1241 W. Marshall Howard Blvd., Littlefield, TX 79339 · Lamb County · (806) 385-6600
80 certified beds, about 43 residents a day · For profit - Limited Liability company · Medicare and Medicaid since 2003
CMS Care Compare ratings, data as of September 1, 2026 · CCN 675978 · See it on Medicare.gov · Compare with other homes
At its most recent standard inspection, on February 26, 2026, inspectors cited 9 health deficiencies (the Texas average is 9.4, the national average 9.2).
Of 36 health citations since October 2023, 2 were rated as actual harm or immediate jeopardy to residents (2 immediate jeopardy).
CMS lists 1 fine totaling $15,944 in the last three years; the largest was $15,944, and the latest is dated August 26, 2024.
Nurses and nurse aides worked 3.08 hours per resident per day, against 3.39 across Texas and 3.86 nationally. Registered nurses accounted for 0.30 of those hours.
58.6% of nursing staff left within the year CMS measured (Texas average 55.3%).
CMS links it to Paramount Healthcare Consultants, an affiliated group of 14 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 36 health citations on file.
Inspectors wroteBased on interviews, and record review, the facility failed to ensure residents had the right to send and receive mail for 11 of 11 confidential residents reviewed for right to communication. The facility failed to ensure residents received their mail on the weekend. This failure could put residents in the facility who receive mail at risk for not receiving mail in a timely manner that could result in a decline in the residents' psychosocial well-being and quality of life.
Inspectors wroteBased on observation, interview, and record review, the facility failed to provide information to residents and their representatives on their rights related to filing grievances or concerns for 11 of 11 confidential residents. The facility failed to ensure 11 confidential residents were provided with access to the grievance form and provided the procedure for how to file an anonymous grievance. This failure could place the residents at risk of unresolved grievances and decreased quality of life.
Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure a resident maintained acceptable parameters of nutritional status, unless the resident's clinical condition demonstrated that this was not possible or resident preferences indicated otherwise, for 1 (Resident #46) of 15 residents reviewed for nutrition. The facility failed to implement monitoring and interventions to ensure that Resident #46 did not have a significant weight loss of 30.3 pounds, a 16.5% body weight loss, between 01/02/26 and 02/03/26. This failure could place residents at risk for decreased nutritional status, malnutrition, and a decline in health. Findings Included:Record review of Resident #46's face sheet dated 02/26/26 reflected a [AGE] year-old male admitted to the facility on [DATE]. Resident #46 had diagnoses with included: [...]
Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure that the menus were followed for 2 of 2 meals (lunch meals) and for 2 of 2 pureed food trays (on 2/24/26 and 2/25/26) reviewed for meal accuracy, in that: On 2/24/26, [NAME] E failed to serve the correct portion size of braised Swiss steak and mashed potatoes according to the prepared menu for lunch for 40 residents. 2. On 2/24/26, [NAME] E failed to follow the recipe for Braised Swiss Steak, causing dish to be served in the form of a loose meat in a liquid soup instead of a patty topped with gravy. 3. [NAME] E failed to include the wheat roll on the pureed food trays served during lunch on 2/24/26 and [NAME] D failed to include the cornbread on the pureed food trays served during lunch on 2/25/26. [...]
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 (Kitchen A) reviewed for dietary services. The facility failed to ensure no expired food items were in the kitchen. 2. Toxic items were not stored in a manner to prevent contamination of foods and food contact equipment (hand sanitizer). 3. Time Temperature Controlled for Safety cold foods were not maintained at 41 F or below (milk/supplements) due to refrigerators not functioning properly. 4. Foods were held for use beyond the manufacturers recommended Best if used by/ Best by dates (kitchen storage). 5. Clean plates and bowls were stored facing upward. These failures could place residents at risk for food contamination and foodborne illness.
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 medication cart (Hall D medication cart) reviewed for storage of drugs. The Facility failed to provide change direction labels for Resident #15's medication package of hydroxyzine (hydroxyzine is an antihistamine that reduces symptoms caused by allergies) which had medication order change from as needed every 6 hours to 10 mg twice a day. This failure could place residents at risk of medication misuse and diversion.
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 1 resident (Resident #52) reviewed for infection control. LVN C did not wash her hands after removing PPE and exiting Resident #52's room. These failures could place residents at risk for cross contamination and infection.
Inspectors wroteBased on observation, interview and record review, the facility failed to follow their own established smoking policy for 1 of 2 residents reviewed for smoking. (Resident #29) The facility failed to ensure Resident #29 followed the smoking policy and did not have smoking supplies (cigarettes and lighter) in their room. This failure could place residents at risk of injury or harm.
Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure residents were aware of where to locate the State Agency (SA) survey inspection results such as surveys, certifications, and complaint/incident investigations, and post in a place readily accessible to residents, family members, and legal representatives of residents for 1 of 1 facility in that: The facility failed on 02/25/2026 to make a survey binder that was readily available and easily identified to all residents or the public that included survey results for viewing. This failure placed residents at risk of not being able to fully exercise their rights and at risk of not being aware of the facility's past deficiencies.
Inspectors wroteBased on interview and record review, the facility failed to provide the necessary behavioral health care and services to attain or maintain the highest practicable physical, mental, and psychosocial wellbeing in accordance with the comprehensive assessment and plan of care for 1 (Resident #1) of 5 residents reviewed for behavioral health services. The facility failed to ensure Resident #1's comprehensive care plan included goals and interventions addressing her documented history of aggression, refusal of care and the use of psychotropic medication for behavioral management related to her behavioral diagnosis. This failure could place residents at risk for diminished quality of life due to the lack of treatment and prevention to maintain resident safety.
Inspectors wroteBased on observations, interviews, 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 3 of 37 residents (Resident #1, Resident #2, and Resident #3) reviewed for infection control. The facility failed to ensure proper hand hygiene techniques were practiced while feeding dependent residents (Residents #1, #2 and #3) during the luncheon service. This failure could place residents at risk of the spread of communicable diseases and infections and a diminished quality of life.
Inspectors wroteBased on observation, interview, and record review, the facility failed to store, prepare, distribute, and serve food in accordance with the professional standards for food service safety for 1 of 1 kitchen reviewed for kitchen sanitation. 1. The facility failed to ensure freezer items were labeled and dated. 2. The facility failed to ensure refrigerator items were properly stored, labeled, and dated. These failures could place residents who ate food served by the kitchen at risk of food-borne illness.
Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure residents were treated with respect and dignity and care for each resident in a manner and in an environment, that promoted maintenance or enhancement of his or her quality of life, recognizing each resident's individuality for 1 of 13 residents (Resident #24) reviewed for resident rights. The facility failed to ensure Resident #24's catheter drainage bag was covered and urine in the bag was not visually exposed. This failure could place residents at risk of feeling uncomfortable and disrespected, and could decrease residents' self-esteem and/or quality of life.
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, the comprehensive person-centered care plan, and the residents' choices, for 1 of 13 residents (Resident #24) reviewed for quality of care, in that: The facility failed to reposition Resident #24 every two hours according to his person-centered care plan. This failure could place residents at risk for not being provided with adequate care and treatment.
Inspectors wroteBased on interviews, and record review, the facility failed to use the services of a registered nurse for at least 8 consecutive hours a day, 7 days a week for 1 (09/06/2024) of the 90 days reviewed. The facility did not have an RN working in the facility on 09/06/2024. This failure has the potential to affect the residents in the facility and place them at risk of not having staff with advance care skills available to assist in their care needs.
Inspectors wroteBased on observation, interview, and record review it was determined the facility failed to ensure drugs and biologicals were stored and labeled in accordance with currently accepted professional principles and include the appropriate accessory and cautionary instructions, and the expiration date when applicable on one of two carts the Treatment Cart. Treatment cart contained 1 vial Lantus insulin found open with no expiration date in the top drawer. This failure could place residents receiving medications at risk for drug diversion, drug overdose, and accidental or intentional administration to the wrong resident which could lead to exacerbation of their disease process and deterioration in general health.
Inspectors wroteBased on interview, and record review the facility failed to immediately inform the resident's physician and resident representative of a significant change in the residents' physical status and the need to significantly alter the resident's treatment for 1 of 4 residents (Resident #1) reviewed for Change in Condition. The facility failed to correctly notify the physician and resident representative of the extent of one facility-acquired Stage IV pressure injury for Resident #1, thus delaying proper treatment for 2 days. An Immediate Jeopardy (IJ) was identified on 08/22/2024. The IJ Template was provided to the facility on [DATE] at 4:53PM. [...]
Inspectors wroteBased on observation, interview, and record review the facility failed to ensure that a resident with a pressure ulcer received necessary treatment and services, consistent with professional standards of practice, to promote healing, prevent infection, and prevent new ulcers from developing for 1 of 4 residents (Resident # 1) reviewed for contractures. The facility did not prevent the development of one facility-acquired Stage IV, exposed tendon, pressure injury for Resident #1. This failure could place residents at risk for worsening of an ulcer, infection, and a decreased quality of life. An Immediate Jeopardy (IJ) was identified on 08/04/2024. The IJ Template was provided to the facility on [DATE] at 4:00PM. [...]
Inspectors wroteBased on observation, interview, and record review the facility failed to develop and implement a baseline care plan for each resident that includes the instructions needed to provide effective and person-centered care of the resident that meet professional standards of quality care for 1 (Resident #1) of 5 residents reviewed for baseline care plans. The facility failed to ensure CNA D used the necessary mechanical lift to transfer Resident #1 as documented in the baseline care plan. This failure could place residents at risk of accidents and/or injury. Findings Included: [...]
Inspectors wroteBased on observation, interview, and record review the facility failed to develop and implement a comprehensive person-centered care plan for each resident consistent with the resident rights that included measurable objectives and timeframes to meet a resident's medical, nursing, and mental and psychosocial needs that were identified in the comprehensive assessment for 1 (Resident #2) of 5 residents reviewed for care plans. The facility failed to ensure CNA D followed Resident #2's care plan by transferring the resident as a 2-person assist. This failure could place residents at risk of accidents and/or injuries. Findings Included: [...]
Inspectors wroteBased on observation, interview, and record review the facility failed to ensure the resident environment remains as free of accident hazards as is possible; and each resident receives adequate supervision and assistance devices to prevent accidents for 2 (Resident #1 and Resident #2) of 5 residents reviewed for accidents. 1. The facility failed to ensure CNA D used the necessary mechanical lift to transfer Resident #1 as documented in the baseline care plan. 2. The facility failed to ensure CNA D followed Resident #2's care plan by transferring the resident as a 2-person assist. These failures could place residents at risk of accidents and/or injury. Findings Included: 1. [...]
Inspectors wroteBased on observation, interview, and record review the facility failed to use the services of a registered nurse for at least 8 consecutive hours a day, 7 days a week for 1 (06/01/24-06/02/24) of 5 weekends reviewed for RN services. The facility failed to have an RN working on 06/01/24 and 06/02/24. This failure could place residents at risk of not having supervisory coverage for coordination of events such as emergency care and disasters. Findings Included: Record review of complaint intake #508323 alleged facility did not have RN coverage on 06/01/24 and 06/02/24. During an observation and interview on 06/04/24 at 01:36 PM BOM was asked who the RN on duty was for 06/01/24 and 06/02/24. She searched her computer for time sheets from an RN on those days and stated the facility did not have an RN working either of those days. [...]
Inspectors wroteBased on interview and record reviews, the facility failed to use the services of a registered nurse for at least 8 consecutive hours a day, 7 days a week, and designate a registered nurse to serve as the director of nursing on a full-time basis by: A registered nurse was not available for 8 consecutive hours a day, 7 days a week for 8 days (1/22/24, 1/31/24, 2/5/24, 2/6/24, 2/7/24, 2/8/24, 2/9/24, and 2/24/24) out of 90 days reviewed for staffing. A registered nurse has not served as the director of nursing on a full-time basis since December 7th, 2023. This failure can result in delay of care, competent and qualified staffing for supervisory coverage for coordination of events such as hospice care and emergency care. Findings Include: [...]
Inspectors wroteBased on record review and interviews, the facility failed to ensure all alleged violations involving abuse, neglect, exploitation, or mistreatment are reported immediately, but no later than 2 hours after the allegation is made for 1 of 5 residents (Resident #1) reviewed for abuse. ADM failed to report an allegation of abuse with Resident #1 to the appropriate State Agency. This failure can result in continued or escalation of abuse, mental anguish, and/or physical harm. Findings Include: Record review of Resident #1's face sheet, dated 2/28/24, revealed a [AGE] year-old female admitted to the facility on [DATE]. [...]
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 infection for 2 of 7 employees (HK and LVN A) reviewed for infection control. The facility failed to ensure HK and LVN A properly removed surgical masks and performed hand hygiene after exiting a C-Diff positive resident room (Resident #1). These failures could place residents at risk of transmission of a communicable disease or infection.
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. The facility failed to ensure stored food was properly labeled and dated and follow sanitation practices when delivering food. This failure could put place Residents at risk for foodborne illness or cross contamination. Findings Included: Observation of shelved/refrigerated foods on 10/08/2023 beginning at 10:47 am revealed the following: 1. Hamburger patties in freezer 1 with no label or date. 2. Pie crust in freezer 1 With no label or date. 3. Steak fingers in freezer 1 with no label or date. 4. Bag of bread sticks in freezer 2 with no date. 5. Box of muffins in freezer 2 with no date. 6. [...]
Inspectors wroteBased on observation, interview, and record review the facility failed to have sufficient nursing staff with the appropriate competencies and skills sets to provide nursing and related services to assure resident safety and attain or maintain the highest practicable physical, mental, and psychosocial well-being of each resident, as determined by resident assessments and individual plans of care and considering the number, acuity and diagnoses of the facility's resident population in accordance with the facility assessment for 1 of 1 facility reviewed for sufficient staff. The facility failed to have sufficient staff available to provide resident care. These failures could put residents at risk of not having their needs met.
Inspectors wroteBased on interview and record review, the facility failed to implement policies and procedures that prohibit and prevent abuse, neglect, and exploitation of residents for 1 of 12 residents (Resident #25) reviewed for abuse and neglect policies. The facility failed to notify the physician, family members, and/or hospice for Resident #1 who sustained injuries of unknown cause in the facility. This failure could place residents at risk of continuum of care due to lack of communication with families and providing physicians as well as implementation of policies following allegations of Abuse, Neglect, and Exploitation.
Inspectors wroteBased on observation, interview, and record review the facility failed to ensure that assessments accurately reflect the resident's status for 1 of 19 residents (Resident #24) whose records were reviewed for MDS and Care Plan assessments. Resident #24's ability to communicate was not accurately assessed during the MDS. He was listed as rarely to never understood in some places and able to be assessed in other places on the same MDS. This failure could place residents at risk of not having their pain, BIMS, commuication ability or mood assesssed correclty.
Inspectors wroteBased on observation, interview and record review, the facility failed to develop a comprehensive person-centered admission care plan within 48 hours for 1 of 12 Residents (Resident #44) reviewed by failing to ensure: Resident #44 did not have a baseline care plan completed within 48 hours of admission. This failure could place all newly admitted patients at risk for lack of care, needs not being met, and goals not targeted towards the individual needs of the resident. Findings Include: Resident #44 is an [AGE] year-old male admitted to the facility on [DATE]. [...]
Inspectors wroteBased on interview and record review, the facility failed to review and revise the comprehensive care plan after each assessment, including both the comprehensive and quarterly review assessments for 1(Resident #44) of 12 residents reviewed for comprehensive care plans. - The facility failed to update the comprehensive person-centered care plans to address resident's needs after MDS assessments. The deficient practice could affect residents by delaying treatment, care, and services that could result in residents not attaining or maintaining their highest practicable physical, mental, and psychosocial well-being.
Inspectors wroteBased on observation, interview, and record review, the facility failed to provide the necessary care and services to ensure that a resident's abilities in activities of daily living do not diminish unless circumstances of the individual's clinical condition demonstrate that such diminution was unavoidable for 1 (Resident #24) of 12 residents reviewed for activities of daily living. The facility failed to work with Resident #24 on using his communication device to communicate effectively. This failure could place residents with communication deficits in danger of being unable to communicate and thereby experiencing a decrease in quality of life.
Inspectors wroteBased on observation, interview, and record review the facility failed to ensure a resident who is unable to carry out activities of daily living receives the necessary services to maintain good nutrition, grooming, and personal and oral hygiene for two (Resident #24 and Resident #42) of 12 residents reviewed for ADLs. 1. The facility failed to ensure Resident #24's clothing was clean and dry. 2. The facility failed to ensure Resident #42 received needed dental care. These failures could place residents who are dependent on staff for ADL care at risk of poor hygiene and grooming and thereby decrease their quality of life. Findings Included: 1. [...]
Inspectors wroteBased on observation, interview, and record review the facility failed to ensure each resident received adequate supervision to prevent accidents for 1 (Resident #42) of 12 residents reviewed for accident hazards. The facility placed a wet floor sign in front of Resident #42's room. This failure could place residents at an increased risk of falls or injuries while residing in the facility. Findings Include: Record review of Resident #42's face sheet, dated 10/9/23, revealed a [AGE] year-old male admitted to the facility on [DATE]. Diagnoses include but are not limited to Wernicke's Encephalopathy (acute neuropsychiatric disorder which arises as the result of an inadequate supply of thiamine to the brain), enlarge prostate with lower urinary tract symptoms (enlarged prostate with frequent/urgent urination), other reduced mobility, muscle weakness, and age-related physical debility. [...]
Inspectors wroteBased on observation, interview, and record review the facility failed to assist residents in obtaining routine and 24-hour emergency dental care for 1 (Resident #42) of 12 residents reviewed for dental care. The facility failed to have Resident #42 see a dentist for his broken teeth. This failure could place residents in need of dental care at risk of lack of dentalcare, infection and/or pain.
Inspectors wroteBased on observation, interview, and record review the facility failed to post the following information on a daily basis: facility name, the current date, the total number and the actual hours worked by the following categories of licensed and unlicensed nursing staff directly responsible for resident care per shift--registered nurses, licensed practical nurses, or licensed vocational nurses (as defined under state law), certified nurse aides-and resident census for one of one facility reviewed for posted nurse staffing information. The facility failed to post nurse staffing data as required in that it did not include the name of the facility and in several instances did not include the total hours worked by each type of nursing staff. This failure could place residents and visitors at risk of not being informed regarding the day's nurse staffing levels.
7 fire safety citations on file: 5 on February 26, 2026, 2 on November 22, 2024.
| Date | Penalty | Amount or length |
|---|---|---|
| August 26, 2024 | Fine | $15,944 |
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) | 3.08 | 3.39 | 3.86 |
| Registered nurses | 0.30 | 0.43 | 0.69 |
| All nursing staff on weekends | 2.90 | 2.98 | 3.42 |
| Nurse aides | 1.80 | ||
| Licensed practical nurses | 0.97 | ||
| Nursing staff turnover (share who left in a year) | 58.6% | 55.3% | 45.8% |
| Registered nurse turnover | not reported | 54.6% | 42.9% |
| Administrators who left | 0 |
CMS expects 3.37 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 3.15 on weekdays and 2.90 on weekends, 8% 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 3.26 in April to June 2025 to 3.08 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 | 3.08 | 0.30 | 3.15 | 2.90 | 0.0% | 0 of 90 | 43 |
| Oct to Dec 2025 | 2.77 | 0.20 | 2.82 | 2.64 | 0.0% | 0 of 92 | 45 |
| Jul to Sep 2025 | 2.89 | 0.29 | 2.95 | 2.72 | 0.0% | 0 of 92 | 38 |
| Apr to Jun 2025 | 3.26 | 0.39 | 3.38 | 2.98 | 0.0% | 0 of 91 | 34 |
| 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 | 28.9 | 15.8 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 1.3 | 0.3 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 0.7 | 0.8 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 8.0 | 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 | 25.0 | 14.0 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 2.0 | 3.8 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 23.1 | 9.6 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 32.4 | 25.7 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 13.3 | 12.3 | 12.0 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 3.8 | 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 |
For a stay to recover after a hospital visit, these are the results CMS publishes for Sunset Valley Rehabilitation and Healthcare Center'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. 10 eligible stays.
12.5% 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. 30 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. 20 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. 18 residents counted.
4.2% 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. 24 residents counted.
3.9% 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. 24 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. 2 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: PDM OPERATORS LLC. CMS links this home to Paramount Healthcare Consultants, a group of 14 nursing homes averaging 2.4 stars overall.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Smith, Dawne | 5% or greater direct ownership interest | Individual | 100% | 03/01/2017 |
| Littlefield Smith, LLC | 5% or greater mortgage interest | Organization | 01/01/2008 | |
| Sheppel Littlefield, LLC | 5% or greater mortgage interest | Organization | 01/01/2008 | |
| Smith Family 2001 Trust | 5% or greater mortgage interest | Organization | 01/01/2008 | |
| The Russell M. Sheppel 2010 Separate Property Trust | 5% or greater mortgage interest | Organization | 01/01/2008 | |
| Riojas, Diana | Operational/managerial control | Individual | 06/26/2023 | |
| Sheppel, Russell | Individual is an owner, partner or trustee of any ADP of the SNF | Individual | 05/13/2025 | |
| Smith, Bradley | Individual is an owner, partner or trustee of any ADP of the SNF | Individual | 05/13/2025 | |
| Littlefield Smith, LLC | Adp of the SNF | Organization | 01/01/2008 | |
| Paramount Healthcare Consultants, LLC | Adp of the SNF | Organization | 03/01/2017 | |
| Sheppel Littlefield, LLC | Adp of the SNF | Organization | 01/01/2008 | |
| Smith Family 2001 Trust | Adp of the SNF | Organization | 01/01/2008 | |
| The Russell M. Sheppel 2010 Separate Property Trust | Adp of the SNF | Organization | 01/01/2008 | |
| George, Cindy | Adp of the SNF | Individual | 03/01/2017 | |
| Riojas, Diana | Adp of the SNF | Individual | 06/26/2023 |
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.
These are the official offices in Texas. NursingHomeClear cannot take or act on complaints.