Stonewall Living Center
931 N Broadway, Aspermont, TX 79502 · Stonewall County · (940) 989-3551
53 certified beds, about 48 residents a day · Government - Hospital district · Medicare and Medicaid since 2005
CMS Care Compare ratings, data as of September 1, 2026 · CCN 676077 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on February 12, 2026, inspectors cited 2 health deficiencies (the Texas average is 9.4, the national average 9.2).
Of 10 health citations since October 2023, 1 was rated as actual harm or immediate jeopardy to residents (1 immediate jeopardy).
CMS lists 1 fine totaling $8,281 in the last three years; the largest was $8,281, and the latest is dated June 19, 2025.
55.8% 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.
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 10 health citations on file.
February 12, 2026Standard inspection · 2 citations
- E Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Inspectors wroteBased on interviews and record reviews, the facility failed to treat each resident with respect, dignity, and care for each resident 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 13 of 16 residents (13 confidential residents) in that: The facility failed to ensure staff were not on their personal cell phones while providing Resident care. This could place residents at risk for diminished quality of life and loss of dignity and self-worth.
- 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 the facility's 1 of 1 kitchen reviewed for food safety. The facility failed to ensure food items in the refrigerator (x1), and freezers (x5), were labeled and stored in accordance with the professional standards for food service. These failures could place residents at risk for food-borne illness and cross contamination.
June 19, 2025Complaint inspection · 2 citations
- J Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Inspectors wroteBased on observation, interview and record review the facility failed to ensure that each resident received adequate supervision and assistance devices to prevent accidents for 1 of 7 residents (Resident #1) reviewed for accidents. The facility failed to ensure CNA A and CNA B implemented the appropriate amount of assistance when they transferred Resident #1 themselves instead of using a mechanical lift, as was care planned. The Failure resulted in staff having to assist Resident #1 to the flor, and required her to be sent to the hospital where she was ultimately diagnosed with a fractured right femur. The noncompliance was identified as PNC. The IJ began on 06/14/25 and ended on 6/17/25. The facility had corrected the noncompliance before the survey began This failure could place residents at risk for physical harm, pain, mental anguish, emotional distress and serious injury.
- E Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Inspectors wroteBased on interview and record review the facility failed to provide pharmaceutical services, including procedures that assured the accurate acquiring, receiving, dispensing, and administering of all drugs and biologicals, to meet the needs of each resident for 1 of 7 residents (Resident #2) reviewed for medication. The facility failed to prevent Resident #2's Methocarbamol 500 MG medication from being accounted for, between April 2025-June 2025. This failure could place residents at risk for not receiving prescribed medication for specified diagnosis.
November 15, 2024Standard inspection · 2 citations
- E Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
Inspectors wroteBased on observations, interviews, and record review, the facility failed to provide information to resident's and their representatives on their rights related to filing grievances or concerns for 7 of 24 confidential residents. The facility failed to ensure 7 of 24 confidential residents were provided, through postings in prominent locations, the Grievance Procedure, access to the Grievance forms, information of who the facility's grievance official was and their contact information, how to file an anonymous grievance, and their right to obtain a written decision related to their grievance. This failure could place the residents at risk of unresolved grievances and decreased quality of life.
- E Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Inspectors wroteBased on observations, interviews, 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: 1. Dietary director failed to wash hands properly. 2. Cook A failed to wash hands properly and change gloves. These failures could place residents at risk for food contamination and foodborne illness.
October 12, 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 dietary services, in that: 1) The facility failed to ensure foods were processed and puréed under sanitary conditions. 2) The facility failed to ensure dietary staff ensured food and non-food contact surfaces were clean. and 3) The facility failed to ensure foods were stored in a manner to prevent contamination. These failures could place residents at risk for food contamination and foodborne illness.
- E Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure each resident received, and the facility provided food prepared in a form designed to meet individual needs for 5 of 5 residents (Residents #2, #19, #25, #26 and #142) reviewed for nutrition services; in that: The facility failed to provide food that was in a form to meet resident needs for Residents #2, #19, #25, #26 and #142 who had orders for puréed diets. This failure could place residents at risk of decreased food intake and choking.
- E Provide and implement an infection prevention and control program.
Inspectors wroteBased on observation, interview and record review, the facility failed to ensure personnel stored linens so as to prevent the spread of infection in 2 of 4 baths (Hall 100 (large) and Hall 200 (large)), in that: The facility failed to store clean linens in a sanitary manner in 2 of 4 common baths (Hall 100 (large) and Hall 200 (large)). This failure could result in the spread of resident infections.
- E Provide bedrooms that don't allow residents to see each other when privacy is needed.
Inspectors wroteBased on observation, interview and record review the facility failed to ensure resident rooms were designed or equipped to assure full visual privacy for each resident in 23 of 23 identified semi-private resident rooms reviewed (Rooms 101 - 116, 202, 204, 206, 208, 210, 212 and 214), in that: The facility failed to ensure semi-private resident rooms provided full visual privacy at the window area beds. This failure could place residents at risk of being exposed while receiving personal care.
Fire safety inspections
3 fire safety citations on file: 1 on November 15, 2024, 2 on October 12, 2023.
Every fire safety citation3 citations
- F Have generator or other power source capable of supplying service within 10 seconds.
- F Have approved installation, maintenance and testing program for fire alarm systems.
- D 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.
Fines and payment denials
| Date | Penalty | Amount or length |
|---|---|---|
| June 19, 2025 | Fine | $8,281 |
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) | not reported | 3.39 | 3.86 |
| Registered nurses | not reported | 0.43 | 0.69 |
| All nursing staff on weekends | not reported | 2.98 | 3.42 |
| Nurse aides | not reported | ||
| Licensed practical nurses | not reported | ||
| Nursing staff turnover (share who left in a year) | 55.8% | 55.3% | 45.8% |
| Registered nurse turnover | not reported | 54.6% | 42.9% |
| Administrators who left | 0 |
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 2.68 on weekdays and 2.42 on weekends, 10% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 17.8% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.93 in April to June 2025 to 2.60 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 | 2.60 | 0.34 | 2.68 | 2.42 | 17.8% | 0 of 90 | 48 |
| Oct to Dec 2025 | 3.61 | 0.39 | 3.86 | 2.98 | 18.6% | 0 of 92 | 47 |
| Jul to Sep 2025 | 3.89 | 0.22 | 4.10 | 3.34 | 19.2% | 0 of 92 | 47 |
| Apr to Jun 2025 | 3.93 | 0.21 | 4.12 | 3.47 | 11.7% | 0 of 91 | 49 |
| 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
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
| 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.
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 | 23.8 | 15.8 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 2.3 | 0.3 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 3.0 | 0.8 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 6.4 | 3.3 | 3.2 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 25.9 | 14.0 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 2.4 | 3.8 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 5.4 | 9.6 | 15.4 |
| 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 | 2.8 | 2.1 | 1.8 |
Short-term rehab results
For a stay to recover after a hospital visit, these are the results CMS publishes for Stonewall Living Center's Medicare short-stay residents. How to read these, and what Medicare pays for.
CMS reports none of these results for this home: The data for this measure is missing or was not submitted. Call the facility to discuss this quality measure.
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: Legal Business Name Not Available.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Ownership data not available |
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 4 problems in this area, most recently on February 12, 2026: "Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards."
- 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 February 12, 2026: "Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights."
- How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 1 problem in this area, most recently on June 19, 2025: "Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents."
- How are medications reviewed, and how often are antipsychotic or sedating drugs used?Inspectors cited 1 problem in this area, most recently on June 19, 2025: "Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist."
Other nursing homes nearby
- Homeplace Manor Healthcare Center Hamlin, 19.7 mi · 2 of 5 stars · 39 citations
- Kent County Nursing Home Jayton, 21 mi · 2 of 5 stars · 27 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 Stonewall Living Center's Medicare star rating?
- CMS rates Stonewall Living Center 4 out of 5 stars overall, with 5 for health inspections, 1 for staffing and 2 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did Stonewall Living Center get at its last inspection?
- 2 health deficiencies at the standard inspection on February 12, 2026. The Texas average is 9.4.
- Has Stonewall Living Center been fined?
- Yes. CMS lists 1 fine totaling $8,281 in the last three years.
- Does Stonewall Living 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 Stonewall Living Center?
- CMS lists 1 owner or manager. Legal business name: Legal Business Name Not Available.
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.