How many deficiencies did Villa Haven Health and Rehabilitation Center get at its last inspection?

2 health deficiencies at the standard inspection on March 13, 2026. The Texas average is 9.4.

Has Villa Haven Health and Rehabilitation Center been fined?

CMS lists no fines in the last three years.

Does Villa Haven Health and Rehabilitation 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 Villa Haven Health and Rehabilitation Center?

CMS lists 14 owners and managers, and links the home to Fundamental Healthcare. Legal business name: CHILDRESS COUNTY HOSPITAL DISTRICT.

Villa Haven Health and Rehabilitation Center: Inspections

The record in brief

At its most recent standard inspection, on March 13, 2026, inspectors cited 2 health deficiencies (the Texas average is 9.4, the national average 9.2).

None of its 9 health citations since November 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 3.45 hours per resident per day, against 3.39 across Texas and 3.86 nationally. Registered nurses accounted for 0.45 of those hours.

60.0% of nursing staff left within the year CMS measured (Texas average 55.3%).

CMS links it to Fundamental Healthcare, an affiliated group of 66 nursing homes.

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.

311/23

107/24

212/24

112/25

203/26

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

Actual harm

Potential for more than minimal harm

Potential for minimal harm

March 13, 2026Standard inspection, Complaint inspection · 2 citations

E

Provide behavior health training consistent with the requirements and as determined by a facility assessment.

F949 · Administration · No actual harm, potential for more than minimal harm, pattern · found on a complaint visit · Corrected (the home has a date of correction) April 6, 2026

Inspectors wroteBased on record reviews and interviews, the facility failed to maintain a training program to ensure staff were trained for 17 of 17 staff (ADMN, DON, SW, AD, DM, MAINT, DOT, HKS, RN C, RN D, LVN B, LVN E, CNA F, CNA G, CNA H, CNA I and CNA J) reviewed for behavioral health training. The facility failed to ensure the ADMN, DON, SW, AD, DM, MAINT, DOT, HKS, RN C, RN D, LVN B, LVN E, CNA F, CNA G, CNA H, CNA I and CNA J upon hire were trained for Behavioral Health or an assessment tool to behavioral health. This failure could place residents at risk of receiving care from incompetent/untrained staff. [...]
D

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, isolated · Corrected (the home has a date of correction) March 31, 2026

Inspectors wroteBased on observations, interviews, and record review the facility failed to ensure that all drugs and biologicals used in the facility were labeled and stored in accordance with professional standards for 1 of 1 medication room reviewed for drugs and biologicals. The facility failed to ensure five 30G x 5/16 syringes with needles (insulin administration syringes with needles) had been removed from the medication room when they had expired on May, 31st 2025. This failure could place residents at risk of not receiving the therapeutic benefit biologicals used for testing and treatment of residents.

December 27, 2025Complaint inspection · 1 citation

C

Follow rules about disclosure of ownership requirements and tell the state agency about changes in ownership and/or administrative personnel.

F844 · Administration · No actual harm, potential for minimal harm, widespread · found on a complaint visit · Corrected (the home has a date of correction) January 14, 2026

Inspectors wroteBased on observation, interviews, and record review, the facility failed to provide written notice to the State Agency responsible for licensing the facility at the time of change, for a change in the facility's administrator for 1 of 1 facility. The facility failed to notify the State Agency of a change in the facility's administrator. This failure could result in the inability to connect with the appropriate leadership of the facility.

December 19, 2024Standard inspection, Complaint inspection · 2 citations

E

Provide and implement an infection prevention and control program.

F880 · Infection Control · No actual harm, potential for more than minimal harm, pattern · found on a complaint visit · Corrected (the home has a date of correction) January 9, 2025

Inspectors wroteBased on observations, interviews, and record reviews, 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 3 of 5 staff (LVN-A, CNA-B, CNA-C) reviewed for infection control procedures. 1. The facility failed to ensure the CNA-B and CNA-C performed proper hand hygiene in between changing gloves during incontinent care. 2. The facility failed to ensure the LVN-A performed proper hand hygiene in between changing gloves during wound care and prior to reaching into medication cart. 3. The facility failed to ensure the CNA-B and CNA-C wore gown during foley catheter care. These failures could place residents at risk for the transmission of communicable diseases.
D

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, isolated · found on a complaint visit · Corrected (the home has a date of correction) December 23, 2024

Inspectors wroteBased on interview, observation, and record review the facility failed to revise the resident's care plan for 1 of 14 residents (Resident #16) reviewed for comprehensive care plans. The IDT team failed to revise Resident #16's care plan to include the updated diet and advanced directive orders. These failures could affect residents by placing them at risk of not having their individual needs met.

July 18, 2024Complaint inspection · 1 citation

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 · Corrected (the home has a date of correction) August 6, 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 three residents reviewed for infection control practices. LVN A failed to perform hand hygiene and prevent cross contamination of resident care items while providing blood sugar checks for Resident #1. These failures could affect the residents by placing them at risk for the spread of infection.

November 2, 2023Standard inspection, Complaint inspection · 3 citations

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 · found on a complaint visit · Corrected (the home has a date of correction) November 20, 2023

Inspectors wroteBased on observation, interview, and record review, the facility failed to develop and implement a comprehensive and person-centered care plan, including measurable objectives and timeframes to meet a resident's medical, nursing, mental, and psychosocial needs identified in the comprehensive assessment for 3 of 3 (Resident #6, Resident #19, and Resident #30) residents reviewed for comprehensive care plans. 1. The facility failed to develop care plans based on assessed needs with measurable objectives and timeframes in areas such as risk for dehydration, exposure to infections, falls, skin breakdown, pain, and impaired nutrition, decline in psychosocial wellbeing, PASRR positive status, incontinence, presence of an ostomy, decreased vision, inability to perform ADL's, impaired communication, depression, memory loss, advanced care planning, and participation in activities for Resident #6. [...]
E

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, pattern · found on a complaint visit · Corrected (the home has a date of correction) November 21, 2023

Inspectors wroteBased on observations, interviews, and record reviews, the facility failed to store, prepare, distribute and serve food in accordance with professional standards for 1 of 1 kitchen's reviewed for food service safety. The facility failed to properly label food items in the refrigerators. The facility failed to separate spoiled food from other food items in the refrigerators. The facility failed to seal items to protect them from freezer burn in freezers. The facility failed to discard expired food items in the dry food storage areas. The facility failed to wash dishes at a safe temperature in a low temperature setting dishwashing machine. The facility staff failed to practice good hand hygiene while preparing and serving food. These failures placed residents at risk of food borne illnesses that ate from the facility kitchen.
E

Provide and implement an infection prevention and control program.

F880 · Infection Control · No actual harm, potential for more than minimal harm, pattern · found on a complaint visit · Corrected (the home has a date of correction) November 20, 2023

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 5 residents (Resident #30 and Resident #21) reviewed for infection control, in that: The facility failed to remove COVID-19 negative Resident #30 and Resident #21 away from COVID-19 positive Resident #4 and Resident #19 to the prevent spread of infection. The facility failed to COVID-19 test Resident #30 after a confirmed exposure to COVID-19 positive Resident #4 within 2 days per facility policy. This deficient practice could place residents at-risk for infection due to improper care practices.

Fire safety inspections

9 fire safety citations on file: 5 on March 13, 2026, 1 on December 19, 2024, 3 on November 2, 2023.

Every fire safety citation9 citations

F
Implement emergency and standby power systems.

E 41 · March 13, 2026 · Corrected (the home has a date of correction)
F
Have a battery powered remote alarm panel in a location accessible by operating personnel.

K 916 · March 13, 2026 · Corrected (the home has a date of correction)
E
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

K 321 · March 13, 2026 · Corrected (the home has a date of correction)
E
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

K 372 · March 13, 2026 · Corrected (the home has a date of correction)
C
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

K 521 · March 13, 2026 · Corrected (the home has a date of correction)
C
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

K 521 · December 19, 2024 · Corrected (the home has a date of correction)
F
Have simulated fire drills held at unexpected times.

K 712 · November 2, 2023 · Corrected (the home has a date of correction)
F
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.

K 741 · November 2, 2023 · Corrected (the home has a date of correction)
C
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

K 521 · November 2, 2023 · 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.

Measure	This home	Texas	United States
All nursing staff (RN, LPN and aides)	3.45	3.39	3.86
Registered nurses	0.45	0.43	0.69
All nursing staff on weekends	2.99	2.98	3.42
Nurse aides	1.98
Licensed practical nurses	1.02
Nursing staff turnover (share who left in a year)	60.0%	55.3%	45.8%
Registered nurse turnover	100.0%	54.6%	42.9%
Administrators who left	0

CMS expects 3.80 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 3.63 on weekdays and 2.99 on weekends, 18% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 15.6% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.42 in April to June 2025 to 3.45 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	3.45	0.45	3.63	2.99	15.6%	0 of 90	33
Oct to Dec 2025	3.50	0.43	3.72	2.94	22.9%	0 of 92	31
Jul to Sep 2025	3.93	0.47	4.15	3.36	28.5%	0 of 92	30
Apr to Jun 2025	3.42	0.45	3.60	2.98	24.6%	0 of 91	30
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.

Trains nurse aides: this home runs a state-approved CNA program (state list: HHSC Approved NATCEP Providers, as of October 6, 2026). A nursing home cannot charge aides it employs, or has offered a job, for state-approved training (42 CFR 483.152(c)). See Villa Haven Health and Rehabilitation Center CNA Training Program on CareerFunded, our sister site for career training.

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.

How staff pay reports work · CNA pay by state

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	7.9	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	4.0	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	3.3	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	4.5	9.6	15.4
Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231	1.6	2.2	1.9
Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231	2.1	2.1	1.8

Short-term rehab results

For a stay to recover after a hospital visit, these are the results CMS publishes for Villa Haven Health and Rehabilitation Center's Medicare short-stay residents. How to read these, and what Medicare pays for.

Went home or back to the community

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. 12 eligible stays.

Potentially preventable readmissions

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. 21 eligible stays.

Infections that led to a hospital stay

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. 6 eligible stays.

Self-care and mobility at discharge

85.7% this home

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. 21 residents counted.

Falls with major injury

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. 26 residents counted.

New or worsened pressure ulcers

0.0% 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. 26 residents counted.

Medication list given at discharge

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. 13 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.

Owners and operators

Legal business name: CHILDRESS COUNTY HOSPITAL DISTRICT. CMS links this home to Fundamental Healthcare, a group of 66 nursing homes averaging 2.5 stars overall.

Name	Role	Type	Share	Since
Childress County Hospital District	5% or greater direct ownership interest	Organization	100%	04/01/2017
Holcomb, Holly	Corporate officer	Individual		05/29/2021
Stratton, Emilee	Corporate officer	Individual		03/18/2018
Breckeridgetx LLC	Operational/managerial control	Organization		08/01/2025
Gray, Deanne	Operational/managerial control	Individual		03/20/2023
Pfeifer, Mary	Operational/managerial control	Individual		08/01/2025
Prater, William	Operational/managerial control	Individual		08/01/2025
Mistretta, Cassandra	Individual is an owner, partner or trustee of any ADP of the SNF	Individual		03/24/2026
300 South Jackson LLC	Adp of the SNF	Organization		08/01/2025
Empower Healthcare Management LLC	Adp of the SNF	Organization		08/01/2025
Empower Opco LLC	Adp of the SNF	Organization		08/01/2025
Texas Senior Realty Ventures LLC	Adp of the SNF	Organization		08/01/2025
Gray, Deanne	Adp of the SNF	Individual		03/20/2023
Prater, William	Adp of the SNF	Individual		08/01/2025

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.

What changed in infection control since the last inspection, and who on staff is the infection preventionist?Inspectors cited 3 problems in this area, most recently on December 19, 2024: "Provide and implement an infection prevention and control program."
Who is the administrator and director of nursing, and how long have they been in the job?Inspectors cited 2 problems in this area, most recently on March 13, 2026: "Provide behavior health training consistent with the requirements and as determined by a facility assessment."
When is the care plan meeting, and can family attend it?Inspectors cited 2 problems in this area, most recently on December 19, 2024: "Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals."
How are medications reviewed, and how often are antipsychotic or sedating drugs used?Inspectors cited 1 problem in this area, most recently on March 13, 2026: "Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs."

Other nursing homes nearby

Premier Health Care Center
Ranger, 22.6 mi · 1 of 5 stars · 25 citations
Avir at Woodlands
Eastland, 24.6 mi · 1 of 5 stars · 28 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 Villa Haven Health and Rehabilitation Center's Medicare star rating?: CMS rates Villa Haven Health and Rehabilitation Center 5 out of 5 stars overall, with 5 for health inspections, 1 for staffing and 5 for quality measures (CMS data as of September 1, 2026).
How many deficiencies did Villa Haven Health and Rehabilitation Center get at its last inspection?: 2 health deficiencies at the standard inspection on March 13, 2026. The Texas average is 9.4.
Has Villa Haven Health and Rehabilitation Center been fined?: CMS lists no fines in the last three years.
Does Villa Haven Health and Rehabilitation 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 Villa Haven Health and Rehabilitation Center?: CMS lists 14 owners and managers, and links the home to Fundamental Healthcare. Legal business name: CHILDRESS COUNTY HOSPITAL DISTRICT.

Sources

Ratings, staffing and fines: CMS Provider Information, released September 30, 2026, data as of September 1, 2026.
Citations: CMS Health Deficiencies and Fire Safety Deficiencies.
Owners: CMS Ownership. Penalties: CMS Penalties.
Staffing by quarter: CMS Payroll Based Journal Daily Nurse Staffing, April 2025 to March 2026, summed by NursingHomeClear.
Inspector summaries: CMS Full Statement of Deficiencies (CMS-2567 text), data as of September 1, 2026. Each quote is the part of the statement before the detailed findings.
Inspection reports with the inspectors' full notes are on this home's Medicare.gov page.
Something wrong on this page? Ask for a correction. We fix errors in our copy of the data; findings themselves can only be changed by CMS and the state.
NursingHomeClear is independent and not affiliated with CMS, Medicare or any state agency. This page reports federal records; it does not rate, recommend or endorse any home, and it is not medical or legal advice.