4501 Plano Parkway, Carrollton, TX 75010 · Denton County · (469) 701-5300
120 certified beds, about 54 residents a day · For profit - Corporation · Medicare and Medicaid since 2014
CMS Care Compare ratings, data as of September 1, 2026 · CCN 676363 · See it on Medicare.gov · Compare with other homes
At its most recent standard inspection, on April 1, 2026, inspectors cited 7 health deficiencies (the Texas average is 9.4, the national average 9.2).
Of 51 health citations since October 2023, 3 were rated as actual harm or immediate jeopardy to residents (1 immediate jeopardy).
CMS lists 2 fines totaling $18,275 in the last three years; the largest was $9,269, and the latest is dated April 16, 2025.
Nurses and nurse aides worked 3.11 hours per resident per day, against 3.39 across Texas and 3.86 nationally. Registered nurses accounted for 0.50 of those hours.
Federal rules call for a standard inspection at least every 15 months, plus a visit whenever a complaint is filed. Each mark below is one citation, colored by how serious inspectors rated it. How to read a citation.
Under each citation, the quoted text is the inspector's own summary from the federal statement of deficiencies (CMS form 2567), word for word apart from a privacy scrub; CMS removes residents' and staff names before it publishes the text. The full notes are on Medicare.gov.
CMS rates every citation by how much harm it caused (rows) and how many residents it touched (columns). The count in each box is this home's, across all 51 health citations on file.
Inspectors wroteBased on interviews, observations, and record reviews, the facility failed to ensure that residents who were unable to carry out activities of daily living received the necessary services to maintain good nutrition, grooming, and personal and oral hygiene for 2 of 5 residents (Residents #1 and #2) reviewed for quality of life. The facility failed to ensure Residents #1 and #2 received their scheduled showers for May, June and July 2026. This failure could place residents at risk of not receiving necessary services to maintain good personal hygiene, skin integrity, or decreased self- esteem.
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 for the facility's only kitchen, reviewed for food and nutrition services. The facility failed to discard expired milk stored in the refrigerator. This failure placed residents at risk of exposure to food contamination and illness.
Inspectors wroteBased on interviews, and record review, the facility failed to ensure the resident resided and received services in the facility with reasonable accommodation of resident needs and preferences for 5 of 5 confidential residents reviewed for call lights. The facility failed to ensure call lights were answered in a timely manner. This failure could place residents at risk for decreased quality of life, self-worth and dignity.
Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure that each resident received food that is palatable, attractive, and at a safe and appetizing temperature for nutritive value, flavor, and appearance for 10 confidential residents and 2 (Residents #31 and #23) of 7residents reviewed for cold food. The facility failed to provide palatable food served at an appetizing temperature to10 confidential residents and Residents #31 and #23. This failure could affect the residents who ate food from the facility kitchen by placing them at risk of poor food intake and/or dissatisfaction with the meals served and weight loss.
Inspectors wroteBased on interview, and record review, the facility failed to ensure there were no more than 14 hours between a substantial evening meal and breakfast the following day, except when a nourishing snack was served at bedtime, up to 16 hours may elapse between a substantial evening meal and breakfast the following day if a resident group agrees to this meal span for 10 confidential residents and one (Resident #40) of seven residents reviewed for frequency of snacks. The facility failed to ensure residents were offered snacks at bedtimes within a window of 14 hours and 45 minutes between the evening meal and breakfast the following day. This failure could affect all residents who received snacks by placing residents at risk for, unplanned weight loss, and side effects from low blood sugar without snack, and diminished quality of life.
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 the facility's only kitchen reviewed for food safety The facility failed to ensure food items in the dry storage room were properly stored, sealed, and protected from exposure to air. The facility failed to ensure food items in the walk-in refrigerator were properly stored, sealed, and protected from exposure to air. The facility failed to ensure that only disposable paper towels were disposed of in the garbage receptacle at handwashing sink #1. The facility failed to ensure the presence of a garbage receptacle at handwashing sink #2. These failures could place residents at risk for food-borne illness, cross contamination, and infection. [...]
Inspectors wroteBased on observations, interviews, and record reviews the facility failed to establish and maintain an infection prevention and control program designed to provide a safe, sanitary, and comfortable environment and to help prevent the development and transmission of communicable diseases and infections for three (Residents #31, #23, and #6) of seven residents, reviewed for infection control. The facility failed to ensure CNA/MA D performed hand hygiene between Residents #31 and #23 during medication administration. The facility failed to ensure CNA E performed hand hygiene during incontinence care for Resident #6. This failure placed residents at risk for healthcare associated cross contamination and infections.
Inspectors wroteBased on interviews and record reviews, the facility failed to notify the resident and/or resident's representative(s) in writing of the discharge, reasons for the move, and right to appeal in writing and in a language and manner they understand and send a copy of the notice to a representative of the Office of the State Long-Term Care Ombudsman for 3 (Resident #5, Resident #40, and Resident #45) of 6 residents reviewed for discharge planning. The facility failed to notify the residents or the residents' representative or POA of the transfer or discharge with the reasons for the move in writing in a language and manner they understand for Resident #5, #40, and #45. The facility failed to send a copy of the notice of transfer or discharge to the representative of the Office of the State LTC Ombudsman involving Resident #5, #40, and #45. [...]
Inspectors wroteBased on observation, interview and record review, the facility failed to implement a comprehensive person-centered care plan for each resident, consistent with the resident rights, 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 that described the services that were to be furnished to attain or maintain the resident's highest practicable physical, mental, and psychosocial well-being for one (Resident #37) of three residents reviewed for care plans. 1. The facility failed to ensure Resident #37 was positioned correctly to provide care and services that promote the highest practical well-being while being fed. This failure could place residents at risk for choking and aspiration.
Inspectors wroteBased on interviews and record reviews, the facility failed to ensure residents received services in the facility with reasonable accommodations of each resident's needs for one of five residents (Resident #4) reviewed for resident rights. The facility failed to ensure Residents #4's call light was answered in a timely manner. This failure could affect residents who needed assistance with activities of daily living and could result in needs not being met.
Inspectors wroteBased on interview and record review the facility failed to ensure the resident had the right and the facility made prompt efforts to resolve grievances the resident may have for one of three residents (Resident #2) reviewed for grievances. The facility failed to respond to two of Resident #2's grievances with an appropriate resolution to his concerns. This deficient practice could place facility residents at risk for a decreased sense of self-worth, a decline in quality of life, and loss of dignity.
Inspectors wroteBased on observation, interview, and record review the facility failed to ensure each resident receives adequate supervision and assistance devices to prevent accidents for one (Resident #1) of one resident observed during a transfer. RN A and CNA B failed to transfer Resident #1 safely when they failed to use a gait belt and independently lifted Resident #1 under her armpits when transferring Resident #1 from the floor to her wheelchair on 10/12/25. This failure could affect the residents by placing the residents at risk for discomfort, pain, and/or injury. Review of Resident #1's Quarterly MDS assessment dated [DATE] reflected she was a [AGE] year-old female admitted to the facility on [DATE], with the following diagnoses: [...]
Inspectors wroteBased on observation, interview and record review the facility failed to ensure residents received and the facility provided food and drink that was palatable, attractive, and at a safe and appetizing temperature for one of five residents (Resident #2) reviewed for dietary services. The facility failed to provide food served that was palatable and thoroughly cooked to Resident #2. This failure could place residents at risk of weight loss, altered nutritional, status, and diminished quality of life.
Inspectors wroteBased on observation, interviews and record review the facility failed to be adequately equipped to allow residents to call for staff assistance through a communication system which relayed the call directly to a staff member or to a centralized staff work area from each resident's bedside for one of five residents (Resident #1) reviewed for call lights. The facility failed to answer Resident #1's call for assistance in a timely manner due to a malfunction with her call light. This failure could place residents at risk of injury, pain, hospitalization, and a diminished quality of life.
Inspectors wroteBased on observations, interviews, and record review the facility failed to ensure the right to reside and receive services in the facility with reasonable accommodation of needs and preferences for one (Resident #1) of ten residents reviewed for reasonable accommodation of needs. The facility failed to ensure the call light system in Resident #1's room was in a position accessible to the resident on 10/28/2025. This failure could place the residents at risk of being unable to obtain assistance when needed and help in the event of an emergency.
Inspectors wroteBased on observation, interview, and record review the facility failed to establish and maintain an infection prevention and control program designed to provide a safe, sanitary, and comfortable environment and to help prevent the development and transmission of communicable diseases and infections for 1 of 5 (Resident #2) residents reviewed for infection control. The facility failed to ensure CNA C performed hand hygiene between touching Resident #2's curtain with her bare hand and putting on gloves to apply a clean brief 10/28/2025. This failure could place residents at risk of cross-contamination and development of infections.
Inspectors wroteBased on observation, interview and record review the facility failed to ensure the nurse call system was assessable for six of ten residents (Resident #1, #2, #3, #4, #5 and #6) reviewed for call systems access. The facility failed to ensure the call light system in Resident #1, #2, #3, #4, #5 and #6's rooms was in a position that was accessible to the residents on 10/08/25. This failure could place the residents at risk of being unable to obtain assistance when needed and help in the event of an emergency.
Inspectors wroteBased on interviews, and record review the facility failed to ensure that residents who were unable to carry out activities of daily living received the necessary services to maintain good nutrition, grooming, and personal and oral hygiene for 4 of 4 residents (Resident #9, #10, #11, and #12) reviewed for ADL care provided to dependent residents. The facility failed to ensure Resident #9, #10, #11, and #12 received their scheduled showers based on records reviewed for September 2025. This failure could place residents at risk of not receiving necessary services to maintain good personal hygiene, skin integrity, or decreased self- esteem. Findings Included: 1. Record review of Resident #9's face sheet, dated 10/08/25, reflected a [AGE] year-old female who was admitted to the facility on [DATE]. The resident had a diagnosis of muscle weakness. [...]
Inspectors wroteBased on observations, interviews, and record review the facility failed to ensure that residents, who needed respiratory care, were provided care consistent with professional standards of practice, the comprehensive person-centered care plan, and the residents' goals and preferences for four of seven residents (Resident #1, #6, #7, and #8) reviewed for respiratory care. The facility failed to ensure Resident #1, #7, and #8's nasal cannulas were properly stored in a bag when not in use on 10/08/25. The facility failed to ensure Resident #6's tracheostomy hose was not on the floor but properly stored when not in use on 10/08/25. These failures could place the resident at risk for respiratory infection and not having his respiratory needs met.
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 and in an environment that promoted maintenance or enhancement of his or her quality of life for one of six residents (Resident #5) reviewed for dignity. The facility failed to conceal Resident #5's catheter bag lying in public view. This failure placed residents at risk of not having their right to a dignified existence and self-determination maintained.
Inspectors wroteBased on observations, interviews, and record review the facility failed to ensure each resident received adequate supervision and assistive devices to prevent accidents for 1 of 4 residents (Resident #6) reviewed for accidents and hazards. The facility failed to ensure Resident #6 did not exit the facility through an unknown door and walk 2.7 miles to a free-standing emergency department where he was found outside. The noncompliance was identified as PNC. The noncompliance began on 03/13/2025 and ended 03/14/2025. The facility corrected the noncompliance before the survey began. This failure could place residents at risk of harm and serious injuries.
Inspectors wroteBased on observation, interview, and record review the facility failed to provide appropriate or obtain from an outside resource routine dental services, to the extend covered under the State plan, and emergency dental services to meet the needs of each resident for 1 of 6 residents (Resident #1) reviewed for dental. The facility failed to provide proper dental care and assure the denture concerns were addressed with Resident #1. This failure could place residents at risk of not receiving the care needed to maintain their highest, practicable, physical, social, and psychosocial level of well-being.
Inspectors wroteBased on interview and record review, the facility failed to electronically submit to CMS complete and accurate direct care staffing information, including information for agency and contract staff, based on payroll and other verifiable and auditable data in a uniform format according to specifications established by CMS fiscal year 2024 for the second quarter (January 1, 2024, to March 31, 2024) reviewed for Administration. The facility failed to submit PBJ (Payroll Based Journal) staffing information to CMS for January 1, 2024, to March 31, 2024. This failure could place all residents at risk for personal needs not being identified and met, decreased quality of care, decline in health status, and decreased feelings of well-being within their living environment. Findings Included: [...]
Inspectors wroteBased on observation, interview and record review, the facility failed to provide food that was palatable and attractive for two meals from the facility's only kitchen (lunch meals on 01/7/25 and 01/8/25) reviewed for food and nutrition services. The facility failed to deliver food with an appetizing taste for the lunch meal on 01/07/25 and 01/8/25. The deficient practice could place residents at risk of poor intake of nutrition, weight loss, and a decreased quality of life.
Inspectors wroteBased on observation, interview, and record review the facility failed to ensure each resident was treated with respect, dignity, and care for each resident in a manner and in an environment that promoted maintenance or enhancement of his or quality of life, recognizing each resident's individuality for 1 (Resident # 24) of 6 residents observed for resident rights. CNA A and CNA B failed to provide Resident #24 with full privacy while he was receiving incontinent care. This failure could place residents at risk of not being treated with dignity and respect.
Inspectors wroteBased on observation, interview, 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 for 1 (Resident #24) of 3 residents reviewed for catheter care. The facility failed to ensure Resident #24 had a catheter stabilization device. These failures could place residents at risk of urinary tract infections and injury from trauma.
Inspectors wroteBased on observations, interviews, and record reviews the facility failed to establish and maintain an infection prevention and control program designed to provide a safe, sanitary, and comfortable environment and to help prevent the development and transmission of communicable diseases and infections for one (Resident #24) of four residents observed for infection control. CNA A and CNA B failed to follow Enhanced Barrier Precautions while providing incontinent care to Resident #24. These failures place residents at risk for healthcare associated cross contamination and infections.
Inspectors wroteBased on observations, interviews, and record review, the facility failed to store, prepare, distribute, and serve food in accordance with professional standards for food service safety for one of one kitchen reviewed for kitchen sanitation. On 03/25/2024 [NAME] F failed to log food temperatures for the dinner service. On 03/26/2024 2 loaves of bread, one bag of hot dogs, and 6 hamburger buns were not labeled with a received or opened date. These failures could place residents at risk for food-borne illness and negatively impact the health and nutrition of residents.
Inspectors wroteBased on observation, interview, and record review the facility failed to provide housekeeping and maintenance services necessary to maintain a sanitary, orderly, and comfortable environment for one (Resident #1) of eight resident rooms reviewed for homelike environment. The facility failed to clean Resident #1's bathroom for three days. The deficient practice placed residents at risk of negative psychosocial impacts, infection, illness, and room not feeling homelike.
Inspectors wroteBased on observation, interview and record review, the facility failed to maintain an infection control program designed to prevent the development and transmission of infection for one (Resident #2) of five residents observed for infection control. The facility failed to ensure: LVN G donned the gown when she entered Resident#2's isolation room to provide resident care. This failure could place the residents at risk for infection.
Inspectors wroteBased on interviews and record review, the facility failed to notify and consult with the resident's physician of a significant change in the resident's physical, mental, or psychosocial status that is, a deterioration in health, mental, or psychosocial status for 1 (Resident #1) of 5 residents reviewed for Notification of Changes. 1. The facility failed to notify the wound physician on 01/11/24 about an open area discovered on Resident #1's sacrum. The area developed into an unstageable pressure ulcer (PU) (Full-thickness loss of skin, in which subcutaneous fat may be visible in the ulcer and granulation tissue and rolled wound edges are often present) to the sacrum. The WMD assessed and evaluated the sacrum wound on 01/23/24. The WMD categorized the wound as Unstageable (due to necrosis [death of body tissue]) and surgical excisional debridement was performed on the sacrum wound. [...]
Inspectors wroteBased on interviews, observations, and record reviews, the facility failed to ensure residents with pressure ulcers received necessary treatment and services, consistent with professional standards of practice, to promote the prevention of pressure ulcer/injury development, the healing of existing pressure ulcers/injuries, and prevent development of additional pressure ulcer/injury for 1 (Resident #1) of 5 residents reviewed for quality of care, in that: 1. The facility failed to consistently perform weekly skin assessments for Resident #1. 2. On 01/11/24, LVN C notified the primary physician of a dime-sized open area to Resident #1's sacrum. The facility implemented the interventions/treatment to the open area but failed to consult the WMD (for 12 days, 01/11/24 - 01/23/24) as ordered. 3. [...]
Inspectors wroteBased on interview and record review, the facility failed to follow guidelines for mandatory submission of staffing information based on payroll data in a uniform format. Long-term care facilities must electronically submit to CMS complete and accurate direct care staffing information, including information for agency and contract staff, based on payroll and other verifiable and auditable data in a uniform format according to specifications established by CMS. The facility failed to submit accurate staffing information to CMS for FY Quarter 2 2023 (January 1- March 31). The facility failed to submit accurate licensed nurse hours for 04/09/23, 05/13/23, 06/10/23, 06/11/23, 06/18/23, and 06/25/23. [...]
Inspectors wroteBased on interview and record review, the facility failed to implement written policies and procedures that prohibit and prevent residents from abuse, neglect, exploitation, and misappropriation of resident property for 2 out of 7 employees (CNA Y and CNA X) reviewed for annual EMR/NAR checks. The facility failed to ensure EMR/NAR checks were completed annually for CNA Y hired 08/04/15 and CNA X hired 07/21/21. This failure could place residents at risk of abuse, neglect, and/or misappropriation of personal property.
Inspectors wroteBased on interview and record review, the facility failed to assess a resident using the quarterly review instrument specified by the State and approved by CMS not less frequently than once every 3 months for 7 of 10 residents (Residents #2, #9, #22, #27, #39, #44, and #45) reviewed for quarterly assessments, in that: 1. The facility did not ensure Resident #2's Quarterly MDS Assessment, dated 11/02/23, was completed within 92 days of the previous assessment. 2. The facility did not ensure Resident #9's Quarterly MDS Assessment, dated 11/01/23, was completed within 92 days of the previous assessment. 3. The facility did not ensure Resident #22's Quarterly MDS Assessment, dated 11/05/23, was completed within 92 days of the previous assessment. 4. The facility did not ensure Resident #27's Quarterly MDS Assessment, dated 10/13/23, was completed within 92 days of the previous assessment. 5. [...]
Inspectors wroteBased on observation, interview, and record review, the facility failed to complete comprehensive assessment for 3 of 7 residents (Residents #48, #59, and #11) reviewed for comprehensive assessments. 1. The MDS Coordinator failed to ensure Resident #11's care plan accurately reflected, paranoid schizophrenia, and use of psychotropic medication Risperidone on 08/23/23. 2. The MDS Coordinator failed to ensure Resident #48's care plan was up-to-date to include her use of psychotropic medication for her active diagnosis of depression. 3. The MDS Coordinator failed to ensure Resident #59's care plan was up-to-date to include her use of the sedative/hypnotic medication Ambien on 11/30/23 and address her IV antibiotic therapy on 11/24/23. [...]
Inspectors wroteBased on interview and record review, the facility failed to use the services of a Registered Nurse for at least eight consecutive hours a day, seven days a week in the facility for 4 of 60 days (09/02/23, 09/09/23, 09/16/23, and 10/22/23) reviewed for RN coverage. The facility failed to have RN coverage in the facility for eight consecutive hours on 09/02/23, 09/09/23, 09/16/23, and 10/22/23. This failure could place residents at risk of not having their nursing and medical needs met and receiving improper care.
Inspectors wroteBased on observation, interview, and record review, the facility failed to provide pharmaceutical services, including procedures that assure the accurate acquiring, receiving, dispensing, and administering of all drugs and biologicals, to meet the needs of each resident for 1 of 2 halls (Recovery Halls Medication Cart) medication carts and 1 of 5 residents (Resident #37) reviewed for pharmacy services. 1. MA B failed to ensure she did not pre-pop medications in advance and put them in cups on her before she was ready to administer the morning medications to residents. 2. MA B failed to follow the physician orders while administering eye ointment to Resident #37. This failure could place residents at risk of not receiving the therapeutic dose of medication and consuming unsafe medications.
Inspectors wroteBased on observation, interview, and record review the facility failed to have adequate monitoring in place for side effects associated with the use of psychotropic medications and documented in the clinical record for 3 of 5 residents reviewed (Residents #48, #59, and #11) for unnecessary psychotropic drugs. 1. The facility did not monitor Resident #48 for side-effects related to the use of the anti-depression medication Zoloft. 2. The facility did not monitor Resident #59 for side-effects related to the use of the sedative/hypnotic medication Ambien. 3. The facility did not monitor Resident #11 and #51 for side-effects related to the use of the psychotropics and antidepresants medication Risperidone,Geodon from the time they were prescribed . [...]
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 for one of one kitchen reviewed for food and nutrition services. 1. The facility failed to provide dietary staff with proper handwashing facilities with hot water when the temperature only reached 75 degrees Fahrenheit. 2. Dietary Aide E and Dietary Aide F failed to wear a hair restraint and Dietary Aide G failed to wear a beard restraint while in the facility's kitchen on 12/05/23. 3. The facility failed to ensure food items were properly labeled, dated, and thawed in accordance with professional standards. These failures could place residents at risk for food contamination and foodborne illness.
Inspectors wroteBased on observation, interview and record review, the facility failed to maintain clinical records in accordance with accepted professional standards and practices that are complete and accurately documented for 2 of 5 residents (Residents #30 and #44) reviewed for clinical records. 1. The facility failed to ensure staff accurately documented on Resident #30's MAR and in the progress notes regarding his PT/INR lab results on 12/03/23. 2. The facility failed to ensure staff accurately documented on Resident #44's MAR for side effect and behavioral monitoring for her antidepressant medication. These failures could affect residents that received medications and place them at risk of inaccurate or incomplete clinical records.
Inspectors wroteBased on observation, interview and record review, the facility failed to maintain infection prevention and control program designated to provide a safe, sanitary, and comfortable environment and to help prevent the development and transmission of communicable disease and infection for 5 of 5 residents (Resident #1, Resident# 37 Resident # 39, Resident #46 and Resident #60) reviewed for infection control. 1. MA B and MA C failed to disinfect the blood pressure cuff in between blood pressure checks for Residents #46, #1, #37, #39 and #60 during medication administartion. 2. MA B failed to perform hand hygiene between residents while administering medications to Residents #1, #37 and #46. This failure could place residents at-risk of cross contamination which could result in infections or illness.
Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure residents had the right to reside and receive services in the facility with reasonable accommodation of resident needs for 1 of 5 residents (Resident #48) reviewed for accommodation of needs. The facility failed to ensure Resident #48's call light was placed within her reach on 12/05/23. This failure could place dependent residents at risk of injuries and unmet needs.
Inspectors wroteBased on interview and record review, the facility failed to coordinate assessments with the pre-admission screening and resident review (PASRR) program to the maximum extent practicable to avoid duplicative testing and effort including referring all level II residents and all residents with newly evident or possible serious mental disorder, intellectual disability, or related condition for level II resident review upon significant change in status assessment for 1 of 2 residents (Resident #11) reviewed for PASRR. The facility failed to refer Resident #11 to the appropriate state-designated mental health authority for review when he received a new diagnosiss of paranoid schizophrenia on 08/23/23. These failures could affect residents with psychiatric diagnoses who may not be evaluated by the facility and receive needed PASRR services.
Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure residents received parenteral fluids administered consistent with professional standards of practice and in accordance with physician orders for 1 of 1 resident (Resident #59) reviewed for peripheral intravenous care. The facility failed to ensure Resident #59 PICC line dressing was dated on 12/03/23. This failure placed residents at risk of developing an infection.
Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure all drugs and biologicals were stored securely for one of three medication carts reviewed for storage of medications. The facility failed to ensure the nurse medication cart for the Recovery Unit was locked when unattended on 12/07/23. This failure could place residents at risk of having access to unauthorized medications and/or lead to possible harm or drug diversions.
Inspectors wroteBased on interview and record review, the facility failed to provide or obtain laboratory services to meet the needs of its residents for 1 of 1 resident (Resident #30) reviewed for labs and cultures. The facility failed to provide evidence they obtained routine labs for Resident #30's PT/INR levels on 12/02/23 and 12/03/23, as ordered by the physician. This failure could place residents at risk of a delay in receiving the necessary interventions to treat their medical condition(s).
Inspectors wroteBased on observation, interview, and record review, the facility failed to provide for the maintenance of comfortable sound levels for 3 (Residents #1, #2, and #3) of 6 residents reviewed for comfortable sound levels. The facility failed to maintain a comfortable sound level for Residents #1, #2, and #3 due to Resident #7's yelling. This failure placed residents at risk of being unable to sleep at night.
Inspectors wroteBased on interview, and record review, the facility failed to make prompt efforts to resolve grievances the residents may have for 5 (Residents #1, #2, #3, #4, and #5) of 8 residents reviewed for Grievances. The facility failed to provide prompt response to the grievance of Resident #1 about a person screaming and yelling day and night. The facility failed to provide prompt response to the grievance of Resident #2 about a person yelling and screaming. The facility failed to provide prompt response to the grievance of Resident #3 about a person cursing at staff. The facility failed to provide prompt response to the grievance of Resident #4 about hearing a man scream with his door open or close. The facility failed to provide prompt response to the grievance of Resident #5 about a man who screams all the time demanding immediate attention. [...]
Inspectors wroteBased on observation, interview, and record review, the facility failed to provide the necessary services to maintain personal hygiene for two (Resident #2 and Resident #3) of eight residents reviewed for ADLs. The facility failed to provide Resident #2 with a shower/bath for 3 Saturdays. The facility failed to provide Resident #3 with a showers/bath on her scheduled days. The resident missed two showers. This failure could place 62 residents who required assistance of 1 or 2 staff or dependent on staff for bathing at risk of not receiving care and services to meet their needs.
Inspectors wroteBased on observation, interview, and record review, the facility failed to maintain all mechanical, electrical, and patient care equipment in safe operating condition. The facility failed to repair two of three washing machines, which resulted in facility not having adequate supply of bath towels. The facility failed to repair two of three dryers, which resulted in facility not having adequate supply of bath towels. This failure could place 62 residents who required towels for shower/bed bath not having showers because of two of the washers and two of the dryers were not working.
12 fire safety citations on file: 3 on April 1, 2026, 4 on January 8, 2025, 5 on December 7, 2023.
| Date | Penalty | Amount or length |
|---|---|---|
| April 16, 2025 | Fine | $9,269 |
| March 1, 2024 | Fine | $9,006 |
| March 1, 2024 | Payment Denial | 14 days from April 5, 2024 |
A payment denial means Medicare and Medicaid stopped paying for new admissions for that period.
Hours of care per resident per day, from the payroll records every home sends CMS. Higher means more staff time with each resident.
| Measure | This home | Texas | United States |
|---|---|---|---|
| All nursing staff (RN, LPN and aides) | 3.11 | 3.39 | 3.86 |
| Registered nurses | 0.50 | 0.43 | 0.69 |
| All nursing staff on weekends | 2.63 | 2.98 | 3.42 |
| Nurse aides | 1.69 | ||
| Licensed practical nurses | 0.93 | ||
| Nursing staff turnover (share who left in a year) | not reported | 55.3% | 45.8% |
| Registered nurse turnover | not reported | 54.6% | 42.9% |
| Administrators who left | 1 |
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.
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 3.31 on weekdays and 2.63 on weekends, 21% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 0.8% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.57 in April to June 2025 to 3.11 in January to March 2026.
| Quarter | All nursing staff | Registered nurses | Weekdays | Weekends | Contract staff share | Days with no RN hours | Residents a day |
|---|---|---|---|---|---|---|---|
| Jan to Mar 2026 | 3.11 | 0.50 | 3.31 | 2.63 | 0.8% | 0 of 90 | 54 |
| Oct to Dec 2025 | 3.25 | 0.47 | 3.43 | 2.80 | 0.0% | 0 of 92 | 57 |
| Jul to Sep 2025 | 3.38 | 0.35 | 3.55 | 2.96 | 0.4% | 0 of 92 | 64 |
| Apr to Jun 2025 | 3.57 | 0.38 | 3.73 | 3.17 | 0.0% | 0 of 91 | 65 |
| United States, Jan to Mar 2026 | 3.75 | 0.62 | 3.92 | 3.33 | 5.3% | 0.5% of days | |
| Texas, Jan to Mar 2026 | 3.33 | 0.40 | 3.50 | 2.93 | 2.2% | 0.7% of days |
Hours per resident per day: staff hours in the quarter divided by resident days (the daily census CMS derives from resident assessments). Registered nurses include the director of nursing and RNs with administrative duties; aides include nurse aides in training and medication aides, as in CMS's own staffing measure. How these are calculated.
Staff pay reports
No staff pay figure for this home has passed review yet. A figure appears only after at least 5 reports from at least 3 different people, sent over at least 60 days, have passed review. If you work here, your report helps start one.
| Job | Median | Middle half | Employed |
|---|---|---|---|
| Texas, all employers | |||
| CNAs (nursing assistants) | $18.03 | $16.97 to $20.71 | 88,680 |
| LPNs and LVNs | $29.92 | $27.46 to $32.89 | 57,560 |
| Registered nurses | $46.14 | $38.06 to $50.53 | 271,380 |
| United States, nursing care facilities | |||
| CNAs (nursing assistants) | $20.67 | $17.91 to $22.55 | 534,270 |
| LPNs and LVNs | $33.86 | $30.05 to $37.40 | 188,210 |
| Registered nurses | $41.11 | $37.85 to $47.68 | 142,270 |
Hourly wages; the middle half runs from the 25th to the 75th percentile. Source: U.S. Bureau of Labor Statistics, Occupational Employment and Wage Statistics, May 2025. BLS has no separate estimate for medication aides. These are survey estimates for whole occupations, not figures for any one home.
The measures CMS uses for the quality star. Lower is better for every one of them.
| Measure | This home | Texas | US |
|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased Long Stay residents, 2025Q2-2026Q1 | 13.1 | 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 | 2.6 | 0.8 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 2.1 | 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 | 13.6 | 14.0 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 3.8 | 3.8 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 6.3 | 9.6 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 23.6 | 25.7 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 6.5 | 12.3 | 12.0 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 2.1 | 2.2 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 2.3 | 2.1 | 1.8 |
For a stay to recover after a hospital visit, these are the results CMS publishes for Mustang Park Therapy and Living Center's Medicare short-stay residents. On returning residents home or to the community, CMS rates it no different from the national rate (45.4% of residents, after adjusting for how sick they were). How to read these, and what Medicare pays for.
45.4% 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. 30 eligible stays.
12.2% 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. 52 eligible stays.
Not reported
CMS note: The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
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. 18 eligible stays.
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.
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. 33 residents counted.
1.7% 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. 33 residents counted.
Not reported
CMS note: The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
Median of homes: Texas98.5% · US 98.7%
Percentage of residents where the SNF provided a current medication list to the resident, family, and/or caregiver at final discharge. Higher is better. October 2024 to September 2025. 2 residents counted.
Source: CMS Skilled Nursing Facility Quality Reporting Program - Provider Data, released 2026-09-30. Better, no different and worse are CMS's own comparisons with the national rate, after adjusting for how sick residents were. Medians of homes and the state counts are worked out by us from the same file.
Legal business name: WEST WHARTON COUNTY HOSPITAL DISTRICT.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Clinton, Lewis | Managing control - governing body | Individual | 05/01/2026 | |
| Patel, Ketan | Managing control - governing body | Individual | 05/01/2026 | |
| Burnam, Soon | Corporate officer | Individual | 05/01/2026 | |
| Keetch, Chad | Corporate officer | Individual | 03/01/2011 | |
| Thompson, Johnny | Corporate officer | Individual | 05/01/2026 | |
| Coastal Valley Healthcare LLC | Operational/managerial control | Organization | 05/01/2026 | |
| Clinton, Lewis | Operational/managerial control | Individual | 05/01/2026 | |
| Patel, Ketan | Operational/managerial control | Individual | 05/01/2026 | |
| Coastal Valley Healthcare LLC | Adp of the SNF | Organization | 04/29/2026 | |
| Ensign Services Inc | Adp of the SNF | Organization | 02/13/2026 | |
| Plano Parkway Health Holdings LLC | Adp of the SNF | Organization | 05/01/2026 | |
| 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 | |
| Clinton, Lewis | Adp of the SNF | Individual | 05/01/2026 | |
| Patel, Ketan | 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.
Chosen from this home's own inspection record.
These are the official offices in Texas. NursingHomeClear cannot take or act on complaints.