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Oakmont Guest Care Center

2712 Hurstview Dr, Hurst, TX 76054 · Tarrant County · (817) 281-6707

161 certified beds, about 107 residents a day · For profit - Limited Liability company · Medicare and Medicaid since 1986

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

CMS Care Compare ratings, data as of September 1, 2026 · CCN 455626 · See it on Medicare.gov · Compare with other homes

The record in brief

At its most recent standard inspection, on June 10, 2026, inspectors cited 3 health deficiencies (the Texas average is 9.4, the national average 9.2).

Of 34 health citations since December 2023, 2 were rated as actual harm or immediate jeopardy to residents (1 immediate jeopardy).

CMS lists 3 fines totaling $31,576 in the last three years; the largest was $15,940, and the latest is dated October 31, 2025.

Nurses and nurse aides worked 3.24 hours per resident per day, against 3.39 across Texas and 3.86 nationally. Registered nurses accounted for 0.31 of those hours.

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 34 health citations on file.

Severity
Isolated
Pattern
Widespread
Immediate jeopardy
1J
0K
0L
Actual harm
1G
0H
0I
Potential for more than minimal harm
13D
18E
1F
Potential for minimal harm
0A
0B
0C
June 10, 2026Standard inspection · 3 citations
  1. E
    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
    F812 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) June 23, 2026
    Inspectors wroteBased on observation, interview, and record review, the facility failed to store, prepare, distribute, and serve food in accordance with professional standards for food safety for the facility's only kitchen, reviewed for food and nutrition services. The facility failed to ensure:- food appliances, including the microwave, toaster, and steamer were clean and sanitized; - the kitchen floors were clean and free of dust and debris;- 3 large dry ingredient food containers were clean;- food preparation tables were clean and free of old food residue; - the dishwasher's wash cycle reached 120 degrees Fahrenheit to properly clean and sanitize dishware and utensils; and - all kitchen staff were educated on 03/18/26 regarding the facility's expectations for the kitchen. These failures could place residents at risk for cross-contamination and foodborne illness.
  2. D
    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
    F755 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) June 23, 2026
    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 on one of four medication carts (Hall 700/Hall 800 nurses' medication cart) and 2 of 2 Residents (Residents#10 and #24) reviewed for pharmacy services. 1. The facility failed to ensure the Narcotic Log on the Hall 700/Hall 800 nurses' medication cart were accurate for administration of the narcotic pain medication hydrocodone/acetaminophen for Resident #24 and the narcotic pain medication oxycodone for Resident #10.2. LVN F failed to document the administration of narcotic medications in a correct and timely manner on the MAR and NAR for Residents #10 and #24. [...]
  3. D
    Provide and implement an infection prevention and control program.
    F880 · Infection Control · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) June 23, 2026
    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 one of two residents (Resident #4) reviewed for infection control, in that: The facility failed to ensure after Resident #4 readmitted to the facility with rhinovirus (a type of virus that is one of the most common causes of the common cold) that physician orders were obtained for the resident to be placed on droplet precautions, which are infection control measures to prevent the spread of infection through respiratory droplets. This failure could place residents at risk for exposure to a contagious disease, infection, and possible hospitalization.
January 7, 2026Complaint inspection · 1 citation
  1. D
    Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
    F693 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) February 5, 2026
    Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure residents who are fed by enteral means received the appropriate treatment and services to prevent complications of enteral feeding for 1 (Resident #1) of 4 residents reviewed for nutrition. -On 01/07/26 the facility failed to ensure Resident #1 received appropriate treatment to prevent complications of enteral feeding when LVN A did not connect the resident's g-tube to the feeding pump, causing the formula to waste onto the floor for approximately 1.5 hours. This failure could place residents who receive enteral feeding at risk for inadequate nutrition and hydration, which could cause a decline in health.
October 31, 2025Complaint inspection · 1 citation
  1. J
    Provide safe and appropriate respiratory care for a resident when needed.
    F695 · Quality of Life and Care · Immediate jeopardy to resident health or safety, isolated · found on a complaint visit · Past noncompliance: already fixed when inspectors found it
    Inspectors wroteBased on observation, interview, and record review the facility failed to ensure that a resident who needs respiratory care was provided such care, consistent with professional standards of practice for 1 resident (Residents #1) of 7 residents reviewed for respiratory care. -The facility failed to ensure that Residents #1, who required continuous oxygen therapy, received adequate oxygen when his portable oxygen tank ran out of oxygen while the resident was in the community at an appointment on 10/29/2025. Resident #1 was transported to the local hospital and diagnosed with acute hypoxia (low levels of oxygen) The non-compliance was identified as past non-compliance (PNC). The Immediate Jeopardy began on 10/29/25 and ended on 10/30/25. The facility had corrected the non-compliance before the state's investigation began. [...]
August 1, 2025Complaint inspection · 1 citation
  1. E
    Provide and implement an infection prevention and control program.
    F880 · Infection Control · No actual harm, potential for more than minimal harm, pattern · found on a complaint visit · Corrected (the home has a date of correction) August 2, 2025
    Inspectors wroteBased on observation, interview, and record review, the facility failed to maintain an infection prevention and control program designed to provide a safe, sanitary and comfortable environment and to help prevent the development and transmission of communicable diseases and infection for 4 of 5 residents (Residents #1, #2, #3, and #4) reviewed for infection control. 1. MA A, CNA B, and CNA C failed to perform hand hygiene before entering and exiting Resident #1's room on 08/01/25. 2. MA A, CNA B, and CNA C failed to put on PPE recommended for residents on contact precautions on 08/01/25. 3. MA A failed to sanitize the blood pressure cuff (reusable medical devices) between residents on 08/01/25. This failure could place residents at risk of cross contamination.
May 12, 2025Complaint inspection · 1 citation
  1. E
    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
    F842 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, pattern · found on a complaint visit · Corrected (the home has a date of correction) May 13, 2025
    Inspectors wroteBased on interview and record review, in accordance with accepted professional standards and practices, the facility failed to maintain medical records on each resident that are complete; accurately documented; readily accessible; and systematically organized for four (Resident #1, #2, #3 and #4) of seven residents reviewed for pressure ulcers and non-pressure wounds. 1. The facility failed to document skin care was provided for Resident #1 on 05/01/25 and 05/06/25. 2. The facility failed to document wound care was provided for Resident #2 on 05/02/25. 3. The facility failed to document wound care was provided for Resident #3 on 04/24/25 and 05/02/25. 4. The facility failed to document wound care was provided for Resident #4 on 04/27/25, 04/28/25 and 04/29/25. [...]
April 10, 2025Standard inspection · 5 citations
  1. E
    Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
    F805 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) May 1, 2025
    Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure food was prepared in a form designed to meet individual needs for 1 of 2 meals (lunch) reviewed for food meeting residents' needs. The facility failed to prepare and serve pureed turkey tetrazzini as a pudding consistency for residents who required pureed diets during the lunch meal on 04/09/25. This deficient practice could place residents at risk of not receiving meals that meet their needs.
  2. 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 1, 2025
    Inspectors wroteBased on interview and record review, the facility failed to incorporate the recommendations from the PASRR Level II determination and the PASRR evaluation report for 1 of 5 residents (Resident #13) reviewed for PASRR assessments. The facility did not refer Resident #13 to the appropriate state-designated mental health authority for review when he received a new diagnosis of major depressive disorder. This failure could place residents at risk of not being evaluated and receive needed PASRR services.
  3. D
    Provide care and assistance to perform activities of daily living for any resident who is unable.
    F677 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) May 1, 2025
    Inspectors wroteBased on observation, interview, and record review the facility failed to ensure residents who were unable to carry out activities of daily living received necessary services to maintain good grooming, and personal hygiene for 1 of 25 residents (Resident #1) reviewed for ADL care. The facility failed to ensure Resident #1's fingernails was clean and cut. This failure could place residents at risk for poor hygiene, dignity issues, and decreased quality of life.
  4. D
    Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
    F756 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) May 1, 2025
    Inspectors wroteBased on observation, record review and interview, the facility failed to ensure any drug regimen irregularities reported by the Pharmacist Consultant were acted upon, for 1 of 5 residents (Resident #40) whose drug regimens were reviewed. The facility's Pharmacy Consultant recommended the facility include a diagnosis to the medication order to support therapy for Quetiapine on 10/13/24 and 11/13/24 for Resident #40. This failure could place residents receiving medications at risk for adverse consequences and could cause a decline in their physical, mental, and psychosocial condition.
  5. 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) May 1, 2025
    Inspectors wroteBased on observation, interviews, and record reviews, the facility failed to ensure residents who use psychotropic drugs receive gradual dose reductions, and behavioral interventions, unless clinically contraindicated, in an effort to discontinue these drugs for 1 of 5 residents (Resident #40) reviewed for unnecessary medications. The facility failed to ensure Resident #40 had an appropriate diagnosis for her prescribed Seroquel (used to treat depression). This failure could place residents at risk of possible psychotropic medication side effects, adverse consequences, decreased quality of life, and dependence on unnecessary medications.
November 21, 2024Complaint inspection · 2 citations
  1. E
    Provide appropriate foot care.
    F687 · Quality of Life and Care · No actual harm, potential for more than minimal harm, pattern · found on a complaint visit · Corrected (the home has a date of correction) December 6, 2024
    Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure residents received proper treatment and care to maintain good foot health by providing foot care and treatment, in accordance with professional standards of practice, including to prevent complications from the resident's medical condition for 1 of 5 residents (Resident #1) reviewed for foot care. The facility failed ensure foot care, specifically trimming of toenails, was provided for Residents #1. This failure could result in residents developing fungal infections or other podiatric problems.
  2. 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 · found on a complaint visit · Corrected (the home has a date of correction) December 6, 2024
    Inspectors wroteBased on interview and record review, the facility failed to develop and implement a comprehensive person-centered care plan for each resident, consistent with the resident rights, that included measurable objectives and timeframes to meet a resident's medical, nursing, mental, and psychosocial needs that were identified in the comprehensive assessment for 1 of 5 residents (Resident #1) reviewed for care plans. The facility failed to ensure Resident #1's care plan addressed activities of daily living. This failure could place residents at risk of not receiving the care required to meet their individual needs.
October 30, 2024Complaint inspection · 1 citation
  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 · found on a complaint visit · Corrected (the home has a date of correction) October 31, 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 for 1 of 1 kitchen, in that: 1. The facility failed to ensure DCH A wore a hair restraint while in the kitchen. 2. The facility failed to ensure foods stored in the walk-in cooler, walk-in freezer and dry storage area were properly sealed, labeled and dated. 3. The facility failed to ensure the walk-in cooler maintained an internal temperature below 41 Fahrenheit. These failures could place residents who received meals and/or snacks from the kitchen at risk for food borne illness.
September 4, 2024Complaint inspection · 1 citation
  1. D
    Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
    F623 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) September 6, 2024
    Inspectors wroteBased on interview and record review, the facility failed to notify the resident or the resident's representative of the transfer or discharge and the reasons for the move 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 one (Resident #1) of three residents reviewed for discharge notices. The facility failed to notify Resident #1 or her representative in writing of her transfer/discharge to the hospital for behavioral reasons, the reason for the transfer, and the right to appeal and they failed to send a copy of the notice to the ombudsman as soon as practicable of the transfer/discharge. This failure could place residents at risk of being transferred or discharged , and not having access to available advocacy services, discharge/transfer options, and appeal processes.
June 6, 2024Complaint inspection · 2 citations
  1. E
    Provide bedrooms that don't allow residents to see each other when privacy is needed.
    F914 · Environmental · No actual harm, potential for more than minimal harm, pattern · found on a complaint visit · Corrected (the home has a date of correction) June 30, 2024
    Inspectors wroteBased on observation, interview and record review, the facility failed to ensure resident rooms were equipped with privacy curtains the assured full visual privacy for 11 of 53 rooms (Rooms 201, 202, 205, 207, 211, 302, 305, 306, 307, 406, and 409) reviewed for visual privacy. 1. LVN C and CNA D failed to ensure Resident #2 had full visual privacy while providing care. 2. The facility failed to ensure the residents in the A beds in Rooms 201, 202, 205, 207, 211, 302, 305, 306, 307, 406, and 409 had privacy curtains to assure full visual privacy. This failure could place residents at risk of being exposed to the hallway during cares.
  2. D
    Provide and implement an infection prevention and control program.
    F880 · Infection Control · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Past noncompliance: already fixed when inspectors found it
    Inspectors wroteBased on observation, interview and record review, the facility failed to maintain an infection control program for preventing, identifying, reporting, investigating, and controlling infections and communicable diseases for 1 of 5 residents (Resident #1) reviewed for infection control. Housekeeper A picked popcorn off the floor and placed it back into Resident #1's bag and was subsequently eaten by Resident #1. This failure could place residents at risk of exposure to pathogens from the floor. The noncompliance was identified as PNC. The noncompliance began on 03/20/24 and ended on 03/21/24. The facility corrected the noncompliance before the survey began.
March 21, 2024Standard inspection, Complaint inspection · 13 citations
  1. E
    Honor the resident's right to organize and participate in resident/family groups in the facility.
    F565 · Resident Rights · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) April 19, 2024
    Inspectors wroteBased on observation, interview, and record review, the facility failed to provide a private meeting space for the residents' monthly council meetings for 12 of 12 confidential residents reviewed for resident council. The facility failed to provide a private space for resident council meetings. This failure could place residents, who attended resident council meetings, at risk of not being able to voice concerns due to a lack of privacy.
  2. E
    Provide doctor's orders for the resident's immediate care at the time the resident was admitted.
    F635 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) April 19, 2024
    Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure that residents had physician's orders for the resident's immediate care for 1 (Resident #45) of 16 residents reviewed for quality of care. The facility failed to obtain follow-up orders when Resident #45 returned to the facility from the hospital with a splint after she was diagnosed with an elbow fracture. The failure placed residents at risk of not receiving needed treatments to prevent conditions from worsening.
  3. E
    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, pattern · Corrected (the home has a date of correction) April 19, 2024
    Inspectors wroteBased on observation, interview and record review, the facility failed to develop and implement a comprehensive person-centered care plan for each resident that included measurable objectives and timeframes to meet a resident medical, nursing, mental, and psychosocial needs for 1 (Resident #66) of 6 residents reviewed for care plans. 1. The facility failed to develop a care plan for Resident #66 that addressed her use of dentures. 2. The facility failed to update Resident #66's care plan to address changes in diet texture, weight loss, or health shakes at lunch and dinner. 3. The facility failed to develop a care plan that addressed Resident #66's need to have assistance for eating. 4. The facility failed to develop a care plan with measurable objectives and timeframes to address Resident #66, hospice services. [...]
  4. E
    Provide care and assistance to perform activities of daily living for any resident who is unable.
    F677 · Quality of Life and Care · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) April 19, 2024
    Inspectors wroteBased on observation, interview, and record review the facility failed to ensure 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 (Resident #10 and Resident #66) reviewed for ADLs. The facility failed to ensure Resident #10, and Resident #66 had feeding assistance for more than 30 minutes after lunch trays were delivered to their rooms. This failure could place residents at risk for not receiving appropriate care, assistance when needed, and decreased quality of life.
  5. E
    Provide enough food/fluids to maintain a resident's health.
    F692 · Quality of Life and Care · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) April 19, 2024
    Inspectors wroteBased on observation, interview, and record review the facility failed to ensure residents maintained acceptable parameters of nutritional status, such as usual body weigh or desirable body weight range and electrolyte balance, unless the resident's clinical condition demonstrated that was not possible or the resident preferences indicated otherwise for 2 of 5 residents (Resident #66 and Resident #115) reviewed for nutrition status maintenance. 1. The facility failed to ensure Resident #66 had a heath shake with lunch and dinner. 2. The facility failed to measure and record Resident #115's body weight, as ordered by the resident's physician, for three weeks in November 2023. These failures could place residents at risk of weight loss, weight gain, nutritional deficit, and adverse health consequences.
  6. E
    Provide safe, appropriate dialysis care/services for a resident who requires such services.
    F698 · Quality of Life and Care · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) April 19, 2024
    Inspectors wroteBased on interview and record review, the facility failed to ensure that residents who required dialysis received such services, consistent with professional standards of practice, the comprehensive person-centered care plan, and the residents' goals and preferences for 1 (Resident #42) of 3 residents reviewed for dialysis. The facility failed to ensure dialysis assessments were completed for Resident #42 after return from dialysis treatment. This failure could place residents at risk of inadequate post dialysis care.
  7. E
    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
    F755 · Pharmacy Service · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) April 19, 2024
    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 on one of three medication carts (Hall 507-708 nurses' cart) and 4 of 4 Residents (Resident #43, #91, #93 and #102) reviewed for pharmacy services. 1. The facility failed to ensure the Hall 507-708 nurses medication cart contained accurate narcotic record for Residents #43 and #91. 2. The facility failed to ensure that Resident #93's Bengay Greaseless External Cream 10-15% (Menthol-Methyl Salicylate (Liniments) and one bottle of nicotine lozenges were stored properly. 3. [...]
  8. E
    Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
    F756 · Pharmacy Service · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) April 19, 2024
    Inspectors wroteBased on interview and record review, the facility failed to ensure any drug regimen irregularities reported by the Pharmacist Consultant were acted upon, for 2 of 5 residents (Resident #14 and #98) reviewed for unnecessary medications, psychotropic medications, and medication regimen review. The facility's Pharmacist Consultant recommended Residents #14 and #98 antipsychotic medication Quetiapine required an additional consent on the Form 3713 to be completed and uploaded to the resident's chart. These failures could place residents on psychotropic medications at risk for possible adverse side effects, adverse consequences, and decreased quality of life.
  9. E
    Provide routine and 24-hour emergency dental care for each resident.
    F790 · Quality of Life and Care · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) April 19, 2024
    Inspectors wroteBased on observation, interview, and record review, the facility failed to assist residents in obtaining routine and 24-hour emergency dental care for one of 4 residents (Resident #66) reviewed for dental services. The facility failed to assist in providing dental services for Resident #66. This failure could place residents at risk of oral complications, dental pain, and diminished quality of life.
  10. E
    Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
    F803 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) April 19, 2024
    Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure that the menu was followed for 1 (the lunch meal on 03/19/24) of 4 lunches reviewed for food and nutrition services. The facility failed to ensure the seven residents (Residents #9, #10, #46, #66, #75, #79, and #159) on a pureed diet were served pureed bread and pureed chicken fried steak during the lunch meal on 03/19/24. This failure could place residents at risk for unwanted weight loss, hunger, unwanted weight gain, and metabolic imbalances.
  11. E
    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
    F812 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) April 19, 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 safety for 5 (Administrator, [NAME] Z, Dietary Aide X, Dietary Aide W, and Dietary Aide V) of 5 staff and 1 of 1 kitchen reviewed for kitchen sanitation, in that: 1. [NAME] Z placed food containers of the lunch meal in the steamtable that contained contaminated water. 2. The Administrator, Dietary Aide X, Dietary Aide W, and Dietary Aide V failed to wear a hair restraint while in the kitchen. These failures could place residents at risk for food contamination and foodborne illness.
  12. E
    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
    F842 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, pattern · found on a complaint visit · Corrected (the home has a date of correction) April 19, 2024
    Inspectors wroteBased on interview and record review, the facility failed to maintain clinical records in accordance with accepted professional standards and practices that were complete and accurately documented for 1 (Resident #115) of 5 residents reviewed for clinical records. 1. The facility failed to ensure staff accurately documented on Resident #115's October 2023 MAR that he received his medications. 2. The facility failed to ensure staff kept copies of Resident #115's shower sheets from September and October 2023. These failures could affect residents and place them at risk of inaccurate or incomplete clinical records.
  13. D
    Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
    F804 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) April 19, 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 one of three meals (lunch on 03/19/24) reviewed for food and nutrition services. The facility failed to prepare food that conserved nutritive value and was at an appetizing taste and temperature for the lunch meal on 03/19/24. This deficient practice could place residents at risk of poor intake of nutrition, weight loss, and illness.
December 20, 2023Complaint inspection · 2 citations
  1. G
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    F689 · Quality of Life and Care · Actual harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) January 8, 2024
    Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure that the residents are free from accidents and hazards for one (Resident #1) of two residents reviewed for mechanical lift transfers. The facility failed to safely transfer Resident #1 and prevent injury during the use of the mechanical Hoyer lift, resulting in a laceration on the forehead on 12/16/23 and back pain on 11/20/23. This failure could place residents at risk for accidents that could lead to injuries such as bruising, skin tears and fractures.
  2. D
    Provide for the safe, appropriate administration of IV fluids for a resident when needed.
    F694 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) January 8, 2024
    Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure parenteral fluids were administered consistent with professional standards for one (Resident #2) of three residents reviewed for intravenous fluids. 1. The facility failed to date and maintain the integrity of the PICC/CVC line dressing per professional standards for Resident #2. 2. The facility failed to ensure LVN C had training on IV administration and IV dressing changes. This failure could affect residents by placing them at risk for infections and cross-contamination.
December 7, 2023Complaint inspection · 1 citation
  1. D
    Reasonably accommodate the needs and preferences of each resident.
    F558 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) January 4, 2024
    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 were provided for 1 (Resident #1) of 5 residents reviewed for accommodation of needs. The facility failed to ensure Resident #1's call light was placed within his reach. This failure could place dependent residents at risk of injuries and unmet needs.

Fire safety inspections

15 fire safety citations on file: 3 on June 10, 2026, 2 on April 10, 2025, 10 on March 21, 2024.

Every fire safety citation15 citations
  1. E
    Provide properly protected cooking facilities.
    K 324 · June 10, 2026 · Corrected (the home has a date of correction)
  2. E
    Properly select, install, inspect, or maintain portable fire extinguishes.
    K 355 · June 10, 2026 · Corrected (the home has a date of correction)
  3. E
    Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
    K 372 · June 10, 2026 · Corrected (the home has a date of correction)
  4. E
    Inspect, test, and maintain automatic sprinkler systems.
    K 353 · April 10, 2025 · Corrected (the home has a date of correction)
  5. E
    Properly select, install, inspect, or maintain portable fire extinguishes.
    K 355 · April 10, 2025 · Corrected (the home has a date of correction)
  6. F
    Have approved installation, maintenance and testing program for fire alarm systems.
    K 345 · March 21, 2024 · Corrected (the home has a date of correction)
  7. F
    To conduct inspection, testing and maintenance of fire doors by qualified individuals.
    K 761 · March 21, 2024 · Corrected (the home has a date of correction)
  8. F
    Ensure that building systems meet requirements determined by risk assessment procedures performed by qualified personnel.
    K 901 · March 21, 2024 · Corrected (the home has a date of correction)
  9. E
    Keep aisles, corridors, and exits free of obstruction in case of emergency.
    K 211 · March 21, 2024 · Corrected (the home has a date of correction)
  10. E
    Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
    K 222 · March 21, 2024 · Corrected (the home has a date of correction)
  11. E
    Have properly located and lighted "Exit" signs.
    K 293 · March 21, 2024 · Corrected (the home has a date of correction)
  12. E
    Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
    K 321 · March 21, 2024 · Corrected (the home has a date of correction)
  13. E
    Have properly installed hallway dispensers for alcohol-based hand rub.
    K 325 · March 21, 2024 · Corrected (the home has a date of correction)
  14. E
    Install smoke barrier doors that can resist smoke for at least 20 minutes.
    K 374 · March 21, 2024 · Corrected (the home has a date of correction)
  15. E
    Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
    K 741 · March 21, 2024 · Corrected (the home has a date of correction)

Fines and payment denials

DatePenaltyAmount or length
October 31, 2025Fine $15,940
September 4, 2024Fine $6,151
December 7, 2023Fine $9,485

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)3.243.393.86
Registered nurses0.310.430.69
All nursing staff on weekends2.872.983.42
Nurse aides1.93
Licensed practical nurses1.01
Nursing staff turnover (share who left in a year)not reported55.3%45.8%
Registered nurse turnovernot reported54.6%42.9%
Administrators who left0

CMS expects 3.53 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 3.40 on weekdays and 2.87 on weekends, 16% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 0.0% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.52 in April to June 2025 to 3.24 in January to March 2026.

QuarterAll nursing staffRegistered nursesWeekdaysWeekendsContract staff shareDays with no RN hoursResidents a day
Jan to Mar 20263.240.313.402.87 0.0%0 of 90107
Oct to Dec 20253.230.263.422.76 0.0%0 of 92108
Jul to Sep 20253.170.383.342.72 0.0%0 of 92108
Apr to Jun 20253.520.493.683.13 0.0%0 of 9197
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. If you work here, your report helps start one.

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.

Work here? Share your pay anonymously

For Oakmont Guest Care Center. No name, email or phone, and nothing you could type about a resident: every answer is a number or a choice.

Your job
Employed by
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Do you get a shift differential?
Optional questions
Mandatory overtime?
How did staffing feel on your usual shift?

Every report is reviewed before it counts; what it says about the home never decides whether it counts. How pay reports are handled.

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
12.515.813.9
Percentage of long-stay residents with a catheter inserted and left in their bladder
Long Stay residents, 2025Q2-2026Q1
1.00.30.8
Percentage of long-stay residents with a urinary tract infection
Long Stay residents, 2025Q2-2026Q1
0.00.81.6
Percentage of long-stay residents experiencing one or more falls with major injury
Long Stay residents, 2025Q2-2026Q1
3.93.33.2
Percentage of short-stay residents who newly received an antipsychotic medication
Short Stay residents, 2025Q2-2026Q1
2.41.51.6
Percentage of long-stay residents whose ability to walk independently worsened
Long Stay residents, 2025Q2-2026Q1
13.214.014.1
Percentage of long-stay residents with pressure ulcers
Long Stay residents, 2025Q2-2026Q1
2.83.84.6
Percentage of long-stay residents who received an antipsychotic medication
Long Stay residents, 2025Q2-2026Q1
8.39.615.4
Percentage of short-stay residents who were rehospitalized after a nursing home admission
Short Stay residents, 20250101-20251231
40.025.723.8
Percentage of short-stay residents who had an outpatient emergency department visit
Short Stay residents, 20250101-20251231
3.112.312.0
Number of hospitalizations per 1000 long-stay resident days
Long Stay residents, 20250101-20251231
2.12.21.9
Number of outpatient emergency department visits per 1000 long-stay resident days
Long Stay residents, 20250101-20251231
0.82.11.8

Short-term rehab results

For a stay to recover after a hospital visit, these are the results CMS publishes for Oakmont Guest Care Center's Medicare short-stay residents. How to read these, and what Medicare pays for.

Went home or back to the community

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 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. 20 eligible stays.

Potentially preventable readmissions

9.1% 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. 46 eligible stays.

Infections that led to a hospital stay

8.3% 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. 26 eligible stays.

Self-care and mobility at discharge

33.3% 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. 21 residents counted.

Falls with major injury

10.5% 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. 38 residents counted.

New or worsened pressure ulcers

0.0% 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. 38 residents counted.

Medication list given at discharge

Not reported

CMS note: The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.

Median of homes: Texas98.5% · US 98.7%

Percentage of residents where the SNF provided a current medication list to the resident, family, and/or caregiver at final discharge. Higher is better. October 2024 to September 2025. 4 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: NOCONA HOSPITAL DISTRICT.

NameRoleTypeShareSince
Nocona Hospital District5% or greater direct ownership interestOrganization100%01/01/2024
Meekins, GregCorporate officerIndividual01/01/2024
Oakmont Guest Care Center LLCOperational/managerial controlOrganization01/01/2024
Culp, JohnOperational/managerial controlIndividual01/01/2024
Gamble, DennyOperational/managerial controlIndividual01/01/2024
Gamvest Texas LLCAdp of the SNFOrganization07/01/2020
Oakmont Guest Care Center LLCAdp of the SNFOrganization04/30/2025
Culp, JohnAdp of the SNFIndividual01/01/2024
Gamble, DennyAdp of the SNFIndividual07/01/2020
Huntzinger, HowardAdp of the SNFIndividual01/01/2024

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 10 problems in this area, most recently on January 7, 2026: "Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube."
  2. Can we see a week of menus and the kitchen, and how are special diets handled?Inspectors cited 6 problems in this area, most recently on June 10, 2026: "Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards."
  3. When is the care plan meeting, and can family attend it?Inspectors cited 6 problems in this area, most recently on May 12, 2025: "Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards."
  4. How are medications reviewed, and how often are antipsychotic or sedating drugs used?Inspectors cited 5 problems in this area, most recently on June 10, 2026: "Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist."
  5. Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 2.87 hours per resident per day, below the Texas average of 2.98.

Other nursing homes nearby

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 Oakmont Guest Care Center's Medicare star rating?
CMS rates Oakmont Guest Care Center 2 out of 5 stars overall, with 3 for health inspections, 1 for staffing and 4 for quality measures (CMS data as of September 1, 2026).
How many deficiencies did Oakmont Guest Care Center get at its last inspection?
3 health deficiencies at the standard inspection on June 10, 2026. The Texas average is 9.4.
Has Oakmont Guest Care Center been fined?
Yes. CMS lists 3 fines totaling $31,576 in the last three years.
Does Oakmont Guest Care 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 Oakmont Guest Care Center?
CMS lists 10 owners and managers. Legal business name: NOCONA HOSPITAL DISTRICT.

Sources

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