Home / Texas / Carrizo Springs
Whispering Springs Rehabilitation and Healthcare C
506 S 7th St., Carrizo Springs, TX 78834 · Dimmit County · (830) 876-5011
100 certified beds, about 48 residents a day · For profit - Corporation · Medicare and Medicaid since 1994
Certified for Medicaid Certified for Medicare
Overall
5 of 5
Health inspections
5 of 5
Staffing
2 of 5
Quality measures
4 of 5
CMS Care Compare ratings, data as of September 1, 2026 · CCN 675373 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on July 18, 2025, inspectors cited 1 health deficiency (the Texas average is 9.4, the national average 9.2).
None of its 7 health citations since May 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 3.69 hours per resident per day, against 3.39 across Texas and 3.86 nationally. Registered nurses accounted for 0.48 of those hours.
32.5% of nursing staff left within the year CMS measured (Texas average 55.3%).
CMS links it to Nexion Health, an affiliated group of 51 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.
205/23
106/24
107/25
106/26
207/26
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 7 health citations on file.
Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
0G
0H
0I
Potential for more than minimal harm
5D
1E
0F
Potential for minimal harm
0A
0B
1C
July 28, 2026Complaint inspection · 2 citations
- D Ensure each resident receives an accurate assessment.
Inspectors wroteBased on observation, interview and record review, the facility failed to ensure the assessment accurately reflected the resident's status for 1 of 11 (Resident #1) residents whose records were reviewed for assessments. The facility nursing staff failed to code Resident #1 had recent fall with injury on her MDS assessment. This deficient practice could place residents at risk of not identifying care areas and result in residents not receiving needed care and services.
- D Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Inspectors wroteBased on interviews and record reviews 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 of 11 (Resident #1) residents reviewed for care plans. The facility nursing staff failed to revise Resident #1's care plan with a fall with injury requiring hospital admission on [DATE] and fall interventions following significant change of condition. This failure could have placed residents at risk of not having their needs identified and met.
June 5, 2026Complaint inspection · 1 citation
- D Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Inspectors wroteBased on observation, interview and record review the facility failed to ensure resident use hot water was reliably controlled, by thermostatic or mixing valves, and did not exceed 110 degrees Fahrenheit and not less than 100 degrees Fahrenheit at each fixture for 4 of 4 shower rooms (Hall 1, 2, 3, and 4) reviewed for environment. 1. The facility failed to ensure the Hall 1 shower temperature did not exceed 110 F and read 116.2 F.2. The facility failed to ensure the Hall 2 shower temperature did not exceed 110 F and read 112.2 F.3. The facility failed to ensure the Hall 3 shower temperature was not less than 100 F and read 89.4 F.4. The facility failed to ensure the Hall 4 shower temperature did not exceed 110 F and read 114.4 F. These failures could result in a decrease in residents' quality of life and hot water temperatures could lead to resident skin discomfort or burns.
July 18, 2025Standard inspection · 1 citation
- C Post nurse staffing information every day.
Inspectors wroteBased on observation, interview and record review the facility failed to ensure that their posted nurse staffing information had all required components, in that: The facility failed to ensure the nurse staffing posting information had the current date of 7/15/25. This failure could place the residents at risk of inaccurate staffing levels, poor care, or regulatory violations.
June 6, 2024Standard inspection · 1 citation
- 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 for 1 of 1 kitchen. 1. The facility failed to ensure partial loaf with over half of loaf used was dated with the opened date. 2. The facility failed to ensure opened bagged elbow pasta was dated with the opened date. 3. The facility failed to ensure twenty-five-pound opened bag of corn meal was sealed and dated with opened date. 4. The facility failed to ensure staff with facial hair was covered by a hair restraint. These failures could place residents who received meals and/or snacks from the kitchen at risk for food borne illness.
May 5, 2023Standard inspection · 2 citations
- D Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Inspectors wroteBased on observation, interview and record review, the facility failed to ensure medical records, in accordance with accepted professional standards and practices were complete, accurately documented, readily accessible and systematically organized for 1 of 12 residents (Resident #20) reviewed for accuracy of medical records, in that: The facility failed to obtain a physician's order for Resident #20's code status. This deficient practice could affect residents whose records were maintained by the facility and place them at risk for errors in care and treatment.
- D Provide and implement an infection prevention and control program.
Inspectors wroteBased on observations, interviews, and record reviews, 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 2 residents (Resident #20) reviewed for infection control practices, in that: LVN A did not perform hand hygiene between glove changes when providing wound care to Resident #20 These failures could place residents with wounds at risk for infection, slow wound healing and or a decline in health.
Fire safety inspections
10 fire safety citations on file: 4 on July 18, 2025, 3 on June 6, 2024, 3 on May 5, 2023.
Every fire safety citation10 citations
- E Inspect, test, and maintain automatic sprinkler systems.
- E Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
- C Keep aisles, corridors, and exits free of obstruction in case of emergency.
- C Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
- E Inspect, test, and maintain automatic sprinkler systems.
- C Keep aisles, corridors, and exits free of obstruction in case of emergency.
- C Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
- E Install corridor and hallway doors that block smoke.
- C Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
- B Keep aisles, corridors, and exits free of obstruction in case of emergency.
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) | 3.69 | 3.39 | 3.86 |
| Registered nurses | 0.48 | 0.43 | 0.69 |
| All nursing staff on weekends | 3.20 | 2.98 | 3.42 |
| Nurse aides | 2.14 | ||
| Licensed practical nurses | 1.07 | ||
| Nursing staff turnover (share who left in a year) | 32.5% | 55.3% | 45.8% |
| Registered nurse turnover | not reported | 54.6% | 42.9% |
| Administrators who left | 2 |
CMS expects 3.98 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 3.89 on weekdays and 3.20 on weekends, 18% 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 3.75 in April to June 2025 to 3.69 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 | 3.69 | 0.48 | 3.89 | 3.20 | 0.0% | 0 of 90 | 48 |
| Oct to Dec 2025 | 3.79 | 0.46 | 4.02 | 3.22 | 0.0% | 0 of 92 | 50 |
| Jul to Sep 2025 | 3.46 | 0.36 | 3.58 | 3.15 | 0.0% | 0 of 92 | 49 |
| Apr to Jun 2025 | 3.75 | 0.37 | 3.90 | 3.37 | 0.0% | 0 of 91 | 47 |
| 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.
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 | 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 | 0.5 | 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 | 2.2 | 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 | 27.3 | 14.0 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 4.5 | 3.8 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 3.2 | 9.6 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 21.9 | 25.7 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 7.8 | 12.3 | 12.0 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 3.5 | 2.2 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 5.7 | 2.1 | 1.8 |
Owners and operators
Legal business name: NEXION HEALTH AT CARRIZO SPRINGS INC. CMS links this home to Nexion Health, a group of 51 nursing homes averaging 2.2 stars overall.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Nexion Health of Ohi Inc | 5% or greater direct ownership interest | Organization | 100% | 01/09/2020 |
| Nexion Health Leasing, Inc. | 5% or greater indirect ownership interest | Organization | 01/09/2020 | |
| Nexion Health, Inc. | 5% or greater indirect ownership interest | Organization | 01/09/2020 | |
| Bolt, Bretton | 5% or greater indirect ownership interest | Individual | 01/09/2020 | |
| Kirley, Francis | 5% or greater indirect ownership interest | Individual | 01/09/2020 | |
| Wiatrek, Emily | W-2 managing employee | Individual | 04/01/2020 | |
| Herdrich, William | Corporate director | Individual | 04/01/2020 | |
| Kirley, Francis | Corporate director | Individual | 04/01/2020 | |
| Riner, Meera | Corporate director | Individual | 04/01/2020 | |
| Fallon, John | Corporate officer | Individual | 04/01/2020 | |
| Kirley, Francis | Corporate officer | Individual | 04/01/2020 | |
| Lee, Brian | Corporate officer | Individual | 04/01/2020 | |
| Riner, Meera | Corporate officer | Individual | 04/01/2020 | |
| Nexion Health Leasing, Inc. | Operational/managerial control | Organization | 04/01/2020 | |
| Nexion Health of Ohi Inc | Operational/managerial control | Organization | 04/01/2020 | |
| Nexion Health, Inc. | Operational/managerial control | Organization | 04/01/2020 | |
| Kirley, Francis | Operational/managerial control | Individual | 04/01/2020 |
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.
- When is the care plan meeting, and can family attend it?Inspectors cited 3 problems in this area, most recently on July 28, 2026: "Ensure each resident receives an accurate assessment."
- How do residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 1 problem in this area, most recently on June 5, 2026: "Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely."
- How many nurses and aides work each shift, nights and weekends included?Inspectors cited 1 problem in this area, most recently on July 18, 2025: "Post nurse staffing information every day."
- Can we see a week of menus and the kitchen, and how are special diets handled?Inspectors cited 1 problem in this area, most recently on June 6, 2024: "Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards."
- How long has the current administrator been here?CMS counts 2 administrators who left in the period it measured.
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 Whispering Springs Rehabilitation and Healthcare C's Medicare star rating?
- CMS rates Whispering Springs Rehabilitation and Healthcare C 5 out of 5 stars overall, with 5 for health inspections, 2 for staffing and 4 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did Whispering Springs Rehabilitation and Healthcare C get at its last inspection?
- 1 health deficiency at the standard inspection on July 18, 2025. The Texas average is 9.4.
- Has Whispering Springs Rehabilitation and Healthcare C been fined?
- CMS lists no fines in the last three years.
- Does Whispering Springs Rehabilitation and Healthcare C 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 Whispering Springs Rehabilitation and Healthcare C?
- CMS lists 17 owners and managers, and links the home to Nexion Health. Legal business name: NEXION HEALTH AT CARRIZO SPRINGS INC.
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.