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Texhoma Christian Care Center Inc

300 Loop 11, Wichita Falls, TX 76306 · Wichita County · (940) 723-8420

234 certified beds, about 158 residents a day · Government - Hospital district · Medicare and Medicaid since 1991

Certified for Medicaid Certified for Medicare
Overall
5 of 5
Health inspections
5 of 5
Staffing
3 of 5
Quality measures
4 of 5

CMS Care Compare ratings, data as of September 1, 2026 · CCN 455965 · See it on Medicare.gov · Compare with other homes

The record in brief

At its most recent standard inspection, on December 5, 2025, inspectors cited 0 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 3.93 hours per resident per day, against 3.39 across Texas and 3.86 nationally. Registered nurses accounted for 0.36 of those hours.

41.1% 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.

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
2D
5E
2F
Potential for minimal harm
0A
0B
0C
December 5, 2025Standard inspection · 0 citations
August 30, 2024Standard inspection · 3 citations
  1. F
    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
    F812 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, widespread · Corrected (the home has a date of correction) September 5, 2024
    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, by failing to ensure: A. floors were swept and free from dirt and food crumbs. B. bottom shelves were clean. C. staff were wearing beard restraints. The facility's failure could place residents receiving oral nutritional intake at risk for foodborne illness and a decline in health status.
  2. E
    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
    F656 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) September 6, 2024
    Inspectors wroteBased on interview and record review, the facility failed to develop a comprehensive person-centered care plan for each resident that includes measurable objectives and timeframes to meet a resident's medical, nursing, and mental and psychosocial needs that are identified in the comprehensive assessment for 2 of 7 residents (Residents #59 and #126) reviewed for comprehensive care plans. 1. Resident #59 developed cellulitis in her left forearm and a skin rash which covered her body. Physician ordered creams were applied to treat her skin. Resident #59's care plan was not revised and updated to address the development of skin conditions and the treatment of them. 2. Resident #126 was noted to have developed a skin rash during March 2024. Physician orders were obtained for creams to be applied to the affected areas. [...]
  3. 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.
    F761 · Pharmacy Service · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) September 6, 2024
    Inspectors wroteBased on observation, interview, and record review the facility failed to ensure that drugs and biologicals used in the facility were secured and stored in accordance with current accepted professional principles for 3 (Treatment Cart 1, Treatment Cart 2, and Medication Cart 1300) of 8 carts observed for medication storage. The facility failed to ensure Treatment Cart 1, Treatment Cart 2 and Medication Cart 1300 were locked and secure. This failure could place the residents at risk of gaining access to unlocked medications not prescribed to them.
February 8, 2024Complaint inspection, Infection control · 1 citation
  1. D
    Provide and implement an infection prevention and control program.
    F880 · Infection Control · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · infection control inspection · Corrected (the home has a date of correction) February 29, 2024
    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 #1) of 2 residents reviewed for infection control practices in that: RN A failed to perform hand hygiene, wash hands, change gloves and prevent cross contamination while providing wound care for Resident #1. These failures could affect the residents by placing them at risk for the spread of infection.
July 6, 2023Standard inspection · 5 citations
  1. F
    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
    F812 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, widespread · Corrected (the home has a date of correction) August 4, 2023
    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 one of one kitchen reviewed for kitchen sanitation, where male staff with beards and mustaches (FSS. FSM, FSW A, FSW B and FSW C) were not wearing beard restraints. The facility failed to ensure staff (FSS, FSM and FSW A, FSW B and FSW C) wore appropriate hair restraints while working in the kitchen. This failure could place residents at risk of food borne illness, and contaminated food.
  2. E
    Reasonably accommodate the needs and preferences of each resident.
    F558 · Resident Rights · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) August 4, 2023
    Inspectors wroteBased on observation, interview, and record review the facility failed to ensure residents had the right to reside and receive services in the facility with reasonable accommodation of resident needs and preferences except when to do so would endanger the health or safety of the resident or other residents for 3 or 3 Residents (Resident #18, Resident #94, and Resident #125) reviewed for accommodation of needs. The facility failed to provide dining tables with the appropriate height to accommodate residents' needs and preferences for Resident #18, Resident #94, and Resident #125. This failure could place residents at risk of decreased nutritional intake and weight loss.
  3. E
    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
    F657 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) August 4, 2023
    Inspectors wroteBased on interview and record review the facility failed to ensure a comprehensive care plan was developed within 7 days after completion of the comprehensive assessment prepared by an interdisciplinary team for 6 of 12 residents (Resident #30, Resident #47, Resident #84, Resident #90, Resident #110, and Resident #119) reviewed for care plan timing and revision. The facility failed to ensure Resident #30, Resident #47, Resident #84, Resident #90, Resident #110, and Resident #119 had a comprehensive care plan developed and updated within 7 days following the completion of the admission comprehensive assessment. This failure could place residents at risk of not having their care plans completed, accurately and timely.
  4. E
    Provide and implement an infection prevention and control program.
    F880 · Infection Control · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) August 4, 2023
    Inspectors wroteBased on observations, 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 2 (Resident #55 and Resident #28) of 2 residents (Residents #55 and #28) reviewed for infection control. techniques in that: 1. The facility failed to ensure the 400 hall Hospitality Aide washed or sanitized her hands in between rooms. 2. The facility failed to ensure the 400 hall Hospitality Aide closed the ice chest lid in the hallway while passing ice to Resident #55 and Resident #28 . These failures could place residents at risk of infections.
  5. D
    Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
    F758 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) August 4, 2023
    Inspectors wroteBased on interview and record review, the facility failed to ensure residents who had not used psychotropic drugs were not given these drugs unless the medication was necessary to treat a specific condition as diagnosed and documented in the clinical record for 1 of 5 residents (Resident #30) reviewed for unnecessary psychotropic medications. Resident #30 had an order and administered Depakote (an anticonvulsant medication) and Risperdal (antipsychotic) for a diagnosis of unspecified psychosis not due to a substance or known physiological condition, which was not an appropriate indication for use. This failure could place residents at risk for adverse reactions and negative side effects from the administration of medication that was not indicated for use to treat medical conditions and symptoms.

Fire safety inspections

5 fire safety citations on file: 1 on December 5, 2025, 4 on August 30, 2024.

Every fire safety citation5 citations
  1. F
    Have simulated fire drills held at unexpected times.
    K 712 · December 5, 2025 · Corrected (the home has a date of correction)
  2. F
    Conduct risk assessment and an All-Hazards approach.
    E 6 · August 30, 2024 · Corrected (the home has a date of correction)
  3. F
    Conduct testing and exercise requirements.
    E 39 · August 30, 2024 · Corrected (the home has a date of correction)
  4. E
    Inspect, test, and maintain automatic sprinkler systems.
    K 353 · August 30, 2024 · Corrected (the home has a date of correction)
  5. E
    Install smoke barrier doors that can resist smoke for at least 20 minutes.
    K 374 · August 30, 2024 · Corrected (the home has a date of correction)

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.

MeasureThis homeTexasUnited States
All nursing staff (RN, LPN and aides)3.933.393.86
Registered nurses0.360.430.69
All nursing staff on weekends3.612.983.42
Nurse aides2.51
Licensed practical nurses1.06
Nursing staff turnover (share who left in a year)41.1%55.3%45.8%
Registered nurse turnover53.3%54.6%42.9%
Administrators who left1

CMS expects 3.30 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 4.06 on weekdays and 3.61 on weekends, 11% 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 4.04 in April to June 2025 to 3.93 in January to March 2026.

QuarterAll nursing staffRegistered nursesWeekdaysWeekendsContract staff shareDays with no RN hoursResidents a day
Jan to Mar 20263.930.364.063.61 0.0%0 of 90158
Oct to Dec 20254.100.374.243.76 0.0%0 of 92153
Jul to Sep 20253.830.363.993.40 0.0%0 of 92155
Apr to Jun 20254.040.354.193.65 0.0%0 of 91146
United States, Jan to Mar 20263.750.623.923.335.3%0.5% of days
Texas, Jan to Mar 20263.330.403.502.932.2%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.

MeasureThis homeTexasUS
Percentage of long-stay residents whose need for help with daily activities has increased
Long Stay residents, 2025Q2-2026Q1
26.815.813.9
Percentage of long-stay residents with a catheter inserted and left in their bladder
Long Stay residents, 2025Q2-2026Q1
0.00.30.8
Percentage of long-stay residents with a urinary tract infection
Long Stay residents, 2025Q2-2026Q1
0.80.81.6
Percentage of long-stay residents experiencing one or more falls with major injury
Long Stay residents, 2025Q2-2026Q1
3.33.33.2
Percentage of short-stay residents who newly received an antipsychotic medication
Short Stay residents, 2025Q2-2026Q1
0.01.51.6
Percentage of long-stay residents whose ability to walk independently worsened
Long Stay residents, 2025Q2-2026Q1
19.614.014.1
Percentage of long-stay residents with pressure ulcers
Long Stay residents, 2025Q2-2026Q1
0.83.84.6
Percentage of long-stay residents who received an antipsychotic medication
Long Stay residents, 2025Q2-2026Q1
1.79.615.4
Percentage of short-stay residents who were rehospitalized after a nursing home admission
Short Stay residents, 20250101-20251231
28.425.723.8
Percentage of short-stay residents who had an outpatient emergency department visit
Short Stay residents, 20250101-20251231
8.012.312.0
Number of hospitalizations per 1000 long-stay resident days
Long Stay residents, 20250101-20251231
1.62.21.9
Number of outpatient emergency department visits per 1000 long-stay resident days
Long Stay residents, 20250101-20251231
1.42.11.8

Owners and operators

Legal business name: OLNEY-HAMILTON HOSPITAL DISTRICT.

NameRoleTypeShareSince
Olney-Hamilton Hospital District5% or greater direct ownership interestOrganization100%04/01/2017
Huff, MichaelCorporate directorIndividual04/01/2017
Weary, AnthonyCorporate officerIndividual06/23/2025
Olney-Hamilton Hospital DistrictOperational/managerial controlOrganization04/01/2017
Texhoma Christian Care Center IncOperational/managerial controlOrganization04/01/2017
Weary, AnthonyOperational/managerial controlIndividual06/23/2025
Texhoma Christian Care Center IncAdp of the SNFOrganization02/14/1979
Weary, AnthonyAdp of the SNFIndividual06/23/2025

As listed in the CMS ownership file, which names owners with a 5% or greater stake and the people and companies with operational or managerial control.

Questions to ask on a visit

Chosen from this home's own inspection record.

  1. Can we see a week of menus and the kitchen, and how are special diets handled?Inspectors cited 2 problems in this area, most recently on August 30, 2024: "Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards."
  2. When is the care plan meeting, and can family attend it?Inspectors cited 2 problems in this area, most recently on August 30, 2024: "Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured."
  3. How are medications reviewed, and how often are antipsychotic or sedating drugs used?Inspectors cited 2 problems in this area, most recently on August 30, 2024: "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."
  4. 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 February 8, 2024: "Provide and implement an infection prevention and control program."
  5. How long has the current administrator been here?CMS counts 1 administrator who left in the period it measured.

Other nursing homes nearby

Texas contacts for a concern about a nursing home

These are the official offices in Texas. NursingHomeClear cannot take or act on complaints.

Common questions

What is Texhoma Christian Care Center Inc's Medicare star rating?
CMS rates Texhoma Christian Care Center Inc 5 out of 5 stars overall, with 5 for health inspections, 3 for staffing and 4 for quality measures (CMS data as of September 1, 2026).
How many deficiencies did Texhoma Christian Care Center Inc get at its last inspection?
0 health deficiencies at the standard inspection on December 5, 2025. The Texas average is 9.4.
Has Texhoma Christian Care Center Inc been fined?
CMS lists no fines in the last three years.
Does Texhoma Christian Care Center Inc 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 Texhoma Christian Care Center Inc?
CMS lists 8 owners and managers. Legal business name: OLNEY-HAMILTON HOSPITAL DISTRICT.

Sources

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