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Whisperwood Nursing & Rehabilitation Center

5502 4th Street, Lubbock, TX 79416 · Lubbock County · (806) 793-1111

114 certified beds, about 76 residents a day · Government - Hospital district · Medicare and Medicaid since 1995

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

CMS Care Compare ratings, data as of September 1, 2026 · CCN 675527 · See it on Medicare.gov · Compare with other homes

The record in brief

At its most recent standard inspection, on January 23, 2026, inspectors cited 3 health deficiencies (the Texas average is 9.4, the national average 9.2).

Of 32 health citations since September 2023, 6 were rated as actual harm or immediate jeopardy to residents (6 immediate jeopardy).

CMS lists 2 fines totaling $19,546 in the last three years; the largest was $10,546, and the latest is dated August 15, 2025.

Nurses and nurse aides worked 3.39 hours per resident per day, against 3.39 across Texas and 3.86 nationally. Registered nurses accounted for 0.33 of those hours.

95.6% of nursing staff left within the year CMS measured (Texas average 55.3%).

CMS links it to Creative Solutions in Healthcare, an affiliated group of 149 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.

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 32 health citations on file.

Severity
Isolated
Pattern
Widespread
Immediate jeopardy
6J
0K
0L
Actual harm
0G
0H
0I
Potential for more than minimal harm
16D
7E
3F
Potential for minimal harm
0A
0B
0C
April 22, 2026Complaint inspection · 2 citations
  1. D
    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, isolated · found on a complaint visit · Corrected (the home has a date of correction) May 13, 2026
    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, mental, and psychosocial needs that were identified in the comprehensive assessment for 1 of 5 residents (Resident #1) reviewed for care plans. The facility failed to develop an accurate, consistent, and completed care plan for Resident #1, specific to Resident #1's dietary needs ordered by the physician. This failure could place residents at risk of not receiving the care required to meet their individualized needs.
  2. D
    Provide enough food/fluids to maintain a resident's health.
    F692 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) May 13, 2026
    Inspectors wroteBased on observation, interview and record review the facility failed to ensure the resident was offered a therapeutic diet when there was a nutritional problem and the health care provider ordered a therapeutic diet for 1 of 5 residents (Resident #1) reviewed for therapeutic diets. The facility failed to ensure Resident #1 was given supplemental shakes at every meal (three times a day) as ordered by the physician. This failure could place residents at risk for poor intake, weight loss, unmet nutritional needs, and a loss of dignity.
January 23, 2026Standard inspection · 3 citations
  1. D
    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, isolated · Corrected (the home has a date of correction) February 12, 2026
    Inspectors wroteBased on observation, interview, and record review, the facility failed to store, prepare, distribute, and serve food in accordance with professional standards for food service safety in 1 of 1 kitchen reviewed for dietary services. The facility failed to ensure the dishwasher was working properly with the hot water temperature and the facility failed to allow the food processor for puree to air-dry completely before using. These failures could place residents at risk for food contamination and foodborne illness.
  2. D
    Have a policy regarding use and storage of foods brought to residents by family and other visitors.
    F813 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) February 12, 2026
    Inspectors wroteBased on observations, interviews, and record reviews, the facility failed to maintain and ensure safe and sanitary storage of residents' food items for 1 of 1 Resident's personal refrigerators reviewed for food safety (Resident #66) in that: The facility did not have a system in place to assist residents in cleaning and maintaining their personal refrigerators to ensure safe food handling and prevent consumption of spoiled and/or expired foods. The personal refrigerator in Resident #66's room did not contain a thermometer. The refrigerator contained an unknown substance that was unlabeled and undated. Resident #66 was unable to identify an unlabeled and undated unknown substance in the personal refrigerator. These failures could place residents at risk for food borne illnesses.
  3. D
    Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.
    F849 · Administration · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) February 12, 2026
    Inspectors wroteBased on interview and record review, the facility failed to ensure that residents receive treatment and care in accordance with professional standards of practice for 1 of 3 Residents (Resident #6) reviewed for hospice care: The facility failed to ensure Resident #6 had a physician's order for hospice care. This failure could result in residents not receiving care without a physician's order.
August 15, 2025Complaint inspection · 5 citations
  1. J
    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
    F600 · Freedom from Abuse, Neglect, and Exploitation · Immediate jeopardy to resident health or safety, isolated · found on a complaint visit · Past noncompliance: already fixed when inspectors found it
    Inspectors wroteBased on interview, and record review, the facility failed to ensure the residents had the right to be free from verbal abuse and neglect for 2 (Resident #1 and #2) of 7 residents reviewed for abuse. The facility staff failed to protect Resident #1 from verbal abuse from Resident #2 on 7/11/25 between 7:00 PM and 7:30 PM.The noncompliance was identified as PNC. The IJ began on 07/11/25 and ended on 7/25/25. The facility had corrected the noncompliance before the survey began. This failure could place residents at risk of abuse, neglect, trauma, injury and psychosocial harm.
  2. J
    Develop and implement policies and procedures to prevent abuse, neglect, and theft.
    F607 · Freedom from Abuse, Neglect, and Exploitation · Immediate jeopardy to resident health or safety, isolated · found on a complaint visit · Past noncompliance: already fixed when inspectors found it
    Inspectors wroteBased on interviews and record review, the facility failed to implement written policies and procedures that prohibit and prevent abuse and neglect for 2 of 7 residents (Resident #1, and #2) reviewed for abuse. [...]
  3. J
    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
    F609 · Freedom from Abuse, Neglect, and Exploitation · Immediate jeopardy to resident health or safety, isolated · found on a complaint visit · Past noncompliance: already fixed when inspectors found it
    Inspectors wroteBased on interviews and record review, the facility failed to ensure that all alleged violations involving abuse, neglect, exploitation or mistreatment, including injuries of unknown source and misappropriation of resident property, were reported immediately, but not later than 2 hours if the alleged violation involved abuse or neglect and resulted in bodily injury, to other officials (including the State Agency) and the Abuse Coordinator for 2 of 7 residents (Resident #1, and #2) reviewed for abuse. [...]
  4. J
    Respond appropriately to all alleged violations.
    F610 · Freedom from Abuse, Neglect, and Exploitation · Immediate jeopardy to resident health or safety, isolated · found on a complaint visit · Past noncompliance: already fixed when inspectors found it
    Inspectors wroteBased on interviews and record reviews the facility failed to prevent further potential abuse, neglect, exploitation, or mistreatment for 2 of 7 residents (Resident #1, #2) reviewed for abuse. The facility failed to immediately implement protective measures to protect Resident #1 from Resident #2 after a verbal abuse incident occurred on 7/11/25 between 7:00 PM and 7:30 PM.The noncompliance was identified as PNC. The IJ began on 07/11/25 and ended on 7/14/25. The facility had corrected the noncompliance before the survey began. These failures could place residents as risk for further abuse to include emotional and physical. Findings Included: [...]
  5. D
    Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
    F580 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) September 5, 2025
    Inspectors wroteBased on interview and record review, the facility failed to immediately notify with the responsible party of an incident involving the resident which had the potential for requiring physician intervention for 2 (Resident #1 & Resident #2) of 7 residents reviewed for notification of change. The facility failed to immediately notify Resident #1's responsible party when Resident #2 verbally abused Resident #1 on 7/11/25 between 7:00 PM and 7:30 PM. This failure could place residents responsible party at the risk of not being aware/informed of residents' conditions.
July 3, 2025Complaint inspection · 1 citation
  1. J
    Provide enough food/fluids to maintain a resident's health.
    F692 · Quality of Life and Care · Immediate jeopardy to resident health or safety, isolated · found on a complaint visit · Corrected (the home has a date of correction) August 1, 2025
    Inspectors wroteBased on observations, interviews, and record review, the facility failed to ensure that 1 of 8 residents (Resident #1) reviewed for quality of care was offered a therapeutic diet when there is a nutritional problem, and the health care provider ordered a therapeutic diet. On 6/27/25 the facility did not ensure Resident #1 received her physician ordered NPO diet Enteral Feed diet (a method of providing nutrition directly into the gastrointestinal tract) when CNA provided Resident #1 with a plate of puree food (chili dog on a bun, sauerkraut, tater tots, diced onions, assorted gelatin; pureed). An IJ was identified on 07/02/25 at 2:50 PM. The IJ template was provided to the facility on [DATE] at 2:50 PM. [...]
March 19, 2025Complaint inspection · 3 citations
  1. D
    Develop and implement policies and procedures to prevent abuse, neglect, and theft.
    F607 · Freedom from Abuse, Neglect, and Exploitation · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) March 21, 2025
    Inspectors wroteBased on interviews and record review, the facility failed to implement written policies and procedures that prohibit and prevent abuse and neglect for 2 of 10 residents (Resident #1, and #2) reviewed for abuse. The ADM (Abuse Preventionist) and the DON failed to follow the facility's abuse policy by not reporting the allegation of abuse to HHSC regarding the Resident-to-Resident inappropriate sexual activity between residents (Resident #1 kissed Resident #2) that occurred on an unknown date. The ADM (Abuse Preventionist) and the DON failed to follow the facility's abuse policy by not notifying the family representative regarding the Resident-to-Resident inappropriate sexual activity between residents (Resident #1 kissed Resident #2) that occurred on an unknown date. [...]
  2. D
    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
    F609 · Freedom from Abuse, Neglect, and Exploitation · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) March 21, 2025
    Inspectors wroteBased on interviews and record review, the facility failed to ensure that all alleged violations involving abuse, neglect, exploitation or mistreatment, including injuries of unknown source and misappropriation of resident property, were reported immediately, but not later than 2 hours if the alleged violation involved abuse or neglect and resulted in bodily injury, to other officials (including the State Agency) and the administrator of the facility for 2 of 10 residents (Resident #1 and #2) reviewed for reporting abuse, in that: The ADM (Abuse Preventionist) and the DON failed to follow the facility's abuse policy by not reporting the allegation of abuse to HHSC regarding the Resident-to-Resident inappropriate sexual activity between residents (Resident #1 kissed Resident #2) that occurred on an unknown date. These failures could place residents as risk for abuse and neglect.
  3. D
    Respond appropriately to all alleged violations.
    F610 · Freedom from Abuse, Neglect, and Exploitation · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) March 21, 2025
    Inspectors wroteBased on interviews and record reviews the facility failed to have evidence all allegations of abuse, neglect or mistreatment were thoroughly investigated for 2 of 10 residents (Resident #1, and #2) reviewed for abuse. The ADM (Abuse Preventionist) and the DON failed to follow the facility's abuse policy by not conducting a thorough investigation and documenting regarding the Resident-to-Resident inappropriate sexual activity between residents (Resident #1 kissed Resident #2) that occurred on an unknown date. These failures could place residents as risk for abuse and neglect by not investigating allegations of abuse, neglect, exploitation, or mistreatment.
December 12, 2024Complaint inspection · 1 citation
  1. J
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    F689 · Quality of Life and Care · Immediate jeopardy to resident health or safety, isolated · found on a complaint visit · Past noncompliance: already fixed when inspectors found it
    Inspectors wroteBased on observations, interviews, and record review, the facility failed to ensure each resident received adequate supervision and assistance devices to prevent accidents for 1 of 5 residents (Resident #4) reviewed for elopement. The facility failed to supervise Resident #4 while he was outside smoking. When the gate opened on 12/05/2024, Resident #4 was able to exit through the gate and leave the grounds. An Immediate Jeopardy situation was determined to have existed on 12/05/2024. It was determined to be past non-compliance due to the facility having implemented actions that corrected the non-compliance on 12/05/2024 before the beginning of the survey. This failure could place residents at risk for serious injury, harm, impairment, or death.
November 7, 2024Standard inspection · 5 citations
  1. E
    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
    F550 · Resident Rights · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) December 6, 2024
    Inspectors wroteBased on observations, interviews, and record reviews, the facility failed to ensure each resident was treated with respect, dignity, and care for each resident in a manner and in an environment that promotes the maintenance or enhancement of their quality of life, recognizing each resident's individuality and the facility failed to protect and promote the rights of the resident for 4 of 21 residents (Resident #9, Resident #26, Resident #41, and Resident #231) reviewed for resident rights in that: 1. CNA H failed to knock on the door prior to entering Resident #41's room during wound care. 2. CNA I failed to provide full privacy while providing peri care for Resident #9 3. CNA E and CNA F failed to provide full privacy while providing peri care for Resident #231. 4. [...]
  2. E
    Provide enough food/fluids to maintain a resident's health.
    F692 · Quality of Life and Care · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) December 6, 2024
    Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure residents were offered sufficient fluid intake to maintain proper hydration and health for 5 of 12 residents (Resident # 26, Resident #49, Resident #53, Resident #67, Resident #231) reviewed for hydration. The facility failed to ensure Resident #26, Resident #49, Resident #53, Resident #67, and Resident #231 received adequate fluid intake on 11/5/24, 11/6/24, and 11/7/24. This failure could place residents at risk for dehydration, decline in health, organ problems, seizures, and failure to thrive.
  3. 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 · Corrected (the home has a date of correction) December 6, 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 reviewed for dietary services. 1) The facility failed to keep food properly sealed in the refrigerator. 2) The facility failed to properly store bowls, plates and pans in the kitchen area. 3) The facility failed to keep the microwave handles and buttons and the deep fryer clean and ready for use. 4) The facility failed to store Liquid Steel [NAME] (cleaning solution) separately from where food is stored. These failures could place residents at risk for food contamination and foodborne illness.
  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) December 6, 2024
    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 to help prevent the development and transmission of communicable diseases and infections for 2 of 2 Residents observed for infection control practices (Resident #9, and Resident #231) in that: 1. CNA I failed to use proper hand washing techniques before and after assisting with resident during peri care for Resident #9. CNA I washed her hands for 15 seconds and 17 seconds with soap and friction before rinsing. CNA I used the same paper towel to dry hands to turn off faucet. 2. CNA E and CNA I failed to wash hands prior to gathering peri care supplies. 3. CNA F and CNA E failed to use proper hand washing techniques before, during, and after assisting with Resident #231's peri care. 4. [...]
  5. D
    Assist a resident in gaining access to vision and hearing services.
    F685 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) December 6, 2024
    Inspectors wroteBased on observation, interview and record review, the facility failed to assist the resident in making appointments to ensure residents receive proper treatment and assistive devices to maintain hearing abilities for one of one resident (Resident #47) reviewed for hearing devices. The facility failed to assist Resident #47 in locating missing hearing aids, and did not make an appointment to replace them, leaving Resident #47 to struggle to hear causing Resident #47 to become frustrated and depressed. Staff did not know that Resident #47 had hearing aids and were not assisting him with aids to hear. This failure could place residents at risk for limited social interactions and a decline in hearing.
May 10, 2024Complaint inspection · 2 citations
  1. D
    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, isolated · found on a complaint visit · Corrected (the home has a date of correction) May 11, 2024
    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 includes 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 5 residents (Resident #1) The facility failed to complete a comprehensive care plan for Resident #1's need for nail care. The deficient practice could place residents at risk of not receiving proper care and services.
  2. D
    Provide appropriate foot care.
    F687 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) May 11, 2024
    Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure residents received proper treatment and care to maintain mobility and good foot health for 1 of 5 residents (Resident #1) reviewed for foot care. The facility failed to ensure Resident 1 toenails were trimmed. The deficient practice placed residents at risk of discomfort, poor foot hygiene, and a decline in resident's physical condition.
September 26, 2023Standard inspection · 10 citations
  1. F
    Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.
    F801 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, widespread · Corrected (the home has a date of correction) October 2, 2023
    Inspectors wroteBased on interview and record review, the facility failed to employ sufficient staff with appropriate competencies and skill sets to carry out the functions of the food and nutrition service for the facility's only kitchen reviewed for dietary services. The facility failed to ensure the designated Dietary Manager completed the required dietary managers certification course or had any other qualifying credentials. This failure could place residents at risk for the spread of foodborne illness and residents not having their nutritional needs met.
  2. 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) October 2, 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 1 of 1 kitchen reviewed for dietary services, in that: The facility failed to ensure to date and label all food (DM). [...]
  3. F
    Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
    F925 · Environmental · No actual harm, potential for more than minimal harm, widespread · Corrected (the home has a date of correction) October 2, 2023
    Inspectors wroteBased on observation, interview, and record review the facility failed to maintain an effective pest control program to ensure the facility was free of pests for 1 of 1 kitchen and 2 of 32 resident rooms (Kitchen Food Preparation area, room [ROOM NUMBER] and room [ROOM NUMBER]). The facility failed to ensure room [ROOM NUMBER] and the Kitchen Food Preparation area were free from flies. This failure could place residents at risk for the potential spread of infection, cross-contamination, and decreased quality of life.
  4. E
    Ensure that residents are fully informed and understand their health status, care and treatments.
    F552 · Resident Rights · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) October 2, 2023
    Inspectors wroteBased on interviews and record reviews the facility failed to ensure the residents had the right to be informed of the risks, and participate in, his or her treatment which included the right to be informed in advance, by the physician or other practitioner or professional, of the risks and benefits of proposed care, of treatment and treatment alternatives or treatment options and to choose the alternative or option he or she preferred, for 6 of 21 residents (Residents #6, #25, #33, #37 ') reviewed for resident rights . 1. The facility failed to obtain a signed informed consent based on information of the benefits, risks, and options available for Residents #6 prior to administering melatonin (sleep aide). 2. The facility failed to obtain a signed informed consent based on information of the benefits, risks, and options available for Residents #14 prior to administering donepezil. 3. [...]
  5. E
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    F689 · Quality of Life and Care · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) October 2, 2023
    Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure the residents environment remained as free from accidents and hazards as possible, for 6 of 21 residents (Residents #32, #44, #53, #62, #66, and #70) observed for bathroom sink water temperature in that: 6 residents (Residents #32, #44, #53, #62, #66, and #70) were living in resident rooms where the sink water temperature was not held between the state regulated water temperature of 100-110 Fahrenheit (F) degrees (Rooms #35, #37, #41 and #42). This failure could place residents at risk for diminished quality of life, injury and burns.
  6. E
    Have a policy regarding use and storage of foods brought to residents by family and other visitors.
    F813 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) October 2, 2023
    Inspectors wroteBased on observation, interview, and record review, the facility failed to maintain and ensure safe and sanitary storage of residents' food items for 2 of 3 refrigerators reviewed for food safety (Conference Room refrigerator, and room [ROOM NUMBER]) in that: The refrigerator located in in the conference room did not have a thermometer in the freezer or refrigerator. The refrigerator did not have a log. The refrigerator contained staff personal food, residents' food and unlabeled food. The refrigerator located in room [ROOM NUMBER] contained food and did not have a temperature log present nor did it have a thermometer inside the refrigerator. This failure could place resident at risk for food borne illnesses.
  7. D
    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, isolated · Corrected (the home has a date of correction) October 2, 2023
    Inspectors wroteBased on record review and interview, the facility failed to develop a comprehensive care plan to meet the highest practicable physical, mental, psychosocial well-being for 1 of 21 residents (Resident #2) reviewed for care plans as follows: Resident #2 did not have a care plan for mood state. These failures could place residents at risk of not receiving the care required to meet their Individualized needs.
  8. D
    Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
    F693 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) October 2, 2023
    Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure a resident who is fed by enteral means receives the appropriate treatment to prevent complications of enteral feeding including but not limited to aspiration pneumonia, diarrhea, vomiting, dehydration, metabolic abnormalities, and stomach ulcers for 1 of 1 resident fed by gastrostomy tube (g-tube) (Resident #33), in that: LVN A did not administer meds by gravity, she pushed them in via g-tube. This failure could result in residents aspirating (inhaling into airway) gastric contents and/or stomach ulcers in residents with a g-tube.
  9. 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) October 2, 2023
    Inspectors wroteBased on interview and record review, the facility failed to ensure residents receiving psychotropic medications had an approved diagnosis and PRN orders for psychotropic drugs were limited to 14 days unless the attending physician or prescribing practitioner believed, and documented, that it was appropriate for the PRN order to be extended beyond 14 days, for 1 of 21 residents (Resident #14): Resident #14 continued to have a PRN order for Clonazepam 0.5mg after 14 days without an evaluation by the physician for continued treatment. This failure could result in residents receiving psychotropic and antipsychotic medications when contraindicated and could also result in residents experiencing adverse drug reactions, decreased quality of life and dependence on unnecessary psychotropic medications.
  10. 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) October 2, 2023
    Inspectors wroteBased on observation, interview and record review the facility failed to ensure, in accordance with State and Federal laws, all drugs and biologicals were stored in locked compartments under proper temperature controls and permitted only authorized personnel to have access to for 1 of 21 residents reviewed for medication administration (Resident #46). The facility failed to ensure Resident #46 medication was not left unattended. This failure could place residents at risk to having access to unauthorized medication and/or lead to possible harm or drug diversion.

Fire safety inspections

8 fire safety citations on file: 3 on January 23, 2026, 2 on November 7, 2024, 3 on September 26, 2023.

Every fire safety citation8 citations
  1. F
    Have generator or other power source capable of supplying service within 10 seconds.
    K 918 · January 23, 2026 · Corrected (the home has a date of correction)
  2. E
    Properly select, install, inspect, or maintain portable fire extinguishes.
    K 355 · January 23, 2026 · Corrected (the home has a date of correction)
  3. E
    Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
    K 372 · January 23, 2026 · Corrected (the home has a date of correction)
  4. F
    Install a fire alarm system that can be heard throughout the facility.
    K 341 · November 7, 2024 · Corrected (the home has a date of correction)
  5. C
    Keep aisles, corridors, and exits free of obstruction in case of emergency.
    K 211 · November 7, 2024 · Waiver
  6. F
    Properly select, install, inspect, or maintain portable fire extinguishes.
    K 355 · September 26, 2023 · Corrected (the home has a date of correction)
  7. E
    Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
    K 222 · September 26, 2023 · Corrected (the home has a date of correction)
  8. C
    Keep aisles, corridors, and exits free of obstruction in case of emergency.
    K 211 · September 26, 2023 · Waiver

Fines and payment denials

DatePenaltyAmount or length
August 15, 2025Fine $10,546
December 12, 2024Fine $9,000

A payment denial means Medicare and Medicaid stopped paying for new admissions for that period.

Staffing

Hours of care per resident per day, from the payroll records every home sends CMS. Higher means more staff time with each resident.

MeasureThis homeTexasUnited States
All nursing staff (RN, LPN and aides)3.393.393.86
Registered nurses0.330.430.69
All nursing staff on weekends3.162.983.42
Nurse aides2.45
Licensed practical nurses0.61
Nursing staff turnover (share who left in a year)95.6%55.3%45.8%
Registered nurse turnover88.9%54.6%42.9%
Administrators who left1

CMS expects 3.60 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 3.48 on weekdays and 3.16 on weekends, 9% 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 3.52 in April to June 2025 to 3.39 in January to March 2026.

QuarterAll nursing staffRegistered nursesWeekdaysWeekendsContract staff shareDays with no RN hoursResidents a day
Jan to Mar 20263.390.333.483.16 0.0%0 of 9076
Oct to Dec 20253.460.333.633.03 0.0%0 of 9276
Jul to Sep 20253.330.333.472.97 0.0%0 of 9276
Apr to Jun 20253.520.353.683.11 0.0%0 of 9176
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.

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.

Official wage estimates for Texas

JobMedianMiddle halfEmployed
Texas, all employers
CNAs (nursing assistants)$18.03$16.97 to $20.7188,680
LPNs and LVNs$29.92$27.46 to $32.8957,560
Registered nurses$46.14$38.06 to $50.53271,380
United States, nursing care facilities
CNAs (nursing assistants)$20.67$17.91 to $22.55534,270
LPNs and LVNs$33.86$30.05 to $37.40188,210
Registered nurses$41.11$37.85 to $47.68142,270

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.

MeasureThis homeTexasUS
Percentage of long-stay residents whose need for help with daily activities has increased
Long Stay residents, 2025Q2-2026Q1
15.915.813.9
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
0.00.81.6
Percentage of long-stay residents experiencing one or more falls with major injury
Long Stay residents, 2025Q2-2026Q1
9.33.33.2
Percentage of short-stay residents who newly received an antipsychotic medication
Short Stay residents, 2025Q2-2026Q1
4.21.51.6
Percentage of long-stay residents whose ability to walk independently worsened
Long Stay residents, 2025Q2-2026Q1
19.414.014.1
Percentage of long-stay residents with pressure ulcers
Long Stay residents, 2025Q2-2026Q1
5.03.84.6
Percentage of long-stay residents who received an antipsychotic medication
Long Stay residents, 2025Q2-2026Q1
5.89.615.4
Percentage of short-stay residents who were rehospitalized after a nursing home admission
Short Stay residents, 20250101-20251231
26.225.723.8
Percentage of short-stay residents who had an outpatient emergency department visit
Short Stay residents, 20250101-20251231
12.212.312.0
Number of hospitalizations per 1000 long-stay resident days
Long Stay residents, 20250101-20251231
3.12.21.9
Number of outpatient emergency department visits per 1000 long-stay resident days
Long Stay residents, 20250101-20251231
0.92.11.8

Short-term rehab results

For a stay to recover after a hospital visit, these are the results CMS publishes for Whisperwood Nursing & 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. 15 eligible stays.

Potentially preventable readmissions

9.8% 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. 33 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. 18 eligible stays.

Self-care and mobility 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: 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. 19 residents counted.

Falls with major injury

3.1% 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. 32 residents counted.

New or worsened pressure ulcers

7.9% 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. 32 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. 6 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: LIBERTY COUNTY HOSPITAL DISTRICT NO 1. CMS links this home to Creative Solutions in Healthcare, a group of 149 nursing homes averaging 2.1 stars overall.

NameRoleTypeShareSince
Liberty County Hospital District No 15% or greater direct ownership interestOrganization100%04/01/2022
Fregia, MiltonManaging control - governing bodyIndividual05/07/2022
Gardner, ShannonManaging control - governing bodyIndividual08/22/2022
Gardzina, MargaretManaging control - governing bodyIndividual02/26/2024
Henry, PaulManaging control - governing bodyIndividual05/09/2009
Stratton, CharlesManaging control - governing bodyIndividual05/01/2005
Huggins, LindaCorporate directorIndividual04/01/2022
Willig, ZacharyCorporate directorIndividual01/01/2025
Stratton, CharlesCorporate officerIndividual05/01/2005
Lubbock II Enterprises LLCOperational/managerial controlOrganization04/01/2022
Blake, GaryOperational/managerial controlIndividual04/01/2022
Blake, MalisaOperational/managerial controlIndividual04/01/2022
Lubbock II Enterprises LLCAdp of the SNFOrganization04/12/2025
Blake, GaryAdp of the SNFIndividual04/01/2022
McPherson, MichaelAdp of the SNFIndividual04/12/2025
Powell, KeriAdp of the SNFIndividual04/12/2025

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. How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 8 problems in this area, most recently on April 22, 2026: "Provide enough food/fluids to maintain a resident's health."
  2. How are allegations of abuse or neglect reported and investigated, and who tells the family?Inspectors cited 7 problems in this area, most recently on August 15, 2025: "Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody."
  3. Can we see a week of menus and the kitchen, and how are special diets handled?Inspectors cited 6 problems in this area, most recently on January 23, 2026: "Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards."
  4. When is the care plan meeting, and can family attend it?Inspectors cited 3 problems in this area, most recently on April 22, 2026: "Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured."
  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 Whisperwood Nursing & Rehabilitation Center's Medicare star rating?
CMS rates Whisperwood Nursing & Rehabilitation Center 2 out of 5 stars overall, with 3 for health inspections, 1 for staffing and 2 for quality measures (CMS data as of September 1, 2026).
How many deficiencies did Whisperwood Nursing & Rehabilitation Center get at its last inspection?
3 health deficiencies at the standard inspection on January 23, 2026. The Texas average is 9.4.
Has Whisperwood Nursing & Rehabilitation Center been fined?
Yes. CMS lists 2 fines totaling $19,546 in the last three years.
Does Whisperwood Nursing & 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 Whisperwood Nursing & Rehabilitation Center?
CMS lists 16 owners and managers, and links the home to Creative Solutions in Healthcare. Legal business name: LIBERTY COUNTY HOSPITAL DISTRICT NO 1.

Sources

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