Starfile

Starfile / Texas

GRACE CARE CENTER OF HENRIETTA

807 W BOIS D ARC, HENRIETTA, TX 76365 · CCN 455893

SFF Candidate

Ratings

Overall
★☆☆☆☆ 1
Health inspection
★☆☆☆☆ 1
Quality measures
★★★☆☆ 3
Staffing
★☆☆☆☆ 1

Facility

Ownership type
For profit - Limited Liability company
Certified beds
60
Avg residents/day
18.5
Phone
9405384303

Inspection history vs Texas & national averages

Cycle 1 is the most recent standard health inspection. Lower total deficiency counts are better.

CycleInspection dateThis facilityTexas avgNational avgvs state
12025-07-30179.19.5+7.9 worse
22024-05-01289.49.8+18.6 worse
32023-03-1588.19.3-0.1 better

Cycle 1 deficiencies by category

CategoryDeficiencies
Abuse, neglect, exploitation1
Quality of life and care2
Resident assessment and care planning2
Nursing and physician services1
Resident rights2
Nutrition and dietary3
Pharmacy service2
Administration3
Infection control1

Staffing (hours per resident per day)

MetricThis facilityTurnover
Total nurse staffing (reported)3.37
RN staffing (reported)0.46
Total nurse staffing (adjusted)3.70

Fines & penalties

Total fines
$13,627
Number of fines
1
Number of penalties
2
Payment denials
1

Inspection citations (53)3 immediate jeopardy1 actual harm

  1. EF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2025-11-18 · Health · corrected 2025-11-19

    Potential for more than minimal harm

  2. DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2025-07-30 · Health · corrected 2025-08-30

    Potential for more than minimal harm

  3. DF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2025-07-30 · Health · corrected 2025-08-30

    Potential for more than minimal harm

  4. FF0803Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.2025-07-30 · Health · corrected 2025-08-30

    Potential for more than minimal harm

  5. FF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2025-07-30 · Health · corrected 2025-08-30

    Potential for more than minimal harm

  6. EF0561Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.2025-04-25 · Health · corrected 2025-05-20

    Potential for more than minimal harm

  7. EF0576Ensure residents have reasonable access to and privacy in their use of communication methods.2025-04-25 · Health · corrected 2025-05-20

    Potential for more than minimal harm

  8. EF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2025-04-25 · Health · corrected 2025-05-20

    Potential for more than minimal harm

  9. EF0697Provide safe, appropriate pain management for a resident who requires such services.2025-04-25 · Health · corrected 2025-05-20

    Potential for more than minimal harm

  10. EF0727Have 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.2025-04-25 · Health · corrected 2025-05-20

    Potential for more than minimal harm

  11. EF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2025-04-25 · Health · corrected 2025-05-20

    Potential for more than minimal harm

  12. EF0760Ensure that residents are free from significant medication errors.2025-04-25 · Health · corrected 2025-05-20

    Potential for more than minimal harm

  13. EF0803Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.2025-04-25 · Health · corrected 2025-05-20

    Potential for more than minimal harm

  14. LF0835Administer the facility in a manner that enables it to use its resources effectively and efficiently.2025-04-25 · Health · corrected 2025-05-20

    Immediate jeopardy

  15. LF0837Establish a governing body that is legally responsible for establishing and implementing policies for managing and operating the facility and appoints a properly licensed administrator responsible for managing the facility.2025-04-25 · Health · corrected 2025-05-20

    Immediate jeopardy

  16. EF0867Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.2025-04-25 · Health · corrected 2025-05-20

    Potential for more than minimal harm

  17. FF0880Provide and implement an infection prevention and control program.2025-04-25 · Health · corrected 2025-05-20

    Potential for more than minimal harm

  18. EF0727Have 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.2025-01-03 · Health · corrected 2025-01-27

    Potential for more than minimal harm

  19. EF0880Provide and implement an infection prevention and control program.2025-01-03 · Health · corrected 2025-01-27

    Potential for more than minimal harm

  20. DF0567Honor the resident's right to manage his or her financial affairs.2024-10-25 · Health · corrected 2024-11-10

    Potential for more than minimal harm

  21. EF0607Develop and implement policies and procedures to prevent abuse, neglect, and theft.2024-10-25 · Health · corrected 2024-11-10

    Potential for more than minimal harm

  22. HF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2024-10-25 · Health · corrected 2024-11-10

    Actual harm

  23. DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2024-10-25 · Health · corrected 2024-11-10

    Potential for more than minimal harm

  24. FF0838Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.2024-10-25 · Health · corrected 2024-11-10

    Potential for more than minimal harm

  25. EF0943Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.2024-10-25 · Health · corrected 2024-11-10

    Potential for more than minimal harm

  26. EF0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.2024-06-07 · Health · corrected 2024-07-05

    Potential for more than minimal harm

  27. EF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2024-06-07 · Health · corrected 2024-07-05

    Potential for more than minimal harm

  28. DF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2024-05-01 · Health · corrected 2024-06-01

    Potential for more than minimal harm

  29. DF0583Keep residents' personal and medical records private and confidential.2024-05-01 · Health · corrected 2024-06-01

    Potential for more than minimal harm

  30. EF0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.2024-05-01 · Health · corrected 2024-06-01

    Potential for more than minimal harm

  31. DF0695Provide safe and appropriate respiratory care for a resident when needed.2024-05-01 · Health · corrected 2024-06-01

    Potential for more than minimal harm

  32. EF0727Have 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.2024-05-01 · Health · corrected 2024-06-01

    Potential for more than minimal harm

  33. CF0732Post nurse staffing information every day.2024-05-01 · Health · corrected 2024-06-01

    Potential for minimal harm

  34. DF0760Ensure that residents are free from significant medication errors.2024-05-01 · Health · corrected 2024-06-01

    Potential for more than minimal harm

  35. DF0761Ensure 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.2024-05-01 · Health · corrected 2024-06-01

    Potential for more than minimal harm

  36. EF0800Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs.2024-05-01 · Health · corrected 2024-06-01

    Potential for more than minimal harm

  37. FF0801Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.2024-05-01 · Health · corrected 2024-06-01

    Potential for more than minimal harm

  38. FF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2024-05-01 · Health · corrected 2024-06-01

    Potential for more than minimal harm

  39. DF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2024-05-01 · Health · corrected 2024-06-01

    Potential for more than minimal harm

  40. DF0940Develop, implement, and/or maintain an effective training program for all new and existing staff members.2024-05-01 · Health · corrected 2024-06-01

    Potential for more than minimal harm

  41. BF0941Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members.2024-05-01 · Health · corrected 2024-06-01

    Potential for minimal harm

  42. BF0944Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.2024-05-01 · Health · corrected 2024-06-01

    Potential for minimal harm

  43. BF0949Provide behavior health training consistent with the requirements and as determined by a facility assessment.2024-05-01 · Health · corrected 2024-06-01

    Potential for minimal harm

  44. DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2024-03-08 · Health · corrected 2024-03-28

    Potential for more than minimal harm

  45. JF0760Ensure that residents are free from significant medication errors.2024-03-08 · Health · corrected 2024-03-28

    Immediate jeopardy

  46. DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2024-02-09 · Health · corrected 2024-03-01

    Potential for more than minimal harm

  47. DF0637Assess the resident when there is a significant change in condition2023-09-06 · Health · corrected 2023-10-06

    Potential for more than minimal harm

  48. DF0641Ensure each resident receives an accurate assessment.2023-09-06 · Health · corrected 2023-10-06

    Potential for more than minimal harm

  49. EF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2023-03-15 · Health · corrected 2023-04-13

    Potential for more than minimal harm

  50. DF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2023-03-15 · Health · corrected 2023-04-13

    Potential for more than minimal harm

  51. EF0695Provide safe and appropriate respiratory care for a resident when needed.2023-03-15 · Health · corrected 2023-04-13

    Potential for more than minimal harm

  52. DF0758Implement 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.2023-03-15 · Health · corrected 2023-04-13

    Potential for more than minimal harm

  53. EF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2023-03-15 · Health · corrected 2023-04-13

    Potential for more than minimal harm

Ownership

OwnerTypeRolePercentSince
EXTENDED CARE AT HENRIETTA LLCOrganization5% OR GREATER DIRECT OWNERSHIP INTEREST2024-10-01
LAPIN, ZACHARYIndividual5% OR GREATER DIRECT OWNERSHIP INTEREST2024-10-01
NOCONA HOSPITAL DISTRICTOrganization5% OR GREATER INDIRECT OWNERSHIP INTEREST2014-09-01
EXTENDED CARE AT HENRIETTA LLCOrganizationOPERATIONAL/MANAGERIAL CONTROL2024-10-01
LAPIN, ZACHARYIndividualOPERATIONAL/MANAGERIAL CONTROL2024-10-01
MEEKINS, GREGIndividualCORPORATE DIRECTOR2014-09-01

Other facilities in HENRIETTA

NameOverallBeds

Source: CMS Provider Data Catalog, Nursing Home Care Compare files (processed 2026-03-01). Citations show the 3 most recent inspection cycles.