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Home / Texas / San Angelo

Park Plaza Nursing and Rehabilitation Center

2210 N Howard St., San Angelo, TX 76901 · Tom Green County · (325) 944-0561

90 certified beds, about 40 residents a day · For profit - Corporation · Medicare and Medicaid since 2003

Inside a hospital Certified for Medicaid Certified for Medicare
Overall
3 of 5
Health inspections
4 of 5
Staffing
1 of 5
CMS note: The accuracy of the staffing data for this measure could not be validated by CMS.
Quality measures
4 of 5

CMS Care Compare ratings, data as of September 1, 2026 · CCN 675982 · See it on Medicare.gov · Compare with other homes

The record in brief

At its most recent standard inspection, on May 14, 2026, inspectors cited 3 health deficiencies (the Texas average is 9.4, the national average 9.2).

None of its 28 health citations since September 2023 was rated as actual harm or immediate jeopardy.

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

85.0% of nursing staff left within the year CMS measured (Texas average 55.3%).

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

Health inspections

Federal rules call for a standard inspection at least every 15 months, plus a visit whenever a complaint is filed. Each mark below is one citation, colored by how serious inspectors rated it. How to read a citation.

Under each citation, the quoted text is the inspector's own summary from the federal statement of deficiencies (CMS form 2567), word for word apart from a privacy scrub; CMS removes residents' and staff names before it publishes the text. The full notes are on Medicare.gov.

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

Where its citations fall on CMS's grid

CMS rates every citation by how much harm it caused (rows) and how many residents it touched (columns). The count in each box is this home's, across all 28 health citations on file.

Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
0G
0H
0I
Potential for more than minimal harm
10D
17E
0F
Potential for minimal harm
0A
0B
1C
May 14, 2026Standard inspection · 3 citations
  1. D
    Keep residents' personal and medical records private and confidential.
    F583 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) June 19, 2026
    Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure residents had the right to personal privacy and confidentiality of his or her personal and medical records for 2 of 5 residents (Resident #2 and Resident #43) reviewed for privacy, in that:The facility failed to ensure LVN A locked the computer, which exposed Resident #2's morning medication list after she walked away and left the computer unattended. The facility failed to ensure LVN B locked the computer, which exposed Resident #43's lunch time medication list after she walked away and left the computer unattended. This failure could place residents at risk of having medical information exposed to others and cause residents to feel uncomfortable and disrespected.
  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 19, 2026
    Inspectors wroteBased on observations, interviews, and record review it was determined the facility failed to provide pharmaceutical services that ensure the accurate administering of drugs for 1 of 2 nurse medication carts (South Hall) observed for medications stored. properly labeled and accounted for. The South Hall nurse medication cart had two controlled medication blister packs that did not match their corresponding controlled medication count sheet. This failure could place residents at risk of underdose, overdose or drug diversion.
  3. D
    Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
    F761 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) June 19, 2026
    Inspectors wroteBased on observation, interview, and record review the facility failed to ensure drugs and biologicals used in the facility were labeled in accordance with currently accepted professional principles, included the appropriate accessory and cautionary instructions, and the expiration date when applicable for 1 of 2 medication carts (South hall) reviewed for medication storage. The south hall nurse medication cart had one insulin pen that belonged to Resident #5 that had been opened but not dated when it was placed into use. This failure could place residents at risk of receiving medications that were expired and not produce the desired effect.
March 13, 2025Standard inspection, Complaint inspection · 4 citations
  1. E
    Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
    F690 · Quality of Life and Care · No actual harm, potential for more than minimal harm, pattern · found on a complaint visit · Corrected (the home has a date of correction) March 14, 2025
    Inspectors wroteBased on observation, interview, and record review the facility failed to ensure 1 of 7 residents (Resident #36) with indwelling urinary catheters received appropriate care to prevent urinary tract infections to the extent possible. Resident #36's indwelling catheter tubing was dragging on the floor on 3 of 3 days observed. This failure could place residents with indwelling urinary catheters at risk of infection.
  2. D
    Provide safe and appropriate respiratory care for a resident when needed.
    F695 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) March 14, 2025
    Inspectors wroteBased on observation, interviews, and record review, the facility failed to ensure that a resident who needs respiratory care, is provided such care, consistent with professional standards of practice for 1 of 4 (Resident #3) reviewed for respiratory care. Resident #3's oxygen nasal cannula and SVN mask were not covered in a plastic bag when they were not used. These failures could place all residents who use respiratory equipment at risk for respiratory infections.
  3. D
    Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
    F761 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) March 14, 2025
    Inspectors wroteBased on observation, interview and record review the facility failed to store all drugs and biologicals in locked compartments for 1 of 2 nurse medication carts (The north hall medication cart) reviewed for medication storage and security. LVN C failed to ensure the nurse medication cart for the north hall was secured when it was left unattended. These failures could place residents at risk for drug diversion or accidental ingestion.
  4. D
    Provide and implement an infection prevention and control program.
    F880 · Infection Control · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) March 14, 2025
    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 (Resident #36) of 7 residents reviewed for infection prevention and control. CNA A and CMA B failed to change her gloves when going from dirty to clean during Resident #36's incontinent care. CNA A and CMA B failed to use PPE during incontinent care and urinary catheter care performed for Resident #36 as the resident was on EBP precautions. These failures could place residents at risk of infections, secondary infections, and communicable diseases.
April 1, 2024Complaint inspection · 1 citation
  1. 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 · Corrected (the home has a date of correction) April 8, 2024
    Inspectors wroteBased on observation, interview, and record review, the facility failed to maintain an infection prevention and control program designed to provide a safe, sanitary, and comfortable environment to help prevent the development and transmission of communicable diseases and infections for one (Resident #1) of three residents reviewed for infection control practices. CNA A failed to perform proper hand hygiene and glove changes while providing incontinence care to Resident #1 on 03/29/24. This failure could place residents at risk for the spread of infection.
February 9, 2024Standard inspection, Complaint inspection · 17 citations
  1. E
    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
    F550 · Resident Rights · No actual harm, potential for more than minimal harm, pattern · found on a complaint visit · Corrected (the home has a date of correction) March 25, 2024
    Inspectors wroteBased on observation, interview, and record review, the facility failed to treat residents with respect, dignity, and care for each resident in a manner that promotes maintenance or enhancement of his or her quality of life for 2 of 4 residents (Resident #13 & Resident # 45) reviewed for dignity. The facility failed to ensure staff treated Resident #13 & Resident #45 with dignity by covering their catheter bags with privacy bags. This failure could place residents at risk of a diminished quality of life and lead to a loss of self-esteem.
  2. E
    Respond appropriately to all alleged violations.
    F610 · Freedom from Abuse, Neglect, and Exploitation · No actual harm, potential for more than minimal harm, pattern · found on a complaint visit · Corrected (the home has a date of correction) March 25, 2024
    Inspectors wroteBased on record reviews and interviews, the facility failed to thoroughly investigate allegations of Abuse and Neglect and Injury of Unknown Origin for 6 of 11 residents (Resident #6, #17, #20, #37, #27 and #42) reviewed. The facility did not have documentation that thorough investigations of allegations of Neglect for Resident #,6, #17, #20, #37, #27 and #42 were completed. This failure could place residents who report allegations of abuse at risk of not being thoroughly investigated.
  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 · found on a complaint visit · Corrected (the home has a date of correction) March 25, 2024
    Inspectors wroteBased on interview and record review, the facility failed to develop and implement a person-centered, comprehensive care plan for each resident, consistent with resident rights, that included measurable objectives and timeframes to meet residents medical, nursing, mental and psychosocial needs that were identified in the comprehensive assessment for 5 (Resident # 32, Resident #33, Resident #44, Resident #48, and Resident #49) of 5 residents reviewed for care plans. The facility failed to ensure care plans specified measurable objectives that could be evaluated or quantified for Resident #32, Resident #33, Resident #44, Resident #48, and Resident #49. The facility failed to ensure care plans specified measurable objectives that could be evaluated or quantified with a timeframe to achieve for Resident #32, Resident #33, Resident #44, Resident #48, and Resident #49. [...]
  4. E
    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
    F657 · 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) March 25, 2024
    Inspectors wroteBased on interview and record review, the facility failed to review and revise resident-centered comprehensive care plans within 7 days of a comprehensive assessment for 5 (Resident #13, Resident #32, Resident #44, Resident #48, and Resident #49) of 6 residents reviewed for care plans. The facility failed to review and revise Resident #13, Resident #32, Resident #44, Resident #48, and Resident #49's Comprehensive Patient-Centered Care Plan within 7 days following the completion of a comprehensive assessment. This failure could put residents at risk for not receiving the care and services needed to maintain or improve physical, mental, emotional, psychological well-being.
  5. 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) March 25, 2024
    Inspectors wroteBased on observation, interview and record review the facility failed to ensure residents received proper treatment and care to maintain mobility and good foot health for 1 of 3 residents (Resident #42) reviewed for foot care. The facility failed to ensure Resident #42 received podiatry care since admission on [DATE]. This deficient practice could place residents at risk of overall poor foot hygiene and a decline in resident's physical condition.
  6. E
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    F689 · Quality of Life and Care · No actual harm, potential for more than minimal harm, pattern · found on a complaint visit · Corrected (the home has a date of correction) March 25, 2024
    Inspectors wroteBased on observation, interview and record review, the facility failed to ensure each resident received adequate supervision to prevent accidents for 3 of 5 (Residents #3, #6, and #18) residents reviewed for smoking safety. The facility failed to ensure Residents #6 was supervised when smoking per assessment. The facility failed to ensure Residents #3, #6, and #18's lighters and cigarettes were not stored on their person. These failures could affect residents who smoke at risk of serious bodily harm, physical impairment, or death.
  7. E
    Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
    F690 · Quality of Life and Care · No actual harm, potential for more than minimal harm, pattern · found on a complaint visit · Corrected (the home has a date of correction) March 25, 2024
    Inspectors wroteBased on observation, interview and record review the facility failed to ensure a resident who is incontinent of bladder receives appropriate treatment and services to prevent urinary tract infections for 1 (Resident #40) of 4 residents reviewed for catheters. The facility failed to provide appropriate treatment and indwelling catheter services consistent with professional standards of practice by not changing Resident #40's urinary catheter as ordered and ensuring Resident #40's urinary catheter collection bag was not on the floor. This failure placed residents with urinary catheters at risk for infection threatening their physical and mental well-being.
  8. E
    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, pattern · found on a complaint visit · Corrected (the home has a date of correction) March 25, 2024
    Inspectors wroteBased on observations, interviews and record reviews, the facility failed to ensure that a resident who uses a feeding tube for liquid nourishment, fluids, and medications received the appropriate treatment and services to prevent complications of enteral feeding including but not limited to aspiration pneumonia, diarrhea, vomiting, dehydration, metabolic abnormalities, and nasal-pharyngeal ulcers for 1 of 3 (Resident #40) reviewed for gastrostomy tube. The facility failed to check the placement of Resident #40's gastrostomy tube prior to administering water flushes and medication administration via gastrostomy tube. This failure could place residents who use gastrostomy tubes at risk of aspiration pneumonia.
  9. E
    Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.
    F700 · 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) March 25, 2024
    Inspectors wroteBased on observation, interview and record review the facility failed to attempt to use alternatives prior to installing a side or bed rail and assess the resident for risk of entrapment from bed rails prior to installation for 3 of 3 residents (Resident #20, Resident #25, and Resident #45) reviewed for bed rails. The facility failed to assess residents for entrapment risks and attempt less restrictive measures prior to installing bed rails. These failures could place residents at risk for injury and restricted movement.
  10. E
    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, pattern · found on a complaint visit · Corrected (the home has a date of correction) March 25, 2024
    Inspectors wroteBased on observation, interview and record review, the facility failed to ensure residents with PRN orders for psychotropic drugs were limited to 14 days and to ensure psychotropic medications were not given unless the medication was necessary to treat a specific condition as diagnosed and documented in the clinical record for 1 of 2 (Resident #20) residents reviewed for unnecessary medications. The facility failed to ensure Resident #20's PRN lorazepam (medicine used to treat the symptoms of anxiety) was discontinued after 14 days or a documented rational for the continued provision of the medication. This failure could place residents at risk for adverse reactions and negative side effects from the administration of medication that was not indicated for use to treat medical conditions and symptoms and dependence on unnecessary medications.
  11. E
    Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
    F761 · Pharmacy Service · No actual harm, potential for more than minimal harm, pattern · found on a complaint visit · Corrected (the home has a date of correction) March 25, 2024
    Inspectors wroteBased on observation, interview and record review the facility failed to ensure all drugs and biologicals were labeled and stored in accordance with currently accepted professional principles for 1 of 2 medication storage rooms (North hall medication room) and 1 of 4 medication carts (South nurse medication cart) reviewed. The facility failed to ensure that medications were secured in locked medication cart. The facility failed to ensure that medications were stored in an environment that was dry and without ice buildup. These failures could place residents who receive medications at risk for receiving the wrong medications, outdated medications or contaminated medications which could result in residents not receiving the intended therapeutic effects medications or harm.
  12. E
    Provide timely, quality laboratory services/tests to meet the needs of residents.
    F770 · Administration · No actual harm, potential for more than minimal harm, pattern · found on a complaint visit · Corrected (the home has a date of correction) March 25, 2024
    Inspectors wroteBased on interview and record review, the facility failed to provide or obtain laboratory services to meet the needs of 1 of 2 (Resident #25) residents reviewed for lab services. The facility failed to provide or obtain lab work as ordered by the physician for Resident #25. This failure could place the residents at risk of missed labs, depriving their physician of monitoring important levels.
  13. 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 · found on a complaint visit · Corrected (the home has a date of correction) March 25, 2024
    Inspectors wroteBased on observations, interviews, and record reviews the facility failed to properly store, prepare, distribute, and serve food in accordance with professional standards for food service safety for 1 of 1 kitchen reviewed. The facility failed to ensure foods were sealed and/or labeled properly in refrigerators and dry storage. The facility failed to ensure food was not past expiration date. These failures could place residents that eat out of the kitchen at risk for food borne illnesses.
  14. E
    Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
    F868 · Administration · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) March 25, 2024
    Inspectors wroteBased on interview and record review, the facility failed to maintain a quality assessment and assurance committee consisting at a minimum the required committee members for 3 of 12 meetings (11/23,12/2023, and 01/2024) reviewed for QAPI. The facility did not ensure the MD, or a representative attended QAPI meetings on 11/23, 12/2023, and 01/2024. This failure could place residents at risk for quality deficiencies being unidentified, no appropriate plans of action developed and implemented, and no appropriate guidance developed.
  15. E
    Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame.
    F909 · Environmental · No actual harm, potential for more than minimal harm, pattern · found on a complaint visit · Corrected (the home has a date of correction) March 25, 2024
    Inspectors wroteBased on observation, interview and record review, the facility failed to conduct regular inspections of all bed frames and bed rails as part of a regular maintenance program to identify areas of possible entrapment for 4 of 4 (Residents #9, #20, #25 and #45) residents reviewed for bed rails. The facility did not conduct regular inspections of bed rails, including Residents #9, #20, #25 and #45's beds. This failure could place residents who have bed rails at risk for injury related to poor maintenance of the bed rails.
  16. D
    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
    F755 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) March 25, 2024
    Inspectors wroteBased on observation, interview and record review the facility failed to provide pharmaceutical services including procedures that assure accurate administering of medications for 2 of 4 medication carts (South nurse medication cart, & North nurse medication cart) reviewed. The facility failed to ensure expired medications were removed from medication carts. These failures could place residents who receive medications at risk for receiving outdated medications which could result in residents not receiving the intended therapeutic effects medications.
  17. C
    Post nurse staffing information every day.
    F732 · Nursing and Physician Services · No actual harm, potential for minimal harm, widespread · found on a complaint visit · Corrected (the home has a date of correction) March 25, 2024
    Inspectors wroteBased on interviews and observation, the facility failed to ensure staffing information was posted daily, readily accessible to residents and visitors that included: the total number and the actual hours worked by the Registered nurses, Licensed Practical nurses or Licensed Vocational Nurses or Certified Nurse Aides directly responsible for resident care per shift for 3 of 3 days (02/06/2024, 02/07/2024, and 02/08/2024 reviewed for staffing information. The facility failed to ensure the daily staffing information was posted daily on 02/06/2024, 02/07/2024, and 02/08/2024. This failure could place residents, their families, and visitors at risk of not having the staffing information readily accessible for review, residents and visitors are not able to know how many staff are currently working to provide care on all shifts. Findings Included: [...]
November 20, 2023Complaint inspection · 1 citation
  1. 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 · found on a complaint visit · Past noncompliance: already fixed when inspectors found it
    Inspectors wroteBased on record review and interview, the facility failed to provide pharmaceutical services, including the accurate administering of drugs for 1 of 5 Residents (Resident #1) reviewed for pharmacy services. 1) The facility failed to ensure Licensed Vocational Nurse (LVN) A did not administer PRN Ativan (Anti-Anxiety/Sedative medication), after it was ordered to be discontinued. The facility failed to remove anti-anxiety (Ativan) medication from the medication cart after it was ordered to be discontinued by the physician for Resident #1 The noncompliance was identified as past noncompliance. The noncompliance began [DATE] and ended on [DATE]. The facility had corrected the noncompliance before the investigation began. [...]
September 7, 2023Complaint inspection · 2 citations
  1. D
    Provide appropriate treatment and care according to orders, resident’s preferences and goals.
    F684 · 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) September 8, 2023
    Inspectors wroteBased on interview and record review, the facility failed to ensure 1 of 4 residents (Resident #1) received treatment and care in accordance with professional standards of practice reviewed. 1) CNA A failed to stop attempting to perform the care being resisted by Resident #1 during incontinent care. This failure could place residents at risk for being provided care or treatment different from the plan of care. Findings Include: Review of Resident #1's face sheet dated 09/07/2023 revealed Resident #1 was a [AGE] year-old female admitted to the facility on [DATE]. Her diagnoses included vascular dementia (impaired blood flow to brain) Alzheimer's Disease and Type II Diabetes. Review of Resident #1's MDS assessment dated [DATE] revealed she had a brief interview for mental status score of 99 indicating Resident #1 was not able to complete the BIM's interview. [...]
  2. 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 · found on a complaint visit · Corrected (the home has a date of correction) September 8, 2023
    Inspectors wroteBased on interview and record review, the facility failed to reevaluate and implement non-pharmacological interventions with the use of a PRN antipsychotic drug, for 1 Resident (R#1) of 6 residents reviewed for antipsychotic medications, in that: 1) The facility administered an anti-anxiety medication (Ativan) PRN (as needed) to Resident #1, for more than 14 days, without an evaluation by Resident#1's Physician for the appropriateness of the medication. 2) Facility failed to implement behavioral interventions and assess resident reaction to interventions prior to administering anti-anxiety medication (Ativan) PRN (as needed) to Resident #1. These failures could place residents who received psychotropic medications at risk of receiving unnecessary doses of medication, experiencing undesirable side effects as well as potentially causing a physical or psychological decline in health. [...]

Fines and payment denials

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

Staffing

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

MeasureThis homeTexasUnited States
All nursing staff (RN, LPN and aides)not reported3.393.86
Registered nursesnot reported0.430.69
All nursing staff on weekendsnot reported2.983.42
Nurse aidesnot reported
Licensed practical nursesnot reported
Nursing staff turnover (share who left in a year)85.0%55.3%45.8%
Registered nurse turnover80.0%54.6%42.9%
Administrators who left1

CMS note on this home's staffing data: The accuracy of the staffing data for this measure could not be validated by CMS.

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 3.45 on weekdays and 3.01 on weekends, 13% 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 3.22 in April to June 2025 to 3.32 in January to March 2026.

QuarterAll nursing staffRegistered nursesWeekdaysWeekendsContract staff shareDays with no RN hoursResidents a day
Jan to Mar 20263.320.513.453.01 0.0%0 of 9040
Oct to Dec 20253.440.493.603.02 0.0%0 of 9240
Jul to Sep 20253.320.483.462.96 0.0%0 of 9242
Apr to Jun 20253.220.513.342.94 0.0%0 of 9141
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 Park Plaza Nursing and Rehabilitation 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
Usual shift
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
18.615.813.9
Percentage of long-stay residents with a catheter inserted and left in their bladder
Long Stay residents, 2025Q2-2026Q1
0.00.30.8
Percentage of long-stay residents with a urinary tract infection
Long Stay residents, 2025Q2-2026Q1
2.80.81.6
Percentage of long-stay residents experiencing one or more falls with major injury
Long Stay residents, 2025Q2-2026Q1
2.63.33.2
Percentage of short-stay residents who newly received an antipsychotic medication
Short Stay residents, 2025Q2-2026Q1
0.01.51.6
Percentage of long-stay residents whose ability to walk independently worsened
Long Stay residents, 2025Q2-2026Q1
5.414.014.1
Percentage of long-stay residents with pressure ulcers
Long Stay residents, 2025Q2-2026Q1
3.93.84.6
Percentage of long-stay residents who received an antipsychotic medication
Long Stay residents, 2025Q2-2026Q1
8.59.615.4
Percentage of short-stay residents who were rehospitalized after a nursing home admission
Short Stay residents, 20250101-20251231
31.525.723.8
Percentage of short-stay residents who had an outpatient emergency department visit
Short Stay residents, 20250101-20251231
8.612.312.0
Number of hospitalizations per 1000 long-stay resident days
Long Stay residents, 20250101-20251231
2.22.21.9
Number of outpatient emergency department visits per 1000 long-stay resident days
Long Stay residents, 20250101-20251231
0.32.11.8

Short-term rehab results

For a stay to recover after a hospital visit, these are the results CMS publishes for Park Plaza Nursing and Rehabilitation 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. 15 eligible stays.

Potentially preventable readmissions

11.0% 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. 50 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. 31 eligible stays.

Self-care and mobility at discharge

59.3% 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. 27 residents counted.

Falls with major injury

0.0% this home

Median of homes: Texas0.0% · US 0.0%

Percentage of SNF residents who experience one or more falls with major injury during their SNF stay. Lower is better. October 2024 to September 2025. 37 residents counted.

New or worsened pressure ulcers

4.8% 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. 37 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. 14 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: BALLINGER MEMORIAL HOSPITAL DISTRICT. CMS links this home to Creative Solutions in Healthcare, a group of 149 nursing homes averaging 2.1 stars overall.

NameRoleTypeShareSince
Ballinger Memorial Hospital District5% or greater direct ownership interestOrganization100%02/01/2024
Atwood, MarkManaging control - governing bodyIndividual01/01/2025
Bundrant, BradlyManaging control - governing bodyIndividual01/01/2025
Dankworth, MikeManaging control - governing bodyIndividual01/01/2025
Fricke, RhettManaging control - governing bodyIndividual02/01/2024
Hunter, WilliamManaging control - governing bodyIndividual01/01/2025
Reasor, TylerManaging control - governing bodyIndividual01/01/2025
Studer, ScottManaging control - governing bodyIndividual01/01/2025
Zuniga, ElizabethManaging control - governing bodyIndividual01/01/2025
Huggins, LindaCorporate directorIndividual02/01/2024
Willig, ZacharyCorporate directorIndividual01/01/2025
Fricke, RhettCorporate officerIndividual02/01/2024
San Angelo I Enterprises, LLCOperational/managerial controlOrganization02/01/2024
Blake, GaryOperational/managerial controlIndividual02/01/2024
Blake, MalisaOperational/managerial controlIndividual02/01/2024
San Angelo I Enterprises, LLCAdp of the SNFOrganization04/14/2025
Aguilar, RolandoAdp of the SNFIndividual04/14/2025
Blake, GaryAdp of the SNFIndividual02/01/2024
Hunt, JohnAdp of the SNFIndividual04/14/2025

As listed in the CMS ownership file, which names owners with a 5% or greater stake and the people and companies with operational or managerial control.

Questions to ask on a visit

Chosen from this home's own inspection record.

  1. How are medications reviewed, and how often are antipsychotic or sedating drugs used?Inspectors cited 8 problems in this area, most recently on May 14, 2026: "Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist."
  2. How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 8 problems in this area, most recently on March 13, 2025: "Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections."
  3. How do residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 2 problems in this area, most recently on May 14, 2026: "Keep residents' personal and medical records private and confidential."
  4. What changed in infection control since the last inspection, and who on staff is the infection preventionist?Inspectors cited 2 problems in this area, most recently on March 13, 2025: "Provide and implement an infection prevention and control program."
  5. How long has the current administrator been here?CMS counts 1 administrator who left in the period it measured.

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Common questions

What is Park Plaza Nursing and Rehabilitation Center's Medicare star rating?
CMS rates Park Plaza Nursing and Rehabilitation Center 3 out of 5 stars overall, with 4 for health inspections, 1 for staffing and 4 for quality measures (CMS data as of September 1, 2026).
How many deficiencies did Park Plaza Nursing and Rehabilitation Center get at its last inspection?
3 health deficiencies at the standard inspection on May 14, 2026. The Texas average is 9.4.
Has Park Plaza Nursing and Rehabilitation Center been fined?
CMS lists no fines in the last three years.
Does Park Plaza Nursing and Rehabilitation Center accept Medicaid?
It is certified to take Medicaid (CMS lists it as "Medicare and Medicaid"). Certification does not mean a Medicaid bed is open: ask the admissions office.
Who owns Park Plaza Nursing and Rehabilitation Center?
CMS lists 19 owners and managers, and links the home to Creative Solutions in Healthcare. Legal business name: BALLINGER MEMORIAL HOSPITAL DISTRICT.

Sources

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