VILLA HAVEN HEALTH AND REHABILITATION CENTER
300 S JACKSON ST, BRECKENRIDGE, TX 76424 · CCN 675279
Ratings
- Overall
- ★★★★★ 5
- Health inspection
- ★★★★★ 5
- Quality measures
- ★★★★★ 5
- Staffing
- ★★★★☆ 4
Facility
- Ownership type
- Government - Hospital district
- Certified beds
- 92
- Avg residents/day
- 30.2
- Phone
- 2545593386
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 | 2024-12-19 | 3 | 9.1 | 9.5 | -6.1 better |
| 2 | 2023-11-02 | 4 | 9.4 | 9.8 | -5.4 better |
| 3 | 2022-09-08 | 2 | 8.1 | 9.3 | -6.1 better |
Cycle 1 deficiencies by category
| Category | Deficiencies |
|---|---|
| Resident assessment and care planning | 1 |
| Administration | 1 |
| Infection control | 1 |
Staffing (hours per resident per day)
| Metric | This facility | Turnover |
|---|---|---|
| Total nurse staffing (reported) | 3.93 | 47.6% |
| RN staffing (reported) | 0.47 | — |
| Total nurse staffing (adjusted) | 4.38 | — |
Fines & penalties
- Total fines
- $0
- Number of fines
- 0
- Number of penalties
- 0
- Payment denials
- 0
Chain
- Chain
- FUNDAMENTAL HEALTHCARE
- Facilities in chain
- 69
- Chain avg overall
- 2.40 / 5
Inspection citations (9)
- CF0844Follow rules about disclosure of ownership requirements and tell the state agency about changes in ownership and/or administrative personnel.2025-12-27 · Health · corrected 2026-01-14
Potential for 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.2024-12-19 · Health · corrected 2024-12-23
Potential for more than minimal harm
- EF0880Provide and implement an infection prevention and control program.2024-12-19 · Health · corrected 2025-01-09
Potential for more than minimal harm
- DF0880Provide and implement an infection prevention and control program.2024-07-18 · Health · corrected 2024-08-06
Potential for more than minimal harm
- EF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2023-11-02 · Health · corrected 2023-11-20
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.2023-11-02 · Health · corrected 2023-11-21
Potential for more than minimal harm
- EF0880Provide and implement an infection prevention and control program.2023-11-02 · Health · corrected 2023-11-20
Potential for more than minimal harm
- BF0655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted2022-09-08 · Health · corrected 2022-09-23
Potential for 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.2022-09-08 · Health · corrected 2022-09-23
Potential for more than minimal harm
Ownership
| Owner | Type | Role | Percent | Since |
|---|---|---|---|---|
| CHILDRESS COUNTY HOSPITAL DISTRICT | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | 2017-04-01 |
| CHILDRESS COUNTY HOSPITAL DISTRICT | Organization | OPERATIONAL/MANAGERIAL CONTROL | — | 2017-04-01 |
| VILLA HAVEN HEALTH CARE LLC | Organization | OPERATIONAL/MANAGERIAL CONTROL | — | 2017-04-01 |
| HOLCOMB, HOLLY | Individual | CORPORATE OFFICER | — | 2021-05-29 |
| STRATTON, EMILEE | Individual | CORPORATE OFFICER | — | 2018-03-18 |
| HOLCOMB, HOLLY | Individual | W-2 MANAGING EMPLOYEE | — | 1996-04-15 |
| SMITH, KASHA | Individual | W-2 MANAGING EMPLOYEE | — | 2020-07-29 |
| STRATTON, EMILEE | Individual | W-2 MANAGING EMPLOYEE | — | 2014-05-07 |
Other facilities in BRECKENRIDGE
| 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.