Permian Residential Care Center
1601 Ne Mustang Drive, Andrews, TX 79714 · Andrews County · (432) 464-2430
112 certified beds, about 68 residents a day · Government - County · Medicare and Medicaid since 2008
CMS high performing icon Certified for Medicaid Certified for Medicare
Overall
5 of 5
Health inspections
5 of 5
Staffing
5 of 5
Quality measures
3 of 5
CMS Care Compare ratings, data as of September 1, 2026 · CCN 676175 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on December 12, 2025, inspectors cited 4 health deficiencies (the Texas average is 9.4, the national average 9.2).
Of 8 health citations since July 2023, 1 was rated as actual harm or immediate jeopardy to residents (1 immediate jeopardy).
CMS lists 1 fine totaling $20,865 in the last three years; the largest was $20,865, and the latest is dated March 7, 2024.
Nurses and nurse aides worked 5.63 hours per resident per day, against 3.39 across Texas and 3.86 nationally. Registered nurses accounted for 0.87 of those hours.
34.9% of nursing staff left within the year CMS measured (Texas average 55.3%).
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.
107/23
103/24
209/24
412/25
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 8 health citations on file.
Severity
Isolated
Pattern
Widespread
Immediate jeopardy
1J
0K
0L
Actual harm
0G
0H
0I
Potential for more than minimal harm
5D
2E
0F
Potential for minimal harm
0A
0B
0C
December 12, 2025Standard inspection · 4 citations
- E Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Inspectors wroteBased on observation, interview, and record review, the facility failed to store, prepare, distribute, and serve food in accordance with professional standards for food service safety in 1 of 1 kitchen reviewed for dietary services.1. The facility failed to ensure cleaning supplies were stored in a separate area from food items.2. The facility failed to ensure the microwave was cleaned.3. The facility failed to ensure no expired food items were in the kitchen. 4. The facility failed to ensure all food items in the freezer were properly labeled or stored in airtight containers. These failures could place residents at risk for food contamination and foodborne illness.
- D Provide safe and appropriate respiratory care for a resident when needed.
Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure that residents who needed respiratory care, were provided such care, consistent with professional standards of practice for 1 (Resident #39) of 5 residents reviewed for respiratory care. The facility failed to ensure Resident #39 had a physician order for oxygen therapy. This failure could place residents at risk for oxygen toxicity and respiratory compromise.
- 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.
Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure all drugs and biologicals used in the facility were stored and maintained in accordance with currently accepted professional standards for 1 of 2 medication carts (Medication Cart 1) reviewed. 1. The facility failed to ensure three boxes of Ipratropium Bromide/Albuterol Sulfate (a combination bronchodilator medication used to treat bronchospasm) were not expired in Medication Cart 1. 2. The facility failed to ensure 1 loose pill in Medication Cart 1 was properly labeled or stored. These failures could place residents at risk for medication errors and adverse drug reactions.
- D Make sure that a working call system is available in each resident's bathroom and bathing area.
Inspectors wroteBased on observations, interviews, and record review, the facility failed to ensure each resident's bedside, toilet, and bathing facilities were adequately equipped to allow all residents to call for staff assistance through a communication system that would relay the call directly to a staff member or a centralized staff area for 1 of 24 residents (Resident #10 ) reviewed for resident call system. The facility failed to ensure Resident #10's call light was within reach while she was positioned in her recliner. This failure could place residents at risk of not being able to call for assistance in emergency situations, a delay in care and services, and increased risk of falls and/or injuries.
September 26, 2024Standard inspection · 2 citations
- E Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Inspectors wroteBased on observation, interview, and record review, the facility failed to store, prepare, distribute, and serve food in accordance with professional standards for food service safety in 1 of 1 dining rooms reviewed for dietary services. LVN A failed to properly serve a beverage to Resident #39 during the noon meal service. LVN B failed to properly serve beverages to Resident #3 and Resident #61 during the noon meal service. LVN C failed to properly serve a beverage to Resident #8 during the noon meal service. These failures could place residents at risk for food contamination and foodborne illness.
- D Provide and implement an infection prevention and control program.
Inspectors wroteBased on observations, interviews, and record review, the facility failed to maintain an infection control program designed to provide a safe, comfortable, and sanitary environment to help prevent the development and transmission of diseases for 2 of 17 residents (Residents #41 and #44) reviewed for infection control. 1. The facility failed to display transmission-based precaution signs for Resident #44 who was Covid positive on 9/25/24. 2. Housekeeper D failed to utilize personal protective equipment (PPE) when entering Resident #44's room who was Covid positive on 9/25/24. 3. LVN A staff failed to utilize hand hygiene practices during medication administration on 9/25/2024 for Resident #41. These failures could place residents at risk for infection and cross contamination.
March 7, 2024Complaint inspection, Infection control · 1 citation
- J Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Inspectors wroteBased on observation, interview, record review, the facility failed to ensure each resident received adequate supervision and assistive devices to prevent accidents for 1 of 5 resident (Resident #1) reviewed for accidents. The facility failed to use the appropriate transfer for Resident #1 which resulted in a positive fracture to the lower left extremity (ankle). The noncompliance was identified as past non compliance. The Immediate Jeopardy began on 02/21/24 and ended on 02/27/24. This failure could place residents at risk for harm and further injuries.
July 27, 2023Standard inspection · 1 citation
- D Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Inspectors wroteBased on record review and interview, the facility failed to develop a comprehensive care plan to meet the highest practicable physical, mental, psychosocial well-being for 1 of 18 residents (Resident #43) reviewed for care plans as follows: Resident #43 did not have a care plan for urinary incontinence, risk for fall and risk for pressure ulcers. These failures could place residents at risk of not receiving the care required to meet their Individualized needs.
Fire safety inspections
5 fire safety citations on file: 4 on December 12, 2025, 1 on July 27, 2023.
Every fire safety citation5 citations
- F Have approved installation, maintenance and testing program for fire alarm systems.
- F Ensure that building systems meet requirements determined by risk assessment procedures performed by qualified personnel.
- E Properly select, install, inspect, or maintain portable fire extinguishes.
- E Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
- E Have exits that are accessible at all times.
Fines and payment denials
| Date | Penalty | Amount or length |
|---|---|---|
| March 7, 2024 | Fine | $20,865 |
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.
| Measure | This home | Texas | United States |
|---|---|---|---|
| All nursing staff (RN, LPN and aides) | 5.63 | 3.39 | 3.86 |
| Registered nurses | 0.87 | 0.43 | 0.69 |
| All nursing staff on weekends | 4.78 | 2.98 | 3.42 |
| Nurse aides | 3.91 | ||
| Licensed practical nurses | 0.85 | ||
| Nursing staff turnover (share who left in a year) | 34.9% | 55.3% | 45.8% |
| Registered nurse turnover | 25.0% | 54.6% | 42.9% |
| Administrators who left | 0 |
CMS expects 3.36 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 5.97 on weekdays and 4.78 on weekends, 20% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 0.5% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 5.10 in April to June 2025 to 5.63 in January to March 2026.
| Quarter | All nursing staff | Registered nurses | Weekdays | Weekends | Contract staff share | Days with no RN hours | Residents a day |
|---|---|---|---|---|---|---|---|
| Jan to Mar 2026 | 5.63 | 0.87 | 5.97 | 4.78 | 0.5% | 0 of 90 | 68 |
| Oct to Dec 2025 | 5.44 | 0.75 | 5.78 | 4.57 | 3.5% | 0 of 92 | 68 |
| Jul to Sep 2025 | 5.30 | 0.68 | 5.63 | 4.44 | 7.0% | 0 of 92 | 70 |
| Apr to Jun 2025 | 5.10 | 0.55 | 5.42 | 4.29 | 5.2% | 0 of 91 | 66 |
| United States, Jan to Mar 2026 | 3.75 | 0.62 | 3.92 | 3.33 | 5.3% | 0.5% of days | |
| Texas, Jan to Mar 2026 | 3.33 | 0.40 | 3.50 | 2.93 | 2.2% | 0.7% of days |
Hours per resident per day: staff hours in the quarter divided by resident days (the daily census CMS derives from resident assessments). Registered nurses include the director of nursing and RNs with administrative duties; aides include nurse aides in training and medication aides, as in CMS's own staffing measure. How these are calculated.
Quality measures
The measures CMS uses for the quality star. Lower is better for every one of them.
| Measure | This home | Texas | US |
|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased Long Stay residents, 2025Q2-2026Q1 | 22.4 | 15.8 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 0.0 | 0.3 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 3.3 | 0.8 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 3.9 | 3.3 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 0.0 | 1.5 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 31.4 | 14.0 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 3.7 | 3.8 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 6.9 | 9.6 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 15.4 | 25.7 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 18.1 | 12.3 | 12.0 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 2.8 | 2.2 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 2.6 | 2.1 | 1.8 |
Owners and operators
Legal business name: ANDREWS COUNTY HOSPITAL DISTRICT.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Andrews County Hospital District | 5% or greater direct ownership interest | Organization | 02/12/2003 | |
| Bender, Sarah | Managing control - governing body | Individual | 11/01/2023 | |
| Boswell, Carol | Managing control - governing body | Individual | 02/12/2003 | |
| Castillo, Martina | Managing control - governing body | Individual | 05/01/2024 | |
| Gonzales, Manual | Managing control - governing body | Individual | 01/01/2017 | |
| Sanchez, Mike | Managing control - governing body | Individual | 11/01/2020 | |
| Varner, Jessica | Managing control - governing body | Individual | 05/01/2022 | |
| Warnke, Andrea | Managing control - governing body | Individual | 01/01/2018 | |
| Bender, Sarah | Operational/managerial control | Individual | 11/01/2023 | |
| Booth, Donny | Operational/managerial control | Individual | 10/01/2019 | |
| Boswell, Carol | Operational/managerial control | Individual | 02/12/2003 | |
| Fulks, Cydney | Operational/managerial control | Individual | 10/01/2022 | |
| Gonzales, Manual | Operational/managerial control | Individual | 01/01/2017 | |
| Jamison, Felicia | Operational/managerial control | Individual | 05/11/2022 | |
| Pryor, Donna | Operational/managerial control | Individual | 12/05/2005 | |
| Sanchez, Mike | Operational/managerial control | Individual | 11/01/2020 | |
| Slaughter, Paul | Operational/managerial control | Individual | 02/12/2003 | |
| Varner, Jessica | Operational/managerial control | Individual | 05/01/2022 | |
| Andrews County Hospital District | Trustee of the SNF | Organization | 02/12/2003 | |
| Fulks, Cydney | Trustee of the SNF | Individual | 10/01/2022 | |
| Andrews County Hospital District | Adp of the SNF | Organization | 02/12/2003 | |
| Fulks, Cydney | Adp of the SNF | Individual | 10/01/2022 | |
| Slaughter, Paul | Adp of the SNF | Individual | 04/08/2025 |
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.
- Can we see a week of menus and the kitchen, and how are special diets handled?Inspectors cited 2 problems in this area, most recently on December 12, 2025: "Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards."
- How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 2 problems in this area, most recently on December 12, 2025: "Provide safe and appropriate respiratory care for a resident when needed."
- How are medications reviewed, and how often are antipsychotic or sedating drugs used?Inspectors cited 1 problem in this area, most recently on December 12, 2025: "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."
- Can we see a resident room, a shower room and the dining room on this visit?Inspectors cited 1 problem in this area, most recently on December 12, 2025: "Make sure that a working call system is available in each resident's bathroom and bathing area."
Texas contacts for a concern about a nursing home
These are the official offices in Texas. NursingHomeClear cannot take or act on complaints.
- Resident advocate: Texas Office of the State Long-Term Care Ombudsman, 800-252-2412. The long-term care ombudsman is a free, confidential advocate for residents and families, set up under the federal Older Americans Act.
Common questions
- What is Permian Residential Care Center's Medicare star rating?
- CMS rates Permian Residential Care Center 5 out of 5 stars overall, with 5 for health inspections, 5 for staffing and 3 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did Permian Residential Care Center get at its last inspection?
- 4 health deficiencies at the standard inspection on December 12, 2025. The Texas average is 9.4.
- Has Permian Residential Care Center been fined?
- Yes. CMS lists 1 fine totaling $20,865 in the last three years.
- Does Permian Residential 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 Permian Residential Care Center?
- CMS lists 23 owners and managers. Legal business name: ANDREWS COUNTY HOSPITAL DISTRICT.
Sources
- Ratings, staffing and fines: CMS Provider Information, released September 30, 2026, data as of September 1, 2026.
- Citations: CMS Health Deficiencies and Fire Safety Deficiencies.
- Owners: CMS Ownership. Penalties: CMS Penalties.
- Staffing by quarter: CMS Payroll Based Journal Daily Nurse Staffing, April 2025 to March 2026, summed by NursingHomeClear.
- Inspector summaries: CMS Full Statement of Deficiencies (CMS-2567 text), data as of September 1, 2026. Each quote is the part of the statement before the detailed findings.
- Inspection reports with the inspectors' full notes are on this home's Medicare.gov page.
- Something wrong on this page? Ask for a correction. We fix errors in our copy of the data; findings themselves can only be changed by CMS and the state.
- NursingHomeClear is independent and not affiliated with CMS, Medicare or any state agency. This page reports federal records; it does not rate, recommend or endorse any home, and it is not medical or legal advice.