1301 S Terrell St., Falfurrias, TX 78355 · Brooks County · (361) 325-3658
96 certified beds, about 42 residents a day · For profit - Corporation · Medicare and Medicaid since 1996
CMS Care Compare ratings, data as of September 1, 2026 · CCN 675630 · See it on Medicare.gov · Compare with other homes
At its most recent standard inspection, on February 19, 2026, inspectors cited 3 health deficiencies (the Texas average is 9.4, the national average 9.2).
None of its 22 health citations since September 2023 was rated as actual harm or immediate jeopardy.
CMS lists 1 fine totaling $22,205 in the last three years; the largest was $22,205, and the latest is dated August 7, 2026.
Nurses and nurse aides worked 3.62 hours per resident per day, against 3.39 across Texas and 3.86 nationally. Registered nurses accounted for 0.46 of those hours.
34.9% of nursing staff left within the year CMS measured (Texas average 55.3%).
CMS links it to Nexion Health, an affiliated group of 51 nursing homes.
Federal rules call for a standard inspection at least every 15 months, plus a visit whenever a complaint is filed. Each mark below is one citation, colored by how serious inspectors rated it. How to read a citation.
Under each citation, the quoted text is the inspector's own summary from the federal statement of deficiencies (CMS form 2567), word for word apart from a privacy scrub; CMS removes residents' and staff names before it publishes the text. The full notes are on Medicare.gov.
CMS rates every citation by how much harm it caused (rows) and how many residents it touched (columns). The count in each box is this home's, across all 22 health citations on file.
Inspectors wroteBased on interview and record review, the facility failed to ensure, in accordance with accepted professional standards and practices, medical records were maintained one each resident that were complete and accurately documented for 1 of 5 residents (Resident #1) reviewed for accuracy of records. The facility failed to ensure Resident #1's MAR for June 2026 was appropriately and accurately completed to reflect Resident #1's behaviors, for which he was given PRN medication. This failure could place residents at risk for improper care.
Inspectors wroteBased on observation and interview the facility must ensure that the resident environment remains as free of accident hazards as is possible 1. The facility failed to ensure the shower door in the 500 hall was closed shut and locked after use. 2. The facility failed to ensure the chemical storage closet in the 400 hall was closed shut was locked after use. 3. The facility failed to ensure the supply closet door in the 200 hall was locked which contained an unlocked electrical fuse box. These failures have the potential to result in serious injury.
Inspectors wroteBased on interview and record review, the facility failed to allow the resident's representative the right to exercise the resident's rights to the extent those rights are delegated to the representative for 1 resident (Resident #1) of six residents reviewed for resident rights. The facility failed to ensure that decisions made by the resident's representative were recognized and carried out as the resident's decisions, consistent with the authority established by court order or resident delegation, in accordance with applicable law. This failure could place residents at risk of their rights being violated.
Inspectors wroteBased on observation, interview and record review, the facility failed to ensure the residents' right to privacy for 1 (Resident #39) of 6 residents reviewed for privacy. The facility failed to ensure the WCN provided privacy for Resident #39 while performing her wound care. This failure could cause residents to feel uncomfortable, disrespected, and possibly a loss of dignity due to a lack of privacy.
Inspectors wroteBased on interviews and record reviews, the facility failed to ensure residents were free of any significant medication errors for one of ten residents (Resident #6) reviewed for medication errors. 1.a. The facility failed to ensure MA A administered Resident #6's blood pressure altering medication on 02/10/26, 02/11/26, 02/16/26, and 02/17/26 when his blood pressure was within the required parameters per the physician's order. b. The facility failed to ensure RN B administered Resident #6's blood pressure altering medication on 02/14/26 when his blood pressure was within the required parameters per the physician's order. These failures could place residents who receive blood pressure altering medications at an increased risk for complications such as decreased blood pressure, decreased pulse, exacerbation of symptoms and disease process, and potential hospitalization. [...]
Inspectors wroteBased on observation, record review, and interview, the facility failed to establish and maintain an infection prevention and control program, designed to provide a safe, sanitary, and comfortable environment and to help prevent the development and transmission of communicable diseases and infections, for 2 (Resident #39 and Resident #27) of 5 residents reviewed for infection control and transmission-based precautions, policies, and practices. The facility failed to ensure the WCN performed hand hygiene between glove changes after providing personal care to Resident #39. The facility failed to ensure the WCN wore EBP during Resident #39's wound care as indicated in the physician's orders The facility failed to ensure Resident #39's wound did not come in contact with a contaminated, soiled surface during wound care. [...]
Inspectors wroteBased on interviews and record reviews, the facility failed to develop and implement written policies and procedures that prohibit and prevent mistreatment, abuse, neglect, and exploitation of residents, and misappropriation of residents' property for 1 of 5 residents (Resident #1) reviewed for abuse. The facility failed to ensure CNA A did not inappropriately touch and kiss Resident #1. This failure could place residents at risk for abuse and psychological harm.
Inspectors wroteBased on interviews and record review, the facility failed to ensure that all alleged violations involving the reasonable suspicion of a crime were reported immediately to a law enforcement entity for its political subdivision, within two hours if the events that cause the allegation involve abuse or result in serious bodily injury, or not later than 24 hours if the events that cause the allegation do not involve abuse and do not result in serious bodily injury, for 1 (Resident #1 ) of 5 residents reviewed for abuse/neglect. The facility failed to report to the local law enforcement agency within the allotted time frame of 24 hours on 01/27/2025 around 8:53 AM when LVN A observed red/yellow discoloration on Resident #1's left breast and areola. This failure could place all residents at increased risk for potential abuse due to unreported allegations of abuse.
Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure each resident received adequate supervision and assistance devices to prevent accidents, for one of four residents (Resident #2) reviewed for accidents and supervision. The facility failed to ensure CNA A used a gait belt to transfer Resident #2 from the wheelchair to bed on 07/06/2025. This failure could place residents at risk for falls, injuries and a decline in health.
Inspectors wroteBased 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 to help prevent the development and transmission of disease and infection for one (Resident #2) of five residents reviewed for infection control, in that:CNA A, on 07/06/2025, did not remove her contaminated gloves nor performed hand hygiene after touching multiple surfaces prior to initiating Resident #2's perineal care. Additionally, CNA A failed to perform hand hygiene and gloves changes while performing incontinent care. These failures could place residents at risk for contamination and infection.
Inspectors wroteBased on observation and interview, the facility failed to post the daily nurse staffing data at the beginning of each shift in a prominent place, readily accessible to residents and visitors that included the facility name; the total number of hours worked per shift by the registered nurses, the licensed vocational nurses, and the certified nurse aides directly responsible for resident care for the facility for 43 of 43 days reviewed for staffing postings. The facility did not post current daily staffing information from 02/07/25 through 03/22/25. This failure could place the residents, families, and visitors at risk of not having access to information regarding the number of staff working each day to provide care on all shifts.
Inspectors wroteBased on observation, interview, and record review the facility failed to develop and implement a comprehensive person-centered care plan for each resident, consistent with the resident rights that includes measurable objectives and timeframes to meet a resident's medical, nursing, and mental and psychosocial needs that are identified in the comprehensive assessment for 3 (Resident #14, Resident #24, and Resident #37) of 8 residents reviewed for care plans. 1. The facility failed to ensure that Resident #14's care plan reflected the need for Enhanced Barrier Precautions regarding Resident #14's right chest wall dialysis catheter. 2. The facility failed to ensure that Resident #24's care plan reflected the fact that the resident frequently removed her own oxygen cannula and tubing and refused to wear it. 3. [...]
Inspectors wroteBased on interviews and record review, the facility failed to immediately inform the resident, consult with the resident's physician, and notify, consistent with his or her authority, the resident representative when there was a significant change in the resident's physical, mental, or psychosocial status (that is, a deterioration in health, mental, or psychosocial status in either life-threatening conditions or clinical complications) for 1 of 8 residents (Resident #8) reviewed for physician notification. The facility failed to ensure RN A notified Resident #8's provider when RN A did not administer Resident #8's Tresiba as prescribed by the physician on 8 of 9 opportunities from 11/1/24 to 11/30/24. This failure could affect residents by placing them at risk of not receiving the therapeutic effects of medications, decline in health, and death.
Inspectors wroteBased on observation, interviews and record reviews the facility failed to ensure that the comprehensive care plan was periodically reviewed and revised by a team of qualified persons after each assessment, including both the comprehensive and quarterly review assessments for 1 (Resident #14) of 8 residents reviewed for care plan revision. The facility failed to update Resident #14 ' s care plan when he no longer had a urinary catheter. This failure could place residents at risk of not receiving the care and services necessary to meet their current needs and achieve or maintain their highest practicable level of health and well-being.
Inspectors wroteF-tag initiation Based on observations, interviews and record reviews, the facility failed to ensure, based on the comprehensive assessment of a resident, that residents received treatment and care in accordance with professional standards of practice, the comprehensive person-centered care plan, and the residents' choices, for 1 of 2 residents (Resident #24) reviewed for quality of care. 1. The facility failed to ensure Resident #24's implanted medi-port was accessed and flushed appropriately per policy and physician's orders. 2. The facility failed to ensure nurses documented the access and flush of the implanted med-port appropriately and accurately. 3. The facility failed to ensure the nurses were properly trained to access and flush the implanted med-port appropriately. [...]
Inspectors wroteBased on observations, interview, and record review, the facility failed to ensure the resident environment remained as free of accident hazards as was possible and each resident received adequate supervision and assistance devices to prevent accidents for one of five residents (Resident #44) reviewed for accidents and hazards. The facility failed to ensure floor mats were in place beside Resident #44's bed . This failure could place residents at risk for an injury or a major injury.
Inspectors wroteBased on interviews and record reviews, the facility failed to provide resident with he appropriate competencies and skills sets to provide nursing and related services to assure residents safety and attain or maintain the highest practicable physical, mental and psychosocial well-being of each resident for 1 of 5 residents (Resident #24). The facility failed to ensure that nursing staff were educated on the steps and protocols to access and flush Resident #24's implanted medi-port. These failures could place residents at risk for complications such as infection, blood clot, occlusion of catheter and/or infiltration.
Inspectors wroteBased on interviews and record review, the facility failed ensure residents were free of any significant medication errors for 1 of 8 residents (Resident #8) reviewed for significant medication errors. The facility failed to ensure that RN A administered Resident #8's Tresiba Flex Touch Solution Pen Injector on 8 of 9 opportunities from 11/1/24 to 11/30/24. This failure could place residents at risk of a decline in condition or hospitalization.
Inspectors wroteBased on observation, interview, and record review, the facility failed to establish and maintain an infection prevention program to provide a safe and sanitary environment for 1 of 1 laundry room, and 1 of 1 facility reviewed for infection control, in that: The facility failed to maintain an infection and prevention control program that included, at a minimum, a system for preventing and controlling Legionella through a program that identifies areas in the water system where Legionella can grow and spread by not testing for Legionella and not implementing a system for doing so. The facility failed to ensure laundry was disinfected properly by failing to sort garments before washing to prevent cross-contamination These failures could place all residents of the facility at risk for airborne infection and cross-contamination.
Inspectors wroteBased on observation, interview ad record review the facility failed to ensure residents received services in the facility with reasonable accommodations of each resident's needs for 4 of 8 residents (Resident #20, Resident #35, Resident #59, and Resident #68) reviewed for call lights in that: [...]
Inspectors wroteBased on observations, interviews, and record review, the facility failed to offer sufficient fluid intake to maintain sufficient hydration and health for 1 of 8 residents (Resident #18) reviewed for hydration in that: Resident #18 was in her room in her bed without access to fluids. This failure had the potential to affect all residents who depended on the facility to meet their hydration needs by causing dehydration.
Inspectors wroteBased on interview and record review, the facility failed to develop, implement, and maintain annually an effective training program for individuals providing services under a contractual arrangement, consistent with their expected roles for 3 of 3 contract employees (physical therapy, occupational therapy and speech therapy working) reviewed for training. The facility failed to ensure required trainings were provided for physical therapy, occupational therapy and speech therapy working in the therapy departments at the facility under a contractual agreement for the review period of September 2022 to September 2023. This failure could place residents at risk of being cared for by staff who have been insufficiently trained.
8 fire safety citations on file: 3 on February 19, 2026, 3 on December 4, 2024, 2 on September 14, 2023.
| Date | Penalty | Amount or length |
|---|---|---|
| August 7, 2026 | Fine | $22,205 |
A payment denial means Medicare and Medicaid stopped paying for new admissions for that period.
Hours of care per resident per day, from the payroll records every home sends CMS. Higher means more staff time with each resident.
| Measure | This home | Texas | United States |
|---|---|---|---|
| All nursing staff (RN, LPN and aides) | 3.62 | 3.39 | 3.86 |
| Registered nurses | 0.46 | 0.43 | 0.69 |
| All nursing staff on weekends | 3.29 | 2.98 | 3.42 |
| Nurse aides | 1.75 | ||
| Licensed practical nurses | 1.41 | ||
| Nursing staff turnover (share who left in a year) | 34.9% | 55.3% | 45.8% |
| Registered nurse turnover | 0.0% | 54.6% | 42.9% |
| Administrators who left | 0 |
CMS expects 4.08 hours a day for residents as sick as this home's (its case-mix figure). The staffing star compares the two.
Every nursing home sends CMS its staff hours for each day (the Payroll Based Journal). Here they are added up by quarter. The latest quarter is the one behind the figures above. In January to March 2026, nursing staff hours per resident were 3.76 on weekdays and 3.29 on weekends, 12% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 0.0% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.38 in April to June 2025 to 3.62 in January to March 2026.
| Quarter | All nursing staff | Registered nurses | Weekdays | Weekends | Contract staff share | Days with no RN hours | Residents a day |
|---|---|---|---|---|---|---|---|
| Jan to Mar 2026 | 3.62 | 0.46 | 3.76 | 3.29 | 0.0% | 0 of 90 | 42 |
| Oct to Dec 2025 | 3.56 | 0.44 | 3.67 | 3.28 | 0.0% | 0 of 92 | 44 |
| Jul to Sep 2025 | 3.36 | 0.42 | 3.45 | 3.15 | 0.0% | 0 of 92 | 51 |
| Apr to Jun 2025 | 3.38 | 0.42 | 3.49 | 3.11 | 0.0% | 0 of 91 | 52 |
| United States, Jan to Mar 2026 | 3.75 | 0.62 | 3.92 | 3.33 | 5.3% | 0.5% of days | |
| Texas, Jan to Mar 2026 | 3.33 | 0.40 | 3.50 | 2.93 | 2.2% | 0.7% of days |
Hours per resident per day: staff hours in the quarter divided by resident days (the daily census CMS derives from resident assessments). Registered nurses include the director of nursing and RNs with administrative duties; aides include nurse aides in training and medication aides, as in CMS's own staffing measure. How these are calculated.
Staff pay reports
No staff pay figure for this home has passed review yet. A figure appears only after at least 5 reports from at least 3 different people, sent over at least 60 days, have passed review.
| Job | Median | Middle half | Employed |
|---|---|---|---|
| Texas, all employers | |||
| CNAs (nursing assistants) | $18.03 | $16.97 to $20.71 | 88,680 |
| LPNs and LVNs | $29.92 | $27.46 to $32.89 | 57,560 |
| Registered nurses | $46.14 | $38.06 to $50.53 | 271,380 |
| United States, nursing care facilities | |||
| CNAs (nursing assistants) | $20.67 | $17.91 to $22.55 | 534,270 |
| LPNs and LVNs | $33.86 | $30.05 to $37.40 | 188,210 |
| Registered nurses | $41.11 | $37.85 to $47.68 | 142,270 |
Hourly wages; the middle half runs from the 25th to the 75th percentile. Source: U.S. Bureau of Labor Statistics, Occupational Employment and Wage Statistics, May 2025. BLS has no separate estimate for medication aides. These are survey estimates for whole occupations, not figures for any one home.
The measures CMS uses for the quality star. Lower is better for every one of them.
| Measure | This home | Texas | US |
|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased Long Stay residents, 2025Q2-2026Q1 | 25.4 | 15.8 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 0.0 | 0.3 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 0.0 | 0.8 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 4.1 | 3.3 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 2.3 | 1.5 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 31.1 | 14.0 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 0.5 | 3.8 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 5.8 | 9.6 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 14.1 | 25.7 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 3.1 | 12.3 | 12.0 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 2.1 | 2.2 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.3 | 2.1 | 1.8 |
For a stay to recover after a hospital visit, these are the results CMS publishes for Gulf Shores Rehabilitation and Healthcare Center's Medicare short-stay residents. On returning residents home or to the community, CMS rates it no different from the national rate (53.3% of residents, after adjusting for how sick they were). How to read these, and what Medicare pays for.
53.3% this home
No different from the national rate
US median of homes 51.5% · Texas: 116 better, 50 worse
Rate of successful return to home or community from a SNF (risk-standardized discharge to community rate). Higher is better. October 2022 to September 2024. 25 eligible stays.
10.4% this home
No different from the national rate
US median of homes 10.7% · Texas: 0 better, 9 worse
Rate of potentially preventable hospital readmissions 30 days after discharge from a SNF (risk-standardized rate). Lower is better. October 2022 to September 2024. 45 eligible stays.
6.4% this home
No different from the national rate
US median of homes 7.1% · Texas: 4 better, 11 worse
Percentage of infections residents got during their SNF stay that resulted in hospitalization (risk-standardized rate). Lower is better. October 2023 to September 2024. 31 eligible stays.
Not reported
CMS note: The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
Median of homes: Texas57.3% · US 56.6%
Percentage of residents who are at or above an expected ability to care for themselves and move around at discharge. Higher is better. October 2024 to September 2025. 11 residents counted.
Not reported
CMS note: The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
Median of homes: Texas0.0% · US 0.0%
Percentage of SNF residents who experience one or more falls with major injury during their SNF stay. Lower is better. October 2024 to September 2025. 15 residents counted.
Not reported
CMS note: The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
Median of homes: Texas1.3% · US 1.7%
Percentage of residents with pressure ulcers or pressure injuries that are new or worsened (adjusted rate). Lower is better. October 2024 to September 2025. 15 residents counted.
Not reported
CMS note: The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
Median of homes: Texas98.5% · US 98.7%
Percentage of residents where the SNF provided a current medication list to the resident, family, and/or caregiver at final discharge. Higher is better. October 2024 to September 2025. 2 residents counted.
Source: CMS Skilled Nursing Facility Quality Reporting Program - Provider Data, released 2026-09-30. Better, no different and worse are CMS's own comparisons with the national rate, after adjusting for how sick residents were. Medians of homes and the state counts are worked out by us from the same file.
Legal business name: WEST WHARTON COUNTY HOSPITAL DISTRICT. CMS links this home to Nexion Health, a group of 51 nursing homes averaging 2.2 stars overall.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Santana, Mary | W-2 managing employee | Individual | 04/01/2021 | |
| Mak, David | Corporate officer | Individual | 05/18/2021 | |
| Nexion Health at Falfurrias, Inc. | Operational/managerial control | Organization | 04/01/2021 | |
| Fallon, John | Operational/managerial control | Individual | 04/01/2021 | |
| Kirley, Francis | Operational/managerial control | Individual | 04/01/2021 | |
| Lee, Brian | Operational/managerial control | Individual | 04/01/2021 | |
| Riner, Meera | Operational/managerial control | Individual | 04/01/2021 | |
| Santana, Mary | Operational/managerial control | Individual | 04/01/2021 |
As listed in the CMS ownership file, which names owners with a 5% or greater stake and the people and companies with operational or managerial control.
Chosen from this home's own inspection record.
These are the official offices in Texas. NursingHomeClear cannot take or act on complaints.