Comfort Nursing And Rehabilitation Center - 4-Star Rehab Facility in Comfort, TX | PlacetClinical Quality Indicators
Long-stay residents — lower is better
Antipsychotic medication use 8.33%Falls causing major injury 0.71%Pressure ulcers (high-risk) 0%Admissions Contacts
No admissions contacts on file yet.
CMS Star Ratings
Last inspected: Aug 2025 (244 days ago)🔍 Health Inspection
4/5
★★★★☆
📊 Quality Measures
5/5
★★★★★
Source: CMS MDS Quality Measures. Updated quarterly.
State avg: 26 min · US avg: 41 min
Total Nurse / Resident / Day
3h 24m
State avg: 3h 24m · US avg: 3h 53m
15 min
State avg: 4 min · US avg: 4 min
46 per 100
State avg: 51 per 100 · US avg: 46 per 100
Weekend Staffing (PBJ Q3 2024)
Weekend vs. Weekday RN
58%below avg
US avg: 64%
Total Nurse Weekend
1h 48m
Federal Penalties
No federal penalties in the past 3 years.
✅ No penalty records on file
Inspection Citations
Survey: August 22, 2025(6 citations)
🟡 Potential for HarmQuality of Life and Care Deficiencies
🟡 Potential for HarmNursing and Physician Services Deficiencies
🟡 Potential for HarmQuality of Life and Care Deficiencies
🟡 Potential for HarmNursing and Physician Services Deficiencies
🟡 Potential for HarmQuality of Life and Care Deficiencies
🟡 Potential for HarmNursing and Physician Services Deficiencies
Survey: April 18, 2025(6 citations)
🟡 Potential for HarmResident Assessment and Care Planning DeficienciesComplaint
🟡 Potential for HarmNursing and Physician Services DeficienciesComplaint
🟡 Potential for HarmResident Assessment and Care Planning DeficienciesComplaint
🟡 Potential for HarmNursing and Physician Services DeficienciesComplaint
🟡 Potential for HarmResident Assessment and Care Planning DeficienciesComplaint
Survey: July 10, 2024(15 citations)
🟡 Potential for HarmResident Rights Deficiencies
⚪ MinimalResident Rights Deficiencies
🟡 Potential for HarmNursing and Physician Services Deficiencies
⚪ MinimalNursing and Physician Services Deficiencies
🟡 Potential for HarmNutrition and Dietary Deficiencies
🟡 Potential for HarmResident Rights Deficiencies
⚪ MinimalResident Rights Deficiencies
Survey: March 1, 2024(6 citations)
🟡 Potential for HarmResident Assessment and Care Planning DeficienciesComplaint
🟡 Potential for HarmInfection Control DeficienciesComplaint
🟡 Potential for HarmResident Assessment and Care Planning DeficienciesComplaint
🟡 Potential for HarmInfection Control DeficienciesComplaint
🟡 Potential for HarmResident Assessment and Care Planning DeficienciesComplaint
Survey: June 8, 2023(69 citations)
🟡 Potential for HarmResident Assessment and Care Planning Deficiencies
🟡 Potential for HarmResident Assessment and Care Planning Deficiencies
🟡 Potential for HarmResident Assessment and Care Planning Deficiencies
🟡 Potential for HarmResident Assessment and Care Planning Deficiencies
🟡 Potential for HarmResident Assessment and Care Planning Deficiencies
🟡 Potential for HarmResident Assessment and Care Planning Deficiencies
🟡 Potential for Harm
16.8 per 100
State avg: 25.9 · US avg: 23.9
0.0 per 100
State avg: 12.0 · US avg: 12.0
0.7 per 100
State avg: 3.3 · US avg: 3.3
0.0 per 100
State avg: 4.2 · US avg: 5.1
2.0 per 100
State avg: 1.5 · US avg: 1.6
51.9 per 100
State avg: 88.0 · US avg: 79.7
Rates shown per 100 patients · Green = better than average · Amber = average · Red = below average
VBP Performance Score
23/100
Incentive Payment
-1.71% penalty
Healthcare-Assoc. Infections
N/A
Higher performance scores lead to payment bonuses. Lower scores indicate risk of readmission penalties.
Avg Length of Stay
26.7 days
Avg Payment / Stay
$12,375.73
Patient Complexity
2.17 × avg
Avg LOS 15-30 days is typical for short-term rehab · Patient complexity = HCC risk score (1.0 = national average; higher = sicker patient mix)
🟡 Potential for Harm
Nursing and Physician Services Deficiencies
Complaint
🟡 Potential for Harm
Nursing and Physician Services Deficiencies
⚪ MinimalNursing and Physician Services Deficiencies
🟡 Potential for HarmNutrition and Dietary Deficiencies
🟡 Potential for HarmResident Rights Deficiencies
⚪ MinimalResident Rights Deficiencies
🟡 Potential for HarmNursing and Physician Services Deficiencies
⚪ MinimalNursing and Physician Services Deficiencies
🟡 Potential for HarmNutrition and Dietary Deficiencies
🟡 Potential for Harm
Infection Control Deficiencies
Complaint
Resident Assessment and Care Planning Deficiencies
🟡 Potential for HarmQuality of Life and Care Deficiencies
🟡 Potential for HarmNursing and Physician Services Deficiencies
🟡 Potential for HarmNursing and Physician Services Deficiencies
🟡 Potential for HarmPharmacy Service Deficiencies
🟡 Potential for HarmPharmacy Service Deficiencies
🟡 Potential for HarmNutrition and Dietary Deficiencies
🟡 Potential for HarmResident Assessment and Care Planning Deficiencies
🟡 Potential for HarmAdministration Deficiencies
🟡 Potential for HarmNursing and Physician Services Deficiencies
🟡 Potential for HarmPharmacy Service DeficienciesComplaint
🟡 Potential for HarmAdministration DeficienciesComplaint
🟡 Potential for HarmAdministration DeficienciesComplaint
🟡 Potential for HarmResident Rights DeficienciesComplaint
🟡 Potential for HarmFreedom from Abuse, Neglect, and Exploitation DeficienciesComplaint
🟡 Potential for HarmInfection Control DeficienciesComplaint
🟡 Potential for HarmAdministration DeficienciesComplaint
🟡 Potential for HarmResident Assessment and Care Planning Deficiencies
🟡 Potential for HarmResident Assessment and Care Planning Deficiencies
🟡 Potential for HarmResident Assessment and Care Planning Deficiencies
🟡 Potential for HarmResident Assessment and Care Planning Deficiencies
🟡 Potential for HarmResident Assessment and Care Planning Deficiencies
🟡 Potential for HarmResident Assessment and Care Planning Deficiencies
🟡 Potential for HarmResident Assessment and Care Planning Deficiencies
🟡 Potential for HarmQuality of Life and Care Deficiencies
🟡 Potential for HarmNursing and Physician Services Deficiencies
🟡 Potential for HarmNursing and Physician Services Deficiencies
🟡 Potential for HarmPharmacy Service Deficiencies
🟡 Potential for HarmPharmacy Service Deficiencies
🟡 Potential for HarmNutrition and Dietary Deficiencies
🟡 Potential for HarmResident Assessment and Care Planning Deficiencies
🟡 Potential for HarmAdministration Deficiencies
🟡 Potential for HarmNursing and Physician Services Deficiencies
🟡 Potential for HarmPharmacy Service DeficienciesComplaint
🟡 Potential for HarmAdministration DeficienciesComplaint
🟡 Potential for HarmAdministration DeficienciesComplaint
🟡 Potential for HarmResident Rights DeficienciesComplaint
🟡 Potential for HarmFreedom from Abuse, Neglect, and Exploitation DeficienciesComplaint
🟡 Potential for HarmInfection Control DeficienciesComplaint
🟡 Potential for HarmAdministration DeficienciesComplaint
🟡 Potential for HarmResident Assessment and Care Planning Deficiencies
🟡 Potential for HarmResident Assessment and Care Planning Deficiencies
🟡 Potential for HarmResident Assessment and Care Planning Deficiencies
🟡 Potential for HarmResident Assessment and Care Planning Deficiencies
🟡 Potential for HarmResident Assessment and Care Planning Deficiencies
🟡 Potential for HarmResident Assessment and Care Planning Deficiencies
🟡 Potential for HarmResident Assessment and Care Planning Deficiencies
🟡 Potential for HarmQuality of Life and Care Deficiencies
🟡 Potential for HarmNursing and Physician Services Deficiencies
🟡 Potential for HarmNursing and Physician Services Deficiencies
🟡 Potential for HarmPharmacy Service Deficiencies
🟡 Potential for HarmPharmacy Service Deficiencies
🟡 Potential for HarmNutrition and Dietary Deficiencies
🟡 Potential for HarmResident Assessment and Care Planning Deficiencies
🟡 Potential for HarmAdministration Deficiencies
🟡 Potential for HarmNursing and Physician Services Deficiencies
🟡 Potential for HarmPharmacy Service DeficienciesComplaint
🟡 Potential for HarmAdministration DeficienciesComplaint
🟡 Potential for HarmAdministration DeficienciesComplaint
🟡 Potential for HarmResident Rights DeficienciesComplaint
🟡 Potential for HarmFreedom from Abuse, Neglect, and Exploitation DeficienciesComplaint
🟡 Potential for HarmInfection Control DeficienciesComplaint
🟡 Potential for HarmAdministration DeficienciesComplaint