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ST DOMINIC VILLAGE REHABILITATION AND NURSING CENT

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ST DOMINIC VILLAGE REHABILITATION AND NURSING CENT is a non profit - other facility in Houston, TX with 158 certified beds and a 5-star overall CMS rating. The facility has 12 deficiency records on file. Total penalties: $30K.

2409 E Holcolm Blvd, Houston, TX 77021

Phone: 7137418701

Overall Rating

5/5

Health Inspection

5/5

Staffing

4/5

Quality Measures

3/5

Long-Stay Quality

3/5

Facility Information

Provider Number
676170
Ownership
Non profit - Other
Provider Type
Medicare and Medicaid
Beds
158
Residents
88
In Hospital
No
County
Harris
Last Inspection
Feb 8, 2024

Staffing Data

RN Hours
0.73 (nat'l avg: 0.68)
LPN Hours
1.11
CNA Hours
2.79
Total Nursing Hours
4.63 (nat'l avg: 3.89)
PT Hours
0.05
Nursing Turnover
51.4%
RN Turnover
31.3%

What the CMS Record Reveals About ST DOMINIC VILLAGE REHABILITATION AND NURSING CENT

ST DOMINIC VILLAGE REHABILITATION AND NURSING CENT operates 158 certified beds in Houston, TX with approximately 88 residents currently in care, and carries a CMS overall rating of 5 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 (5★), staffing levels (4★), and quality measures (3★). 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 12 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 4 penalties totaling $30K against this provider, a tangible indicator that regulators moved beyond citation into financial consequence. Staffing is reported at 4.63 total nursing hours per resident day (national average 3.89), with RN coverage at 0.73 per resident day — the single staffing metric most strongly tied to resident outcomes in peer-reviewed literature.

Classified as "Non profit - Other" ownership and operating as a "Medicare and Medicaid" provider, ST DOMINIC VILLAGE REHABILITATION AND NURSING CENT 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 51.4%, 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 (12 most recent)

E — Pattern - Minimal harm Dec 17, 2025 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

D — Isolated - Minimal harm May 5, 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: May 27, 2025

E — Pattern - Minimal harm May 5, 2025 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: May 27, 2025

J — Isolated - Jeopardy May 5, 2025 Tag: 0600

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: May 27, 2025

D — Isolated - Minimal harm Feb 8, 2024 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 6, 2024

D — Isolated - Minimal harm Feb 8, 2024 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 6, 2024

D — Isolated - Minimal harm Feb 8, 2024 Tag: 0692

Provide enough food/fluids to maintain a resident's health.

Category: Quality of Life and Care Deficiencies

Corrected: Mar 6, 2024

D — Isolated - Minimal harm Feb 8, 2024 Tag: 0645

PASARR screening for Mental disorders or Intellectual Disabilities

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Mar 4, 2024

D — Isolated - Minimal harm Dec 9, 2022 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: Dec 27, 2022

D — Isolated - Minimal harm Dec 9, 2022 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: Dec 27, 2022

D — Isolated - Minimal harm Dec 9, 2022 Tag: 0641

Ensure each resident receives an accurate assessment.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Dec 27, 2022

D — Isolated - Minimal harm Dec 9, 2022 Tag: 0567

Honor the resident's right to manage his or her financial affairs.

Category: Resident Rights Deficiencies

Corrected: Dec 27, 2022

Quality Measures

Measure Type Score Used in Rating
Percentage of long-stay residents whose need for help with daily activities has increased Long Stay 9.0% Yes
Percentage of long-stay residents who lose too much weight Long Stay 10.2% No
Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay 3.0% Yes
Percentage of long-stay residents with a urinary tract infection Long Stay 1.9% Yes
Percentage of long-stay residents who have depressive symptoms Long Stay 0.8% 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 3.7% Yes
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine Long Stay 48.9% No
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine Short Stay 53.8% No
Percentage of short-stay residents who newly received an antipsychotic medication Short Stay 0.2% Yes
Percentage of long-stay residents whose ability to walk independently worsened Long Stay 14.1% Yes
Percentage of long-stay residents who received an antianxiety or hypnotic medication Long Stay 10.2% No
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine Long Stay 81.8% No
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine Short Stay 57.4% No
Percentage of long-stay residents with pressure ulcers Long Stay 6.6% Yes
Percentage of long-stay residents with new or worsened bowel or bladder incontinence Long Stay 11.1% No
Percentage of long-stay residents who received an antipsychotic medication Long Stay 6.5% Yes

Penalty History 4 penalties totaling $30K

Date Type Amount
Jan 8, 2024 Fine $5K
Jan 2, 2024 Fine $5K
Dec 11, 2023 Fine $12K
Nov 6, 2023 Fine $8K

Frequently Asked Questions

What is the overall CMS rating for ST DOMINIC VILLAGE REHABILITATION AND NURSING CENT?
ST DOMINIC VILLAGE REHABILITATION AND NURSING CENT has an overall CMS rating of 5 out of 5 stars. This rating combines health inspection results (5★), staffing levels (4★), and quality measures (3★).
What are the staffing levels at ST DOMINIC VILLAGE REHABILITATION AND NURSING CENT?
ST DOMINIC VILLAGE REHABILITATION AND NURSING CENT reports 4.63 total nursing hours per resident day (national average: 3.89). RN hours are 0.73 per resident day (national average: 0.68). Nursing staff turnover is 51.4%.
How many beds does ST DOMINIC VILLAGE REHABILITATION AND NURSING CENT have?
ST DOMINIC VILLAGE REHABILITATION AND NURSING CENT has 158 certified beds with approximately 88 residents. The facility is located at 2409 E Holcolm Blvd, Houston, TX 77021.
Does ST DOMINIC VILLAGE REHABILITATION AND NURSING CENT have any deficiencies on record?
Yes, ST DOMINIC VILLAGE REHABILITATION AND NURSING CENT has 12 deficiencies on record from recent inspections. Of these, 1 are classified as causing actual harm or jeopardy.
Has ST DOMINIC VILLAGE REHABILITATION AND NURSING CENT received any fines or penalties?
Yes, ST DOMINIC VILLAGE REHABILITATION AND NURSING CENT has received 4 penalties totaling $30K.
Who owns ST DOMINIC VILLAGE REHABILITATION AND NURSING CENT?
ST DOMINIC VILLAGE REHABILITATION AND NURSING CENT is classified as "Non profit - Other" ownership. The facility type is "Medicare and Medicaid".
When was ST DOMINIC VILLAGE REHABILITATION AND NURSING CENT last inspected?
The most recent health inspection for ST DOMINIC VILLAGE REHABILITATION AND NURSING CENT was on Feb 8, 2024. The facility received a health inspection rating of 5 out of 5 stars.
What quality measures are tracked for ST DOMINIC VILLAGE REHABILITATION AND NURSING CENT?
ST DOMINIC VILLAGE REHABILITATION AND NURSING CENT 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