Sandy Lake Rehabilitation And Care Center - 2-Star Rehab Facility in Coppell, TX | PlacetClinical Quality Indicators
Long-stay residents , lower is better
Antipsychotic medication use 11.4%Falls causing major injury 5.41%Pressure ulcers (high-risk) 4.02%Admissions Contacts
No admissions contacts on file yet.
CMS Star Ratings
Last inspected: Aug 2025 (296 days ago)🔍 Health Inspection
2/5
★★☆☆☆
📊 Quality Measures
4/5
★★★★☆
Medicare
Source: CMS MDS Quality Measures. Updated quarterly.
State avg: 26 min · US avg: 41 min
Total Nurse / Resident / Day
3h 13m
State avg: 3h 24m · US avg: 3h 53m
3 min
State avg: 4 min · US avg: 4 min
64 per 100
State avg: 51 per 100 · US avg: 46 per 100
Weekend Staffing (PBJ Q3 2024)
Weekend vs. Weekday RN
40%well below avg
US avg: 64%
Total Nurse Weekend
2h 44m
Federal Penalties
18 penalties · $211,914 total
| Date | Type | Fine | Denial Days |
|---|
| 4/17/2025 | Fine | $9,113 | - |
| 4/17/2025 | Fine | $9,113 | - |
| 4/17/2025 | Fine | $9,113 | - |
| 4/17/2025 | Fine | $9,113 | - |
| 4/17/2025 | Fine | $9,113 | - |
| 4/17/2025 | Fine | $9,113 | - |
| 4/17/2025 | Fine | $9,113 | - |
| 4/17/2025 | Fine | $9,113 | - |
| 4/17/2025 | Fine | $9,113 | - |
| 7/25/2024 | Fine | $14,433 | - |
| 7/25/2024 | Fine | $14,433 | - |
| 7/25/2024 | Fine | $14,433 | - |
| 7/25/2024 | Fine | $14,433 | - |
| 7/25/2024 | Fine | $14,433 | - |
| 7/25/2024 | Fine | $14,433 | - |
| 7/25/2024 | Fine | $14,433 | - |
| 7/25/2024 | Fine | $14,433 | - |
| 7/25/2024 | Fine | $14,433 | - |
Inspection Citations
Survey: August 19, 2025(39 citations)
🟡 Potential for HarmResident Rights Deficiencies
🟡 Potential for HarmResident Rights Deficiencies
🟡 Potential for HarmResident Rights 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 Harm
22.7 per 100
State avg: 25.9 · US avg: 23.9
8.0 per 100
State avg: 12.0 · US avg: 12.0
5.4 per 100
State avg: 3.3 · US avg: 3.3
4.0 per 100
State avg: 4.2 · US avg: 5.1
1.1 per 100
State avg: 1.5 · US avg: 1.6
90.0 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
18/100
Incentive Payment
-1.82% penalty
Healthcare-Assoc. Infections
6.3 per 100
Higher performance scores lead to payment bonuses. Lower scores indicate risk of readmission penalties.
Avg Length of Stay
17.0 days
Avg Payment / Stay
$9,127.17
Patient Complexity
2.70 × 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)
Quality of Life and Care Deficiencies
🟡 Potential for HarmQuality of Life and Care Deficiencies
🟡 Potential for HarmPharmacy Service Deficiencies
🟡 Potential for HarmPharmacy Service Deficiencies
🟡 Potential for HarmPharmacy Service Deficiencies
🟡 Potential for HarmNutrition and Dietary Deficiencies
🟡 Potential for HarmInfection Control Deficiencies
🟡 Potential for HarmResident Rights Deficiencies
🟡 Potential for HarmResident Rights Deficiencies
🟡 Potential for HarmResident Rights 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 HarmQuality of Life and Care Deficiencies
🟡 Potential for HarmQuality of Life and Care Deficiencies
🟡 Potential for HarmPharmacy Service Deficiencies
🟡 Potential for HarmPharmacy Service Deficiencies
🟡 Potential for HarmPharmacy Service Deficiencies
🟡 Potential for HarmNutrition and Dietary Deficiencies
🟡 Potential for HarmInfection Control Deficiencies
🟡 Potential for HarmResident Rights Deficiencies
🟡 Potential for HarmResident Rights Deficiencies
🟡 Potential for HarmResident Rights 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 HarmQuality of Life and Care Deficiencies
🟡 Potential for HarmQuality of Life and Care Deficiencies
🟡 Potential for HarmPharmacy Service Deficiencies
🟡 Potential for HarmPharmacy Service Deficiencies
🟡 Potential for HarmPharmacy Service Deficiencies
🟡 Potential for HarmNutrition and Dietary Deficiencies
🟡 Potential for HarmInfection Control Deficiencies
Survey: June 6, 2025(3 citations)
🟡 Potential for HarmNursing and Physician Services DeficienciesComplaint
🟡 Potential for HarmNursing and Physician Services DeficienciesComplaint
🟡 Potential for HarmNursing and Physician Services DeficienciesComplaint
Survey: May 13, 2025(3 citations)
🟡 Potential for HarmResident Rights DeficienciesComplaint
🟡 Potential for HarmResident Rights DeficienciesComplaint
🟡 Potential for HarmResident Rights DeficienciesComplaint
Survey: April 17, 2025(3 citations)
🔴 Immediate JeopardyQuality of Life and Care DeficienciesComplaint
🔴 Immediate JeopardyQuality of Life and Care DeficienciesComplaint
🔴 Immediate JeopardyQuality of Life and Care DeficienciesComplaint
Survey: February 27, 2025(3 citations)
🟡 Potential for HarmResident Assessment and Care Planning DeficienciesComplaint
🟡 Potential for HarmResident Assessment and Care Planning DeficienciesComplaint
🟡 Potential for HarmResident Assessment and Care Planning DeficienciesComplaint
+ 8 more survey(s) not shown in snapshot
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