4320 West 19th Street, Lubbock, TX 79407 · Lubbock County · (806) 795-1774
144 certified beds, about 59 residents a day · For profit - Corporation · Medicare and Medicaid since 2004
CMS Care Compare ratings, data as of September 1, 2026 · CCN 676028 · See it on Medicare.gov · Compare with other homes
At its most recent standard inspection, on June 11, 2026, inspectors cited 8 health deficiencies (the Texas average is 9.4, the national average 9.2).
Of 27 health citations since February 2024, 3 were rated as actual harm or immediate jeopardy to residents (3 immediate jeopardy).
CMS lists 2 fines totaling $36,652 in the last three years; the largest was $21,115, and the latest is dated August 24, 2025.
Nurses and nurse aides worked 3.99 hours per resident per day, against 3.39 across Texas and 3.86 nationally. Registered nurses accounted for 0.57 of those hours.
98.7% 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.
Federal rules call for a standard inspection at least every 15 months, plus a visit whenever a complaint is filed. Each mark below is one citation, colored by how serious inspectors rated it. How to read a citation.
Under each citation, the quoted text is the inspector's own summary from the federal statement of deficiencies (CMS form 2567), word for word apart from a privacy scrub; CMS removes residents' and staff names before it publishes the text. The full notes are on Medicare.gov.
CMS rates every citation by how much harm it caused (rows) and how many residents it touched (columns). The count in each box is this home's, across all 27 health citations on file.
Inspectors wroteBased on observations , interviews and record reviews, the facility failed to treat residents with respect, dignity, and care in a manner and in an environment that promotes the maintenance or enhancement of their quality of life, recognizing each resident's individuality. The facility failed to protect and promote the rights of 12 confidential residents and 1 of 4 residents (Resident #7) reviewed for dignity in that: The facility failed to ensure staff were not utilizing their personal cell phones while providing care, which included assisting residents with their showers and performing peri-care. The facility failed to ensure LVN D provided privacy and dignity during wound care for Resident #7. This could place residents at risk for diminished quality of life and loss of dignity and self-worth.
Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure residents who were incontinent of bladder received appropriate treatment and services to prevent urinary tract infections and to restore continence to the extent possible for 3 of 3 Residents (Resident #7, #20, and #46) reviewed for incontinent care. The facility failed to ensure Resident #7's, #20's, and #46's catheter strap was in place and holding. The facility failed to ensure CNA E cleansed Resident #7's catheter with the correct technique to prevent infections. The facility failed to ensure Resident #20 catheter drainage bag was placed below the bladder. These failures placed the residents at risk of their Foley catheters getting dislodged, unwanted pain, trauma, infections, and decreasing their quality of life.
Inspectors wroteBased on observation, interview, and record review, the facility failed to store, prepare, distribute, and serve food in accordance with professional standards for food service safety in 1 of 1 kitchen reviewed for dietary services, in that: On 06/10/2026 DA failed to properly wear hair net while serving food. On 06/11/2026 DM failed to properly wear hair net while preparing food. This failure could place residents at risk for food contamination.
Inspectors wroteBased on observation, interview, and record review, the facility failed to offer sufficient fluid intake to maintain proper hydration and health for 1 of 3 Residents (Resident #6) reviewed for sufficient hydration. The facility failed to follow Resident #6 physician orders for hydration. This failures could affect residents receiving enteral hydration and place them at risk of health complications and decline in health.
Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure a resident who was fed by enteral means receives the appropriate treatment to prevent complications of enteral feeding for 1 of 3 residents (Resident #6) reviewed for enteral nutrition, in that: The facility failed to follow Resident #6's physician orders for enteral feeding. These failures could affect residents receiving enteral nutrition and place them at risk of health complications and decline in health.
Inspectors wroteBased on observation, interview, and record review the facility failed to ensure that its medication error rate was less than 5 percent. The facility had a medication error rate of 5% based on 2 out of 40 opportunities, for 2 of 4 Residents (Residents #47 and #56) reviewed for medication administration, in that:-The facility failed to ensure MA G provided the correct dose of the medication guaifenesin 600mg to Resident #56.-The facility failed to ensure MA G provided the correct dose of the medication cranberry 500mg to Resident #47. These failures could place residents at risk of incomplete therapeutic outcomes, increased negative side effects, and decline in health.
Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure all drugs and biologicals were stored in accordance with currently accepted professional principles for 1 of 2 RT carts (RT Cart A) reviewed for medication storage. The facility failed to ensure RT Cart A was locked when not in use or unattended. This failure could place residents at risk of medication errors or adverse effects.
Inspectors wroteBased on observation, interview, and record review, the facility failed to establish and maintain an infection prevention and control program designed to provide a safe, sanitary, and comfortable environment and to help prevent the development and transmission of communicable diseases and infections for 1 of 4 residents (Resident #7) reviewed for infection control. The facility failed to ensure CNA E changed her gloves and performed hand hygiene before going from dirty to clean during incontinence care for Resident #7. This failure could place residents at risk for cross contamination and infection.
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 to help prevent the development and transmission of communicable diseases and infections for 1 of 3 (Resident #1) reviewed for wound care.- LVN A failed to utilize proper hand hygiene and glove practices during wound care for Resident #1. This failure could place residents at risk for cross contamination and infection.
Inspectors wroteBased on interview, observation, and record review, the facility failed to ensure that residents were free of significant medication errors for 6 of 10 residents (Resident #1, 2, 3, 5, 6, and 7) reviewed for pharmacy services. The facility failed to administer: Resident #1's order for Hydralazine and Amlodipine for blood pressure. Resident #2's order for Lamotrigine and Levetiracetam for seizures. Resident #3's order for Carvedilol for blood pressure, Entresto for heart failure, Torsemide for edema, and screen her blood pressure. Resident #5 order for Ziprasidone for Schizophrenia, Resident #6's order for Carvedilol for atrial fibrillation and congestive heart failure, Eliquis for heart failure, Levetiracetam for seizures, Lisinopril for high blood pressure, Vimpat for epilepsy, and screened for blood pressure. [...]
Inspectors wroteBased on observation, record review, and interview, the facility failed to develop and implement a comprehensive care plan to meet the highest practicable physical, mental, and psychosocial needs for 1 of 3 residents (Resident #1) reviewed for care plans as follows: The facility failed to ensure to document Resident #1 was required to wear a fire-resistant apron and receive direct supervision from staff while smoking in the care plan, which resulted in staff not being trained or made aware of how to provide the resident with proper care. Resident #1's smoking assessment reflected she required direct supervision when smoking due shaking while smoking, falling asleep while smoking, past accidents/incidents with smoking materials, having visible burn marks on her clothing and she had finger dexterity problems. An Immediate Jeopardy was identified on 8/23/25 at 4:15 PM. [...]
Inspectors wroteBased on observations, interviews, and record review, the facility failed to ensure that each resident received adequate supervision and assistance devices to prevent accidents for 3 of 3 residents (Resident #1, Resident #2, and Resident #3) reviewed for accidents and supervision. 1. The facility failed to ensure Resident #1 wore a fire-resistant apron and received direct supervision from staff on while smoking on 8/22/2025 and 8/23/25. Resident #1's smoking assessment reflected she required direct supervision when smoking due shaking while smoking, falling asleep while smoking, past accidents/incidents with smoking materials, having visible burn marks on her clothing and she had finger dexterity problems. 2. The facility failed to ensure Resident #2 received direct supervision per his smoking assessment from staff while smoking a vape on 8/23/25. 3. [...]
Inspectors wroteBased on observation, interview 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 communicable diseases for 2 of 3 residents (Resident #50 and Resident #172) and 3 of 3 staff (CNA B, CNA C, and CNA D) reviewed for infection control. 1. CNA C failed to follow policy and procedure for handwashing while providing incontinent care for Resident #50, during observations of peri care on 04/15/2025 at 1:10 PM. 2. CNA B and CNA D failed to follow policy and procedure for handwashing while providing wound care for Resident #172, during observations of wound care on 04/15/2025 at 1:52 PM. These failures could place residents at risk for spread of infection and cross contamination.
Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure residents who were incontinent of bladder or had a urinary catheter received appropriate treatment and services to prevent urinary tract infections and to restore continence to the extent possible for 1 of 3 Residents (Resident #172) reviewed for incontinent care in that: CNA B failed to clean BM completely off Resident #172 until Surveyor intervention. This failure had the potential to affect residents by placing them at an increased risk of infections and skin breakdown.
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, in that: The facility failed to close food spices stored on shelf in kitchen. This failure could place residents at risk for food contamination and foodborne illness.
Inspectors wroteBased on observation, interview and record review, the facility failed to ensure that residents received treatment and care in accordance with professional standards of practice for 4 of 5 Residents (#1, #2, #3, and #4) reviewed for hospice care: 4 of 5 residents receiving hospice services did not have a physician's order for hospice care. These problems could result in residents not receiving needed care as ordered by their physician. These problems had the potential to affect any resident receiving hospice care services.
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 to help prevent the development and transmission of communicable diseases and infections for 3 of 3 Residents observed for infection control for practices (Resident #1, Resident #2, and Resident #3) in that: 1. CNA A failed to use proper hand washing techniques before and after assisting with resident during wound care for Resident #1. CNA A washed her hands for 6 seconds with soap and friction before rinsing. 2. CNA A failed to use proper hand washing techniques before and after assisting with resident during wound care for Resident #2. CNA A washed her hands for 4 seconds with soap and friction before rinsing. 3. [...]
Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure, in accordance with State and Federal laws, all drugs and biologicals were stored in locked compartments under proper temperature controls, and permit only authorized personnel to have access to the keys, for 1 of 6 medication carts (Hall 200), in that: The facility failed to ensure that the Hall 200 medication cart was secured when unattended. These failures could result in the theft or misuse of medications.
Inspectors wroteBased on observation, interview and record review the facility failed to establish and maintain an effective Infection Control Program designed to provide a safe, sanitary, and comfortable environment and help prevent the development and transmission of communicable diseases and infections for 1 of 28 residents (Resident #1) and 1 staff (SW) reviewed for infection control. The SW failed to wear appropriate PPE and practice hand hygiene before entering or exiting room [ROOM NUMBER] for Resident #1 who was on contact isolation for Carbapenem Resistant Pseudomonas Aeruginosa (bacteria resistant to certain classes of antibiotics). The SW removed a reusable cup from room [ROOM NUMBER] and carried it to the community water station at the nurse's station, refilled the cup and returned the cup to room [ROOM NUMBER]. [...]
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, in that: The facility failed to ensure staff used good hygienic practices while preparing food. These failures could place residents at risk for food contamination and foodborne illness.
Inspectors wroteBased on interviews and record review, the facility failed to ensure all Pre-admission Screening and Resident Review (PASRR) Level I residents with mental illness were provided with a PASRR Evaluation assessment for 3 of 28 residents (Residents #17, 29 and #67) reviewed for PASRR screening, in that: Residents #17, 29 and #67 did not have an accurate PASRR Level 1 assessments when they had a diagnosis of mental illness. These failures could place residents with an inaccurate PASRR Level 1 and no PASRR Level 2 Evaluation at risk for not receiving care and services to meet their needs.
Inspectors wroteBased on observations, interview and record review, the facility failed to keep confidential all information contained in residents' records for 7 of 7 residents (Resident #12, #20, #30, 43, #50, 58, and #322). The facility failed to protect Residents #12, #20, #30, 43, #50, 58, and #322's identifiable information, leaving resident information exposed and unattended. This failure could place residents at risk of having medical information exposed to others. Findings Included: Resident #12: Record review of Resident #12's face sheet indicated Resident #12 was a [AGE] year-old male who admitted on [DATE] with the following diagnoses: [...]
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 to help prevent the development and transmission of communicable diseases and infections for 4 of 4 residents reviewed for infection control practices (Resident #9, #50, #58 and #63) 1. MA A did not wash hands prior to preparing or administering the medication for Resident #9. MA A failed to wash hands properly by washing her hands under the water instead of allowing the soap to lather or use friction while washing hands. MA A used a dirty paper towel to turn off the faucet. 2. LVN A did not wash her hands prior to preparing the medications for g-tube medication administration for Resident #50. [...]
Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure residents who were incontinent of bladder or had a urinary catheter received appropriate treatment and services to prevent urinary tract infections and to restore continence to the extent possible for 1 of 21 Residents (Resident #271) reviewed for incontinent care, in that: The facility failed to ensure Resident #271 had the correct foley catheter inserted per physician orders. This failure could affect residents by placing them at increased risk of discomfort, skin ulcerations and improper medical treatment.
Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure a resident who is fed by enteral means receives the appropriate treatment 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 12 residents fed by gastrostomy tube (g-tube) (Resident #271), in that: The facility failed to ensure Resident #271's feeding pump was infusing at the correct rate as ordered by the MD. These failures could result in weight loss and poor wound healing in residents with a g-tube.
Inspectors wroteBased on observations, interviews, and record review the facility failed to, in accordance with State and Federal laws, store all drugs and biologicals in locked compartments and permit only authorized personnel to have access to the keys for 1 (Hall 300) of 1 medication carts observed for drug storage. The facility failed to ensure staff locked medication cart at end of Hall 300 when it was left unattended. This failure could result in harm due to unauthorized access to medications, misappropriation, and drug diversion.
Inspectors wroteBased on observations, interviews, and record review the facility failed to ensure the resident's environment remained free of accident and hazards for 1 of 5 residents (Residents #1) reviewed for accident hazards. The Social Worker failed to ensure that Resident #1's wheelchair was securely strapped in prior to transporting him to a doctor's appointment and as a result Resident #1 fell over in the van and sustained a large knot to the back of his head. The Activity Director failed to ensure that Resident #1's wheelchair was securely strapped in prior to transporting him to a doctor's appointment and as a result Resident #1 fell over in the van and sustained a large knot. These failures could place dependent residents at risk for falls, significant injuries, and decreased quality of life.
3 fire safety citations on file: 1 on June 11, 2026, 1 on June 26, 2025, 1 on April 15, 2025.
| Date | Penalty | Amount or length |
|---|---|---|
| August 24, 2025 | Fine | $15,537 |
| June 13, 2024 | Fine | $21,115 |
A payment denial means Medicare and Medicaid stopped paying for new admissions for that period.
Hours of care per resident per day, from the payroll records every home sends CMS. Higher means more staff time with each resident.
| Measure | This home | Texas | United States |
|---|---|---|---|
| All nursing staff (RN, LPN and aides) | 3.99 | 3.39 | 3.86 |
| Registered nurses | 0.57 | 0.43 | 0.69 |
| All nursing staff on weekends | 3.74 | 2.98 | 3.42 |
| Nurse aides | 2.52 | ||
| Licensed practical nurses | 0.90 | ||
| Nursing staff turnover (share who left in a year) | 98.7% | 55.3% | 45.8% |
| Registered nurse turnover | 100.0% | 54.6% | 42.9% |
| Administrators who left | 2 |
CMS expects 5.41 hours a day for residents as sick as this home's (its case-mix figure). The staffing star compares the two.
Every nursing home sends CMS its staff hours for each day (the Payroll Based Journal). Here they are added up by quarter. The latest quarter is the one behind the figures above. In January to March 2026, nursing staff hours per resident were 4.09 on weekdays and 3.74 on weekends, 9% 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 3.47 in April to June 2025 to 3.99 in January to March 2026.
| Quarter | All nursing staff | Registered nurses | Weekdays | Weekends | Contract staff share | Days with no RN hours | Residents a day |
|---|---|---|---|---|---|---|---|
| Jan to Mar 2026 | 3.99 | 0.57 | 4.09 | 3.74 | 0.0% | 0 of 90 | 59 |
| Oct to Dec 2025 | 3.65 | 0.38 | 3.74 | 3.40 | 0.0% | 1 of 92 | 67 |
| Jul to Sep 2025 | 3.32 | 0.40 | 3.39 | 3.15 | 0.0% | 0 of 92 | 72 |
| Apr to Jun 2025 | 3.47 | 0.39 | 3.61 | 3.11 | 0.0% | 0 of 91 | 71 |
| United States, Jan to Mar 2026 | 3.75 | 0.62 | 3.92 | 3.33 | 5.3% | 0.5% of days | |
| Texas, Jan to Mar 2026 | 3.33 | 0.40 | 3.50 | 2.93 | 2.2% | 0.7% of days |
Hours per resident per day: staff hours in the quarter divided by resident days (the daily census CMS derives from resident assessments). Registered nurses include the director of nursing and RNs with administrative duties; aides include nurse aides in training and medication aides, as in CMS's own staffing measure. How these are calculated.
Staff pay reports
No staff pay figure for this home has passed review yet. A figure appears only after at least 5 reports from at least 3 different people, sent over at least 60 days, have passed review.
| Job | Median | Middle half | Employed |
|---|---|---|---|
| Texas, all employers | |||
| CNAs (nursing assistants) | $18.03 | $16.97 to $20.71 | 88,680 |
| LPNs and LVNs | $29.92 | $27.46 to $32.89 | 57,560 |
| Registered nurses | $46.14 | $38.06 to $50.53 | 271,380 |
| United States, nursing care facilities | |||
| CNAs (nursing assistants) | $20.67 | $17.91 to $22.55 | 534,270 |
| LPNs and LVNs | $33.86 | $30.05 to $37.40 | 188,210 |
| Registered nurses | $41.11 | $37.85 to $47.68 | 142,270 |
Hourly wages; the middle half runs from the 25th to the 75th percentile. Source: U.S. Bureau of Labor Statistics, Occupational Employment and Wage Statistics, May 2025. BLS has no separate estimate for medication aides. These are survey estimates for whole occupations, not figures for any one home.
The measures CMS uses for the quality star. Lower is better for every one of them.
| Measure | This home | Texas | US |
|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased Long Stay residents, 2025Q2-2026Q1 | 33.7 | 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 | 0.0 | 0.8 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 0.8 | 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 | 8.2 | 14.0 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 14.6 | 3.8 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 8.9 | 9.6 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 16.0 | 25.7 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 9.2 | 12.3 | 12.0 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.9 | 2.2 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 0.8 | 2.1 | 1.8 |
For a stay to recover after a hospital visit, these are the results CMS publishes for Southern Specialty Rehab & Nursing's Medicare short-stay residents. How to read these, and what Medicare pays for.
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. 17 eligible stays.
Not reported
CMS note: The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
US median of homes 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. 24 eligible stays.
Not reported
CMS note: The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
US median of homes 7.1% · Texas: 4 better, 11 worse
Percentage of infections residents got during their SNF stay that resulted in hospitalization (risk-standardized rate). Lower is better. October 2023 to September 2024. 24 eligible stays.
Not reported
CMS note: The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
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. 15 residents counted.
0.0% this home
Median of homes: Texas0.0% · US 0.0%
Percentage of SNF residents who experience one or more falls with major injury during their SNF stay. Lower is better. October 2024 to September 2025. 27 residents counted.
18.1% 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. 27 residents counted.
Not reported
CMS note: The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
Median of homes: Texas98.5% · US 98.7%
Percentage of residents where the SNF provided a current medication list to the resident, family, and/or caregiver at final discharge. Higher is better. October 2024 to September 2025. 3 residents counted.
Source: CMS Skilled Nursing Facility Quality Reporting Program - Provider Data, released 2026-09-30. Better, no different and worse are CMS's own comparisons with the national rate, after adjusting for how sick residents were. Medians of homes and the state counts are worked out by us from the same file.
Legal business name: WEST WHARTON COUNTY HOSPITAL DISTRICT. CMS links this home to Creative Solutions in Healthcare, a group of 149 nursing homes averaging 2.1 stars overall.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Huggins, Linda | W-2 managing employee | Individual | 04/01/2022 | |
| Mak, David | Corporate officer | Individual | 05/17/2021 | |
| Lubbock I Enterprises, LLC | Operational/managerial control | Organization | 04/01/2022 | |
| Blake, Gary | Operational/managerial control | Individual | 04/01/2022 | |
| Blake, Malisa | Operational/managerial control | Individual | 04/01/2022 |
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.
Chosen from this home's own inspection record.
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