THE WESLEYAN SKILLED NURSING AND REHABILITATION
Grade C — 71/100 composite score
CMS Star Ratings
Certified Beds
142
Ownership
Non profit - Corporation
Total Fines
$8,281
Last Survey
N/A
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Staffing Hours & Turnover
Hours per Resident per Day (PBJ)
Turnover Rates
Ownership
SOUTH LIMESTONE HOSPITAL DISTRICT
CHANEY, DENA
DONOHUE, LORENA
STRONG, TYLER
PRICE, LARRY
Penalties & Fines (1)
| Date | Type | Description | Amount |
|---|---|---|---|
| Mar 17, 2025 | Fine | — | $8,281 |
Health Inspection Deficiencies (16)
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Resident Rights Deficiencies
Reasonably accommodate the needs and preferences of each resident.
Resident Rights Deficiencies
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of Life and Care Deficiencies
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
Quality of Life and Care Deficiencies
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.
Pharmacy Service Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies
Provide and implement an infection prevention and control program.
Infection Control Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies
Provide safe and appropriate respiratory care for a resident when needed.
Quality of Life and Care Deficiencies
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Protect each resident from separation (from other residents, his/her room, or confinement to his/her room).
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Ensure that residents are fully informed and understand their health status, care and treatments.
Resident Rights Deficiencies
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Resident Assessment and Care Planning Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Assessment and Care Planning Deficiencies
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Frequently Asked Questions
What is the CareGrader rating for THE WESLEYAN SKILLED NURSING AND REHABILITATION?
THE WESLEYAN SKILLED NURSING AND REHABILITATION in GEORGETOWN, Texas has a CareGrader grade of C (Average), with a composite score of 71 out of 100. This grade is based on health inspections, staffing levels, quality measures, and penalty history from official CMS government data.
What is the CMS star rating for THE WESLEYAN SKILLED NURSING AND REHABILITATION?
THE WESLEYAN SKILLED NURSING AND REHABILITATION has an overall CMS star rating of 2 out of 5, a health inspection rating of 2/5, and a staffing rating of 3/5. CareGrader combines this with additional data to calculate an A-F grade.
How many health deficiencies does THE WESLEYAN SKILLED NURSING AND REHABILITATION have?
THE WESLEYAN SKILLED NURSING AND REHABILITATION has 16 health deficiencies on record from CMS health inspection surveys. Deficiencies are rated from A (minimal harm potential) to L (immediate jeopardy, widespread). View the full inspection timeline above for details on each deficiency.
Has THE WESLEYAN SKILLED NURSING AND REHABILITATION been fined?
Yes. THE WESLEYAN SKILLED NURSING AND REHABILITATION has $8,281 in total fines from CMS enforcement actions across 1 penalty.
How many beds does THE WESLEYAN SKILLED NURSING AND REHABILITATION have?
THE WESLEYAN SKILLED NURSING AND REHABILITATION has 142 certified beds with approximately 75 current residents (53% occupancy). The facility is located at 4011 WILLIAMS DR, GEORGETOWN, Texas 78628. It is a non profit - corporation facility.
Data Disclaimer
Inspection data, staffing levels, and star ratings are sourced from CMS Medicare Nursing Home Compare and are largely self-reported by facilities. A 2019 GAO study found that 43% of facilities under-reported falls. CareGrader provides this data for informational purposes only and is not affiliated with CMS or Medicare. Always visit facilities in person before making a decision.