Deficiency Index

Calder Woods

Beaumont, Texas · CCN 676109

18 surveys since 2013. The first finding at harm level was recorded in 2025.

Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.

Citations on record
62
Surveys
18
Harm or worse
1
Immediate jeopardyall corrected before survey
1
The record, 2013–2026
’13’15’20’25’26
No harm recordedHarm or worseNot surveyed
Immediate jeopardy1

Findings at the most serious level CMS records. All were recorded as past non-compliance — corrected before the survey.

Beyond CMS’s monthly file10/18

Older surveys no longer in CMS’s monthly file or on Care Compare. They are shown here.

The facility

Certified beds
46
Ownership
Non profit - Other
Chain
Independent
County
Jefferson
Medicare-certified since
2006

CMS ratings

Overall
3
Health inspection
3
Staffing
3
Quality measures
4

CMS’s own Five-Star ratings.

Compared with similar facilities

Since 2021, this facility recorded somewhat more weighted findings than its peer group.

Weighted by harm level, against 32 not-for-profit facilities with fewer than 66 beds in Texas.

Last survey on record

Jan 30, 2026

283 days ago.

Counts surveys with at least one finding. A clean survey leaves no record here, so the real gap may be shorter.

Staffing

MeasureThis facilityPeer median
Nurse hours per resident day5.904.47
Registered-nurse hours per resident day0.67—
Annual nurse turnover69.1%37.8%

As reported by the facility to CMS, beside the peer-group median.

Enforcement

Fines
$14,069 across 1 penalty

Federal civil money penalties and remedies as CMS currently publishes them. Amounts may still be under appeal.

Severity of recent findings

Citations by CMS scope and severity. Rows are harm level, columns are how widespread the finding was.
SeverityIsolatedPatternWidespread
Immediate jeopardyJ15.0%K—L—
Actual harmG—H—I—
No harm, potential for more than minimalD1470.0%E420.0%F15.0%
No harm, potential for minimalA—B—C—
CMS’s current file: 20 of the 62 citations on record.

Most frequently cited here

In CMS’s current monthly file.

  • F8424×

    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

  • F8803×

    Provide and implement an infection prevention and control program.

  • F5802×

    Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

  • F7552×

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

  • F5501×

    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

In the surveyor’s words

From the most serious findings on record at Calder Woods, in the surveyor’s own words.

  • Immediate jeopardy, isolatedF689Oct 7, 2025

    Based on observation, interview, and record review, the facility failed to provide assistance devices and adequate supervision to prevent accidents for 1 of 3 residents (Resident #1) reviewed for accidents. The facility failed to ensure CNA A utilized a gait belt and had assistance from another staff member during a bed to wheelchair transfer on 11/19/24 which resulted in Resident #1 having a fall and complaints of pain. Resident #1 was sent to the local hospital emergency room where she was found to have fractured neck bones. She was care flighted to another hospital out of town for surgery to the neck. The noncompliance was identified as PNC. The Immediate Jeopardy (IJ) began on 11/19/24 and ended on 12/05/24. […]

  • No harm, potential for more than minimal, widespreadF812Jan 30, 2026

    Based on observations, interviews, and record reviews, the facility failed to properly store, prepare, and distribute food in accordance with professional standards for food service safety for 1 of 1 kitchen.1. The facility failed to ensure that dietary staff wore hair restraints to prevent hair from contacting food, on 1/28/2026. 2. The facility failed to ensure trash cans were properly covered on 1/28/2026.3. The facility failed to properly store, label, and date all food items located in the facility refrigerators, freezers and in the dry food pantry area on 01/28/2026 and 01/29/2026. 4. The facility failed to properly seal food product bags in the dry storage area to prevent exposure to air on 01/28/2026 and 01/29/2026. […]

  • No harm, potential for more than minimal, patternF755Jan 30, 2026

    Based on observations, interviews, and record review, the facility failed to provide pharmaceutical services (including procedures that assure the accurate acquiring, receiving, dispensing, and administering of all drugs and biologicals) to meet the needs of each resident for medication and supply storage room [ROOM NUMBER] of 1 reviewed for pharmacy services.The facility failed to ensure expired medical supplies were removed from the singular medication and supply storage room.This failure could place residents at risk of contamination causing illness and decreased effectiveness or failure of medical supplies.Findings included:Observation on [DATE] at 11:30 AM of the singular medication room revealed the following:Three enteral feeding bags with attached gravity set 1200mL capacity with… […]

  • No harm, potential for more than minimal, patternF880Jan 30, 2026

    Based on observation, interview and record review, the facility failed to maintain an infection prevention and control program designed to provide a safe, sanitary, and comfortable environment and help to prevent the development and transmission of communicable diseases and infections for 3 out of 4 residents (R #18, R #32, R #21) reviewed for infection control. MA D failed to disinfect the blood pressure cuff between residents (R#5, R #18, R #32, R #21) while performing medication pass. […]

  • No harm, potential for more than minimal, patternF580Feb 26, 2024

    Based on interview and record review, the facility failed to immediately notify the resident's representative(s) when there was a significant change in the resident's physical status for one (Resident #1) of 10 residents reviewed for changes in condition. The facility failed to notify the responsible party (FM F) for Resident #1 when she developed a deep tissue injury on her left buttock that required treatment. The facility failed to notify the responsible party (FM F) for Resident #1 when she was transferred to the local hospital for a change in condition and respiratory distress. […]

Read 20 findings in full →The most serious and the most recent: 20 of 62 on record.

Every survey on record

FindingsAt actual harm or above

  • Jan 30, 2026Standard4 findings
  • Oct 7, 2025Complaint1 finding · 1 harm
  • Aug 11, 2025Complaint3 findings
  • Jan 7, 2025Complaint1 finding
  • Nov 6, 2024Standard2 findings
  • Oct 17, 2024Complaint2 findings
  • Feb 26, 2024Complaint4 findings
  • Oct 11, 2023Standard3 findings
Show the 10 earlier surveys
  • Aug 17, 2022Standard1 finding
  • May 25, 2021Standard4 findings
  • Oct 7, 2020Infection control1 finding
  • Sep 5, 2019Standard5 findings
  • Aug 15, 2018Standard3 findings
  • Sep 27, 2017Standard5 findings
  • Oct 27, 2016Standard17 findings
  • Dec 9, 2015Standard1 finding
  • Nov 19, 2014Standard3 findings
  • Oct 23, 2013—2 findings

Surveys that found no deficiencies are not in CMS’s files and do not appear here.

Comparable facilities

The nearest facilities to this one in the same peer group, by weighted findings.

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