Spent Per Resident Per Day: 3.36
(The national average is 3.74 )

Best Nursing Homes in TX

According to our analysis, Hollymead is ranked #116 out of 146 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 Hollymead.

What is this page all about?

Below is everything shred of information that we can find about Hollymead, 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: 4101 LONG PRAIRIE ROAD

FLOWER MOUND, TX 75028

Phone: 214-285-3200

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Ranking: Hollymead is ranked #15 out of 17 facilities within a 10 mile radius and #116 out of 146 facilities within a 25 mile radius.

Medicare Provider Number: 676369

Participating in Medicare Since: September 24, 2014

No. of Certified Beds: 112

No. of Residents: 80

Occupancy: 71.43 % (as of 05/21/2023 )

Amount fined in recent period: $107,373.19

Complaints filed: 2

Ratings History for Hollymead

Review of Hollymead 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 1:
Health Inspection Rating 1:
Quality Rating 3:
Staffing Rating 1:

Inspection Scores

Cycle 1 Score (as of February 09, 2023) 80
Cycle 2 Score (as of November 05, 2021) 125
Cycle 3 Score (as of October 11, 2019) 28
Weighted All Cycles Score 86

It has been 1 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!) :

  1. Begin with the Health Inspection Rating
  2. 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".)
  3. Subtract one star from the Health Inspection Rating if the Staffing Rating is one-star.
  4. Add a star to the Adjusted Rating if the Quality Measure Rating is 5-stars.
  5. 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 Hollymead including health, fire, and inspection control inspections:

Inspection Type Inspection Date
Fire Safety Standard February 08, 2023
Fire Safety Standard November 05, 2021
Fire Safety Standard October 09, 2019
Health Complaint April 08, 2022
Health Complaint August 14, 2020
Health Standard February 09, 2023
Health Standard November 05, 2021
Health Standard October 11, 2019
Infection Control December 19, 2022
Infection Control September 22, 2022
Infection Control June 09, 2022
Infection Control February 28, 2022
Infection Control January 10, 2022
Infection Control November 30, 2020
Infection Control November 10, 2020
Infection Control October 20, 2020
Infection Control August 14, 2020
Infection Control June 09, 2020
Infection Control April 25, 2020

Owner and Operator Information for Hollymead

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:

DALLAS COUNTY HOSPITAL DISTRICT

Owners:

Managers and Directors:

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 Hollymead spends LESS time on average with its residents than the state average and LESS time than the national average for total nursing homes spent per resident.

Type Facility State / National Avg
Registered Nurse (RN)
Hours 0.58 0.36 / 0.65
Case Mix 0.47 0.42 / 0.39
Adjusted 0.47 NA / NA
Licensed Practical Nurse (LPN)
Hours 1.05 1.02 / 0.88
Case Mix 0.84 NA / NA
Adjusted 0.92 NA / NA
Certified Nursing Assistants (CNA)
Hours 1.73 1.93 / 2.21
Case Mix 2.09 NA / NA
Adjusted 1.69 NA / NA
Total Licensed Staff
Hours 1.63 1.38 / 1.53
Physical Therapist (PT)
Hours 0.14 0.06 / 0.07
Total Nursing Homes Spent per Resident on Average
Hours 3.36 3.30 / 3.74
Case Mix 3.40 3.22 / 3.16
Adjusted 3.12 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) 33.1% 24.5%
Worse
Percentage of short-stay residents who had an outpatient emergency department visit (qm522) 9.5% 12.2%
Better
Number of hospitalizations per 1000 long-stay resident days (qm551) 1.2% 1.9%
Better
Number of outpatient emergency department visits per 1000 long-stay resident days (qm552) 0.5% 1.2%
Better
Percentage of long-stay residents whose need for help with daily activities has increased (qm401) 17.3% 17.2%
Worse
Percentage of long-stay residents who lose too much weight (qm404) 1.8% 4.9%
Better
Percentage of low risk long-stay residents who lose control of their bowels or bladder (qm405) 62.1% 52.3%
Worse
Percentage of long-stay residents with a catheter inserted and left in their bladder (qm406) 1.3% 1.5%
Better
Percentage of long-stay residents with a urinary tract infection (qm407) 0.0% 1.4%
Better
Percentage of long-stay residents who have depressive symptoms (qm408) 2.6% 5.3%
Better
Percentage of long-stay residents who were physically restrained (qm409) 0.0% 0.0%
Better
Percentage of long-stay residents experiencing one or more falls with major injury (qm410) 5.5% 3.4%
Worse
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine (qm415) 99.5% 95.6%
Better
Percentage of long-stay residents who received an antipsychotic medication (qm419) 2.9% 10.1%
Better
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine (qm430) 94.9% 83.9%
Better
Percentage of short-stay residents who newly received an antipsychotic medication (qm434) 1.4% 1.8%
Better
Percentage of long-stay residents whose ability to move independently worsened (qm451) 23.5% 13.4%
Worse
Percentage of long-stay residents who received an antianxiety or hypnotic medication (qm452) 25.7% 22.1%
Worse
Percentage of high risk long-stay residents with pressure ulcers (qm453) 7.6% 7.3%
Worse
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine (qm454) 81.3% 96.1%
Worse
Percentage of short-stay residents who made improvements in function (qm471) 59.7% 66.6%
Worse
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine (qm472) 90.2% 77.8%
Better

Hollymead 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: $107,373.19, Complaints filed: 2

Deficiency Deficiency Date / Date Corrected
Have approved installation, maintenance and testing program for fire alarm systems.
(Fire Safety)
10-09-2019 / 10-10-2019
Have generator or other power source capable of supplying service within 10 seconds.
(Fire Safety)
10-09-2019 / 10-10-2019
Keep residents' personal and medical records private and confidential.
(Health)
10-11-2019 / 11-15-2019
Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
(Health)
10-11-2019 / 11-15-2019
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
(Health)
10-11-2019 / 11-15-2019
Provide and implement an infection prevention and control program.
(Health)
10-11-2019 / 10-13-2019
Provide and implement an infection prevention and control program.
(Health)
08-14-2020 / 09-28-2020
Provide doctor's orders for the resident's immediate care at the time the resident was admitted.
(Health)
11-05-2021 / 01-12-2022
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
(Health)
11-05-2021 / 01-12-2022
Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
(Health)
11-05-2021 / 11-06-2021
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
(Health)
04-08-2022 / 04-09-2022
Provide appropriate treatment and care according to orders, resident?s preferences and goals.
(Health)
04-08-2022 / 04-09-2022
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)
04-08-2022 / 04-09-2022
Provide safe, appropriate pain management for a resident who requires such services.
(Health)
04-08-2022 / 04-09-2022
Establish staff and initial training requirements.
(Fire Safety)
02-08-2023 / 03-02-2023
Install corridor and hallway doors that block smoke.
(Fire Safety)
02-08-2023 / 02-09-2023
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
(Fire Safety)
02-08-2023 / 02-09-2023
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
(Health)
02-09-2023 / 02-10-2023
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
(Health)
02-09-2023 / 02-10-2023
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)
02-09-2023 / 02-10-2023
Provide safe and appropriate respiratory care for a resident when needed.
(Health)
02-09-2023 / 02-10-2023
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
(Health)
02-09-2023 / 02-10-2023

Hospitals Near Hollymead

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 Hollymead.

This information is based on the most recent Hospital data. Historical data is not available.

Hospital 5-Star Overall Rating
TEXAS HEALTH ARLINGTON MEMORIAL HOSPITAL
800 W RANDOL MILL RD
ARLINGTON, TX 76012
2
BAYLOR SCOTT & WHITE MEDICAL CENTER-WHITE ROCK
9440 POPPY DR
DALLAS, TX 75218
2
MEDICAL CITY ARLINGTON
3301 MATLOCK ROAD
ARLINGTON, TX 76015
2
TEXAS HEALTH HARRIS METHODIST HOSPITAL FORT WORTH
1301 PENNSYLVANIA AVENUE
FORT WORTH, TX 76104
2
MEDICAL CITY PLANO
3901 W 15TH ST
PLANO, TX 75075
2
METHODIST RICHARDSON MEDICAL CENTER
2831 E PRESIDENT GEORGE BUSH HIGHWAY
RICHARDSON, TX 75082
2
PARKLAND HEALTH & HOSPITAL SYSTEM
5200 HARRY HINES BLVD
DALLAS, TX 75235
2
MEDICAL CITY NORTH HILLS
4401 BOOTH CALLOWAY ROAD
NORTH RICHLAND HILLS, TX 76180
3
TEXAS HEALTH PRESBYTERIAN HOSPITAL PLANO
6200 W PARKER RD
PLANO, TX 75093
3
BAYLOR UNIVERSITY MEDICAL CENTER
3500 GASTON AVE
DALLAS, TX 75246
3
MEDICAL CITY LAS COLINAS
6800 N MACARTHUR BLVD
IRVING, TX 75039
3
SANA HEALTHCARE CARROLLTON D/B/A CARROLLTON REGIONAL MEDICAL CENTER
4343 NORTH JOSEY LANE
CARROLLTON, TX 75010
3
METHODIST DALLAS MEDICAL CENTER
1441 NORTH BECKLEY AVENUE
DALLAS, TX 75203
3
MEDICAL CITY DENTON
3535 SOUTH I35 EAST
DENTON, TX 76210
3
TEXAS HEALTH PRESBYTERIAN HOSPITAL DENTON
3000 N I-35
DENTON, TX 76201
3
BAYLOR SCOTT & WHITE MEDICAL CENTER PLANO
4700 ALLIANCE BOULEVARD
PLANO, TX 75093
3
TEXAS HEALTH PRESBYTERIAN HOSPITAL ALLEN
1105 CENTRAL EXPRESSWAY NORTH
ALLEN, TX 75013
3
JPS HEALTH NETWORK
1500 S MAIN ST
FORT WORTH, TX 76104
3
TEXAS HEALTH PRESBYTERIAN HOSPITAL DALLAS
8200 WALNUT HILL LANE
DALLAS, TX 75231
3
BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER FORT WORTH
1400 EIGHTH AVE
FORT WORTH, TX 76104
3

Medical Professionals Associated with Hollymead

These are the doctors who are affiliated with Hollymead. The data is from the most recent period. Historical data is not available.

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 Hollymead

Five different rating results plus detailed inspection numbers and quality measures for Hollymead.

Covid Infections at Hollymead

This report is updated weekly and shows new and historical infection levels.

Nursing Hours Analysis for Hollymead

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 Hollymead

A list of all of the registered owners for Hollymead. This includes direct and indirect owners and managers.

Noted Deficiencies for Hollymead

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 Hollymead compare to other skilled nursing facilities? This list shows the competitive set within a 25 mile radius.

Best Nursing Homes in FLOWER MOUND, TX

Homes that you should consider. A list ranking the best skilled nursing facilities in FLOWER MOUND based on their weighted inspection score as of April 01, 2023.

Worst Nursing Homes in FLOWER MOUND, TX

Homes that you avoid if possible. A list ranking the worst skilled nursing facilities in FLOWER MOUND based on their weighted inspection score as of April 01, 2023.