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Mabank Nursing Center

18957 Us Hwy 175 W., Mabank, TX 75147 · Kaufman County · (903) 887-2436

90 certified beds, about 77 residents a day · Government - Hospital district · Medicare and Medicaid since 2018

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

CMS Care Compare ratings, data as of September 1, 2026 · CCN 676458 · See it on Medicare.gov · Compare with other homes

The record in brief

At its most recent standard inspection, on May 21, 2026, inspectors cited 13 health deficiencies (the Texas average is 9.4, the national average 9.2).

Of 33 health citations since February 2024, 2 were rated as actual harm or immediate jeopardy to residents (2 immediate jeopardy).

CMS lists 2 fines totaling $31,234 in the last three years; the largest was $16,801, and the latest is dated July 30, 2024.

Nurses and nurse aides worked 3.36 hours per resident per day, against 3.39 across Texas and 3.86 nationally. Registered nurses accounted for 0.49 of those hours.

46.7% of nursing staff left within the year CMS measured (Texas average 55.3%).

CMS links it to Priority Management, an affiliated group of 38 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 33 health citations on file.

Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
2K
0L
Actual harm
0G
0H
0I
Potential for more than minimal harm
23D
7E
1F
Potential for minimal harm
0A
0B
0C
May 21, 2026Standard inspection · 13 citations
  1. E
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    F689 · Quality of Life and Care · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) May 22, 2026
    Inspectors wroteBased on observations, interviews and record reviews, the facility failed to ensure that the resident environment remains as free of accident hazards as possible for 6 of 6 residents (Resident's #30, # 70, #81, #40, #58, and #6) reviewed for accidents.1. The facility failed to ensure CNA E and CNA B locked the mechanical lift during a transfer for Resident #30 on 05/19/26.2. The facility failed to ensure the mechanical lift was locked when transferring Resident #70.3. The facility failed to ensure Resident #81 had bilateral landing mats when in bed. 4. The facility did not ensure Alcohol Wipes was not stored in Residents #40 and #58's bathroom.5. The facility failed to ensure Resident #6 did not have bath wash left out in the bathroom sitting on the toilet. These failures could place residents at risk of injury or harm.
  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) May 22, 2026
    Inspectors wroteBased on observation, interview, and record review the facility failed to ensure all drugs were stored in a locked compartment, only accessible by authorized personnel, and labeled in accordance with currently accepted professional principles and include the appropriate accessory and cautionary instructions and the expiration date when applicable for 4 of 22 residents (Resident #6, Resident #38, Resident #8, and Resident #90) and 2 of 10 medication carts (Hall 500 hall nurse's medication cart and the hall 400 nurse medication cart) observed for medication storage.1. The facility failed to ensure Resident #6 did not have zinc oxide wound care cream in her bathroom left in the caddy by the sink.2. The facility failed to ensure Resident #38's Novolog (fast-acting insulin to control high blood sugar) insulin was dated when opened on Hall 400's nurse's medication cart.3. [...]
  3. E
    Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.
    F849 · Administration · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) May 22, 2026
    Inspectors wroteBased on interviews and record review, the facility failed to collaborate with hospice representatives and coordinate the hospice care planning process for each resident receiving hospice services, to ensure the quality of care for the resident, ensuring communication with the hospice medical director, the resident's attending physician, and others participating in the provision of care for 3 of 4 residents (Resident #44,Resident #75 and Resident #87) reviewed for hospice services.1. The facility failed to maintain Resident #44's hospice binder containing information related to hospice services provided for the resident such as the Physician certification of the terminal illness, the last two IDG also known as Interdisciplinary Group meetings (a regular, collaborative team review of a patient's care meetings),or updated recertification form.2. [...]
  4. 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) May 22, 2026
    Inspectors wroteBased on observations, interviews, and record reviews, 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 7 of 22 residents (Resident #52, Resident #4, Resident #87, Resident #91, Resident #12, Resident #82, and Resident #44) rooms reviewed for infection control practices and enhanced barrier precautions.1. The facility failed to ensure LVN F used the proper PPE while administering gastrostomy tube medications and feeding for Resident #52 on 05/20/2026. 2. The facility failed to ensure Resident #4, Resident #87, Resident #91, and Resident #12 had their toothbrushes stored and labeled in the bathrooms to distinguish from one another. 3. [...]
  5. 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) May 22, 2026
    Inspectors wroteBased on interview and record review, the facility failed to treat each resident with respect and dignity and provide care in a manner that promotes maintenance or enhancement of his or her quality of life for 1 of 22 residents (Resident #75) for resident rights. The facility failed to ensure MA L did not call Resident #75 a feeder while assisting her to eat on 05/18/2026. This failure could place residents at risk of decreased self-worth, loss of dignity, and a diminished quality of life.
  6. D
    Reasonably accommodate the needs and preferences of each resident.
    F558 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) May 22, 2026
    Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure each resident had the right to reside and receive services in the facility with reasonable accommodation of resident needs and preferences for 1 of 5 residents (Residents #61) reviewed for reasonable accommodation. The facility failed to ensure Resident #61's call button was within reach while Resident #61 was in his bed on 05/18/26 and 05/19/26. This failure could place residents at risk of a delay in assistance and dignity.
  7. 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) May 22, 2026
    Inspectors wroteBased on interview and record review, the facility failed to ensure the residents' right to formulate an advanced directive was provided for 2 of 22 residents (Residents #40 and #64) reviewed for advanced directives. 1. The facility did not ensure Resident #40's OOH-DNR included the legal guardian's signature, printed name, and date the document was signed. The facility did not ensure Resident #40's OOH-DNR included the date the document was signed by the two witnesses. 2. The facility did not ensure Resident #64s OOH-DNR included the physician's signature. These failures could place residents at risk of not having their end-of-life wishes honored.
  8. D
    Develop and implement policies and procedures to prevent abuse, neglect, and theft.
    F607 · Freedom from Abuse, Neglect, and Exploitation · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) May 22, 2026
    Inspectors wroteBased on interview and record review, the facility failed to implement written policies and procedures that prohibit mistreatment, neglect, and abuse of residents, 2 of 7 (Residents #56 and #49) reviewed for abuse. The facility did not ensure the Abuse Coordinator implemented their policy on reporting abuse to state agency for a resident-to-resident altercation that occurred on 12/05/25 between Resident #56 and Resident #49. This deficient practice could place residents at risk of abuse, neglect, and a decreased quality of life.
  9. 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 · Corrected (the home has a date of correction) May 22, 2026
    Inspectors wroteBased on interview and record review the facility failed to ensure that all alleged violations involving abuse, neglect, exploitation, or mistreatment, including injuries of unknown source were reported immediately, but no later than 2 hours after the allegation was made, for 2 of 7 (Residents #56 and #49) residents reviewed for reporting abuse. The facility did not report the resident-to-resident altercation between Resident #56 and Resident #49 to the State Survey Agency within 2 hours of being notified on 12/05/25. This failure to report could place the residents at risk for abuse.
  10. 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) May 22, 2026
    Inspectors wroteBased on interview and record review, the facility failed to ensure assessments were coordinated with Preadmission Screening and Resident Review (PASRR) program under Medicated in subpart C to the maximum extent practicable to avoid duplicative testing and effort and coordination included incorporating the recommendations from the PASARR level II determination and the PASARR evaluation report into a resident's assessment, care planning, and transitions of care for 1 of 8 residents (Resident #5) reviewed for PASRR.The facility did not ensure the correct PASRR (a preliminary assessment completed for all individuals before admission to a Medicaid-certified nursing facility to determine whether they might have a mental illness or intellectual disability) Level 1 Screening was submitted to the local authority for Resident #5 who had a diagnosis of mental illness upon admission. [...]
  11. 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) May 22, 2026
    Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure that respiratory care was provided consistent with professional standards of practice for 1 of 2 residents (Resident #10) reviewed for respiratory care. 1. The facility failed to ensure Resident #10's oxygen tube was changed weekly as ordered. 2. The facility failed to ensure Resident #10's water container was replaced when empty. These failures could place residents requiring respiratory care at risk for shortness of breath, respiratory distress, or complications.
  12. 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) May 22, 2026
    Inspectors wroteBased on interviews, and record review, the facility failed to ensure that 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 2 of 3 residents (Resident # 87 and Resident #46) reviewed for trauma-informed care.1. The facility did not ensure Resident #87's experienced trauma was identified in her trauma assessment, social history, and her baseline care plan. 2. The facility did not ensure Resident #46's trauma screening was completed upon admission to the facility. These failures could put residents at an increased risk for severe psychological distress due to re-traumatization.
  13. D
    Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.
    F802 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) May 22, 2026
    Inspectors wroteBased on interview and record review the facility failed to provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service for 1 out of 7 dietary staff. (Dietary Aide C). The facility failed to ensure that dietary staff (Dietary Aide C) serving in the kitchen maintained a current Food Handler Certificate. This failure could place residents who consumed food prepared from the kitchen at-risk of foodborne illness.
March 12, 2025Standard inspection · 11 citations
  1. E
    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, pattern · Corrected (the home has a date of correction) March 30, 2025
    Inspectors wroteBased on observations, interviews, and record review, the facility failed to ensure that respiratory care was provided consistent with professional standards of practice for 3 of 5 residents (Resident #3, Resident #66, and Resident #19) reviewed for respiratory care. 1. The facility failed to ensure Resident # 3's oxygen was administered as prescribed by the physician at 3 liters via nasal cannula and her nebulizer mask was stored properly. 2. The facility failed to ensure Resident #66's oxygen was administered as prescribed by the physician at 2 liters via nasal cannula. 3. The facility failed to ensure Resident #19's oxygen was placed on 3 liters per nasal cannula as ordered by the physician and her nebulizer mask was stored properly These failures could place residents requiring respiratory care at risk for shortness of breath, respiratory distress, or complications.
  2. 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) March 30, 2025
    Inspectors wroteBased on observations, interviews, 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 communicable diseases and infections for 2 of 4 residents (Resident #39 and resident #41) reviewed for infection control. 1. The facility failed to ensure contact precautions were started on Resident #39 after a wound culture collected on 03/04/2025 indicated methicillin-resistant staphylococcus aureus (a type of bacteria that many antibiotics do not work on) was detected. 2. The facility failed to ensure CNA F wore PPE while entering Resident #41's room while on contact isolation precautions on 03/10/25. 3. [...]
  3. 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) March 30, 2025
    Inspectors wroteBased on observations, interviews, and record review the facility failed to treat each resident with respect and dignity and care for each resident in a manner that promoted maintenance or enhancement of his or her quality of life for 2 of 21 residents (Resident #2 and Resident #76) reviewed for resident rights. The facility did not ensure Laundry Aide M knocked, prior to entering Resident #2's and Resident #76's room on 03/11/2025. This failure could place residents at risk for diminished quality of life, loss of dignity and loss of self-worth.
  4. D
    Reasonably accommodate the needs and preferences of each resident.
    F558 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) March 30, 2025
    Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure each resident had the right to reside and receive services in the facility with reasonable accommodation of resident needs and preferences for 1 of 8 residents (Resident #37) reviewed for reasonable accommodations. The facility failed to ensure Resident #37's call button was within reach while Resident #37 was in a standard chair on 03/10/25. This failure could place residents at risk for a delay in assistance and decreased quality of life, self-worth, and dignity.
  5. 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) March 30, 2025
    Inspectors wroteBased on observations, interviews, and record reviews the facility failed to provide a safe, clean, comfortable, and homelike environment for 1 of 8 residents (Resident #19) reviewed for a clean and homelike environment. The facility failed to ensure Resident #19, and her room was without urine odor. This failure could place residents at risk for diminished quality of life due to the lack of a well-kept and clean environment.
  6. 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) March 30, 2025
    Inspectors wroteBased on interview and record review, the facility failed to develop and implement a comprehensive person-centered care plan to meet a resident's medical, nursing, mental and psychosocial needs identified in the comprehensive assessment for 2 of 21 residents (Resident #37 and Resident #39) reviewed for care plans. 1. The facility failed to ensure a care plan was developed specific to Resident #39's non-pressure wounds and included the wound care treatments she was receiving to her first and second toe on her right foot, right shin, and left posterior (back) ankle. 2. [...]
  7. D
    Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
    F688 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) March 30, 2025
    Inspectors wroteBased on observation, interview, and record review the facility failed to ensure residents with limited range of motion received appropriate treatment and services to prevent further decrease in range of motion for 1 of 7 residents (Resident #63) reviewed for range of motion. The facility failed to ensure Resident #63's carrots (medical device used to treat hand contractures, permanent tightening of the muscles, tendons, skin, and surrounding tissues that causes stiffness, placed in the hands to help improve range of motion) were in place to his hands. This failure could place residents at risk for decrease in mobility and range of motion and contribute to worsening of contractures.
  8. D
    Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
    F690 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) March 30, 2025
    Inspectors wroteBased on observations, interviews, and record review, the facility failed to ensure a resident who was incontinent of bladder received appropriate treatment and services to prevent urinary tract infections and to restore continence to the extent possible for 1 of 3 residents (Resident #40) reviewed for treatment and services related to indwelling catheters. The facility failed to ensure Resident #40's foley catheter drainage bag (bag holding urine that is drained from a tube inserted into the bladder) was kept off the floor. This failure could place residents at risk for urinary tract infections and a decreased quality of life.
  9. 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) March 30, 2025
    Inspectors wroteBased on interviews, and record review, the facility failed to ensure that 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 21 residents' (Resident #'s 62) reviewed for trauma-informed care. The facility did not ensure Resident #62 had a trauma screening that identified possible triggers when Resident #62 had a history of trauma. These failures could put residents at an increased risk for severe psychological distress due to re-traumatization.
  10. D
    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, isolated · Corrected (the home has a date of correction) March 30, 2025
    Inspectors wroteBased on observations, interviews, and record review the facility failed to ensure all drugs were only accessible by authorized personnel, for 1 of 6 residents (Resident #57) reviewed for medication storage. The facility did not ensure medication named Breo Ellipta (a combination inhaler used for maintenance treatment of chronic obstructive pulmonary disease (COPD) and asthma in adults) was not left unattended on Resident #57's bedside table on 03/10/25. This failure could place residents at risk of not receiving the therapeutic benefit of medications, harm or misuse of medication, drug diversions, and adverse reactions to medications due to improper storage.
  11. D
    Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
    F806 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) March 30, 2025
    Inspectors wroteBased on observations, interviews, and record review the facility failed to accommodate residents' food preferences for 1 of 21 residents (Resident #7) reviewed for preference. The facility failed to honor Resident #7's preference for no sausage. This failure could result in a decrease in resident choices, diminished interest in meals, and weight loss.
July 30, 2024Complaint inspection · 2 citations
  1. K
    Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
    F580 · Resident Rights · Immediate jeopardy to resident health or safety, pattern · found on a complaint visit · Past noncompliance: already fixed when inspectors found it
    Inspectors wroteBased on interview 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 was, a deterioration in health, mental, or psychosocial status in either life-threatening conditions or clinical complications for 1 of 6 residents (Resident #1) reviewed for notification of changes. 1. The facility failed to notify the physician of Resident #1's change in condition including head leaning heavily to the left, heavy incontinence, confusion, weakness, and need for 2-person assist on 7/15/24. 2. The facility failed to notify the physician of Resident #1's respiratory distress on 7/20/24 at 10:47 a.m. The noncompliance was identified as PNC. [...]
  2. K
    Provide appropriate treatment and care according to orders, resident’s preferences and goals.
    F684 · Quality of Life and Care · Immediate jeopardy to resident health or safety, pattern · 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 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 6 residents (Resident #1) reviewed for quality of care. 1. The facility failed to recognize Resident #1's head leaning heavily to the left, heavy incontinence, confusion, weakness, and need for 2-person assist on 07/15/24 as a change of condition. 2. The facility failed to ensure fluid intake was encouraged or increased for Resident #1 after receiving lab results on 7/18/24 which indicated Resident #1 was positive for a UTI. 3. The facility failed to follow-up for 2 days regarding Resident #1's lab results which were positive for UTI. 4. The facility failed to ensure RN A provided oxygen therapy to Resident #1 when she was in respiratory distress. [...]
February 14, 2024Standard inspection · 7 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) March 8, 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 reviewed for food service safety. 1. The facility failed to ensure all food items were labeled and dated in the Freezer #1, Refrigerator #2, Refrigerator #3, Refrigerator #5, Freezer #6, Freezer #7, Freezer #8, Refrigerator #9 and the pantry. 2. The facility failed to ensure the sugar was stored in a bin with a closed lid. 3. The facility failed to ensure the range hood was free of greasy droplets. 4. The facility failed to ensure all kitchen staff wore a hairnet appropriately. These failures could place residents at risk of foodborne illness and food contamination.
  2. E
    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, pattern · Corrected (the home has a date of correction) March 25, 2024
    Inspectors wroteBased on observation, interview and record review the facility failed to ensure each resident received and the facility provided food and drink that was palatable, attractive, and at a safe and appetizing temperature for 4 of 21 residents (Residents #45, #5, #22 and #53) and 8 anonymous residents reviewed for palatable food. 1. The facility failed to ensure residents received food that tasted good. 2. The facility failed to ensure residents did not receive cold food. These failures could place residents at risk of weight loss, altered nutritional status and diminished quality of life.
  3. D
    Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
    F561 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) February 19, 2024
    Inspectors wroteBased on interview and record review the facility failed to ensure residents had the right to and the facility promoted and facilitated resident self-determination through support of resident choice for 1 of 21 residents (Resident #27) reviewed for resident rights. The facility failed to allow Resident #27 to go outside. This failure could place residents at risk for feelings of depression, lack self-determination and decreased quality of life.
  4. 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) February 15, 2024
    Inspectors wroteBased on interview and record review the facility failed to ensure a baseline care plan was developed and implemented for each resident that included the instructions needed to provide effective and person-centered care of the resident that met professional standards of quality care for 2 of 16 residents (Residents #289 and #388) reviewed for baseline care plans. The facility failed to complete a baseline care plan for Resident #289 and Resident #388. This failure could place residents at risk of not receiving care and services to meet their needs.
  5. D
    Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
    F676 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) February 15, 2024
    Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure a resident who was unable to carry out activities of daily living received the necessary services to maintain good nutrition, grooming, and personal and oral hygiene for 1 of 21 residents (Resident #64) reviewed for ADLs. The facility failed to remove facial hair from Resident #64. This failure could place residents at risk of not receiving services/care and decreased quality of life.
  6. D
    Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
    F758 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) February 15, 2024
    Inspectors wroteBased on interview and record review the facility failed to ensure, based on the comprehensive assessment of a resident, residents who use psychotropic drugs received gradual dose reductions, and behavioral interventions, unless clinically contraindicated, in effort to discontinue these drugs and PRN orders for psychotropic drugs were limited to 14 days for 2 of 6 residents (Residents #45 and #67) reviewed for unnecessary psychotropic drugs. 1. The facility failed to ensure Resident #45 did not have a PRN order for Alprazolam 0.5 mg (a prescription medication used to treat anxiety disorders and panic disorder) after 14 days without an evaluation by the physician for continued treatment. 2. [...]
  7. D
    Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
    F806 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) March 25, 2024
    Inspectors wroteBased on observation, interview, and record review the facility failed to ensure each resident received and the facility provided food that accommodate resident allergies, intolerances and food preferences for 1 of 4 residents (Resident #41) reviewed for food preference. The facility failed to honor Resident #41's preference for carrots being served too often. This failure could place resident at risk of a decrease in resident choices, diminished interest in meals, and weight loss.

Fire safety inspections

6 fire safety citations on file: 2 on May 21, 2026, 4 on February 14, 2024.

Every fire safety citation6 citations
  1. F
    Have approved installation, maintenance and testing program for fire alarm systems.
    K 345 · May 21, 2026 · Corrected (the home has a date of correction)
  2. E
    Provide properly protected cooking facilities.
    K 324 · May 21, 2026 · Corrected (the home has a date of correction)
  3. E
    Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
    K 741 · February 14, 2024 · Corrected (the home has a date of correction)
  4. D
    Have properly located and lighted "Exit" signs.
    K 293 · February 14, 2024 · Corrected (the home has a date of correction)
  5. 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 · February 14, 2024 · Corrected (the home has a date of correction)
  6. D
    Install smoke barrier doors that can resist smoke for at least 20 minutes.
    K 374 · February 14, 2024 · Corrected (the home has a date of correction)

Fines and payment denials

DatePenaltyAmount or length
July 30, 2024Fine $14,433
July 30, 2024Fine $16,801

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)3.363.393.86
Registered nurses0.490.430.69
All nursing staff on weekends3.052.983.42
Nurse aides2.03
Licensed practical nurses0.84
Nursing staff turnover (share who left in a year)46.7%55.3%45.8%
Registered nurse turnover28.6%54.6%42.9%
Administrators who left0

CMS expects 3.56 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 3.49 on weekdays and 3.05 on weekends, 13% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 0.7% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.35 in April to June 2025 to 3.36 in January to March 2026.

QuarterAll nursing staffRegistered nursesWeekdaysWeekendsContract staff shareDays with no RN hoursResidents a day
Jan to Mar 20263.360.493.493.05 0.7%0 of 9077
Oct to Dec 20253.250.373.412.86 0.9%0 of 9282
Jul to Sep 20253.250.363.402.86 1.5%0 of 9283
Apr to Jun 20253.350.313.542.87 0.4%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
19.215.813.9
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
0.40.81.6
Percentage of long-stay residents experiencing one or more falls with major injury
Long Stay residents, 2025Q2-2026Q1
5.63.33.2
Percentage of short-stay residents who newly received an antipsychotic medication
Short Stay residents, 2025Q2-2026Q1
0.61.51.6
Percentage of long-stay residents whose ability to walk independently worsened
Long Stay residents, 2025Q2-2026Q1
14.714.014.1
Percentage of long-stay residents with pressure ulcers
Long Stay residents, 2025Q2-2026Q1
1.43.84.6
Percentage of long-stay residents who received an antipsychotic medication
Long Stay residents, 2025Q2-2026Q1
8.79.615.4
Percentage of short-stay residents who were rehospitalized after a nursing home admission
Short Stay residents, 20250101-20251231
27.425.723.8
Percentage of short-stay residents who had an outpatient emergency department visit
Short Stay residents, 20250101-20251231
11.212.312.0
Number of hospitalizations per 1000 long-stay resident days
Long Stay residents, 20250101-20251231
2.22.21.9
Number of outpatient emergency department visits per 1000 long-stay resident days
Long Stay residents, 20250101-20251231
3.52.11.8

Short-term rehab results

For a stay to recover after a hospital visit, these are the results CMS publishes for Mabank Nursing Center's Medicare short-stay residents. On returning residents home or to the community, CMS rates it no different from the national rate (52.1% 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

52.1% 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. 71 eligible stays.

Potentially preventable readmissions

11.4% 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. 106 eligible stays.

Infections that led to a hospital stay

9.4% 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. 76 eligible stays.

Self-care and mobility at discharge

64.0% 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. 50 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. 87 residents counted.

New or worsened pressure ulcers

1.2% 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. 87 residents counted.

Medication list given at discharge

100.0% this home

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. 34 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: STEPHENS MEMORIAL HOSPITAL DISTRICT. CMS links this home to Priority Management, a group of 38 nursing homes averaging 2.9 stars overall.

NameRoleTypeShareSince
Stephens Memorial Hospital District5% or greater direct ownership interestOrganization100%06/01/2022
Bauder Family Investments, LLC5% or greater mortgage interestOrganization10/01/2023
Boulware St. James LLC5% or greater mortgage interestOrganization10/01/2023
Pmg Realco-Mabank, LLC5% or greater mortgage interestOrganization10/01/2023
Bauder, Kelly5% or greater mortgage interestIndividual10/01/2023
Bauder, Madison5% or greater mortgage interestIndividual10/01/2023
Bauder, Parker5% or greater mortgage interestIndividual10/01/2023
Boulware, Douglas5% or greater mortgage interestIndividual10/01/2023
Boulware, Sandra5% or greater mortgage interestIndividual10/01/2023
Boulware, Steven5% or greater mortgage interestIndividual10/01/2023
Boulware, Thomas5% or greater mortgage interestIndividual10/01/2023
Walker, Katie5% or greater mortgage interestIndividual10/01/2023
Easley, JamesCorporate officerIndividual12/02/2024
Pmg Opco - Mabank LLCOperational/managerial controlOrganization10/01/2023
Bauder, ParkerOperational/managerial controlIndividual10/01/2023
Bauder, WilliamOperational/managerial controlIndividual10/01/2023
Boulware, StevenOperational/managerial controlIndividual10/01/2023
Cline, AmandaOperational/managerial controlIndividual10/01/2023
Bauder Family Investments, LLCAdp of the SNFOrganization10/01/2023
Boulware St. James LLCAdp of the SNFOrganization10/01/2023
Bridgepointe Finanical Services, LLCAdp of the SNFOrganization10/01/2023
Innovative Nurse Consulting, LLCAdp of the SNFOrganization10/01/2023
Pmg Opco - Mabank LLCAdp of the SNFOrganization10/01/2023
Pmg Realco-Mabank, LLCAdp of the SNFOrganization10/01/2023
Priority Management Group, LLCAdp of the SNFOrganization10/01/2023
Progressive Rehab Solutions, LLCAdp of the SNFOrganization10/01/2023
Bauder, KellyAdp of the SNFIndividual10/01/2023
Bauder, MadisonAdp of the SNFIndividual10/01/2023
Bauder, ParkerAdp of the SNFIndividual10/01/2023
Boulware, DouglasAdp of the SNFIndividual10/01/2023
Boulware, SandraAdp of the SNFIndividual10/01/2023
Boulware, StevenAdp of the SNFIndividual10/01/2023
Boulware, ThomasAdp of the SNFIndividual10/01/2023
Cline, AmandaAdp of the SNFIndividual10/01/2023
Sanner, DavidAdp of the SNFIndividual10/01/2023
Walker, KatieAdp of the SNFIndividual10/01/2023

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 you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 9 problems in this area, most recently on May 21, 2026: "Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents."
  2. How do residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 8 problems in this area, most recently on May 21, 2026: "Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights."
  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 May 21, 2026: "Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service."
  4. How are medications reviewed, and how often are antipsychotic or sedating drugs used?Inspectors cited 3 problems in this area, most recently on May 21, 2026: "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."

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Texas contacts for a concern about a nursing home

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

Common questions

What is Mabank Nursing Center's Medicare star rating?
CMS rates Mabank Nursing Center 3 out of 5 stars overall, with 3 for health inspections, 3 for staffing and 3 for quality measures (CMS data as of September 1, 2026).
How many deficiencies did Mabank Nursing Center get at its last inspection?
13 health deficiencies at the standard inspection on May 21, 2026. The Texas average is 9.4.
Has Mabank Nursing Center been fined?
Yes. CMS lists 2 fines totaling $31,234 in the last three years.
Does Mabank Nursing 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 Mabank Nursing Center?
CMS lists 36 owners and managers, and links the home to Priority Management. Legal business name: STEPHENS MEMORIAL HOSPITAL DISTRICT.

Sources

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