What is La Dora Nursing and Rehabilitation Center's Medicare star rating?

CMS rates La Dora Nursing and Rehabilitation Center 5 out of 5 stars overall, with 5 for health inspections, 2 for staffing and 5 for quality measures (CMS data as of September 1, 2026).

How many deficiencies did La Dora Nursing and Rehabilitation Center get at its last inspection?

1 health deficiency at the standard inspection on April 24, 2026. The Texas average is 9.4.

Has La Dora Nursing and Rehabilitation Center been fined?

CMS lists no fines in the last three years.

Does La Dora Nursing and Rehabilitation Center accept Medicaid?

It is certified to take Medicaid (CMS lists it as "Medicare and Medicaid"). Certification does not mean a Medicaid bed is open: ask the admissions office.

Who owns La Dora Nursing and Rehabilitation Center?

CMS lists 13 owners and managers, and links the home to Cross Healthcare Management. Legal business name: FANNIN COUNTY HOSPITAL AUTHORITY.

La Dora Nursing and Rehabilitation Center: Inspections

The record in brief

At its most recent standard inspection, on April 24, 2026, inspectors cited 1 health deficiency (the Texas average is 9.4, the national average 9.2).

None of its 10 health citations since January 2024 was rated as actual harm or immediate jeopardy.

CMS lists no fines against this home in the last three years.

Nurses and nurse aides worked 2.99 hours per resident per day, against 3.39 across Texas and 3.86 nationally. Registered nurses accounted for 0.57 of those hours.

53.4% of nursing staff left within the year CMS measured (Texas average 55.3%).

CMS links it to Cross Healthcare Management, an affiliated group of 6 nursing homes.

Health inspections

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.

501/24

101/25

302/25

104/26

Potential for minimal harm Potential for more than minimal harm Actual harm Immediate jeopardy Found on a complaint visit

Where its citations fall on CMS's grid

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 10 health citations on file.

Severity

Isolated

Pattern

Widespread

Immediate jeopardy

Actual harm

Potential for more than minimal harm

Potential for minimal harm

April 24, 2026Standard inspection · 1 citation

E

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

F812 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) April 27, 2026

Inspectors wroteBased on observation, interview, and record review, the facility failed to store, prepare, distribute, and serve food in accordance with professional standards for food safety in thefacility's only kitchen. The facility failed to ensure food items were labeled, dated, and sealed properly in stand-by refrigerator 1 of 2. The facility failed to ensure food items were labeled, dated, and sealed properly in all 2 stand-by freezers. These failures could have affected residents by placing them at risk for cross-contamination and foodborne intoxication.

February 13, 2025Standard inspection · 3 citations

E

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.

F761 · Pharmacy Service · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) February 14, 2025

Inspectors wroteBased on observation, interview, and record review the facility failed to ensure all drugs and biologicals were stored in locked compartments for two of three medication carts (Nurse med carts #1 and #2) in that: LVN B left Nurse Med Cart #1 unlocked and unattended on 02/11/25 and on 02/12/25. LVN C left six medications on top of Nurse Med Cart #2 while the cart was unattended and out of the nurse's view on 02/12/25. These failures could place residents at risk of their medications being stolen or misused and health complications related to accidental ingestion of drugs and/or biologicals, including hospitalization.
E

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

F812 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) February 14, 2025

Inspectors wroteBased on observation, interview, and record review the facility failed to store, distribute, and serve food in accordance with professional standards for food safety in the facility's only kitchen. The facility failed to ensure food items in the refrigerator were dated, labeled, and sealed appropriately. The failure could affect residents who received their meals from the facility's only kitchen, by placing them at risk for food-borne illness, and food contamination.
E

Provide and implement an infection prevention and control program.

F880 · Infection Control · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) February 14, 2025

Inspectors wroteBased on observation, interview and record review, the facility failed to maintain an infection prevention and control measure designed to provide a safe, sanitary environment to help prevent the development and transmission of communicable diseases and infections for 2 of 4 residents (Resident #44 and Resident #106) reviewed for infection control in that: 1. LVN A failed to sanitize her hands after moving Resident #44's floor mat before touching his bedside table and did she not change her gloves after touching the door, adjusting the bed and touching the privacy curtain before touching Resident #44's G-tube. 2. LVN A, CNA D, and CNA E failed to prevent cross contamination of Resident #44's care items during wound care. 3. [...]

January 16, 2025Complaint inspection · 1 citation

D

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

F600 · Freedom from Abuse, Neglect, and Exploitation · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) January 17, 2025

Inspectors wroteBased on interview and record review, the facility failed to ensure resident was free from abuse and neglect for 1(Resident #1) of 3 residents reviewed for abuse, neglect, and exploitation. The facility failed to ensure that Resident #1 was free from neglect when ST-A entered the code to the door to let Resident #1 out of the facility. Resident #1 was seen by another staff and brought back into the facility. This failure could place residents at risk of neglect, injury, and psychosocial harm.

January 5, 2024Standard inspection, Complaint inspection · 5 citations

E

Provide and implement an infection prevention and control program.

F880 · Infection Control · No actual harm, potential for more than minimal harm, pattern · found on a complaint visit · Corrected (the home has a date of correction) January 6, 2024

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 and to help prevent the development and transmission of communicable diseases and infections for 6 of 14 residents (Residents # 20, #38, #11, #42, #29, and #18) reviewed for infection control. The facility failed to ensure residents with a COVID-19 positive status in the secured unit (Residents #42, #29, and #18) were not cohorted with residents with a COVID-19 negative status (Residents #20, #38, and #11) and that CNA A failed to inform the facility when she did not feel well on 12/21/23 and continued to work on the secured unit prior testing positive for COVID-19. These failures placed all residents at risk for the spread of infection through cross-contamination of pathogens and illness.
D

Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

F655 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) January 6, 2024

Inspectors wroteBased on interview and record review, the facility failed to develop a baseline care plan within 48 hours for 1 of 4 residents (Resident #204) reviewed for baseline care plans. The facility failed to ensure Resident #204's baseline care plan was completed within 48 hours of admission. This failure could affect residents by not addressing their physical, mental, and psychosocial needs.
D

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

F656 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) January 6, 2024

Inspectors wroteBased on observation, interview and record review, the facility failed to develop and implement a comprehensive person-centered care plan for each resident that included measurable objectives and timeframes to meet a resident's medical, nursing, and mental and psychosocial needs that were identified in the comprehensive assessment and described the services that were to be furnished to attain or maintain the resident's highest practicable physical, mental, and psychosocial well-being for 3 of 13 residents (Resident #28, Resident #30, and Resident #65) reviewed for comprehensive care plans. 1. The facility failed to ensure Resident #30 ' s tube feeding status was documented in the care plan. 2. The facility failed to ensure Resident #65 ' s wandering and elopement risk was documented in the care plan. 3. [...]
D

Provide for the safe, appropriate administration of IV fluids for a resident when needed.

F694 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) January 6, 2024

Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure parenteral fluids were administered consistent with professional standards of practice and in accordance with physician orders for 1 (Resident #28) of 4 residents reviewed for intravenous fluids The facility failed to ensure Resident #28 received PICC (Peripherally Inserted Central Catheter -PICC line is a soft, flexible catheter inserted into a central vein used for prolonged antibiotic therapy) line dressing changes as ordered every 2 days. This failure places residents at risk of bacterial contamination and risk of infection.
D

Ensure medication error rates are not 5 percent or greater.

F759 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) January 6, 2024

Inspectors wroteBased on observation, interview, and record review, the facility failed to maintain a medication administration error rate below 5% for 2 of 24 (error rate 8.33%) opportunities for errors during medication pass. Facility failed to ensure Intravenous (IV) Medication was administered as ordered for Resident#28. Facility failed to ensure correct medication dose was administered to Resident #48. These failures could place residents at risk for significant medication errors and jeopardize the residents ' health and safety.

Fire safety inspections

20 fire safety citations on file: 5 on April 24, 2026, 9 on February 13, 2025, 6 on January 5, 2024.

Every fire safety citation20 citations

F
Develop and maintain an Emergency Preparedness Program (EP).

E 4 · April 24, 2026 · Corrected (the home has a date of correction)
F
Have simulated fire drills held at unexpected times.

K 712 · April 24, 2026 · Corrected (the home has a date of correction)
F
Have generator or other power source capable of supplying service within 10 seconds.

K 918 · April 24, 2026 · Corrected (the home has a date of correction)
E
Install emergency lighting that can last at least 1 1/2 hours.

K 291 · April 24, 2026 · Corrected (the home has a date of correction)
E
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

K 321 · April 24, 2026 · Corrected (the home has a date of correction)
F
Conduct testing and exercise requirements.

E 39 · February 13, 2025 · Corrected (the home has a date of correction)
F
Properly select, install, inspect, or maintain portable fire extinguishes.

K 355 · February 13, 2025 · Corrected (the home has a date of correction)
F
Have simulated fire drills held at unexpected times.

K 712 · February 13, 2025 · Corrected (the home has a date of correction)
F
Have generator or other power source capable of supplying service within 10 seconds.

K 918 · February 13, 2025 · Corrected (the home has a date of correction)
E
Install emergency lighting that can last at least 1 1/2 hours.

K 291 · February 13, 2025 · Corrected (the home has a date of correction)
E
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

K 321 · February 13, 2025 · Corrected (the home has a date of correction)
E
Install corridor and hallway doors that block smoke.

K 363 · February 13, 2025 · Corrected (the home has a date of correction)
E
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.

K 741 · February 13, 2025 · Corrected (the home has a date of correction)
E
Ensure electrical receptacles or cover plates have distinctive color or marking.

K 917 · February 13, 2025 · Corrected (the home has a date of correction)
F
Keep aisles, corridors, and exits free of obstruction in case of emergency.

K 211 · January 5, 2024 · Corrected (the home has a date of correction)
F
Provide properly protected cooking facilities.

K 324 · January 5, 2024 · Corrected (the home has a date of correction)
F
Have approved installation, maintenance and testing program for fire alarm systems.

K 345 · January 5, 2024 · Corrected (the home has a date of correction)
E
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

K 321 · January 5, 2024 · Corrected (the home has a date of correction)
E
Inspect, test, and maintain automatic sprinkler systems.

K 353 · January 5, 2024 · Corrected (the home has a date of correction)
E
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

K 372 · January 5, 2024 · Corrected (the home has a date of correction)

Fines and payment denials

CMS lists no fines or payment denials against this home in the last three years. The national average is 0.9 fines per home.

Staffing

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)	2.99	3.39	3.86
Registered nurses	0.57	0.43	0.69
All nursing staff on weekends	2.67	2.98	3.42
Nurse aides	1.54
Licensed practical nurses	0.88
Nursing staff turnover (share who left in a year)	53.4%	55.3%	45.8%
Registered nurse turnover	44.4%	54.6%	42.9%
Administrators who left	0

CMS expects 3.76 hours a day for residents as sick as this home's (its case-mix figure). The staffing star compares the two.

Staffing by quarter, from daily payroll records

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 3.11 on weekdays and 2.67 on weekends, 14% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 2.5% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.16 in April to June 2025 to 2.99 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	2.99	0.57	3.11	2.67	2.5%	0 of 90	56
Oct to Dec 2025	3.00	0.53	3.13	2.65	1.7%	0 of 92	54
Jul to Sep 2025	3.04	0.48	3.18	2.69	0.6%	0 of 92	55
Apr to Jun 2025	3.16	0.69	3.30	2.81	0.2%	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.

Quality measures

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	11.8	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	1.1	0.8	1.6
Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1	1.7	3.3	3.2
Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1	0.0	1.5	1.6
Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1	11.3	14.0	14.1
Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1	1.2	3.8	4.6
Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1	1.8	9.6	15.4
Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231	15.2	25.7	23.8
Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231	7.5	12.3	12.0
Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231	1.9	2.2	1.9
Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231	1.0	2.1	1.8

Owners and operators

Legal business name: FANNIN COUNTY HOSPITAL AUTHORITY. CMS links this home to Cross Healthcare Management, a group of 6 nursing homes averaging 2.8 stars overall.

Name	Role	Type	Share	Since
Fannin County Hospital Authority	5% or greater direct ownership interest	Organization	100%	05/01/2026
Rai, Sweety	Managing control - governing body	Individual		05/01/2026
Sanderson, Clark	Corporate director	Individual		05/01/2026
Keetch, Chad	Corporate officer	Individual		03/01/2011
Lavaca River Healthcare LLC	Operational/managerial control	Organization		05/01/2026
Burnam, Soon	Operational/managerial control	Individual		05/01/2026
Rai, Sweety	Operational/managerial control	Individual		05/01/2026
Bedford Road Health Holdings LLC	Adp of the SNF	Organization		05/01/2026
Ensign Services Inc	Adp of the SNF	Organization		02/11/2026
Lavaca River Healthcare LLC	Adp of the SNF	Organization		04/14/2026
Standard Bearer Healthcare Op, LP	Adp of the SNF	Organization		05/01/2026
The Ensign Group Inc	Adp of the SNF	Organization		05/01/2026
Rai, Sweety	Adp of the SNF	Individual		05/01/2026

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.

Questions to ask on a visit

Chosen from this home's own inspection record.

Can we see a week of menus and the kitchen, and how are special diets handled?Inspectors cited 2 problems in this area, most recently on April 24, 2026: "Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards."
How are medications reviewed, and how often are antipsychotic or sedating drugs used?Inspectors cited 2 problems in this area, most recently on February 13, 2025: "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."
What changed in infection control since the last inspection, and who on staff is the infection preventionist?Inspectors cited 2 problems in this area, most recently on February 13, 2025: "Provide and implement an infection prevention and control program."
When is the care plan meeting, and can family attend it?Inspectors cited 2 problems in this area, most recently on January 5, 2024: "Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted"
Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 2.67 hours per resident per day, below the Texas average of 2.98.

Other nursing homes nearby

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Forum Parkway Health & Rehabilitation
Bedford, 1.4 mi · 3 of 5 stars · 23 citations
Westpark Rehabilitation and Living
Euless, 1.6 mi · 1 of 5 stars · 54 citations
Hurst Plaza Nursing and Rehab
Hurst, 2.1 mi · 5 of 5 stars · 15 citations
Oakmont Guest Care Center
Hurst, 2.8 mi · 2 of 5 stars · 34 citations
Avir at Emerald Hills
North Richland Hills, 4.5 mi · 2 of 5 stars · 23 citations
Glenview Wellness & Rehabilitation
North Richland Hills, 4.7 mi · 1 of 5 stars · 25 citations

Texas contacts for a concern about a nursing home

These are the official offices in Texas. NursingHomeClear cannot take or act on complaints.

Resident advocate: Texas Office of the State Long-Term Care Ombudsman, 800-252-2412. The long-term care ombudsman is a free, confidential advocate for residents and families, set up under the federal Older Americans Act.

Common questions

What is La Dora Nursing and Rehabilitation Center's Medicare star rating?: CMS rates La Dora Nursing and Rehabilitation Center 5 out of 5 stars overall, with 5 for health inspections, 2 for staffing and 5 for quality measures (CMS data as of September 1, 2026).
How many deficiencies did La Dora Nursing and Rehabilitation Center get at its last inspection?: 1 health deficiency at the standard inspection on April 24, 2026. The Texas average is 9.4.
Has La Dora Nursing and Rehabilitation Center been fined?: CMS lists no fines in the last three years.
Does La Dora Nursing and Rehabilitation Center accept Medicaid?: It is certified to take Medicaid (CMS lists it as "Medicare and Medicaid"). Certification does not mean a Medicaid bed is open: ask the admissions office.
Who owns La Dora Nursing and Rehabilitation Center?: CMS lists 13 owners and managers, and links the home to Cross Healthcare Management. Legal business name: FANNIN COUNTY HOSPITAL AUTHORITY.

Sources

Ratings, staffing and fines: CMS Provider Information, released September 30, 2026, data as of September 1, 2026.
Citations: CMS Health Deficiencies and Fire Safety Deficiencies.
Owners: CMS Ownership. Penalties: CMS Penalties.
Staffing by quarter: CMS Payroll Based Journal Daily Nurse Staffing, April 2025 to March 2026, summed by NursingHomeClear.
Inspector summaries: CMS Full Statement of Deficiencies (CMS-2567 text), data as of September 1, 2026. Each quote is the part of the statement before the detailed findings.
Inspection reports with the inspectors' full notes are on this home's Medicare.gov page.
Something wrong on this page? Ask for a correction. We fix errors in our copy of the data; findings themselves can only be changed by CMS and the state.
NursingHomeClear is independent and not affiliated with CMS, Medicare or any state agency. This page reports federal records; it does not rate, recommend or endorse any home, and it is not medical or legal advice.