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Landmark of Amarillo Rehabilitation and Nursing Ce

5601 Plum Creek Drive, Amarillo, TX 79124 · Potter County · (806) 351-1000

99 certified beds, about 84 residents a day · For profit - Limited Liability company · Medicare and Medicaid since 1986

Certified for Medicaid Certified for Medicare
Overall
3 of 5
Health inspections
3 of 5
Staffing
2 of 5
Quality measures
4 of 5

CMS Care Compare ratings, data as of September 1, 2026 · CCN 455675 · See it on Medicare.gov · Compare with other homes

The record in brief

At its most recent standard inspection, on March 26, 2026, inspectors cited 9 health deficiencies (the Texas average is 9.4, the national average 9.2).

Of 28 health citations since November 2023, 2 were rated as actual harm or immediate jeopardy to residents (1 immediate jeopardy).

CMS lists 2 fines totaling $160,948 in the last three years; the largest was $147,878, and the latest is dated May 20, 2026.

Nurses and nurse aides worked 3.43 hours per resident per day, against 3.39 across Texas and 3.86 nationally. Registered nurses accounted for 0.54 of those hours.

97.6% of nursing staff left within the year CMS measured (Texas average 55.3%).

CMS links it to Creative Solutions in Healthcare, an affiliated group of 149 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.

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 28 health citations on file.

Severity
Isolated
Pattern
Widespread
Immediate jeopardy
1J
0K
0L
Actual harm
0G
1H
0I
Potential for more than minimal harm
21D
2E
2F
Potential for minimal harm
0A
0B
1C
May 20, 2026Complaint inspection · 2 citations
  1. J
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    F689 · Quality of Life and Care · Immediate jeopardy to resident health or safety, isolated · found on a complaint visit · Past noncompliance: already fixed when inspectors found it
    Inspectors wroteBased on interview and record review the facility failed to ensure the resident environment remains as free of accident hazards as is possible and each resident receives adequate supervision and assistance devices to prevent accidents for 1 (Resident #1) of 6 residents reviewed for accidents and hazards. The facility failed to ensure Resident #1 did not have access to a double-sided razor blade. Resident #1 used the razor blade to cut his left wrist, resulting in a 7 cm laceration on the inside of Resident #1's left wrist which required 23-26 stitches on the night of [DATE]. The noncompliance was identified as PNC. The IJ began on [DATE] and ended on [DATE]. The facility had corrected the noncompliance before the investigator entered the facility. This failure could place residents at risk of harm or death. [...]
  2. D
    Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.
    F627 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) June 15, 2026
    Inspectors wroteBased on interviews and record reviews the facility failed to establish and follow a written policy on permitting residents to return to the facility after they are hospitalized or placed on therapeutic leave for 1 (Resident #1) of 5 residents reviewed for transfer/discharge rights. The facility failed to allow Resident #1 to return to the facility after he was admitted to a short-term psychiatric hospital following an apparent suicide attempt. This failure could place residents at risk of feelings of instability/insecurity. [...]
March 26, 2026Standard inspection · 9 citations
  1. D
    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
    F550 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) April 23, 2026
    Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure all residents had a right to a dignified existence for 1 of 24 residents (Resident #56) observed for dining room experience when the facility failed to: Ensure Resident #56 was treated with respect, dignity and consideration when she failed to receive her noon meal at the same time as her table mates. This failure could place residents at risk of feeling neglected or ignored and could negatively impact residents' quality of life.
  2. D
    Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
    F584 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) April 23, 2026
    Inspectors wroteBased on observation, interview, and record review, the facility failed to provide a safe and clean environment for 1 (Resident #59) of 17 residents reviewed for environment. -Resident #59 had soiled washcloths left in her room for 29 hours. This failure could place residents at risk for diminished quality of life due to the lack of a well-kept environment.
  3. D
    Ensure each resident receives an accurate assessment.
    F641 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) April 23, 2026
    Inspectors wroteBased on interview and record review the facility failed to ensure the assessment accurately reflected the resident's status for 2 (Resident #18 and Resident #71) of 18 residents reviewed for accuracy of assessment. The facility inaccurately coded Resident #18 as having a bipolar diagnosis when he did not have a bipolar diagnosis. This failure could place residents at risk of receiving unnecessary care/medication or not receiving necessary care/medication. [...]
  4. D
    Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
    F644 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) April 23, 2026
    Inspectors wroteBased on interview, and record review the facility failed to refer to the state designated authority all residents with newly evident or possible serious mental disorder, intellectual disability, or a related condition for level II resident review upon a significant change in status assessment for 1 (Resident #9) of 18 residents reviewed for PASRR.The facility failed to refer Resident #9 to the state designated authority for a PASRR Evaluation due to his diagnosis of Major Depressive Disorder Recurrent Severe. This failure could place residents at risk of not receiving necessary services or of being harmed by residents who have not been screened properly for placement in a nursing home setting. [...]
  5. D
    PASARR screening for Mental disorders or Intellectual Disabilities
    F645 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) April 23, 2026
    Inspectors wroteBased on interview and record review the facility failed to perform a preadmission screening for individuals with a mental disorder and individuals with intellectual disability for 1 (Resident #18) of 18 residents reviewed for preadmission screening. The facility failed to ensure an accurate PL1 for Resident #18 prior to her admission on [DATE]. She was coded as not having mental illness when she did have mental illness. This failure could place residents at risk of not receiving needed services. [...]
  6. D
    Provide safe and appropriate respiratory care for a resident when needed.
    F695 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) April 23, 2026
    Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure that residents who required respiratory care were provided such care consistent with professional standards of practice for 1 (Resident #5) of 18 residents reviewed for respiratory care. Resident #5 did not have physician orders for oxygen therapy. This failure had the potential to affect residents by placing them at risk for respiratory compromise and associated complications, including shortness of breath, confusion, respiratory failure, infection, and exacerbation of their condition.
  7. D
    Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
    F804 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) April 23, 2026
    Inspectors wroteBased on observation, interview, and record review, the facility failed to prepare, and serve foods using methods to ensure palatability and flavor for 1 of 4 residents with a pureed diet (Resident #56) when they failed to: A. Ensure facility staff prepared pureed foods for meal service using standardized recipes, and nutritive methods to ensure palatability, flavor and meal satisfaction. These failures placed Reside1 of 4 residents who ate food that was pureed and served by the kitchen at risk of meal dissatisfaction and potential weight loss.
  8. D
    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, isolated · Corrected (the home has a date of correction) April 23, 2026
    Inspectors wroteBased on observation, interview, and record review, the facility failed to store, prepare, and serve food under sanitary conditions in 1of 1 kitchen when they failed to: Ensure facility staff wore hair restraints and beard guards while in the kitchen. These failures placed all residents who ate food served by the kitchen at risk of cross contamination and food-borne illness.
  9. D
    Provide and implement an infection prevention and control program.
    F880 · Infection Control · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) April 23, 2026
    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 1 (Resident #65) of 17 residents observed for infection control. -Resident #65's oxygen nasal cannula was left on the floor for 23 hours. This deficient practice has the potential to affect residents by exposing them to the spread of infections, tissue breakdown, and feelings of isolation related to poor hygiene.
May 22, 2025Complaint inspection · 1 citation
  1. D
    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
    F755 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) June 10, 2025
    Inspectors wroteBased on observation, interview and record review, the facility failed to establish a system of record of receipt and disposition of all controlled drugs in sufficient detail to enable an accurate reconciliation and determine that drug records were in order and that an account of all controlled drugs were maintained periodically reconciled for 1 of 18 residents (Resident #1) reviewed for pharmacy services. The facility failed to ensure Resident #1's OxyContin Oral Tablet ER 12-hour abuse-deterrent 10mg-28 count was accounted for at the time of receiving from the facility's Pharmacy on 05/02/2025. This failure could place residents at risk of not receiving medication therapy that would be effective for their treatment, resulting in the exacerbation of conditions and disease processes.
February 27, 2025Complaint inspection · 1 citation
  1. D
    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
    F755 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) March 10, 2025
    Inspectors wroteBased on interview and record review, the facility failed to provide pharmaceutical services to include the accurate dispensing and administering of drugs to meet the needs for 1 of 7 residents (Resident #1) reviewed for physician orders. The facility failed to accurately enter physician orders for Lamotrigine (a medication that is used to treat epilepsy and bipolar disorder) for Resident #1. The deficient practice could affect residents in the facility resulting in not receiving needed care to maintain optimum health and placing them at risk for injury and/or deterioration in their condition.
January 15, 2025Standard inspection · 4 citations
  1. F
    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, widespread · Corrected (the home has a date of correction) February 14, 2025
    Inspectors wroteBased on observation, interview, and record review, the facility failed to store, prepare, and serve food under sanitary conditions in 1of 1 kitchens when they failed to: A. Ensure stored food was properly labeled and dated. B. Ensure hairnets were worn. C. Ensure frozen foods were properly stored according to the label. These failures could place residents who ate food served by the kitchen at risk of cross contamination and food-borne illness.
  2. 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, it was determined the facility failed to ensure drugs and biologicals were stored in locked compartments and labeled in accordance with currently accepted professional principles and include the appropriate accessory and cautionary instructions, and the expiration date when applicable on 3 of 3 medication carts and 1 of 2 medication rooms reviewed for medication storage. -LVN F left medications for Resident #4 unattended on top of her medication cart. -2C South medication cart contained 2 insulins for Resident #68 that were expired. Lantus and Humalog insulin both had open dates of 12/10/2024. -2C South Medication room refrigerator contained Acetaminophen 650mg suppositories for Resident #71 with an expiration date of 10/2024. -1C North Medication cart contained 1 loose pill identified as Benzonatate 100mg for Resident #45. [...]
  3. D
    Provide care or services that was trauma informed and/or culturally competent.
    F699 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) February 14, 2025
    Inspectors wroteBased on interviews and record review, the facility failed to ensure residents who were trauma survivors receive culturally competent, trauma-informed care in accordance with professional standards of practice and accounting for residents' experiences and preferences in order to eliminate or mitigate triggers that may cause re-traumatization of the resident for 1 of 18 residents (Resident #18) reviewed for trauma-informed care. The facility did not ensure Resident #18 had a trauma screening that identified possible triggers when Resident #18 had a history of trauma. These failures could put residents at an increased risk for severe psychological distress due to re-traumatization.
  4. D
    Provide and implement an infection prevention and control program.
    F880 · Infection Control · No actual harm, potential for more than minimal harm, isolated · 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 program designed to provide a safe, sanitary, and comfortable environment to help prevent the development and transmission of communication diseases and infections for 2 (Resident #11, and Resident #27) of 18 Residents in that: 1. The facility failed to ensure Resident #27's catheter bag and tubing were kept off the floor and below the level of his waist. 2. The facility failed to ensure CNA G performed hand hygiene and a glove change during incontinent care of Resident #11. 3. The facility failed to ensure CNA C performed hand hygiene and glove changes while performing catheter care for Resident #27 as well as cross contaminating Resident #27's belongings. [...]
February 6, 2024Complaint inspection · 1 citation
  1. D
    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, isolated · found on a complaint visit · Corrected (the home has a date of correction) February 11, 2024
    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 service safety in 1 of 1 kitchen observed. The facility failed to ensure that all staff were wearing proper protective hair restraints in the kitchen. This failure placed residents who ate food served by the kitchen at risk of food contamination caused by fallen hair.
November 20, 2023Standard inspection, Complaint inspection · 10 citations
  1. H
    Provide appropriate pressure ulcer care and prevent new ulcers from developing.
    F686 · Quality of Life and Care · Actual harm, pattern · Corrected (the home has a date of correction) December 8, 2023
    Inspectors wroteBased on observation, interview and record review the facility failed to ensure a resident with pressure ulcers received necessary treatment and services, consistent with professional standards of practice, to promote healing, prevent infection, and prevent new ulcers from developing for 1 of 18 residents (Resident # 4) reviewed for pressure ulcers. The facility failed to prevent the development of one facility-acquired Stage III pressure injury for Resident #4. This failure could place residents at risk for worsening of an ulcer, infection, and a decreased quality of life.
  2. F
    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, widespread · Corrected (the home has a date of correction) December 8, 2023
    Inspectors wroteBased on observation, interview, and record review, the facility failed to store, prepare, distribute, and serve food in accordance with the professional standards for food service safety for 1 of 1 kitchen reviewed for kitchen sanitation. 1. The facility failed to ensure foods were properly stored, labeled, and dated. 2. The facility failed to ensure general cleanliness was maintained in the kitchen. 3. The facility failed to ensure beard covers were worn. These failures could place residents who ate food served by the kitchen at risk of food-borne illness.
  3. 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) December 8, 2023
    Inspectors wroteBased on observation, interview and record review; the facility failed to ensure drugs and biologicals were stored and labeled in accordance with currently accepted professional principles to include the appropriate accessory and cautionary instructions, and the expiration date when applicable on 2 of 3 medication carts (1BEast and 1BWest medication carts) and 1 of 3 (1BEast/1BWest Medication room) medication rooms in that: 1. 3 loose pills were found in the 1BEast medication cart. 2. 16 loose pills were found in the 1BWest medication cart. 3. Refrigerator in medication room, shared by 1BWest and 1Beast, had a temperature at 29 degrees. 4. 5 Medications discovered in E-kit for 1BEast and 1BWest were expired. These failures could result in residents not receiving an accurate dose of medication as well as not being maintained at their best therapeutic level.
  4. D
    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
    F550 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) December 8, 2023
    Inspectors wroteBased on observation, interview, and record review the facility failed to ensure each resident has a right to a dignified existence and to treat each resident with respect and dignity for 1 (Resident #180) of 18 residents reviewed for resident's rights. The facility failed to keep Resident #180's catheter bag covered in a privacy bag. This failure could lead to residents at risk of experiencing feelings of shame and/or embarrassment as well as having their right to privacy violated.
  5. D
    Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
    F578 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) December 8, 2023
    Inspectors wroteBased on observation, interview and record review, the facility failed to ensure all residents had the right to formulate an advanced directive for 1 (Resident #36) of 18 residents reviewed for advanced directives in that: Resident #36's DNR was signed on [DATE]. The chart header stated that resident was a Full Code. This failure could place residents at risk for not receiving healthcare as per their or their legal representatives wishes.
  6. D
    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
    F609 · 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) December 8, 2023
    Inspectors wroteThe facility failed to ensure that all alleged violations including abuse, neglect, exploitation or mistreatment, which included injuries of unknown source and misappropriation of resident property, were reported immediately but not later than 2 hours after the allegation was made, if the events that caused the allegation involved abuse or resulted in serious bodily injury for 1 of 8 residents (Resident #31) reviewed for abuse and neglect. The facility failed to report an unwitnessed fall with injury for Resident #31. This failure could place residents at risk for physical and psychological harm, worsening injuries, and delay of care.
  7. 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) December 8, 2023
    Inspectors wroteBased on observation, interview, and record review the facility failed to develop and implement a baseline care plan for each resident that includes the instructions needed to provide effective and person-centered care of the resident that meet professional standards of quality care for 1 (Resident #52) of 18 residents reviewed for baseline care plans in that: Resident #52 was admitted to the facility with a gastrostomy tube (a medical device used to provide nutrition to people who cannot obtain nutrition by mouth, are unable to swallow safely, or need nutritional supplementation) and her baseline care plan did not mention the tube. This failure could place residents in danger of not receiving necessary care. Findings Included: [...]
  8. D
    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
    F842 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) December 8, 2023
    Inspectors wroteBased on observation, interview, and record review, the facility failed to maintain complete, accurate, readily accessible, and systemically organized medical records for 2 (Resident #36 and Resident #180) of 18 residents reviewed for medical records. 1. Resident #180 was admitted to the facility with a catheter and no physician's orders for catheter care. 2. Resident #36 was receiving antipsychotic injections bi-weekly outside of the facility and there was no documentation of said in his EHR. These failures could place residents at risk of not receiving appropriate care through inadequate documentation possibly resulting in deterioration in condition, exacerbation of disease process, overmedication, and increased risk of harm or injury.
  9. D
    Provide and implement an infection prevention and control program.
    F880 · Infection Control · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) December 8, 2023
    Inspectors wroteBased on observation, interview, and record review the facility failed to establish and maintain an infection prevention and control programs designed to provide a safe, sanitary and comfortable environment and to help prevent the development and transmission of communicable diseases and infections for 1 (Resident #180) of 18 residents reviewed for infection control in that: Resident #180's catheter bag and tubing were allowed to rest on the floor of his room. This failure could place residents at risk of infection.
  10. C
    Post nurse staffing information every day.
    F732 · Nursing and Physician Services · No actual harm, potential for minimal harm, widespread · Corrected (the home has a date of correction) December 8, 2023
    Inspectors wroteBased on observation, interview, and record review the facility failed to post the following information on a daily basis: facility name, the current date, the total number and the actual hours worked by the following categories of licensed and unlicensed nursing staff directly responsible for resident care per shift--registered nurses, licensed practical nurses, or licensed vocational nurses (as defined under state law), certified nurse aides-and resident census for one of one facility reviewed for posted nurse staffing information. The facility failed to post nurse staffing data as required in that it did not include the current date on posting, posting was dated 11/06/2023. This failure could place residents and visitors at risk of not being informed regarding the current day's nurse staffing levels.

Fire safety inspections

10 fire safety citations on file: 5 on March 26, 2026, 2 on January 15, 2025, 3 on November 20, 2023.

Every fire safety citation10 citations
  1. F
    Inspect, test, and maintain automatic sprinkler systems.
    K 353 · March 26, 2026 · Corrected (the home has a date of correction)
  2. E
    Install an approved automatic sprinkler system.
    K 351 · March 26, 2026 · Corrected (the home has a date of correction)
  3. D
    Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
    K 321 · March 26, 2026 · Corrected (the home has a date of correction)
  4. D
    Have properly installed electrical wiring and gas equipment.
    K 511 · March 26, 2026 · Corrected (the home has a date of correction)
  5. D
    Ensure precautions for handling oxygen cylinders and equipment are correctly followed.
    K 929 · March 26, 2026 · Corrected (the home has a date of correction)
  6. F
    Have approved installation, maintenance and testing program for fire alarm systems.
    K 345 · January 15, 2025 · Corrected (the home has a date of correction)
  7. E
    Have elevators that firefighters can control in the event of a fire.
    K 531 · January 15, 2025 · Corrected (the home has a date of correction)
  8. F
    Install an approved automatic sprinkler system.
    K 351 · November 20, 2023 · Corrected (the home has a date of correction)
  9. E
    Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.
    K 223 · November 20, 2023 · Corrected (the home has a date of correction)
  10. D
    Provide properly protected cooking facilities.
    K 324 · November 20, 2023 · Corrected (the home has a date of correction)

Fines and payment denials

DatePenaltyAmount or length
May 20, 2026Fine $13,070
November 9, 2023Fine $147,878

A payment denial means Medicare and Medicaid stopped paying for new admissions for that period.

Staffing

Hours of care per resident per day, from the payroll records every home sends CMS. Higher means more staff time with each resident.

MeasureThis homeTexasUnited States
All nursing staff (RN, LPN and aides)3.433.393.86
Registered nurses0.540.430.69
All nursing staff on weekends2.982.983.42
Nurse aides1.89
Licensed practical nurses1.00
Nursing staff turnover (share who left in a year)97.6%55.3%45.8%
Registered nurse turnover90.9%54.6%42.9%
Administrators who left1

CMS expects 3.57 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 3.61 on weekdays and 2.98 on weekends, 17% 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 3.17 in April to June 2025 to 3.43 in January to March 2026.

QuarterAll nursing staffRegistered nursesWeekdaysWeekendsContract staff shareDays with no RN hoursResidents a day
Jan to Mar 20263.430.543.612.98 0.0%0 of 9084
Oct to Dec 20253.460.383.662.95 0.0%0 of 9284
Jul to Sep 20253.470.423.682.95 0.0%0 of 9279
Apr to Jun 20253.170.293.292.87 0.0%0 of 9179
United States, Jan to Mar 20263.750.623.923.335.3%0.5% of days
Texas, Jan to Mar 20263.330.403.502.932.2%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

Staff pay at this home

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.

Official wage estimates for Texas

JobMedianMiddle halfEmployed
Texas, all employers
CNAs (nursing assistants)$18.03$16.97 to $20.7188,680
LPNs and LVNs$29.92$27.46 to $32.8957,560
Registered nurses$46.14$38.06 to $50.53271,380
United States, nursing care facilities
CNAs (nursing assistants)$20.67$17.91 to $22.55534,270
LPNs and LVNs$33.86$30.05 to $37.40188,210
Registered nurses$41.11$37.85 to $47.68142,270

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.

How staff pay reports work · CNA pay by state

Quality measures

The measures CMS uses for the quality star. Lower is better for every one of them.

MeasureThis homeTexasUS
Percentage of long-stay residents whose need for help with daily activities has increased
Long Stay residents, 2025Q2-2026Q1
22.915.813.9
Percentage of long-stay residents with a catheter inserted and left in their bladder
Long Stay residents, 2025Q2-2026Q1
0.00.30.8
Percentage of long-stay residents with a urinary tract infection
Long Stay residents, 2025Q2-2026Q1
0.00.81.6
Percentage of long-stay residents experiencing one or more falls with major injury
Long Stay residents, 2025Q2-2026Q1
3.93.33.2
Percentage of short-stay residents who newly received an antipsychotic medication
Short Stay residents, 2025Q2-2026Q1
1.51.51.6
Percentage of long-stay residents whose ability to walk independently worsened
Long Stay residents, 2025Q2-2026Q1
13.014.014.1
Percentage of long-stay residents with pressure ulcers
Long Stay residents, 2025Q2-2026Q1
5.93.84.6
Percentage of long-stay residents who received an antipsychotic medication
Long Stay residents, 2025Q2-2026Q1
20.19.615.4
Percentage of short-stay residents who were rehospitalized after a nursing home admission
Short Stay residents, 20250101-20251231
38.625.723.8
Percentage of short-stay residents who had an outpatient emergency department visit
Short Stay residents, 20250101-20251231
4.312.312.0
Number of hospitalizations per 1000 long-stay resident days
Long Stay residents, 20250101-20251231
1.62.21.9
Number of outpatient emergency department visits per 1000 long-stay resident days
Long Stay residents, 20250101-20251231
0.52.11.8

Short-term rehab results

For a stay to recover after a hospital visit, these are the results CMS publishes for Landmark of Amarillo Rehabilitation and Nursing Ce's Medicare short-stay residents. On returning residents home or to the community, CMS rates it no different from the national rate (57.7% of residents, after adjusting for how sick they were). How to read these, and what Medicare pays for.

Went home or back to the community

57.7% 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. 55 eligible stays.

Potentially preventable readmissions

10.3% 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. 92 eligible stays.

Infections that led to a hospital stay

6.8% 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. 36 eligible stays.

Self-care and mobility at discharge

63.6% this home

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. 22 residents counted.

Falls with major injury

0.0% this home

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. 30 residents counted.

New or worsened pressure ulcers

6.7% this home

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. 30 residents counted.

Medication list given at discharge

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. 11 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.

Owners and operators

Legal business name: CHILDRESS COUNTY HOSPITAL DISTRICT. CMS links this home to Creative Solutions in Healthcare, a group of 149 nursing homes averaging 2.1 stars overall.

NameRoleTypeShareSince
Childress County Hospital District5% or greater direct ownership interestOrganization100%09/01/2017
Driver, JamesManaging control - governing bodyIndividual01/01/2025
Favor, DebraManaging control - governing bodyIndividual01/01/2025
Garrison, ReaganManaging control - governing bodyIndividual01/01/2025
Head, HowardManaging control - governing bodyIndividual01/01/2025
Holcomb, HollyManaging control - governing bodyIndividual05/29/2021
Inman, JohnManaging control - governing bodyIndividual01/01/2025
Johnson, LarryManaging control - governing bodyIndividual01/01/2025
Pierce, BrianManaging control - governing bodyIndividual01/01/2025
Stratton, EmileeManaging control - governing bodyIndividual03/18/2018
Huggins, LindaCorporate directorIndividual12/01/2023
Willig, ZacharyCorporate directorIndividual01/01/2025
Holcomb, HollyCorporate officerIndividual05/29/2021
Stratton, EmileeCorporate officerIndividual05/29/2021
Amarillo IV Enterprises, L.L.C.Operational/managerial controlOrganization12/01/2023
Blake, GaryOperational/managerial controlIndividual12/01/2023
Blake, MalisaOperational/managerial controlIndividual12/01/2023
Cunningham, TiaOperational/managerial controlIndividual04/14/2025
Henson, HarryOperational/managerial controlIndividual04/14/2025
Amarillo IV Enterprises, L.L.C.Adp of the SNFOrganization04/14/2025
Blake, GaryAdp of the SNFIndividual12/01/2023
Cunningham, TiaAdp of the SNFIndividual04/14/2025
Henson, HarryAdp of the SNFIndividual04/14/2025

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.

  1. How do residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 5 problems in this area, most recently on May 20, 2026: "Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge."
  2. When is the care plan meeting, and can family attend it?Inspectors cited 5 problems in this area, most recently on March 26, 2026: "Ensure each resident receives an accurate assessment."
  3. Can we see a week of menus and the kitchen, and how are special diets handled?Inspectors cited 5 problems in this area, most recently on March 26, 2026: "Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature."
  4. How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 4 problems in this area, most recently on May 20, 2026: "Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents."
  5. How long has the current administrator been here?CMS counts 1 administrator who left in the period it measured.

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Common questions

What is Landmark of Amarillo Rehabilitation and Nursing Ce's Medicare star rating?
CMS rates Landmark of Amarillo Rehabilitation and Nursing Ce 3 out of 5 stars overall, with 3 for health inspections, 2 for staffing and 4 for quality measures (CMS data as of September 1, 2026).
How many deficiencies did Landmark of Amarillo Rehabilitation and Nursing Ce get at its last inspection?
9 health deficiencies at the standard inspection on March 26, 2026. The Texas average is 9.4.
Has Landmark of Amarillo Rehabilitation and Nursing Ce been fined?
Yes. CMS lists 2 fines totaling $160,948 in the last three years.
Does Landmark of Amarillo Rehabilitation and Nursing Ce 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 Landmark of Amarillo Rehabilitation and Nursing Ce?
CMS lists 23 owners and managers, and links the home to Creative Solutions in Healthcare. Legal business name: CHILDRESS COUNTY HOSPITAL DISTRICT.

Sources

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