The Villages On Macarthur: Data Analysis and Ratings
CMS Five Star Rating(3 out of 5):
3443 N MACARTHUR BLVD IRVING, TX 75062
469-586-4424
Data date: April 01, 2023
The Most Important Data about The Villages On Macarthur
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 The Villages On Macarthur. (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: 3.23
(The national average is 3.74 )
According to our analysis, The Villages On Macarthur is ranked #89 out of 175 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 The Villages On Macarthur.
What is this page all about?
Below is everything shred of information that we can find about The Villages On Macarthur, 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: 3443 N MACARTHUR BLVD
IRVING, TX 75062
Phone: 469-586-4424
Ranking: The Villages On Macarthur is ranked #14 out of 30 facilities within a 10 mile radius and #89 out of 175 facilities within a 25 mile radius.
Medicare Provider Number: 676358
Participating in Medicare Since: February 25, 2014
No. of Certified Beds: 124
No. of Residents: 122
Occupancy: 98.39 % (as of 05/14/2023 )
Amount fined in recent period: $66,433.81
Complaints filed: 5
Ratings History for The Villages On Macarthur
Review of The Villages On Macarthur 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 | 5: |
| Staffing Rating | 1: |
Inspection Scores
| Cycle 1 Score (as of February 10, 2022) | 20 |
| Cycle 2 Score (as of December 20, 2020) | 36 |
| Cycle 3 Score (as of March 29, 2019) | 168 |
| Weighted All Cycles Score | 50 |
It has been 13 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 The Villages On Macarthur including health, fire, and inspection control inspections:
| Inspection Type | Inspection Date |
|---|---|
| Fire Safety Standard | February 10, 2022 |
| Fire Safety Standard | November 12, 2020 |
| Fire Safety Standard | March 29, 2019 |
| Health Complaint | November 10, 2022 |
| Health Complaint | July 06, 2022 |
| Health Complaint | June 29, 2021 |
| Health Complaint | April 16, 2021 |
| Health Complaint | April 08, 2021 |
| Health Complaint | January 29, 2021 |
| Health Complaint | December 20, 2020 |
| Health Complaint | September 23, 2020 |
| Health Standard | February 10, 2022 |
| Health Standard | December 20, 2020 |
| Health Standard | March 29, 2019 |
| Infection Control | October 12, 2022 |
| Infection Control | July 06, 2022 |
| Infection Control | January 06, 2022 |
| Infection Control | November 18, 2021 |
| Infection Control | September 16, 2021 |
| Infection Control | June 29, 2021 |
| Infection Control | April 16, 2021 |
| Infection Control | April 08, 2021 |
| Infection Control | February 27, 2021 |
| Infection Control | January 29, 2021 |
| Infection Control | December 20, 2020 |
| Infection Control | November 24, 2020 |
| Infection Control | September 23, 2020 |
| Infection Control | June 08, 2020 |
| Infection Control | May 22, 2020 |
Owner and Operator Information for The Villages On Macarthur
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:
SOUTH LIMESTONE HOSPITAL DISTRICT
Owners:
Managers and Directors:
- DIANA DIAZ (DIRECTOR)
- ARNOLD GRAY (DIRECTOR)
- HERBERT HEWITT (DIRECTOR)
- TYRELL HOBBS (DIRECTOR)
- ALEXANDRIA MADUKA (MANAGING EMPLOYEE)
- GLENDA O'NEAL (DIRECTOR)
- PF IRVING SNF OPS LLC (OPERATIONAL/MANAGERIAL CONTROL)
- LARRY PRICE (OFFICER)
- SOUTH LIMESTONE HOSPITAL DISTRICT (OPERATIONAL/MANAGERIAL CONTROL)
- MARTHA STANTON (DIRECTOR)
- KENT WILSON (DIRECTOR)
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 The Villages On Macarthur 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 | 0.35 | 0.36 / 0.65 |
| Case Mix | 0.40 | 0.42 / 0.39 |
| Adjusted | 0.35 | NA / NA |
| Licensed Practical Nurse (LPN) | ||
| Hours | 1.03 | 1.02 / 0.88 |
| Case Mix | 0.81 | NA / NA |
| Adjusted | 0.94 | NA / NA |
| Certified Nursing Assistants (CNA) | ||
| Hours | 1.85 | 1.93 / 2.21 |
| Case Mix | 2.16 | NA / NA |
| Adjusted | 1.75 | NA / NA |
| Total Licensed Staff | ||
| Hours | 1.38 | 1.38 / 1.53 |
| Physical Therapist (PT) | ||
| Hours | 0.06 | 0.06 / 0.07 |
| Total Nursing Homes Spent per Resident on Average | ||
| Hours | 3.23 | 3.30 / 3.74 |
| Case Mix | 3.36 | 3.22 / 3.16 |
| Adjusted | 3.04 | 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) | 15.8% |
24.5% Better |
| Percentage of short-stay residents who had an outpatient emergency department visit (qm522) | 5.6% |
12.2% Better |
| Number of hospitalizations per 1000 long-stay resident days (qm551) | 1.3% |
1.9% Better |
| Number of outpatient emergency department visits per 1000 long-stay resident days (qm552) | 0.3% |
1.2% Better |
| Percentage of long-stay residents whose need for help with daily activities has increased (qm401) | 16.0% |
17.2% Better |
| Percentage of long-stay residents who lose too much weight (qm404) | 11.5% |
4.9% Worse |
| Percentage of low risk long-stay residents who lose control of their bowels or bladder (qm405) | 41.7% |
52.3% Better |
| Percentage of long-stay residents with a catheter inserted and left in their bladder (qm406) | 1.1% |
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) | 10.7% |
5.3% Worse |
| 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) | 3.7% |
3.4% Worse |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine (qm415) | 93.9% |
95.6% Worse |
| Percentage of long-stay residents who received an antipsychotic medication (qm419) | 6.4% |
10.1% Better |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine (qm430) | 93.5% |
83.9% Better |
| Percentage of short-stay residents who newly received an antipsychotic medication (qm434) | 2.4% |
1.8% Worse |
| Percentage of long-stay residents whose ability to move independently worsened (qm451) | 2.6% |
13.4% Better |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication (qm452) | 14.1% |
22.1% Better |
| Percentage of high risk long-stay residents with pressure ulcers (qm453) | 8.9% |
7.3% Worse |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine (qm454) | 94.0% |
96.1% Worse |
| Percentage of short-stay residents who made improvements in function (qm471) | 83.6% |
66.6% Better |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine (qm472) | 86.6% |
77.8% Better |
The Villages On Macarthur 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: $66,433.81, Complaints filed: 5
| Deficiency | Deficiency Date / Date Corrected |
|---|---|
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. (Health) | 03-29-2019 / 05-22-2019 |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. (Health) | 03-29-2019 / 05-22-2019 |
| Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. (Health) | 03-29-2019 / 05-22-2019 |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. (Health) | 09-23-2020 / 09-21-2020 |
| Ensure that residents are free from significant medication errors. (Health) | 09-23-2020 / 09-21-2020 |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. (Fire Safety) | 11-12-2020 / 12-20-2020 |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. (Fire Safety) | 11-12-2020 / 12-20-2020 |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. (Health) | 12-20-2020 / 02-02-2021 |
| Provide and implement an infection prevention and control program. (Health) | 12-20-2020 / 02-02-2021 |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. (Health) | 01-29-2021 / 01-30-2021 |
| 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) | 04-08-2021 / 05-01-2021 |
| Provide and implement an infection prevention and control program. (Health) | 04-08-2021 / 05-01-2021 |
| Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. (Health) | 04-16-2021 / 05-07-2021 |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. (Health) | 06-29-2021 / 07-02-2021 |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. (Health) | 02-10-2022 / 02-25-2022 |
| 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) | 02-10-2022 / 02-25-2022 |
| Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. (Fire Safety) | 02-10-2022 / 02-25-2022 |
| Install a fire alarm system that can be heard throughout the facility. (Fire Safety) | 02-10-2022 / 02-25-2022 |
| Have a battery powered remote alarm panel in a location accessible by operating personnel. (Fire Safety) | 02-10-2022 / 02-25-2022 |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. (Health) | 07-06-2022 / 07-22-2022 |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. (Health) | 11-10-2022 / 11-14-2022 |
Hospitals Near The Villages On Macarthur
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 The Villages On Macarthur.
This information is based on the most recent Hospital data. Historical data is not available.
| Hospital | 5-Star Overall Rating |
|---|---|
|
TEXAS HEALTH HARRIS METHODIST HOSPITAL FORT WORTH 1301 PENNSYLVANIA AVENUE FORT WORTH, TX 76104 |
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 |
|
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 |
|
MEDICAL CITY PLANO 3901 W 15TH ST PLANO, TX 75075 |
2 |
|
PARKLAND HEALTH & HOSPITAL SYSTEM 5200 HARRY HINES BLVD DALLAS, TX 75235 |
2 |
|
BAYLOR SCOTT AND WHITE MEDICAL CENTER SUNNYVALE 231 SOUTH COLLINS ROAD SUNNYVALE, TX 75182 |
2 |
|
METHODIST RICHARDSON MEDICAL CENTER 2831 E PRESIDENT GEORGE BUSH HIGHWAY RICHARDSON, TX 75082 |
2 |
|
MEDICAL CITY DENTON 3535 SOUTH I35 EAST DENTON, TX 76210 |
3 |
|
BAYLOR UNIVERSITY MEDICAL CENTER 3500 GASTON AVE DALLAS, TX 75246 |
3 |
|
MEDICAL CITY NORTH HILLS 4401 BOOTH CALLOWAY ROAD NORTH RICHLAND HILLS, TX 76180 |
3 |
|
MEDICAL CITY LAS COLINAS 6800 N MACARTHUR BLVD IRVING, TX 75039 |
3 |
|
TEXAS HEALTH PRESBYTERIAN HOSPITAL PLANO 6200 W PARKER RD PLANO, TX 75093 |
3 |
|
SANA HEALTHCARE CARROLLTON D/B/A CARROLLTON REGIONAL MEDICAL CENTER 4343 NORTH JOSEY LANE CARROLLTON, TX 75010 |
3 |
|
BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER FORT WORTH 1400 EIGHTH AVE FORT WORTH, TX 76104 |
3 |
|
JPS HEALTH NETWORK 1500 S MAIN ST FORT WORTH, TX 76104 |
3 |
|
U S M D HOSPITAL AT ARLINGTON L P 801 W INTERSTATE 20 ARLINGTON, TX 76017 |
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 |
Medical Professionals Associated with The Villages On Macarthur
These are the doctors who are affiliated with The Villages On Macarthur. The data is from the most recent period. Historical data is not available.
- JOHN YAFT ( INTERNAL MEDICINE - HEALTHTEXAS PROVIDER NETWORK )
- SAADIA FAROOQ ( INTERNAL MEDICINE - INPATIENT PHYSICIAN ASSOCIATES PLLC )
- AFIA UMBER ( INTERNAL MEDICINE - PERIOPERATIVE AND TRANSITIONAL MEDICINE GROUP 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 The Villages On Macarthur
Five different rating results plus detailed inspection numbers and quality measures for The Villages On Macarthur.
Covid Infections at The Villages On Macarthur
This report is updated weekly and shows new and historical infection levels.
Nursing Hours Analysis for The Villages On Macarthur
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 The Villages On Macarthur
A list of all of the registered owners for The Villages On Macarthur. This includes direct and indirect owners and managers.
Noted Deficiencies for The Villages On Macarthur
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 The Villages On Macarthur compare to other skilled nursing facilities? This list shows the competitive set within a 25 mile radius.
Best Nursing Homes in IRVING, TX
Homes that you should consider. A list ranking the best skilled nursing facilities in IRVING based on their weighted inspection score as of April 01, 2023.
Worst Nursing Homes in IRVING, TX
Homes that you avoid if possible. A list ranking the worst skilled nursing facilities in IRVING based on their weighted inspection score as of April 01, 2023.
Other Data Periods:
Data on The Villages On Macarthur is available for the following periods:
