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.
| Cycle | Inspection date | This facility | Texas avg | National avg | vs state |
|---|---|---|---|---|---|
| 1 | 2025-07-30 | 17 | 9.1 | 9.5 | +7.9 worse |
| 2 | 2024-05-01 | 28 | 9.4 | 9.8 | +18.6 worse |
| 3 | 2023-03-15 | 8 | 8.1 | 9.3 | -0.1 better |
Cycle 1 deficiencies by category
| Category | Deficiencies |
|---|---|
| Abuse, neglect, exploitation | 1 |
| Quality of life and care | 2 |
| Resident assessment and care planning | 2 |
| Nursing and physician services | 1 |
| Resident rights | 2 |
| Nutrition and dietary | 3 |
| Pharmacy service | 2 |
| Administration | 3 |
| Infection control | 1 |
Staffing (hours per resident per day)
| Metric | This facility | Turnover |
|---|---|---|
| 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
- 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
- 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
- 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
- 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
- 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
- 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
- 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
- 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
- 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
- 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
- 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
- EF0760Ensure that residents are free from significant medication errors.2025-04-25 · Health · corrected 2025-05-20
Potential for more than minimal harm
- 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
- 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
- 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
- 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
- FF0880Provide and implement an infection prevention and control program.2025-04-25 · Health · corrected 2025-05-20
Potential for more than minimal harm
- 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
- EF0880Provide and implement an infection prevention and control program.2025-01-03 · Health · corrected 2025-01-27
Potential for more than minimal harm
- 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
- 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
- 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
- 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
- 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
- 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
- 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
- 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
- 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
- DF0583Keep residents' personal and medical records private and confidential.2024-05-01 · Health · corrected 2024-06-01
Potential for more than minimal harm
- 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
- 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
- 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
- CF0732Post nurse staffing information every day.2024-05-01 · Health · corrected 2024-06-01
Potential for minimal harm
- DF0760Ensure that residents are free from significant medication errors.2024-05-01 · Health · corrected 2024-06-01
Potential for more than minimal harm
- 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
- 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
- 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
- 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
- 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
- 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
- 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
- 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
- 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
- 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
- JF0760Ensure that residents are free from significant medication errors.2024-03-08 · Health · corrected 2024-03-28
Immediate jeopardy
- 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
- DF0637Assess the resident when there is a significant change in condition2023-09-06 · Health · corrected 2023-10-06
Potential for more than minimal harm
- DF0641Ensure each resident receives an accurate assessment.2023-09-06 · Health · corrected 2023-10-06
Potential for more than minimal harm
- 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
- 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
- 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
- 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
- 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
| Owner | Type | Role | Percent | Since |
|---|---|---|---|---|
| EXTENDED CARE AT HENRIETTA LLC | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | — | 2024-10-01 |
| LAPIN, ZACHARY | Individual | 5% OR GREATER DIRECT OWNERSHIP INTEREST | — | 2024-10-01 |
| NOCONA HOSPITAL DISTRICT | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2014-09-01 |
| EXTENDED CARE AT HENRIETTA LLC | Organization | OPERATIONAL/MANAGERIAL CONTROL | — | 2024-10-01 |
| LAPIN, ZACHARY | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2024-10-01 |
| MEEKINS, GREG | Individual | CORPORATE DIRECTOR | — | 2014-09-01 |
Other facilities in HENRIETTA
| Name | Overall | Beds |
|---|
Source: CMS Provider Data Catalog, Nursing Home Care Compare files (processed 2026-03-01). Citations show the 3 most recent inspection cycles.