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CARILLON INC

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CARILLON INC is a non profit - corporation facility in LUBBOCK, TX with 100 certified beds and a 3-star overall CMS rating. The facility has 18 deficiency records on file. Total penalties: $59K.

1717 A NORFOLK AVE, LUBBOCK, TX 79416

Phone: 8062816114

Overall Rating

3/5

Health Inspection

3/5

Staffing

4/5

Quality Measures

4/5

Long-Stay Quality

4/5

Facility Information

Provider Number
675997
Ownership
Non profit - Corporation
Provider Type
Medicare
Beds
100
Residents
87
In Hospital
No
County
Lubbock
Last Inspection
Apr 25, 2025

Staffing Data

RN Hours
0.50 (nat'l avg: 0.68)
LPN Hours
1.36
CNA Hours
3.02
Total Nursing Hours
4.88 (nat'l avg: 3.89)
PT Hours
0.08
Nursing Turnover
58.7%
RN Turnover
62.5%

What the CMS Record Reveals About CARILLON INC

CARILLON INC operates 100 certified beds in LUBBOCK, TX with approximately 87 residents currently in care, and carries a CMS overall rating of 3 out of 5 stars. The overall score is a composite of three weighted sub-ratings published by the Centers for Medicare & Medicaid Services: health inspection results (3★), staffing levels (4★), and quality measures (4★). Because CMS caps the overall score at the health-inspection tier and then adjusts up or down based on staffing and quality, the sub-scores often tell a sharper story than the headline star count alone — a 3-star facility with weak inspection history reads differently from one held back by thin staffing.

The inspection file contains 18 deficiency records from recent surveys, of which 1 reached the actual-harm or immediate-jeopardy threshold on the CMS scope-and-severity grid. On the enforcement side, CMS has assessed 2 penalties totaling $59K against this provider, a tangible indicator that regulators moved beyond citation into financial consequence. Staffing is reported at 4.88 total nursing hours per resident day (national average 3.89), with RN coverage at 0.50 per resident day — the single staffing metric most strongly tied to resident outcomes in peer-reviewed literature.

Classified as "Non profit - Corporation" ownership and operating as a "Medicare" provider, CARILLON INC falls into a category where comparative context matters. National research consistently shows that ownership structure, staffing hours, and turnover are the three operational levers that correlate most strongly with resident outcomes — ratings and fines are lagging indicators of those upstream choices. Reported nursing turnover at this facility is 58.7%, above the level where continuity of care typically begins to suffer. For families evaluating this facility, the CMS record should be read alongside a site visit, direct conversation with current residents and their families, and review of the state health department's most recent inspection report — the star rating is a starting point, not a verdict. All data on this page is sourced from CMS Provider Data and the Nursing Home Compare program; always verify details directly with the facility or your state survey agency before making placement decisions.

Deficiency History (18 most recent)

D — Isolated - Minimal harm Apr 25, 2025 Tag: 0880

Provide and implement an infection prevention and control program.

Category: Infection Control Deficiencies

Corrected: May 9, 2025

D — Isolated - Minimal harm Apr 25, 2025 Tag: 0812

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Category: Nutrition and Dietary Deficiencies

Corrected: May 9, 2025

E — Pattern - Minimal harm Apr 25, 2025 Tag: 0585

Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.

Category: Resident Rights Deficiencies

Corrected: May 9, 2025

D — Isolated - Minimal harm Feb 28, 2025 Tag: 0761

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.

Category: Pharmacy Service Deficiencies

Corrected: Mar 28, 2025

D — Isolated - Minimal harm Feb 28, 2025 Tag: 0755

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Category: Pharmacy Service Deficiencies

Corrected: Mar 28, 2025

D — Isolated - Minimal harm Oct 25, 2024 Tag: 0677

Provide care and assistance to perform activities of daily living for any resident who is unable.

Category: Quality of Life and Care Deficiencies

Corrected: Nov 15, 2024

D — Isolated - Minimal harm Oct 25, 2024 Tag: 0656

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Nov 15, 2024

D — Isolated - Minimal harm Mar 21, 2024 Tag: 0758

Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

Category: Pharmacy Service Deficiencies

Corrected: Mar 22, 2024

D — Isolated - Minimal harm Mar 21, 2024 Tag: 0656

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Mar 22, 2024

K — Pattern - Jeopardy Jan 27, 2024 Tag: 0697

Provide safe, appropriate pain management for a resident who requires such services.

Category: Quality of Life and Care Deficiencies

Corrected: Feb 19, 2024

E — Pattern - Minimal harm Jan 27, 2024 Tag: 0610

Respond appropriately to all alleged violations.

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: Feb 19, 2024

E — Pattern - Minimal harm Jan 27, 2024 Tag: 0609

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: Feb 19, 2024

D — Isolated - Minimal harm May 9, 2023 Tag: 0880

Provide and implement an infection prevention and control program.

Category: Infection Control Deficiencies

Corrected: Jun 7, 2023

D — Isolated - Minimal harm Feb 9, 2023 Tag: 0758

Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

Category: Pharmacy Service Deficiencies

Corrected: Mar 6, 2023

E — Pattern - Minimal harm Feb 9, 2023 Tag: 0656

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Mar 6, 2023

D — Isolated - Minimal harm Feb 9, 2023 Tag: 0642

Ensure a qualified health professional conducts resident assessments.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Mar 6, 2023

D — Isolated - Minimal harm Feb 9, 2023 Tag: 0640

Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Mar 6, 2023

D — Isolated - Minimal harm Feb 9, 2023 Tag: 0638

Assure that each resident’s assessment is updated at least once every 3 months.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Mar 6, 2023

Quality Measures

Measure Type Score Used in Rating
Percentage of long-stay residents whose need for help with daily activities has increased Long Stay 31.4% Yes
Percentage of long-stay residents who lose too much weight Long Stay 0.6% No
Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay 1.2% Yes
Percentage of long-stay residents with a urinary tract infection Long Stay 1.3% Yes
Percentage of long-stay residents who have depressive symptoms Long Stay 4.3% No
Percentage of long-stay residents who were physically restrained Long Stay 0.0% No
Percentage of long-stay residents experiencing one or more falls with major injury Long Stay 9.1% Yes
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine Long Stay 96.7% No
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine Short Stay 95.4% No
Percentage of short-stay residents who newly received an antipsychotic medication Short Stay 0.5% Yes
Percentage of long-stay residents whose ability to walk independently worsened Long Stay 24.8% Yes
Percentage of long-stay residents who received an antianxiety or hypnotic medication Long Stay 16.1% No
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine Long Stay 92.4% No
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine Short Stay 90.2% No
Percentage of long-stay residents with pressure ulcers Long Stay 2.2% Yes
Percentage of long-stay residents with new or worsened bowel or bladder incontinence Long Stay 24.1% No
Percentage of long-stay residents who received an antipsychotic medication Long Stay 12.1% Yes

Penalty History 2 penalties totaling $59K

Date Type Amount
Jan 27, 2024 Fine $57K
May 30, 2023 Fine $1K

Frequently Asked Questions

What is the overall CMS rating for CARILLON INC?
CARILLON INC has an overall CMS rating of 3 out of 5 stars. This rating combines health inspection results (3★), staffing levels (4★), and quality measures (4★).
What are the staffing levels at CARILLON INC?
CARILLON INC reports 4.88 total nursing hours per resident day (national average: 3.89). RN hours are 0.50 per resident day (national average: 0.68). Nursing staff turnover is 58.7%.
How many beds does CARILLON INC have?
CARILLON INC has 100 certified beds with approximately 87 residents. The facility is located at 1717 A NORFOLK AVE, LUBBOCK, TX 79416.
Does CARILLON INC have any deficiencies on record?
Yes, CARILLON INC has 18 deficiencies on record from recent inspections. Of these, 1 are classified as causing actual harm or jeopardy.
Has CARILLON INC received any fines or penalties?
Yes, CARILLON INC has received 2 penalties totaling $59K.
Who owns CARILLON INC?
CARILLON INC is classified as "Non profit - Corporation" ownership. The facility type is "Medicare".
When was CARILLON INC last inspected?
The most recent health inspection for CARILLON INC was on Apr 25, 2025. The facility received a health inspection rating of 3 out of 5 stars.
What quality measures are tracked for CARILLON INC?
CARILLON INC is evaluated on 17 quality measures, of which 8 are used in the CMS star rating calculation. These include measures for both long-stay and short-stay residents covering areas like infections, falls, pressure ulcers, and medication use.

Data Sources

Data source: CMS Nursing Home Compare. Ratings, staffing, deficiency, quality measure, and penalty data are from CMS Provider Data. For informational purposes only. Always verify information directly with the facility or your state health department.

Related

Data sourced from official U.S. government datasets. See our methodology for details. Retrieved and formatted by PlainNursing Editorial