Sagecrest Alzheimers Care Center
438 E. Houston Harte Expressway, San Angelo, TX 76903 · Tom Green County · (325) 486-3702
72 certified beds, about 58 residents a day · Non profit - Corporation · Medicare and Medicaid since 2006
CMS high performing icon Part of a continuing care retirement community Certified for Medicaid Certified for Medicare
Overall
5 of 5
Health inspections
5 of 5
Staffing
5 of 5
Quality measures
5 of 5
CMS Care Compare ratings, data as of September 1, 2026 · CCN 676091 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on December 11, 2025, inspectors cited 2 health deficiencies (the Texas average is 9.4, the national average 9.2).
None of its 9 health citations since July 2023 was rated as actual harm or immediate jeopardy.
CMS lists no fines against this home in the last three years.
Nurses and nurse aides worked 4.73 hours per resident per day, against 3.39 across Texas and 3.86 nationally. Registered nurses accounted for 0.71 of those hours.
15.9% 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.
407/23
209/24
107/25
212/25
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 9 health citations on file.
Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
0G
0H
0I
Potential for more than minimal harm
5D
3E
1F
Potential for minimal harm
0A
0B
0C
December 11, 2025Standard inspection · 2 citations
- E 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 interview and record review, the facility failed to develop and implement a comprehensive person-centered care plan that includes measurable objectives and timeframes to meet a resident's medical, nursing, mental and psychosocial needs for four residents (Residents #2, #3, #6, #8, and #14) of twelve residents reviewed for care plans. The facility failed to have a comprehensive person-centered care plan for Resident #2, #3, #6, #8, and #14 to address the residents' diagnosis of dementia. The facility failed to have a comprehensive person-centered care plan to address Resident #2's hearing aids. These failures could affect residents and put them at risk for not receiving care and services to meet their needs.
- D Provide safe and appropriate respiratory care for a resident when needed.
Inspectors wroteBased on observations, interviews, and record review the facility failed to ensure that a resident who needed respiratory care was provided such care, consistent with professional standards of practice for 1 (Resident #9) of 6 residents observed for oxygen management. The facility failed to clean the oxygen concentrator air filter for Resident # 9 while the oxygen was in use. This deficient practice could affect residents receiving oxygen therapy and could contribute to an upper respiratory infection and a resident's decline in physical health.
July 24, 2025Complaint inspection · 1 citation
- D Provide and implement an infection prevention and control program.
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 disease 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. This failure could place residents at risk for the spread of infection. Review of Resident #1's face sheet dated 07/24/25, revealed an 86- year- old male admitted to the facility on [DATE] with diagnoses including covid-19, acute upper respiratory infection, constipation, abnormalities of gait and mobility. [...]
September 19, 2024Standard inspection · 2 citations
- 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 a resident who needed respiratory care, was provided such care, consistent with professional standards of practice, the comprehensive person-centered care plan, the residents' goals and preferences for 1 of 1 resident (Residents #19's) reviewed for respiratory care. 1. The facility failed to ensure Residents #19's nasal cannula was kept in a bag while not in use. These failures could place residents at risk for infections and transmission of communicable diseases.
- D Provide and implement an infection prevention and control program.
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 #11) of two residents reviewed for infection control practices. CNA A failed to perform hand hygiene and change gloves as appropriate while providing incontinence care for Resident #1 This failure could place residents at risk for cross contamination and the spread of infection.
July 20, 2023Standard inspection · 4 citations
- F 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 kitchen sanitation. 1. The facility failed to ensure stored foods were properly labeled and dated. 2. The facility failed to ensure that expired foods were discarded. These failures could affect residents who received meals prepared meals from the kitchen at risk for food borne illness and cross-contamination.
- E 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 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 time frames to meet, attain, and/or maintain the resident's highest practicable physical, mental, and psychosocial well-being for 4 of 16 residents (Residents #2, #24, #30 and #45) reviewed for care plans in that: Resident #2 had no care plan in place to address his oxygen use. Resident #24 had no care plan in place to address her oxygen use. Resident #30 had no care plan in place to address the need for palliative care. Resident #45 had no care plan in place to address his Out-Of-Hospital-Do-Not-Resuscitate status. This failure could affect residents by placing them at risk of not receiving individualized care and services to meet their needs.
- 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.
Inspectors wroteBased on observation, interview, and record review the facility failed to store all drugs and biologicals in locked compartments for 2 of 4 medication carts reviewed for medication storage in that: MA B failed to ensure the medication cart was secured when it was left unattended. LVN A failed to ensure the treatment cart was secured when it was left unattended. These failures could place residents at risk for drug diversion or accidental ingestion.
- D Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Inspectors wroteBased on observation, interview, and record review the facility failed to provide pharmaceutical services, including procedures that ensure the accurate administering of all drugs to meet the needs of the residents for 1 of 1 wound care/treatment carts inspected for medication storage in that: There were several expired items found in the facility's wound care/ treatment cart. This failure could place residents at risk of receiving medications that were expired and not produce the desired effect.
Fire safety inspections
4 fire safety citations on file: 1 on December 11, 2025, 3 on September 19, 2024.
Every fire safety citation4 citations
- F 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.
- F Have simulated fire drills held at unexpected times.
- E Provide properly protected cooking facilities.
- E Inspect, test, and maintain automatic sprinkler systems.
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.
| Measure | This home | Texas | United States |
|---|---|---|---|
| All nursing staff (RN, LPN and aides) | 4.73 | 3.39 | 3.86 |
| Registered nurses | 0.71 | 0.43 | 0.69 |
| All nursing staff on weekends | 4.28 | 2.98 | 3.42 |
| Nurse aides | 3.09 | ||
| Licensed practical nurses | 0.92 | ||
| Nursing staff turnover (share who left in a year) | 15.9% | 55.3% | 45.8% |
| Registered nurse turnover | 16.7% | 54.6% | 42.9% |
| Administrators who left | 0 |
CMS expects 3.48 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 4.91 on weekdays and 4.28 on weekends, 13% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 4.4% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 4.81 in April to June 2025 to 4.73 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 | 4.73 | 0.71 | 4.91 | 4.28 | 4.4% | 0 of 90 | 58 |
| Oct to Dec 2025 | 4.47 | 0.66 | 4.61 | 4.14 | 5.9% | 0 of 92 | 63 |
| Jul to Sep 2025 | 4.57 | 0.78 | 4.77 | 4.07 | 3.3% | 0 of 92 | 65 |
| Apr to Jun 2025 | 4.81 | 0.85 | 5.05 | 4.22 | 3.2% | 0 of 91 | 61 |
| 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 | 10.8 | 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 | 1.7 | 0.8 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 2.2 | 3.3 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 0.3 | 1.5 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 19.3 | 14.0 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 7.4 | 3.8 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 15.8 | 9.6 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 14.2 | 25.7 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 4.8 | 12.3 | 12.0 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 0.0 | 2.2 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 0.0 | 2.1 | 1.8 |
Owners and operators
Legal business name: MCCULLOCH COUNTY HOSPITAL DISTRICT.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Jones, Timothy | Managing control - governing body | Individual | 01/01/2023 | |
| Barnett, James | Corporate director | Individual | 01/01/2025 | |
| Jones, Timothy | Corporate director | Individual | 09/01/2022 | |
| Baptist Memorials Ministries | Operational/managerial control | Organization | 09/01/2022 | |
| McCulloch County Hospital District | Operational/managerial control | Organization | 10/01/2024 | |
| Barnett, James | Operational/managerial control | Individual | 01/01/2025 | |
| Toms, Daisy | Operational/managerial control | Individual | 09/01/2022 | |
| Baptist Memorials Ministries | Adp of the SNF | Organization | 09/01/2022 | |
| McCulloch County Hospital District | Adp of the SNF | Organization | 05/05/2025 | |
| Barnett, James | Adp of the SNF | Individual | 01/01/2025 | |
| Toms, Daisy | Adp of the SNF | Individual | 09/01/2022 |
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.
- When is the care plan meeting, and can family attend it?Inspectors cited 2 problems in this area, most recently on December 11, 2025: "Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured."
- 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 11, 2025: "Provide safe and appropriate respiratory care for a resident when needed."
- 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 July 24, 2025: "Provide and implement an infection prevention and control program."
- How are medications reviewed, and how often are antipsychotic or sedating drugs used?Inspectors cited 2 problems in this area, most recently on July 20, 2023: "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."
Other nursing homes nearby
- Avir at Arbor Terrace San Angelo, 1 mi · 1 of 5 stars · 36 citations
- Cedar Manor Nursing and Rehabilitation Center San Angelo, 2.9 mi · 4 of 5 stars · 19 citations
- Park Plaza Nursing and Rehabilitation Center San Angelo, 3.5 mi · 3 of 5 stars · 28 citations
- St. Juanita Retirement and Rehab San Angelo, 4.7 mi · not rated · 6 citations
- Avir at Meadow Creek San Angelo, 5.9 mi · 1 of 5 stars · 23 citations
- Avir at San Angelo San Angelo, 6.2 mi · 1 of 5 stars · 34 citations
- Regency House San Angelo, 6.8 mi · 3 of 5 stars · 19 citations
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 Sagecrest Alzheimers Care Center's Medicare star rating?
- CMS rates Sagecrest Alzheimers Care Center 5 out of 5 stars overall, with 5 for health inspections, 5 for staffing and 5 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did Sagecrest Alzheimers Care Center get at its last inspection?
- 2 health deficiencies at the standard inspection on December 11, 2025. The Texas average is 9.4.
- Has Sagecrest Alzheimers Care Center been fined?
- CMS lists no fines in the last three years.
- Does Sagecrest Alzheimers 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 Sagecrest Alzheimers Care Center?
- CMS lists 11 owners and managers. Legal business name: MCCULLOCH 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.