SENIORTRUST HUB

Facility record

RALLS NURSING HOME has 46 certified beds in RALLS, Texas. The CMS overall rating is 1 of 5, compared with the Texas average of 2.6. The CMS health inspection rating is 1 of 5, compared with the Texas average of 2.8. The CMS staffing rating is 1 of 5. The latest standard health survey on Sep 16, 2025 lists 5 deficiencies, compared with the Texas average of 5.6. CMS records a fine of $12,740 dated Jan 14, 2026. CMS records a fine of $8,281 dated Jan 14, 2026. CMS records a fine of $16,543 dated Jul 18, 2025. Total nurse staffing is 2.31 hours per resident day in 2026Q1, compared with the Texas average of 3.39.

CMS nursing homes in Texas

CMS nursing home

RALLS NURSING HOME

RALLS, TX

CMS CCN 6754078062532596Listed in the current CMS nursing-home directoryCMS source updated August 1, 2026

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Independent research from official CMS public records. No paid ranking. No Trust Hub quality score.

Research this nursing home using CMS and federal public records. CMS Certification Number 675407.

At a glance

CMS research snapshot

CMS overall rating

1 of 5

CMS health inspection rating

1 of 5

CMS staffing rating

1 of 5

CMS quality-measure rating

4 of 5

CMS ownership-change history

No attached CMS ownership-change event.

These are CMS star ratings, not Trust Hub ratings. Missing evidence is shown as not reported, not as zero.

Quality & care evidence

What CMS reports about quality

  • MDS quality observations are in the CMS extract.
  • PBJ staffing records are in the CMS extract.
  • Inspection evidence is in the CMS extract.
  • Fire-safety evidence is in the CMS extract.

Staffing, inspections, and fire safety are separate CMS evidence families below.

Ownership & management

Who CMS/PECOS connects to this nursing home

Current ownership uses CURRENT OWNED_BY evidence only. UNKNOWN is not a former owner.

Current owners

  • BRITTON, CARLIndividual ownerLIMITED PARTNERSHIP INTEREST
  • BRITTON, CARLIndividual ownerDIRECT OWNERSHIP INTEREST
  • CHEBIB, PAULIndividual ownerDIRECT OWNERSHIP INTEREST
  • CHILDRESS COUNTY HOSPITAL DISTRICTOrganization5% OR GREATER INDIRECT OWNERSHIP INTEREST
  • RALLS NH OPERATIONS, LTDOrganization5% OR GREATER DIRECT OWNERSHIP INTEREST
  • SPORE, SCOTTIndividual owner5% OR GREATER DIRECT OWNERSHIP INTEREST
  • SSS HOLDINGS LPOrganizationDIRECT OWNERSHIP INTEREST
  • WOLCOTT, ROGERIndividual ownerDIRECT OWNERSHIP INTEREST
  • WOLCOTT, ROGERIndividual ownerLIMITED PARTNERSHIP INTEREST

Operators

  • BUCHOK, ANDREWIndividual owner · CURRENTOPERATIONAL/MANAGERIAL CONTROL
  • CHEBIB, PAULIndividual owner · CURRENTOPERATIONAL/MANAGERIAL CONTROL
  • SPORE, SCOTTIndividual owner · CURRENTOPERATIONAL/MANAGERIAL CONTROL
  • BUCHOK, ANDREWIndividual owner · UNKNOWNOPERATIONAL/MANAGERIAL CONTROL
  • CHEBIB, PAULIndividual owner · UNKNOWNOPERATIONAL/MANAGERIAL CONTROL
  • SPORE, SCOTTIndividual owner · UNKNOWNOPERATIONAL/MANAGERIAL CONTROL

Managers

  • BUCHOK, ANDREWIndividual owner · CURRENTW-2 MANAGING EMPLOYEE
  • CHEBIB, PAULIndividual owner · CURRENTW-2 MANAGING EMPLOYEE
  • HOLCOMB, HOLLYIndividual owner · CURRENTW-2 MANAGING EMPLOYEE
  • BUCHOK, ANDREWIndividual owner · UNKNOWNW-2 MANAGING EMPLOYEE
  • CHEBIB, PAULIndividual owner · UNKNOWNW-2 MANAGING EMPLOYEE
  • HOLCOMB, HOLLYIndividual owner · UNKNOWNW-2 MANAGING EMPLOYEE

Enrollment organizations

  • CHILDRESS COUNTY HOSPITAL DISTRICTOrganization · CURRENTMedicare-enrolled legal organization
  • CHILDRESS COUNTY HOSPITAL DISTRICTOrganization · UNKNOWNMedicare-enrolled legal organization
Ownership observations with UNKNOWN status

These relationships were observed in an older snapshot. UNKNOWN does not mean former owner, previous owner, or that ownership ended.

UNKNOWN

  • BRITTON, CARLIndividual owner · UNKNOWNLIMITED PARTNERSHIP INTEREST
  • BRITTON, CARLIndividual owner · UNKNOWNDIRECT OWNERSHIP INTEREST
  • CHEBIB, PAULIndividual owner · UNKNOWNDIRECT OWNERSHIP INTEREST
  • CHILDRESS COUNTY HOSPITAL DISTRICTOrganization · UNKNOWN5% OR GREATER INDIRECT OWNERSHIP INTEREST
  • RALLS NH OPERATIONS, LTDOrganization · UNKNOWN5% OR GREATER DIRECT OWNERSHIP INTEREST
  • SPORE, SCOTTIndividual owner · UNKNOWN5% OR GREATER DIRECT OWNERSHIP INTEREST
  • SSS HOLDINGS LPOrganization · UNKNOWNDIRECT OWNERSHIP INTEREST
  • WOLCOTT, ROGERIndividual owner · UNKNOWNLIMITED PARTNERSHIP INTEREST
  • WOLCOTT, ROGERIndividual owner · UNKNOWNDIRECT OWNERSHIP INTEREST

Ownership change history

CMS ownership-change records

No CMS ownership-change event is currently attached to this profile in the Trust Hub research graph. That is not proof that ownership never changed.

Source freshness

How current each evidence family is

nursing-home-mds-quality-measures
STALE · source as of 2026-08-01
nursing-home-provider-information
STALE · source as of 2026-08-01
skilled-nursing-facility-all-owners
AGING · source as of 2026-08-17
skilled-nursing-facility-change-of-ownership
CURRENT · source as of 2026-08-24

Profile generated 2026-11-04. That timestamp is not CMS evidence freshness.

Methodology

How Trust Hub researches this provider

  • CMS is the source for national nursing-home evidence.
  • Trust Hub does not create the CMS star ratings.
  • Ownership evidence does not measure care quality.
  • CMS CHOW records document reported ownership-change events.
  • Missing evidence is not interpreted as zero.
  • UNKNOWN ownership history is not interpreted as divestiture.
  • Ownership evidence is not a quality measure.
  • Missing evidence is not a zero score.
  • CMS ratings are CMS ratings, not Trust Hub ratings.
  • UNKNOWN ownership does not prove an owner left.
  • CHOW records are CMS transaction records, not Trust Hub judgments or sales.

CMS overview

CMS rating overview

CMS overall

1 of 5

Health inspection

1 of 5

Staffing

1 of 5

Quality measures

4 of 5

No proprietary TrustHub score. These ratings are published separately by CMS. How CMS ratings and facility records are read

CMS certified beds
46
Ownership descriptor
For profit - Partnership
Medicare participation
Yes
Medicaid participation
Yes

Facility information

Contact

CMS remains the primary federal record. Public website and additional contact details appear only when independently verified.

Phone
8062532596Verified public information · checked Aug 2026

State regulatory evidence

State License & Oversight

Texas Health and Human Services Commission is the state source for this license record. It does not replace CMS federal certification, ratings, or certified-bed counts.

Texas Health and Human Services Commission

State license
149051
License type
Nursing Facility

State regulatory data · checked Aug 2026

View source details · Official TX source

CMS designations

Special Focus and abuse-icon status

This CMS Certification Number appears in the latest CMS Nursing Home Provider Information extract of currently listed nursing homes.

Not currently SFF or candidate

CMS does not currently identify this nursing home as a Special Focus Facility or candidate in the loaded Provider Information extract.

CMS field value: (blank). Observed Aug 1, 2026.

CMS abuse-icon designation

CMS currently applies its abuse-icon designation to this facility. That is CMS's published designation, not a Trust Hub verdict.

CMS field value: Y. Observed Aug 1, 2026.

Enrollment identity

Medicare enrollment organization NPI associated with this CMS Certification Number

These identifiers come from CMS SNF enrollment records linked to this CCN. They are not a substitute for the CMS Certification Number.

  • NPI 1578968707 · enrollment O20150413001883
  • NPI 1578968707 · enrollment O20150413001883

MDS quality measures

Individual CMS quality measures

These MDS quality measures are individual CMS-published scores. They are not the CMS quality-measure star rating.

MDS source release 2026-08-01.

View individual MDS measures
  • Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine (Long Stay): 79.545455
  • Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine (Long Stay): 84.210526
  • Percentage of long-stay residents experiencing one or more falls with major injury (Long Stay): 4.545455 · CMS uses this measure in the quality-measure star rating
  • Percentage of long-stay residents who have depressive symptoms (Long Stay): 0.000000
  • Percentage of long-stay residents who lose too much weight (Long Stay): 15.730337
  • Percentage of long-stay residents who received an antianxiety or hypnotic medication (Long Stay): 53.398058
  • Percentage of long-stay residents who received an antipsychotic medication (Long Stay): 12.244898 · CMS uses this measure in the quality-measure star rating
  • Percentage of long-stay residents who were physically restrained (Long Stay): 0.000000
  • Percentage of long-stay residents whose ability to walk independently worsened (Long Stay): 12.822120 · CMS uses this measure in the quality-measure star rating
  • Percentage of long-stay residents whose need for help with daily activities has increased (Long Stay): 10.989011 · CMS uses this measure in the quality-measure star rating
  • Percentage of long-stay residents with a catheter inserted and left in their bladder (Long Stay): 0.000000 · CMS uses this measure in the quality-measure star rating
  • Percentage of long-stay residents with a urinary tract infection (Long Stay): 4.687500 · CMS uses this measure in the quality-measure star rating
  • Percentage of long-stay residents with new or worsened bowel or bladder incontinence (Long Stay): 18.090269
  • Percentage of long-stay residents with pressure ulcers (Long Stay): 1.183006 · CMS uses this measure in the quality-measure star rating
  • Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine (Short Stay): 16.666667
  • Percentage of short-stay residents who newly received an antipsychotic medication (Short Stay): 9 · CMS uses this measure in the quality-measure star rating
  • Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine (Short Stay): 9

Fire-safety citations

CMS fire-safety citations

These are fire-safety citations, not health deficiencies and not a count of fires.

  • 2025-09-16 · tag 0353 · scope/severity D — Inspect, test, and maintain automatic sprinkler systems.
  • 2025-09-16 · tag 0521 · scope/severity C — Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
  • 2024-08-20 · tag 0341 · scope/severity F — Install a fire alarm system that can be heard throughout the facility.
  • 2024-08-20 · tag 0521 · scope/severity C — Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
  • 2023-07-18 · tag 0222 · scope/severity 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.
  • 2023-07-18 · tag 0345 · scope/severity D — Have approved installation, maintenance and testing program for fire alarm systems.
  • 2023-07-18 · tag 0521 · scope/severity C — Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

Decision guide

What to review

Factual evidence to examine before you decide. These summaries are not a score or recommendation.

Staffing

CMS publishes a 1-star staffing rating for this facility.

RN staffing was 0.31 hours per resident day in 2026Q1, calculated from CMS PBJ records.

View staffing evidence
Enforcement record

CMS records show a $12,740 fine in the loaded enforcement dataset.

View enforcement evidence →

Ownership & operation

Ownership & Operation

Operator, licensee, owner, manager, and chain stay separate. A connected organization is not automatically the party that runs daily operations.

Ownership type
For profit - PartnershipCMS
Related facilities
12Current CMS organization identity

Explore ownership network →

Who is behind this facility?

SeniorTrustHub found evidence connecting this facility to:

  • 3 CMS-reported ownership organizations
  • CMS reports 19 individual ownership interests

Related facilities

12 currently connected nursing homes share this CMS organization identity with CHILDRESS COUNTY HOSPITAL DISTRICT.

Average CMS overall rating
2.9 stars across 12 reporting facilities
CMS monetary penalties
6 of 12 facilities had a recorded monetary penalty in the available CMS period.
Recent CMS penalties
5 facilities had a CMS penalty in the last 18 months.
Recent high-value CMS enforcement
5 facilities had a high-value CMS fine or payment denial in the last 18 months.
Recent CMS complaint inspections
8 facilities had a CMS complaint inspection in the last 18 months.
Total recorded CMS fines
$548,483

How connected-facility figures are read

Ownership

Who CMS records show is connected to this facility

These are CMS-published ownership disclosures. Medicare enrollment ownership and managerial-control information is reported by enrolled providers through CMS forms; it is not an independent determination of beneficial ownership.

Reported party records
25
Organizations shown
6
Individuals shown
19
Latest ownership source update
Aug 17, 2026

CMS-published ownership and control parties

  • RALLS NH OPERATIONS, LTD

    Organization · 5% OR GREATER DIRECT OWNERSHIP INTEREST

    Association date reported to CMS: Dec 1, 2014

    Other facilities connected through this exact CMS organization identity: 0 across TX.

    View ownership source details
    Source organization
    Centers for Medicare & Medicaid Services (CMS)
    Dataset
    Ownership
    CMS dataset identifier
    y2hd-n93e
    Source updated
    Aug 1, 2026
    Retrieved
    Aug 26, 2026
    View official CMS source
  • SPORE, SCOTT

    Individual · 5% OR GREATER DIRECT OWNERSHIP INTEREST

    Association date reported to CMS: Dec 1, 2014

    View ownership source details
    Source organization
    Centers for Medicare & Medicaid Services (CMS)
    Dataset
    Ownership
    CMS dataset identifier
    y2hd-n93e
    Source updated
    Aug 1, 2026
    Retrieved
    Aug 26, 2026
    View official CMS source
  • CHILDRESS COUNTY HOSPITAL DISTRICT

    Organization · 5% OR GREATER INDIRECT OWNERSHIP INTEREST

    Association date reported to CMS: Dec 1, 2014

    Other facilities connected through this exact CMS organization identity: 0 across TX.

    View ownership source details
    Source organization
    Centers for Medicare & Medicaid Services (CMS)
    Dataset
    Ownership
    CMS dataset identifier
    y2hd-n93e
    Source updated
    Aug 1, 2026
    Retrieved
    Aug 26, 2026
    View official CMS source
  • BUCHOK, ANDREW

    Individual · ADP OF THE SNF

    Association date reported to CMS: Jan 23, 2025

    View ownership source details
    Source organization
    Centers for Medicare & Medicaid Services (CMS)
    Dataset
    Ownership
    CMS dataset identifier
    y2hd-n93e
    Source updated
    Aug 1, 2026
    Retrieved
    Aug 26, 2026
    View official CMS source
  • CHEBIB, PAUL

    Individual · ADP OF THE SNF

    Association date reported to CMS: Jan 23, 2025

    View ownership source details
    Source organization
    Centers for Medicare & Medicaid Services (CMS)
    Dataset
    Ownership
    CMS dataset identifier
    y2hd-n93e
    Source updated
    Aug 1, 2026
    Retrieved
    Aug 26, 2026
    View official CMS source
  • CHILDRESS COUNTY HOSPITAL DISTRICT

    Organization · ADP OF THE SNF

    Association date reported to CMS: Jan 23, 2025

    Other facilities connected through this exact CMS organization identity: 0 across TX.

    View ownership source details
    Source organization
    Centers for Medicare & Medicaid Services (CMS)
    Dataset
    Ownership
    CMS dataset identifier
    y2hd-n93e
    Source updated
    Aug 1, 2026
    Retrieved
    Aug 26, 2026
    View official CMS source
  • HOLCOMB, HOLLY

    Individual · ADP OF THE SNF

    Association date reported to CMS: Jan 23, 2025

    View ownership source details
    Source organization
    Centers for Medicare & Medicaid Services (CMS)
    Dataset
    Ownership
    CMS dataset identifier
    y2hd-n93e
    Source updated
    Aug 1, 2026
    Retrieved
    Aug 26, 2026
    View official CMS source
  • RALLS NH OPERATIONS, LTD

    Organization · ADP OF THE SNF

    Association date reported to CMS: Jan 23, 2025

    Other facilities connected through this exact CMS organization identity: 0 across TX.

    View ownership source details
    Source organization
    Centers for Medicare & Medicaid Services (CMS)
    Dataset
    Ownership
    CMS dataset identifier
    y2hd-n93e
    Source updated
    Aug 1, 2026
    Retrieved
    Aug 26, 2026
    View official CMS source
  • SPORE, SCOTT

    Individual · ADP OF THE SNF

    Association date reported to CMS: Jan 23, 2025

    View ownership source details
    Source organization
    Centers for Medicare & Medicaid Services (CMS)
    Dataset
    Ownership
    CMS dataset identifier
    y2hd-n93e
    Source updated
    Aug 1, 2026
    Retrieved
    Aug 26, 2026
    View official CMS source
  • STRATTON, EMILEE

    Individual · ADP OF THE SNF

    Association date reported to CMS: Jan 23, 2025

    View ownership source details
    Source organization
    Centers for Medicare & Medicaid Services (CMS)
    Dataset
    Ownership
    CMS dataset identifier
    y2hd-n93e
    Source updated
    Aug 1, 2026
    Retrieved
    Aug 26, 2026
    View official CMS source
  • HOLCOMB, HOLLY

    Individual · CORPORATE OFFICER

    Association date reported to CMS: May 29, 2021

    View ownership source details
    Source organization
    Centers for Medicare & Medicaid Services (CMS)
    Dataset
    Ownership
    CMS dataset identifier
    y2hd-n93e
    Source updated
    Aug 1, 2026
    Retrieved
    Aug 26, 2026
    View official CMS source
  • STRATTON, EMILEE

    Individual · CORPORATE OFFICER

    Association date reported to CMS: Mar 18, 2018

    View ownership source details
    Source organization
    Centers for Medicare & Medicaid Services (CMS)
    Dataset
    Ownership
    CMS dataset identifier
    y2hd-n93e
    Source updated
    Aug 1, 2026
    Retrieved
    Aug 26, 2026
    View official CMS source
  • BRITTON, CARL

    Individual · DIRECT OWNERSHIP INTEREST

    Association date reported to CMS: Dec 1, 2023

    View ownership source details
    Source organization
    Centers for Medicare & Medicaid Services (CMS)
    Dataset
    Ownership
    CMS dataset identifier
    y2hd-n93e
    Source updated
    Aug 1, 2026
    Retrieved
    Aug 26, 2026
    View official CMS source
  • CHEBIB, PAUL

    Individual · DIRECT OWNERSHIP INTEREST

    Association date reported to CMS: Dec 1, 2023

    View ownership source details
    Source organization
    Centers for Medicare & Medicaid Services (CMS)
    Dataset
    Ownership
    CMS dataset identifier
    y2hd-n93e
    Source updated
    Aug 1, 2026
    Retrieved
    Aug 26, 2026
    View official CMS source
  • SSS HOLDINGS LP

    Organization · DIRECT OWNERSHIP INTEREST

    Association date reported to CMS: Dec 1, 2023

    Other facilities connected through this exact CMS organization identity: 0 across TX.

    View ownership source details
    Source organization
    Centers for Medicare & Medicaid Services (CMS)
    Dataset
    Ownership
    CMS dataset identifier
    y2hd-n93e
    Source updated
    Aug 1, 2026
    Retrieved
    Aug 26, 2026
    View official CMS source
  • WOLCOTT, ROGER

    Individual · DIRECT OWNERSHIP INTEREST

    Association date reported to CMS: Dec 1, 2023

    View ownership source details
    Source organization
    Centers for Medicare & Medicaid Services (CMS)
    Dataset
    Ownership
    CMS dataset identifier
    y2hd-n93e
    Source updated
    Aug 1, 2026
    Retrieved
    Aug 26, 2026
    View official CMS source
  • BRITTON, CARL

    Individual · LIMITED PARTNERSHIP INTEREST

    Association date reported to CMS: Dec 1, 2023

    View ownership source details
    Source organization
    Centers for Medicare & Medicaid Services (CMS)
    Dataset
    Ownership
    CMS dataset identifier
    y2hd-n93e
    Source updated
    Aug 1, 2026
    Retrieved
    Aug 26, 2026
    View official CMS source
  • WOLCOTT, ROGER

    Individual · LIMITED PARTNERSHIP INTEREST

    Association date reported to CMS: Dec 1, 2023

    View ownership source details
    Source organization
    Centers for Medicare & Medicaid Services (CMS)
    Dataset
    Ownership
    CMS dataset identifier
    y2hd-n93e
    Source updated
    Aug 1, 2026
    Retrieved
    Aug 26, 2026
    View official CMS source
  • BUCHOK, ANDREW

    Individual · OPERATIONAL/MANAGERIAL CONTROL

    Association date reported to CMS: Jan 13, 2025

    View ownership source details
    Source organization
    Centers for Medicare & Medicaid Services (CMS)
    Dataset
    Ownership
    CMS dataset identifier
    y2hd-n93e
    Source updated
    Aug 1, 2026
    Retrieved
    Aug 26, 2026
    View official CMS source
  • CHEBIB, PAUL

    Individual · OPERATIONAL/MANAGERIAL CONTROL

    Association date reported to CMS: Dec 30, 2024

    View ownership source details
    Source organization
    Centers for Medicare & Medicaid Services (CMS)
    Dataset
    Ownership
    CMS dataset identifier
    y2hd-n93e
    Source updated
    Aug 1, 2026
    Retrieved
    Aug 26, 2026
    View official CMS source
  • SPORE, SCOTT

    Individual · OPERATIONAL/MANAGERIAL CONTROL

    Association date reported to CMS: Dec 13, 2024

    View ownership source details
    Source organization
    Centers for Medicare & Medicaid Services (CMS)
    Dataset
    Ownership
    CMS dataset identifier
    y2hd-n93e
    Source updated
    Aug 1, 2026
    Retrieved
    Aug 26, 2026
    View official CMS source
  • BUCHOK, ANDREW

    Individual · W-2 MANAGING EMPLOYEE

    Association date reported to CMS: Aug 22, 2023

    View ownership source details
    Source organization
    Centers for Medicare & Medicaid Services (CMS)
    Dataset
    Ownership
    CMS dataset identifier
    y2hd-n93e
    Source updated
    Aug 1, 2026
    Retrieved
    Aug 26, 2026
    View official CMS source
  • CHEBIB, PAUL

    Individual · W-2 MANAGING EMPLOYEE

    Association date reported to CMS: Dec 1, 2023

    View ownership source details
    Source organization
    Centers for Medicare & Medicaid Services (CMS)
    Dataset
    Ownership
    CMS dataset identifier
    y2hd-n93e
    Source updated
    Aug 1, 2026
    Retrieved
    Aug 26, 2026
    View official CMS source
  • HOLCOMB, HOLLY

    Individual · W-2 MANAGING EMPLOYEE

    Association date reported to CMS: Apr 15, 1996

    View ownership source details
    Source organization
    Centers for Medicare & Medicaid Services (CMS)
    Dataset
    Ownership
    CMS dataset identifier
    y2hd-n93e
    Source updated
    Aug 1, 2026
    Retrieved
    Aug 26, 2026
    View official CMS source
  • CHILDRESS COUNTY HOSPITAL DISTRICT

    Organization · Medicare-enrolled legal organization

    Other facilities connected through this exact CMS organization identity: 13 across TX.

    View ownership source details
    Source organization
    Centers for Medicare & Medicaid Services (CMS)
    Dataset
    Skilled Nursing Facility Enrollments
    CMS dataset identifier
    5f2c306f-3b1c-42cd-b037-187b2ce22126
    Source updated
    Aug 17, 2026
    Retrieved
    Aug 26, 2026
    View official CMS source

What this means

Roles are shown as CMS publishes them. Different CMS sources can describe different enrollment, ownership, and control concepts, so TrustHub keeps each source-specific disclosure distinct.

Questions to ask

  • CMS records list several organizations with ownership or control roles. Which entity is responsible for day-to-day operations at this facility?
  • CMS records connect CHILDRESS COUNTY HOSPITAL DISTRICT to 14 facilities. Which policies and staffing decisions are managed centrally versus locally?

Inspections & deficiencies

What CMS inspection records show

Scope and severity terms below are CMS classifications. They are not a TrustHub score.

Latest recorded inspection

Date
Jan 14, 2026
Survey type
Health Complaint
Linked findings
4
Highest linked CMS classification
J — Isolated; Immediate jeopardy to resident health or safety
View source details
Dataset
Inspection Dates
CMS dataset ID
svdt-c123
CMS source updated
Aug 1, 2026
CMS provider ID
675407
Source record locator
csv-row:140718:ccn:675407
View official CMS source
Jan 14, 2026 — Health Complaint — 4 linked findings
  • F0600 — Freedom from Abuse, Neglect, and Exploitation Deficiencies

    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

    CMS scope/severity J: Isolated; Immediate jeopardy to resident health or safety.

    Correction status: Past Non-Compliance

    View source details
    Dataset
    Health Deficiencies
    CMS dataset ID
    r5ix-sfxw
    CMS source updated
    Aug 1, 2026
    CMS provider ID
    675407
    Source record locator
    csv-row:399038:ccn:675407
    View official CMS source
  • F0602 — Freedom from Abuse, Neglect, and Exploitation Deficiencies

    Protect each resident from the wrongful use of the resident's belongings or money.

    CMS scope/severity E: Pattern; No actual harm with potential for more than minimal harm that is not immediate jeopardy.

    Correction status: Deficient, Provider has date of correction (Jan 15, 2026)

    View source details
    Dataset
    Health Deficiencies
    CMS dataset ID
    r5ix-sfxw
    CMS source updated
    Aug 1, 2026
    CMS provider ID
    675407
    Source record locator
    csv-row:399041:ccn:675407
    View official CMS source
  • F0607 — Freedom from Abuse, Neglect, and Exploitation Deficiencies

    Develop and implement policies and procedures to prevent abuse, neglect, and theft.

    CMS scope/severity J: Isolated; Immediate jeopardy to resident health or safety.

    Correction status: Past Non-Compliance

    View source details
    Dataset
    Health Deficiencies
    CMS dataset ID
    r5ix-sfxw
    CMS source updated
    Aug 1, 2026
    CMS provider ID
    675407
    Source record locator
    csv-row:399039:ccn:675407
    View official CMS source
  • F0609 — Freedom from Abuse, Neglect, and Exploitation Deficiencies

    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

    CMS scope/severity J: Isolated; Immediate jeopardy to resident health or safety.

    Correction status: Past Non-Compliance

    View source details
    Dataset
    Health Deficiencies
    CMS dataset ID
    r5ix-sfxw
    CMS source updated
    Aug 1, 2026
    CMS provider ID
    675407
    Source record locator
    csv-row:399040:ccn:675407
    View official CMS source
Nov 26, 2025 — Health Complaint — 1 linked finding
  • F0760 — Pharmacy Service Deficiencies

    Ensure that residents are free from significant medication errors.

    CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.

    Correction status: Deficient, Provider has date of correction (Nov 27, 2025)

    View source details
    Dataset
    Health Deficiencies
    CMS dataset ID
    r5ix-sfxw
    CMS source updated
    Aug 1, 2026
    CMS provider ID
    675407
    Source record locator
    csv-row:399042:ccn:675407
    View official CMS source
Sep 16, 2025 — Fire Safety Standard — 0 linked findings

No health-deficiency rows were deterministically linked to this inspection.

Sep 16, 2025 — Health Standard — 5 linked findings
  • F0565 — Resident Rights Deficiencies

    Honor the resident's right to organize and participate in resident/family groups in the facility.

    CMS scope/severity E: Pattern; No actual harm with potential for more than minimal harm that is not immediate jeopardy.

    Correction status: Deficient, Provider has date of correction (Oct 11, 2025)

    View source details
    Dataset
    Health Deficiencies
    CMS dataset ID
    r5ix-sfxw
    CMS source updated
    Aug 1, 2026
    CMS provider ID
    675407
    Source record locator
    csv-row:399043:ccn:675407
    View official CMS source
  • F0585 — Resident Rights Deficiencies

    Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.

    CMS scope/severity E: Pattern; No actual harm with potential for more than minimal harm that is not immediate jeopardy.

    Correction status: Deficient, Provider has date of correction (Oct 11, 2025)

    View source details
    Dataset
    Health Deficiencies
    CMS dataset ID
    r5ix-sfxw
    CMS source updated
    Aug 1, 2026
    CMS provider ID
    675407
    Source record locator
    csv-row:399044:ccn:675407
    View official CMS source
  • F0609 — Freedom from Abuse, Neglect, and Exploitation Deficiencies

    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

    CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.

    Correction status: Deficient, Provider has date of correction (Oct 11, 2025)

    View source details
    Dataset
    Health Deficiencies
    CMS dataset ID
    r5ix-sfxw
    CMS source updated
    Aug 1, 2026
    CMS provider ID
    675407
    Source record locator
    csv-row:399047:ccn:675407
    View official CMS source
  • F0727 — Nursing and Physician Services Deficiencies

    Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.

    CMS scope/severity E: Pattern; No actual harm with potential for more than minimal harm that is not immediate jeopardy.

    Correction status: Deficient, Provider has date of correction (Oct 11, 2025)

    View source details
    Dataset
    Health Deficiencies
    CMS dataset ID
    r5ix-sfxw
    CMS source updated
    Aug 1, 2026
    CMS provider ID
    675407
    Source record locator
    csv-row:399045:ccn:675407
    View official CMS source
  • F0812 — Nutrition and Dietary Deficiencies

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    CMS scope/severity E: Pattern; No actual harm with potential for more than minimal harm that is not immediate jeopardy.

    Correction status: Deficient, Provider has date of correction (Oct 11, 2025)

    View source details
    Dataset
    Health Deficiencies
    CMS dataset ID
    r5ix-sfxw
    CMS source updated
    Aug 1, 2026
    CMS provider ID
    675407
    Source record locator
    csv-row:399046:ccn:675407
    View official CMS source
Jul 18, 2025 — Health Complaint — 3 linked findings
  • F0600 — Freedom from Abuse, Neglect, and Exploitation Deficiencies

    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

    CMS scope/severity J: Isolated; Immediate jeopardy to resident health or safety.

    Correction status: Past Non-Compliance

    View source details
    Dataset
    Health Deficiencies
    CMS dataset ID
    r5ix-sfxw
    CMS source updated
    Aug 1, 2026
    CMS provider ID
    675407
    Source record locator
    csv-row:399048:ccn:675407
    View official CMS source
  • F0607 — Freedom from Abuse, Neglect, and Exploitation Deficiencies

    Develop and implement policies and procedures to prevent abuse, neglect, and theft.

    CMS scope/severity J: Isolated; Immediate jeopardy to resident health or safety.

    Correction status: Past Non-Compliance

    View source details
    Dataset
    Health Deficiencies
    CMS dataset ID
    r5ix-sfxw
    CMS source updated
    Aug 1, 2026
    CMS provider ID
    675407
    Source record locator
    csv-row:399049:ccn:675407
    View official CMS source
  • F0609 — Freedom from Abuse, Neglect, and Exploitation Deficiencies

    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

    CMS scope/severity J: Isolated; Immediate jeopardy to resident health or safety.

    Correction status: Past Non-Compliance

    View source details
    Dataset
    Health Deficiencies
    CMS dataset ID
    r5ix-sfxw
    CMS source updated
    Aug 1, 2026
    CMS provider ID
    675407
    Source record locator
    csv-row:399050:ccn:675407
    View official CMS source
Aug 20, 2024 — Fire Safety Standard — 0 linked findings

No health-deficiency rows were deterministically linked to this inspection.

Aug 20, 2024 — Health Standard — 2 linked findings
  • F0880 — Infection Control Deficiencies

    Provide and implement an infection prevention and control program.

    CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.

    Correction status: Deficient, Provider has date of correction (Aug 21, 2024)

    View source details
    Dataset
    Health Deficiencies
    CMS dataset ID
    r5ix-sfxw
    CMS source updated
    Aug 1, 2026
    CMS provider ID
    675407
    Source record locator
    csv-row:399051:ccn:675407
    View official CMS source
  • F0921 — Environmental Deficiencies

    Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

    CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.

    Correction status: Deficient, Provider has date of correction (Aug 21, 2024)

    View source details
    Dataset
    Health Deficiencies
    CMS dataset ID
    r5ix-sfxw
    CMS source updated
    Aug 1, 2026
    CMS provider ID
    675407
    Source record locator
    csv-row:399052:ccn:675407
    View official CMS source
Jun 10, 2024 — Health Complaint — 5 linked findings
  • F0580 — Resident Rights Deficiencies

    Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

    CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.

    Correction status: Deficient, Provider has date of correction (Jul 23, 2024)

    View source details
    Dataset
    Health Deficiencies
    CMS dataset ID
    r5ix-sfxw
    CMS source updated
    Aug 1, 2026
    CMS provider ID
    675407
    Source record locator
    csv-row:399057:ccn:675407
    View official CMS source
  • F0600 — Freedom from Abuse, Neglect, and Exploitation Deficiencies

    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

    CMS scope/severity K: Pattern; Immediate jeopardy to resident health or safety.

    Correction status: Deficient, Provider has date of correction (Jul 23, 2024)

    View source details
    Dataset
    Health Deficiencies
    CMS dataset ID
    r5ix-sfxw
    CMS source updated
    Aug 1, 2026
    CMS provider ID
    675407
    Source record locator
    csv-row:399053:ccn:675407
    View official CMS source
  • F0607 — Freedom from Abuse, Neglect, and Exploitation Deficiencies

    Develop and implement policies and procedures to prevent abuse, neglect, and theft.

    CMS scope/severity K: Pattern; Immediate jeopardy to resident health or safety.

    Correction status: Deficient, Provider has date of correction (Jul 23, 2024)

    View source details
    Dataset
    Health Deficiencies
    CMS dataset ID
    r5ix-sfxw
    CMS source updated
    Aug 1, 2026
    CMS provider ID
    675407
    Source record locator
    csv-row:399054:ccn:675407
    View official CMS source
  • F0609 — Freedom from Abuse, Neglect, and Exploitation Deficiencies

    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

    CMS scope/severity E: Pattern; No actual harm with potential for more than minimal harm that is not immediate jeopardy.

    Correction status: Deficient, Provider has date of correction (Jul 23, 2024)

    View source details
    Dataset
    Health Deficiencies
    CMS dataset ID
    r5ix-sfxw
    CMS source updated
    Aug 1, 2026
    CMS provider ID
    675407
    Source record locator
    csv-row:399055:ccn:675407
    View official CMS source
  • F0610 — Freedom from Abuse, Neglect, and Exploitation Deficiencies

    Respond appropriately to all alleged violations.

    CMS scope/severity E: Pattern; No actual harm with potential for more than minimal harm that is not immediate jeopardy.

    Correction status: Deficient, Provider has date of correction (Jul 23, 2024)

    View source details
    Dataset
    Health Deficiencies
    CMS dataset ID
    r5ix-sfxw
    CMS source updated
    Aug 1, 2026
    CMS provider ID
    675407
    Source record locator
    csv-row:399056:ccn:675407
    View official CMS source
May 9, 2024 — Health Complaint — 4 linked findings
  • F0585 — Resident Rights Deficiencies

    Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.

    CMS scope/severity E: Pattern; No actual harm with potential for more than minimal harm that is not immediate jeopardy.

    Correction status: Deficient, Provider has date of correction (Jun 6, 2024)

    View source details
    Dataset
    Health Deficiencies
    CMS dataset ID
    r5ix-sfxw
    CMS source updated
    Aug 1, 2026
    CMS provider ID
    675407
    Source record locator
    csv-row:399059:ccn:675407
    View official CMS source
  • F0607 — Freedom from Abuse, Neglect, and Exploitation Deficiencies

    Develop and implement policies and procedures to prevent abuse, neglect, and theft.

    CMS scope/severity E: Pattern; No actual harm with potential for more than minimal harm that is not immediate jeopardy.

    Correction status: Deficient, Provider has date of correction (Jun 6, 2024)

    View source details
    Dataset
    Health Deficiencies
    CMS dataset ID
    r5ix-sfxw
    CMS source updated
    Aug 1, 2026
    CMS provider ID
    675407
    Source record locator
    csv-row:399060:ccn:675407
    View official CMS source
  • F0657 — Resident Assessment and Care Planning Deficiencies

    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

    CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.

    Correction status: Deficient, Provider has date of correction (Jun 6, 2024)

    View source details
    Dataset
    Health Deficiencies
    CMS dataset ID
    r5ix-sfxw
    CMS source updated
    Aug 1, 2026
    CMS provider ID
    675407
    Source record locator
    csv-row:399061:ccn:675407
    View official CMS source
  • F0689 — Quality of Life and Care Deficiencies

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    CMS scope/severity G: Isolated; Actual harm that is not immediate jeopardy.

    Correction status: Deficient, Provider has date of correction (Jun 6, 2024)

    View source details
    Dataset
    Health Deficiencies
    CMS dataset ID
    r5ix-sfxw
    CMS source updated
    Aug 1, 2026
    CMS provider ID
    675407
    Source record locator
    csv-row:399058:ccn:675407
    View official CMS source
Jan 18, 2024 — Infection Control — 0 linked findings

No health-deficiency rows were deterministically linked to this inspection.

Nov 14, 2023 — Infection Control — 0 linked findings

No health-deficiency rows were deterministically linked to this inspection.

Jul 18, 2023 — Fire Safety Standard — 0 linked findings

No health-deficiency rows were deterministically linked to this inspection.

Jul 18, 2023 — Health Standard — 5 linked findings
  • F0552 — Resident Rights Deficiencies

    Ensure that residents are fully informed and understand their health status, care and treatments.

    CMS scope/severity E: Pattern; No actual harm with potential for more than minimal harm that is not immediate jeopardy.

    Correction status: Deficient, Provider has date of correction (Jul 19, 2023)

    View source details
    Dataset
    Health Deficiencies
    CMS dataset ID
    r5ix-sfxw
    CMS source updated
    Aug 1, 2026
    CMS provider ID
    675407
    Source record locator
    csv-row:399063:ccn:675407
    View official CMS source
  • F0558 — Resident Rights Deficiencies

    Reasonably accommodate the needs and preferences of each resident.

    CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.

    Correction status: Deficient, Provider has date of correction (Jul 24, 2023)

    View source details
    Dataset
    Health Deficiencies
    CMS dataset ID
    r5ix-sfxw
    CMS source updated
    Aug 1, 2026
    CMS provider ID
    675407
    Source record locator
    csv-row:399064:ccn:675407
    View official CMS source
  • F0656 — Resident Assessment and Care Planning Deficiencies

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.

    Correction status: Deficient, Provider has date of correction (Jul 27, 2023)

    View source details
    Dataset
    Health Deficiencies
    CMS dataset ID
    r5ix-sfxw
    CMS source updated
    Aug 1, 2026
    CMS provider ID
    675407
    Source record locator
    csv-row:399065:ccn:675407
    View official CMS source
  • F0679 — Quality of Life and Care Deficiencies

    Provide activities to meet all resident's needs.

    CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.

    Correction status: Deficient, Provider has date of correction (Jul 19, 2023)

    View source details
    Dataset
    Health Deficiencies
    CMS dataset ID
    r5ix-sfxw
    CMS source updated
    Aug 1, 2026
    CMS provider ID
    675407
    Source record locator
    csv-row:399066:ccn:675407
    View official CMS source
  • F0812 — Nutrition and Dietary Deficiencies

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    CMS scope/severity F: Widespread; No actual harm with potential for more than minimal harm that is not immediate jeopardy.

    Correction status: Deficient, Provider has date of correction (Aug 2, 2023)

    View source details
    Dataset
    Health Deficiencies
    CMS dataset ID
    r5ix-sfxw
    CMS source updated
    Aug 1, 2026
    CMS provider ID
    675407
    Source record locator
    csv-row:399062:ccn:675407
    View official CMS source

Tags appearing across inspections

  • F0607 appears in 4 linked inspections.
  • F0609 appears in 4 linked inspections.
  • F0600 appears in 3 linked inspections.
  • F0585 appears in 2 linked inspections.
  • F0812 appears in 2 linked inspections.

Penalties & enforcement

CMS penalty records in the loaded three-year dataset

  • Fine — Jan 14, 2026

    Published fine amount: $12,740.00

    View source details
    Dataset
    Penalties
    CMS dataset ID
    g6vv-u9sr
    CMS source updated
    Aug 1, 2026
    CMS provider ID
    675407
    Source record locator
    csv-row:14509:ccn:675407
    View official CMS source
  • Fine — Jan 14, 2026

    Published fine amount: $8,281.00

    View source details
    Dataset
    Penalties
    CMS dataset ID
    g6vv-u9sr
    CMS source updated
    Aug 1, 2026
    CMS provider ID
    675407
    Source record locator
    csv-row:14508:ccn:675407
    View official CMS source
  • Fine — Jul 18, 2025

    Published fine amount: $16,543.00

    View source details
    Dataset
    Penalties
    CMS dataset ID
    g6vv-u9sr
    CMS source updated
    Aug 1, 2026
    CMS provider ID
    675407
    Source record locator
    csv-row:14510:ccn:675407
    View official CMS source
  • Payment Denial — Jun 10, 2024

    Payment denial length: 11 days

    View source details
    Dataset
    Penalties
    CMS dataset ID
    g6vv-u9sr
    CMS source updated
    Aug 1, 2026
    CMS provider ID
    675407
    Source record locator
    csv-row:14513:ccn:675407
    View official CMS source
  • Fine — Jun 10, 2024

    Published fine amount: $203,177.00

    View source details
    Dataset
    Penalties
    CMS dataset ID
    g6vv-u9sr
    CMS source updated
    Aug 1, 2026
    CMS provider ID
    675407
    Source record locator
    csv-row:14512:ccn:675407
    View official CMS source
  • Fine — May 9, 2024

    Published fine amount: $62,438.00

    View source details
    Dataset
    Penalties
    CMS dataset ID
    g6vv-u9sr
    CMS source updated
    Aug 1, 2026
    CMS provider ID
    675407
    Source record locator
    csv-row:14511:ccn:675407
    View official CMS source

Questions to ask

Questions generated from the evidence above

  • CMS records show F0607 in 4 inspections in the available record. What changes has the facility made to address this issue?
  • CMS records show F0609 in 4 inspections in the available record. What changes has the facility made to address this issue?
  • CMS records show F0600 in 3 inspections in the available record. What changes has the facility made to address this issue?
  • CMS records show F0585 in 2 inspections in the available record. What changes has the facility made to address this issue?
  • CMS records show F0812 in 2 inspections in the available record. What changes has the facility made to address this issue?
  • CMS records include an Immediate Jeopardy-level finding. What corrective actions were taken after that inspection?
  • CMS records show a monetary penalty dated Jan 14, 2026. What changes were made after that enforcement action?

Facility history

Facility History

21 historical events available. Dates and values come from published CMS and official state regulator evidence, not a score.

What changed recently?

  • Total nurse staffing decreasedTotal nurse staffing decreased from 2.75 to 2.31 hours per resident day between 2025Q4 and 2026Q1. Staffing declined across those reported periods.
  • Civil monetary penalty recordedCMS recorded a $12,740 civil monetary penalty.
  • Complaint inspection recorded4 deficiencies were recorded. That includes 3 higher-severity deficiencies.

2026

  1. Total nurse staffing decreased

    Total nurse staffing decreased from 2.75 to 2.31 hours per resident day between 2025Q4 and 2026Q1. Staffing declined across those reported periods.

    2.75 → 2.31

    CMS · Reported in a source release · View related evidence

  2. Civil monetary penalty recorded

    CMS recorded a $12,740 civil monetary penalty.

    CMS · Recorded event date · View related evidence

  3. Complaint inspection recorded

    4 deficiencies were recorded. That includes 3 higher-severity deficiencies.

    CMS · Recorded event date · View related evidence

  4. Civil monetary penalty recorded

    CMS recorded a $8,281 civil monetary penalty.

    CMS · Recorded event date · View related evidence

2025

  1. Total nurse staffing increased

    Total nurse staffing increased from 2.51 to 2.75 hours per resident day between 2025Q3 and 2025Q4. Staffing improved across those reported periods.

    2.51 → 2.75

    CMS · Reported in a source release · View related evidence

  2. RN staffing increased

    RN staffing increased from 0.29 to 0.39 hours per resident day between 2025Q3 and 2025Q4. Staffing improved across those reported periods.

    0.29 → 0.39

    CMS · Reported in a source release · View related evidence

  3. Complaint inspection recorded

    1 deficiency was recorded.

    CMS · Recorded event date · View related evidence

  4. Total nurse staffing increased

    Total nurse staffing increased from 2.24 to 2.51 hours per resident day between 2025Q2 and 2025Q3. Staffing improved across those reported periods.

    2.24 → 2.51

    CMS · Reported in a source release · View related evidence

  5. RN staffing decreased

    RN staffing decreased from 0.39 to 0.29 hours per resident day between 2025Q2 and 2025Q3. Staffing declined across those reported periods.

    0.39 → 0.29

    CMS · Reported in a source release · View related evidence

  6. Health inspection completed

    5 deficiencies were recorded.

    CMS · Recorded event date · View related evidence

  7. Civil monetary penalty recorded

    CMS recorded a $16,543 civil monetary penalty.

    CMS · Recorded event date · View related evidence

  8. Complaint inspection recorded

    3 deficiencies were recorded. That includes 3 higher-severity deficiencies.

    CMS · Recorded event date · View related evidence

Staffing

Reported nursing staffing at a glance

CMS staffing rating: 1 of 5 stars. CMS calculates that rating separately using its published methodology. The values below are calculations from daily PBJ records for 2026Q1 (current source quarter).

Inspect a PBJ quarter
Total nursing
2.307
reported hours per resident day
RN categories
0.308
reported hours per resident day
LPN/LVN categories
0.706
reported hours per resident day
CNA
1.012
reported hours per resident day

Weekday and weekend calculations

2026Q1 reported hours per resident day
MeasureMonday–FridaySaturday–Sunday
Total nursing2.4411.977
RN categories0.3330.246

Contract staff accounted for 0.5% of reported nursing hours included in this quarter calculation.

Reported RN-category hours per resident day were 0.083 lower than the prior loaded quarter.

Staffing over time

Solid bar: Total nursing · Outlined bar: RN categories

Calculated reported hours per resident day by PBJ quarter
QuarterTotal nursingRN categoriesLPN/LVNCNAContract shareDays
2025Q22.2360.3910.6350.9650%91
2025Q32.5120.2880.7461.1942.8%92
2025Q42.7490.3910.8111.29712.2%92
2026Q12.3070.3080.7061.0120.5%90

Questions to ask

  • PBJ records show lower calculated RN-category hours per resident day on weekends this quarter. How does the facility plan RN coverage on Saturdays and Sundays?
  • PBJ records show that some reported nursing hours were contract hours. How does the facility orient and integrate contract staff?
Staffing source and calculation details
Source
Centers for Medicare & Medicaid Services (CMS)
Dataset
Payroll Based Journal Daily Nurse Staffing
CMS dataset ID
7e0d53ba-8f02-4c66-98a5-14a1c997c50d
Quarter
2026Q1
Coverage
Jan 1, 2026–Mar 31, 2026
Days represented
90 (90 with positive MDS census)
CMS source updated
Jul 29, 2026
Calculation version
pbj-quarter-ratio-of-sums-v1

Hours-per-resident-day values are calculated by this platform from CMS-published daily PBJ hours and MDS census. For each displayed period, included hours are summed and divided by the summed census for days with a positive census. They are not CMS case-mix-adjusted staffing measures or a staffing rating.

View official CMS PBJ source

What we can verify today

Current Provider Information facts

These measures come from the current successfully ingested CMS Nursing Home Provider Information release.

  • CMS reports a 1-star overall rating.
  • CMS reports a 1-star health inspection rating.
  • CMS reports a 1-star staffing rating.
  • CMS reports a 4-star quality-measure rating.

Trust participation

See something that needs correction?

Claims, corrections, and factual context are free. Submissions never replace CMS evidence or affect ranking.

Representation claims are reviewed manually. Live profile-management tools are not yet enabled for this facility.

How corrections work

Source register

See where this record came from

Provider Information
Source organization
Centers for Medicare & Medicaid Services (CMS)
Dataset identifier
4pq5-n9py
Source updated
Aug 1, 2026
Retrieved
Aug 26, 2026
Supports
Overview, facility facts, and CMS ratings
View official CMS source
Inspection Dates
Source organization
Centers for Medicare & Medicaid Services (CMS)
Dataset identifier
svdt-c123
Source updated
Aug 1, 2026
Retrieved
Aug 26, 2026
Supports
Inspections and facility history
View official CMS source
Health Deficiencies
Source organization
Centers for Medicare & Medicaid Services (CMS)
Dataset identifier
r5ix-sfxw
Source updated
Aug 1, 2026
Retrieved
Aug 26, 2026
Supports
Health deficiencies and facility history
View official CMS source
Penalties
Source organization
Centers for Medicare & Medicaid Services (CMS)
Dataset identifier
g6vv-u9sr
Source updated
Aug 1, 2026
Retrieved
Aug 26, 2026
Supports
Penalties, enforcement, and facility history
View official CMS source
Payroll Based Journal Daily Nurse Staffing
Source organization
Centers for Medicare & Medicaid Services (CMS)
Dataset identifier
7e0d53ba-8f02-4c66-98a5-14a1c997c50d
Coverage
Apr 1, 2025–Mar 31, 2026
Source updated
Jul 29, 2026
Retrieved
Aug 15, 2026
Supports
PBJ staffing cards, history, and transparent calculations
View official CMS source
Ownership
Source organization
Centers for Medicare & Medicaid Services (CMS)
Dataset identifier
y2hd-n93e
Source updated
Aug 1, 2026
Retrieved
Aug 26, 2026
Supports
Ownership parties, organization connections, and ownership history
View official CMS source
Skilled Nursing Facility Enrollments
Source organization
Centers for Medicare & Medicaid Services (CMS)
Dataset identifier
5f2c306f-3b1c-42cd-b037-187b2ce22126
Source updated
Aug 17, 2026
Retrieved
Aug 26, 2026
Supports
Ownership parties, organization connections, and ownership history
View official CMS source
Verified public facility information
Source organization
Public facility listing
Dataset identifier
commercial-corroboration:public-listing
Source updated
Aug 18, 2026
Retrieved
Aug 18, 2026
Supports
Independently verified public website, phone, or publicly used name. Not a CMS rating or regulatory status.
How sources work
Directory of Nursing Facilities with an Active License
Source organization
Texas Health and Human Services Commission
Dataset identifier
state-regulator:tx
Coverage
State license 149051
Source updated
Aug 18, 2026
Retrieved
Aug 18, 2026
Supports
state license, and license type. Separate from CMS certification, ratings, and ownership.
View official state source

No paid placements. Facilities cannot pay to rank higher. We cite. You decide.