Starfile

Starfile / Texas

SULPHUR SPRINGS HEALTH AND REHABILITATION

411 AIRPORT RD, SULPHUR SPRINGS, TX 75482 · CCN 455579

Ratings

Overall
★★☆☆☆ 2
Health inspection
★★☆☆☆ 2
Quality measures
★★★★☆ 4
Staffing
★★★☆☆ 3

Facility

Ownership type
For profit - Corporation
Certified beds
128
Avg residents/day
57.4
Phone
9038857668

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
12024-12-12179.19.5+7.9 worse
22023-11-15179.49.8+7.6 worse
32022-10-05158.19.3+6.9 worse

Cycle 1 deficiencies by category

CategoryDeficiencies
Quality of life and care3
Resident assessment and care planning2
Resident rights4
Nutrition and dietary2
Pharmacy service1
Administration4
Infection control1

Staffing (hours per resident per day)

MetricThis facilityTurnover
Total nurse staffing (reported)3.2045.0%
RN staffing (reported)0.4950.0%
Total nurse staffing (adjusted)3.49

Fines & penalties

Total fines
$44,044
Number of fines
1
Number of penalties
1
Payment denials
0

Chain

Chain
ADVANCED HEALTHCARE SOLUTIONS
Facilities in chain
30
Chain avg overall
3.20 / 5

Inspection citations (49)1 immediate jeopardy

  1. EF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2025-04-08 · Health · corrected 2025-04-10

    Potential for more than minimal harm

  2. DF0561Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.2024-12-12 · Health · corrected 2024-12-13

    Potential for more than minimal harm

  3. DF0573Let each resident or the resident's legal representative access or purchase copies of all the resident's records.2024-12-12 · Health · corrected 2024-12-13

    Potential for more than minimal harm

  4. DF0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.2024-12-12 · Health · corrected 2024-12-13

    Potential for more than minimal harm

  5. DF0583Keep residents' personal and medical records private and confidential.2024-12-12 · Health · corrected 2024-12-13

    Potential for more than minimal harm

  6. DF0655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted2024-12-12 · Health · corrected 2024-12-13

    Potential for more than minimal harm

  7. DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2024-12-12 · Health · corrected 2024-12-13

    Potential for more than minimal harm

  8. EF0679Provide activities to meet all resident's needs.2024-12-12 · Health · corrected 2024-12-13

    Potential for more than minimal harm

  9. JF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2024-12-12 · Health · corrected 2024-12-13

    Immediate jeopardy

  10. DF0695Provide safe and appropriate respiratory care for a resident when needed.2024-12-12 · Health · corrected 2024-12-13

    Potential for more than minimal harm

  11. 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.2024-12-12 · Health · corrected 2024-12-13

    Potential for more than minimal harm

  12. DF0770Provide timely, quality laboratory services/tests to meet the needs of residents.2024-12-12 · Health · corrected 2024-12-13

    Potential for more than minimal harm

  13. EF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2024-12-12 · Health · corrected 2024-12-13

    Potential for more than minimal harm

  14. DF0839Employ staff that are licensed, certified, or registered in accordance with state laws.2024-12-12 · Health · corrected 2024-12-13

    Potential for more than minimal harm

  15. DF0840Employ or obtain outside professional resources to provide services in the nursing home when the facility does not employ a qualified professional to furnish a required service.2024-12-12 · Health · corrected 2024-12-13

    Potential for more than minimal harm

  16. DF0849Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.2024-12-12 · Health · corrected 2024-12-13

    Potential for more than minimal harm

  17. EF0880Provide and implement an infection prevention and control program.2024-12-12 · Health · corrected 2024-12-13

    Potential for more than minimal harm

  18. DF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2024-08-12 · Health · corrected 2024-09-07

    Potential for more than minimal harm

  19. DF0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.2023-11-15 · Health · corrected 2023-12-20

    Potential for more than minimal harm

  20. DF0640Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.2023-11-15 · Health · corrected 2023-12-20

    Potential for more than minimal harm

  21. DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2023-11-15 · Health · corrected 2023-12-20

    Potential for more than minimal harm

  22. DF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2023-11-15 · Health · corrected 2023-12-20

    Potential for more than minimal harm

  23. EF0695Provide safe and appropriate respiratory care for a resident when needed.2023-11-15 · Health · corrected 2023-12-20

    Potential for more than minimal harm

  24. DF0745Provide medically-related social services to help each resident achieve the highest possible quality of life.2023-11-15 · Health · corrected 2023-12-20

    Potential for more than minimal harm

  25. DF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2023-11-15 · Health · corrected 2023-12-20

    Potential for more than minimal harm

  26. EF0756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.2023-11-15 · Health · corrected 2023-12-20

    Potential for more than minimal harm

  27. EF0758Implement 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.2023-11-15 · Health · corrected 2023-12-20

    Potential for more than minimal harm

  28. DF0770Provide timely, quality laboratory services/tests to meet the needs of residents.2023-11-15 · Health · corrected 2023-12-20

    Potential for more than minimal harm

  29. FF0804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.2023-11-15 · Health · corrected 2023-12-20

    Potential for more than minimal harm

  30. FF0809Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times.2023-11-15 · Health · corrected 2023-12-20

    Potential for more than minimal harm

  31. FF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2023-11-15 · Health · corrected 2023-12-20

    Potential for more than minimal harm

  32. EF0880Provide and implement an infection prevention and control program.2023-11-15 · Health · corrected 2023-12-20

    Potential for more than minimal harm

  33. DF0881Implement a program that monitors antibiotic use.2023-11-15 · Health · corrected 2023-12-20

    Potential for more than minimal harm

  34. DF0926Have policies on smoking.2023-11-15 · Health · corrected 2023-12-20

    Potential for more than minimal harm

  35. EF0925Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.2023-06-20 · Health · corrected 2023-07-31

    Potential for more than minimal harm

  36. DF0584Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.2022-10-05 · Health · corrected 2022-11-04

    Potential for more than minimal harm

  37. DF0645PASARR screening for Mental disorders or Intellectual Disabilities2022-10-05 · Health · corrected 2022-11-04

    Potential for more than minimal harm

  38. DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2022-10-05 · Health · corrected 2022-11-04

    Potential for more than minimal harm

  39. DF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2022-10-05 · Health · corrected 2022-11-04

    Potential for more than minimal harm

  40. DF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2022-10-05 · Health · corrected 2022-11-04

    Potential for more than minimal harm

  41. DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2022-10-05 · Health · corrected 2022-11-04

    Potential for more than minimal harm

  42. DF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2022-10-05 · Health · corrected 2022-11-04

    Potential for more than minimal harm

  43. DF0692Provide enough food/fluids to maintain a resident's health.2022-10-05 · Health · corrected 2022-11-04

    Potential for more than minimal harm

  44. EF0802Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.2022-10-05 · Health · corrected 2022-11-04

    Potential for more than minimal harm

  45. DF0804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.2022-10-05 · Health · corrected 2022-11-04

    Potential for more than minimal harm

  46. DF0805Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.2022-10-05 · Health · corrected 2022-11-04

    Potential for more than minimal harm

  47. EF0809Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times.2022-10-05 · Health · corrected 2022-11-04

    Potential for more than minimal harm

  48. EF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2022-10-05 · Health · corrected 2022-11-04

    Potential for more than minimal harm

  49. DF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2022-10-05 · Health · corrected 2022-11-04

    Potential for more than minimal harm

Ownership

OwnerTypeRolePercentSince
HAMILTON COUNTY HOSPITAL DISTRICTOrganization5% OR GREATER DIRECT OWNERSHIP INTEREST100%2023-04-01
SULPHUR SPRINGS HC, LLCOrganizationOPERATIONAL/MANAGERIAL CONTROL2023-04-01
SCHEINER, ELIEZERIndividualOPERATIONAL/MANAGERIAL CONTROL2023-04-01
HOOPER, GRADYIndividualCORPORATE DIRECTOR2023-04-01
BLUE, CHRISTOPHERIndividualW-2 MANAGING EMPLOYEE2023-04-01

Other facilities in SULPHUR SPRINGS

NameOverallBeds
CARRIAGE HOUSE MANOR★★★★☆144
ROCK CREEK HEALTH AND REHABILITATION★★★★☆120
SUNNY SPRINGS NURSING & REHAB★★☆☆☆95

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