{"schema_version":"1.0.0","facility":{"id":"cms-676010","ccn":"676010","name":"Legacy Rehabilitation and Living","source_name":"Legacy Rehabilitation and Living","facility_types":["skilled_nursing_facility","nursing_home"],"primary_type":"skilled_nursing_facility","universe":"cms_certified_nursing_homes","source_type_label":"Medicare and Medicaid","status":"active","status_label":"Active CMS certification","status_evidence":"VERIFIED","state":"TX","address":{"line1":"4033 W 51st Ave","city":"Amarillo","state":"TX","zip":"79109","county_name":"Randall County","county_fips":"48381","county_method":"name_match","ssa_county_code":"871","urban":true},"location":{"lat":35.1542,"lon":-101.88,"method":"cms_published_coordinates"},"phone":"8063554488","certification":{"authority":"CMS","ccn":"676010","program":"Medicare and Medicaid","medicare":true,"medicaid":true,"first_approved":"2004-03-29","certified_beds":150,"resides_in_hospital":false,"evidence_class":"VERIFIED","care_compare_url":"https://www.medicare.gov/care-compare/details/nursing-home/676010"},"licenses":[],"license_note":"State licensure is issued by the state survey agency. State license records are not yet ingested for this facility; the federal CMS certification is shown instead.","capacity":{"certified_beds":150,"avg_residents_per_day":120.2},"ownership_type":"For profit - Limited Liability company","ownership_class":"for_profit","legal_business_name":"STRATFORD HOSPITAL DISTRICT","flags":{"ccrc":false,"abuse_icon":false,"high_performing":false,"inspection_over_2y":false,"changed_ownership_12mo":false,"resident_family_council":"Resident","sprinklers_all_areas":"Yes"},"ratings":{"overall":{"value":2},"health_inspection":{"value":2},"quality_measures":{"value":4},"long_stay_qm":{"value":4},"short_stay_qm":{"value":4},"staffing":{"value":2},"universe":"cms_certified_nursing_homes"},"staffing":{"nurse_aide_hprd":1.75906,"lpn_hprd":0.80806,"rn_hprd":0.63164,"licensed_hprd":1.43971,"total_nurse_hprd":3.19877,"weekend_total_nurse_hprd":2.70717,"weekend_rn_hprd":0.48619,"pt_hprd":0.12153,"nursing_turnover_footnote":"27","rn_turnover_footnote":"27","administrator_turnover_footnote":"27","case_mix_index":1.37555,"case_mix_index_ratio":0.97539,"case_mix_total_nurse_hprd":3.80487,"adjusted_total_nurse_hprd":3.25373,"source":"Payroll-Based Journal (PBJ), as published by CMS"},"health_survey_score":{"cycle1_date":"2025-07-31","cycle1_deficiencies":8,"cycle1_score":115,"cycle2_date":"2024-06-07","cycle23_deficiencies":8,"cycle23_score":48,"total_weighted_score":98.25},"cms_penalty_counts":{"fines":1,"fine_total":8496,"payment_denials":0,"total":1},"chain":{"id":"cms-chain-507","cms_chain_id":"507","name":"THE ENSIGN GROUP"},"operator_id":"op-stratford-hospital-district","first_seen":"2026-11-07T00:15:24.640Z","last_changed":"2026-11-07T00:15:24.640Z","profile_url":"https://www.medicare.gov/care-compare/details/nursing-home/676010","provenance":[{"source_id":"cms_provider_info","source_record_id":"676010","url":"https://data.cms.gov/provider-data/api/1/datastore/query/4pq5-n9py/0?conditions%5B0%5D%5Bproperty%5D=cms_certification_number_ccn&conditions%5B0%5D%5Bvalue%5D=676010&conditions%5B0%5D%5Boperator%5D=%3D","retrieved_at":"2026-11-07T00:15:24.640Z","source_updated_at":"2026-10-01","effective_date":"2026-10-01","jurisdiction":"US-CMS","fields":["name","address","phone","certification","certified_beds","ownership_type","legal_business_name","chain"],"evidence_class":"VERIFIED","status":"current"},{"source_id":"cms_provider_info","source_record_id":"676010","url":"https://data.cms.gov/provider-data/api/1/datastore/query/4pq5-n9py/0?conditions%5B0%5D%5Bproperty%5D=cms_certification_number_ccn&conditions%5B0%5D%5Bvalue%5D=676010&conditions%5B0%5D%5Boperator%5D=%3D","retrieved_at":"2026-11-07T00:15:24.640Z","source_updated_at":"2026-10-01","effective_date":"2026-10-01","jurisdiction":"US-CMS","fields":["ratings","staffing","health_survey_score"],"evidence_class":"VERIFIED","status":"current","note":"Five-Star ratings and PBJ staffing apply to the CMS-certified universe only."}],"inspection_summary":{"count":12,"health_count":9,"fire_count":3,"complaint_count":6,"latest_date":"2026-07-18","latest_standard_health":"2025-07-31","earliest_date":"2023-04-14","window_note":"CMS publishes about the three most recent standard surveys plus complaint and infection-control inspections from the prior three years. Older findings leave the dataset; their absence is not evidence they never happened.","evidence_class":"VERIFIED"},"deficiency_summary":{"count":27,"health_count":24,"fire_count":3,"open_count":0,"actual_harm_count":0,"immediate_jeopardy_count":1,"serious_count":1,"complaint_count":9,"by_severity":{"potential":26,"immediate_jeopardy":1},"by_scope_severity":{"E":9,"D":14,"J":1,"F":3},"by_concept":{"clinical_care":7,"infection_prevention":3,"resident_rights":8,"administration":1,"medication":3,"emergency_preparedness":1,"environment_life_safety":2,"food_nutrition":2},"type_ids":["cms-f0686","cms-f0880","cms-f0689","cms-f0609","cms-f0837","cms-f0695","cms-f0757","cms-e0004","cms-k0353","cms-f0576","cms-k0923","cms-f0761","cms-f0803","cms-f0550","cms-f0561","cms-f0812","cms-f0578","cms-f0636","cms-f0692"],"evidence_class":"VERIFIED"},"penalty_summary":{"count":1,"fines":1,"fine_total":8496,"payment_denials":0,"latest_date":"2026-05-05"},"ownership_summary":{"disclosures":17,"organizations":7,"individuals":9,"not_available":false}},"row":{"id":"cms-676010","ccn":"676010","name":"Legacy Rehabilitation and Living","types":["skilled_nursing_facility","nursing_home"],"status":"active","state":"TX","city":"Amarillo","zip":"79109","county_fips":"48381","county_name":"Randall County","address":"4033 W 51st Ave","beds":150,"residents":120.2,"ownership":"for_profit","operator_id":"op-stratford-hospital-district","operator_name":"Stratford Hospital District","chain_id":"cms-chain-507","chain_name":"The Ensign Group","lat":35.1542,"lon":-101.88,"overall":2,"health_rating":2,"staffing_rating":2,"qm_rating":4,"nurse_hprd":3.2,"inspections":12,"last_inspection":"2026-07-18","deficiencies":27,"serious":1,"ij":1,"open":0,"penalties":1,"fines_total":8496,"deficiency_type_ids":["cms-f0686","cms-f0880","cms-f0689","cms-f0609","cms-f0837","cms-f0695","cms-f0757","cms-e0004","cms-k0353","cms-f0576","cms-k0923","cms-f0761","cms-f0803","cms-f0550","cms-f0561","cms-f0812","cms-f0578","cms-f0636","cms-f0692"],"universe":"cms","state_actions":0,"state_serious":0,"last_changed":"2026-11-07T00:15:24.640Z"},"operator":{"id":"op-stratford-hospital-district","name":"Stratford Hospital District","legal_name":"STRATFORD HOSPITAL DISTRICT","facility_count":30,"states":["TX"],"match_method":"exact_normalized_legal_name","evidence_class":"CORROBORATED"},"chain":{"id":"cms-chain-507","name":"The Ensign Group","cms_chain_id":"507","facility_count":347,"states":["AK","AL","AZ","CA","CO","IA","ID","KS","NE","NV","OR","SC","TN","TX","UT","WA","WI"],"cms_reported":{"facility_count":347,"avg_overall_rating":3.3,"avg_health_inspection_rating":2.8,"avg_staffing_rating":2.8,"avg_qm_rating":4.4}},"ownership":[{"owner_id":"org-stratford-hospital-district","owner_type":"organization","owner_name":"Stratford Hospital District","role":"direct_owner","role_raw":"5% OR GREATER DIRECT OWNERSHIP INTEREST","percentage":100,"percentage_raw":"100%","association_date":"2015-02-02"},{"owner_type":"individual","owner_name":"Rodger Brown","role":"managing_control","role_raw":"MANAGING CONTROL - GOVERNING BODY","percentage_raw":"NOT APPLICABLE","association_date":"2015-02-02","owner_name_raw":"BROWN, RODGER"},{"owner_type":"individual","owner_name":"Ron Rankin","role":"managing_control","role_raw":"MANAGING CONTROL - GOVERNING BODY","percentage_raw":"NOT APPLICABLE","association_date":"2020-07-28","owner_name_raw":"RANKIN, RON"},{"owner_id":"org-tradewind-healthcare-inc","owner_type":"organization","owner_name":"Tradewind Healthcare, Inc","role":"managing_control","role_raw":"OPERATIONAL/MANAGERIAL CONTROL","percentage_raw":"NOT APPLICABLE","association_date":"2015-02-02"},{"owner_type":"individual","owner_name":"Rodger Brown","role":"managing_control","role_raw":"OPERATIONAL/MANAGERIAL CONTROL","percentage_raw":"NOT APPLICABLE","association_date":"2015-02-02","owner_name_raw":"BROWN, RODGER"},{"owner_type":"individual","owner_name":"Ron Rankin","role":"managing_control","role_raw":"OPERATIONAL/MANAGERIAL CONTROL","percentage_raw":"NOT APPLICABLE","association_date":"2020-07-28","owner_name_raw":"RANKIN, RON"},{"owner_type":"individual","owner_name":"Soon Burnam","role":"officer_director","role_raw":"CORPORATE OFFICER","percentage_raw":"NOT APPLICABLE","association_date":"2015-02-02","owner_name_raw":"BURNAM, SOON"},{"owner_type":"individual","owner_name":"Richard Chumley","role":"officer_director","role_raw":"CORPORATE OFFICER","percentage_raw":"NOT APPLICABLE","association_date":"2007-05-01","owner_name_raw":"CHUMLEY, RICHARD"},{"owner_type":"individual","owner_name":"Chad Keetch","role":"officer_director","role_raw":"CORPORATE OFFICER","percentage_raw":"NOT APPLICABLE","association_date":"2011-03-01","owner_name_raw":"KEETCH, CHAD"},{"owner_id":"org-51st-avenue-health-holdings-llc","owner_type":"organization","owner_name":"51st Avenue Health Holdings LLC","role":"additional_disclosable_party","role_raw":"ADP OF THE SNF","percentage_raw":"NOT APPLICABLE","association_date":"2015-02-02"},{"owner_id":"org-caretrust-gp-llc","owner_type":"organization","owner_name":"Caretrust Gp LLC","role":"additional_disclosable_party","role_raw":"ADP OF THE SNF","percentage_raw":"NOT APPLICABLE","association_date":"2015-02-02"},{"owner_id":"org-caretrust-reit-inc","owner_type":"organization","owner_name":"Caretrust Reit Inc","role":"additional_disclosable_party","role_raw":"ADP OF THE SNF","percentage_raw":"NOT APPLICABLE","association_date":"2015-02-02"},{"owner_id":"org-ctr-partnership-lp","owner_type":"organization","owner_name":"Ctr Partnership LP","role":"additional_disclosable_party","role_raw":"ADP OF THE SNF","percentage_raw":"NOT APPLICABLE","association_date":"2015-02-02"},{"owner_id":"org-ensign-services-inc","owner_type":"organization","owner_name":"Ensign Services Inc","role":"additional_disclosable_party","role_raw":"ADP OF THE SNF","percentage_raw":"NOT APPLICABLE","association_date":"2012-08-24"},{"owner_id":"org-tradewind-healthcare-inc","owner_type":"organization","owner_name":"Tradewind Healthcare, Inc","role":"additional_disclosable_party","role_raw":"ADP OF THE SNF","percentage_raw":"NOT APPLICABLE","association_date":"2025-11-24"},{"owner_type":"individual","owner_name":"Rodger Brown","role":"additional_disclosable_party","role_raw":"ADP OF THE SNF","percentage_raw":"NOT APPLICABLE","association_date":"2015-02-02","owner_name_raw":"BROWN, RODGER"},{"owner_type":"individual","owner_name":"Ron Rankin","role":"additional_disclosable_party","role_raw":"ADP OF THE SNF","percentage_raw":"NOT APPLICABLE","association_date":"2020-07-28","owner_name_raw":"RANKIN, RON"}],"inspections":[{"id":"cms-676010-20260718-health","ccn":"676010","date":"2026-07-18","domain":"health","authority":"CMS / state survey agency","survey_types":["Health Complaint"],"cycles":[1],"footnotes":[],"derived_from_citations":false,"kind":"complaint","deficiency_count":2,"max_severity_level":2,"open_count":0,"provenance_source_ids":["cms_inspection_dates"],"occurrences":[{"t":"cms-f0686","ss":"E","sl":2,"cs":"corrected","cd":"2026-08-15","cmp":1},{"t":"cms-f0880","ss":"D","sl":2,"cs":"corrected","cd":"2026-08-15","cmp":1}]},{"id":"cms-676010-20260505-health","ccn":"676010","date":"2026-05-05","domain":"health","authority":"CMS / state survey agency","survey_types":["Health Complaint"],"cycles":[1],"footnotes":[],"derived_from_citations":false,"kind":"complaint","deficiency_count":3,"max_severity_level":4,"open_count":0,"provenance_source_ids":["cms_inspection_dates"],"occurrences":[{"t":"cms-f0689","ss":"J","sl":4,"cs":"corrected","cd":"2026-05-18","cmp":1},{"t":"cms-f0609","ss":"D","sl":2,"cs":"corrected","cd":"2026-05-18","cmp":1},{"t":"cms-f0837","ss":"D","sl":2,"cs":"corrected","cd":"2026-05-18","cmp":1}]},{"id":"cms-676010-20260121-health","ccn":"676010","date":"2026-01-21","domain":"health","authority":"CMS / state survey agency","survey_types":["Health Complaint"],"cycles":[1],"footnotes":[],"derived_from_citations":false,"kind":"complaint","deficiency_count":1,"max_severity_level":2,"open_count":0,"provenance_source_ids":["cms_inspection_dates"],"occurrences":[{"t":"cms-f0695","ss":"D","sl":2,"cs":"corrected","cd":"2026-01-23","cmp":1}]},{"id":"cms-676010-20250909-health","ccn":"676010","date":"2025-09-09","domain":"health","authority":"CMS / state survey agency","survey_types":["Health Complaint"],"cycles":[2],"footnotes":[],"derived_from_citations":false,"kind":"complaint","deficiency_count":1,"max_severity_level":2,"open_count":0,"provenance_source_ids":["cms_inspection_dates"],"occurrences":[{"t":"cms-f0757","ss":"E","sl":2,"cs":"corrected","cd":"2025-09-10","cmp":1}]},{"id":"cms-676010-20250731-fire","ccn":"676010","date":"2025-07-31","domain":"fire","authority":"CMS / state survey agency","survey_types":["Fire Safety Standard"],"cycles":[1],"footnotes":[],"derived_from_citations":false,"kind":"standard","deficiency_count":2,"max_severity_level":2,"open_count":0,"provenance_source_ids":["cms_inspection_dates"],"occurrences":[{"t":"cms-e0004","ss":"F","sl":2,"cs":"corrected","cd":"2025-08-31","std":1,"tv":"New"},{"t":"cms-k0353","ss":"E","sl":2,"cs":"corrected","cd":"2025-09-13","std":1,"tv":"New"}]},{"id":"cms-676010-20250731-health","ccn":"676010","date":"2025-07-31","domain":"health","authority":"CMS / state survey agency","survey_types":["Health Standard"],"cycles":[1],"footnotes":[],"derived_from_citations":false,"kind":"standard","deficiency_count":2,"max_severity_level":2,"open_count":0,"provenance_source_ids":["cms_inspection_dates"],"occurrences":[{"t":"cms-f0576","ss":"E","sl":2,"cs":"corrected","cd":"2025-09-13","std":1},{"t":"cms-f0880","ss":"E","sl":2,"cs":"corrected","cd":"2025-09-13","std":1}]},{"id":"cms-676010-20250204-health","ccn":"676010","date":"2025-02-04","domain":"health","authority":"CMS / state survey agency","survey_types":["Health Complaint"],"cycles":[2],"footnotes":[],"derived_from_citations":false,"kind":"complaint","deficiency_count":1,"max_severity_level":2,"open_count":0,"provenance_source_ids":["cms_inspection_dates"],"occurrences":[{"t":"cms-f0609","ss":"D","sl":2,"cs":"past_noncompliance","cd":"2025-02-02","cmp":1}]},{"id":"cms-676010-20240607-fire","ccn":"676010","date":"2024-06-07","domain":"fire","authority":"CMS / state survey agency","survey_types":["Fire Safety Standard"],"cycles":[2],"footnotes":[],"derived_from_citations":false,"kind":"standard","deficiency_count":1,"max_severity_level":2,"open_count":0,"provenance_source_ids":["cms_inspection_dates"],"occurrences":[{"t":"cms-k0923","ss":"F","sl":2,"cs":"corrected","cd":"2024-07-17","std":1,"tv":"New"}]},{"id":"cms-676010-20240607-health","ccn":"676010","date":"2024-06-07","domain":"health","authority":"CMS / state survey agency","survey_types":["Health Standard"],"cycles":[2],"footnotes":[],"derived_from_citations":false,"kind":"standard","deficiency_count":5,"max_severity_level":2,"open_count":0,"provenance_source_ids":["cms_inspection_dates"],"occurrences":[{"t":"cms-f0550","ss":"D","sl":2,"cs":"corrected","cd":"2024-07-17","std":1},{"t":"cms-f0561","ss":"D","sl":2,"cs":"corrected","cd":"2024-07-17","std":1},{"t":"cms-f0695","ss":"D","sl":2,"cs":"corrected","cd":"2024-07-17","std":1},{"t":"cms-f0761","ss":"E","sl":2,"cs":"corrected","cd":"2024-07-17","std":1},{"t":"cms-f0803","ss":"E","sl":2,"cs":"corrected","cd":"2024-07-17","std":1}]},{"id":"cms-676010-20240517-health","ccn":"676010","date":"2024-05-17","domain":"health","authority":"CMS / state survey agency","survey_types":["Health Complaint"],"cycles":[3],"footnotes":[],"derived_from_citations":false,"kind":"complaint","deficiency_count":1,"max_severity_level":2,"open_count":0,"provenance_source_ids":["cms_inspection_dates"],"occurrences":[{"t":"cms-f0576","ss":"E","sl":2,"cs":"corrected","cd":"2024-06-07","cmp":1}]},{"id":"cms-676010-20230414-fire","ccn":"676010","date":"2023-04-14","domain":"fire","authority":"CMS / state survey agency","survey_types":["Fire Safety Standard"],"cycles":[3],"footnotes":[],"derived_from_citations":false,"kind":"standard","deficiency_count":0,"open_count":0,"provenance_source_ids":["cms_inspection_dates"],"occurrences":[]},{"id":"cms-676010-20230414-health","ccn":"676010","date":"2023-04-14","domain":"health","authority":"CMS / state survey agency","survey_types":["Health Standard"],"cycles":[3],"footnotes":[],"derived_from_citations":false,"kind":"standard","deficiency_count":8,"max_severity_level":2,"open_count":0,"provenance_source_ids":["cms_inspection_dates"],"occurrences":[{"t":"cms-f0550","ss":"D","sl":2,"cs":"corrected","cd":"2023-05-26","std":1},{"t":"cms-f0578","ss":"D","sl":2,"cs":"corrected","cd":"2023-05-26","std":1},{"t":"cms-f0636","ss":"D","sl":2,"cs":"corrected","cd":"2023-05-26","std":1},{"t":"cms-f0692","ss":"D","sl":2,"cs":"corrected","cd":"2023-05-26","std":1},{"t":"cms-f0695","ss":"D","sl":2,"cs":"corrected","cd":"2023-05-26","std":1},{"t":"cms-f0761","ss":"D","sl":2,"cs":"corrected","cd":"2023-05-26","std":1},{"t":"cms-f0812","ss":"F","sl":2,"cs":"corrected","cd":"2023-05-26","std":1},{"t":"cms-f0880","ss":"E","sl":2,"cs":"corrected","cd":"2023-05-26","std":1}]}],"deficiency_types":{"cms-f0686":{"code":"F-0686","title":"Provide appropriate pressure ulcer care and prevent new ulcers from developing.","category":"Quality of Life and Care Deficiencies","concept":"clinical_care","concept_label":"Clinical care"},"cms-f0880":{"code":"F-0880","title":"Provide and implement an infection prevention and control program.","category":"Infection Control Deficiencies","concept":"infection_prevention","concept_label":"Infection prevention"},"cms-f0689":{"code":"F-0689","title":"Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.","category":"Quality of Life and Care Deficiencies","concept":"clinical_care","concept_label":"Clinical care"},"cms-f0609":{"code":"F-0609","title":"Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.","category":"Freedom from Abuse, Neglect, and Exploitation Deficiencies","concept":"resident_rights","concept_label":"Resident rights & abuse/neglect"},"cms-f0837":{"code":"F-0837","title":"Establish 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.","category":"Administration Deficiencies","concept":"administration","concept_label":"Administration & records"},"cms-f0695":{"code":"F-0695","title":"Provide safe and appropriate respiratory care for a resident when needed.","category":"Quality of Life and Care Deficiencies","concept":"clinical_care","concept_label":"Clinical care"},"cms-f0757":{"code":"F-0757","title":"Ensure each resident’s drug regimen must be free from unnecessary drugs.","category":"Pharmacy Service Deficiencies","concept":"medication","concept_label":"Medication management"},"cms-e0004":{"code":"E-0004","title":"Develop and maintain an Emergency Preparedness Program (EP).","category":"Emergency Preparedness Deficiencies","concept":"emergency_preparedness","concept_label":"Emergency preparedness"},"cms-k0353":{"code":"K-0353","title":"Inspect, test, and maintain automatic sprinkler systems.","category":"Smoke Deficiencies","concept":"environment_life_safety","concept_label":"Environment & life safety"},"cms-f0576":{"code":"F-0576","title":"Ensure residents have reasonable access to and privacy in their use of communication methods.","category":"Resident Rights Deficiencies","concept":"resident_rights","concept_label":"Resident rights & abuse/neglect"},"cms-k0923":{"code":"K-0923","title":"Have proper medical gas storage and administration areas.","category":"Gas, Vacuum, and Electrical Systems Deficiencies","concept":"environment_life_safety","concept_label":"Environment & life safety"},"cms-f0761":{"code":"F-0761","title":"Ensure 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.","category":"Pharmacy Service Deficiencies","concept":"medication","concept_label":"Medication management"},"cms-f0803":{"code":"F-0803","title":"Ensure 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.","category":"Nutrition and Dietary Deficiencies","concept":"food_nutrition","concept_label":"Food, nutrition & hydration"},"cms-f0550":{"code":"F-0550","title":"Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.","category":"Resident Rights Deficiencies","concept":"resident_rights","concept_label":"Resident rights & abuse/neglect"},"cms-f0561":{"code":"F-0561","title":"Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.","category":"Resident Rights Deficiencies","concept":"resident_rights","concept_label":"Resident rights & abuse/neglect"},"cms-f0812":{"code":"F-0812","title":"Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.","category":"Nutrition and Dietary Deficiencies","concept":"food_nutrition","concept_label":"Food, nutrition & hydration"},"cms-f0578":{"code":"F-0578","title":"Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.","category":"Resident Rights Deficiencies","concept":"resident_rights","concept_label":"Resident rights & abuse/neglect"},"cms-f0636":{"code":"F-0636","title":"Assess the resident completely in a timely manner  when first admitted, and then periodically, at least every 12 months.","category":"Resident Assessment and Care Planning Deficiencies","concept":"clinical_care","concept_label":"Clinical care"},"cms-f0692":{"code":"F-0692","title":"Provide enough food/fluids to maintain a resident's health.","category":"Quality of Life and Care Deficiencies","concept":"clinical_care","concept_label":"Clinical care"}},"penalties":[{"id":"cms-676010-pen-f139011","type":"fine","type_label":"Civil money penalty (fine)","date":"2026-05-05","amount":8496,"fine_id":"139011","evidence_class":"VERIFIED","source_record_id":"676010|Fine|139011"}],"state_actions":[],"record_urls":{"cms_provider_info":"https://data.cms.gov/provider-data/api/1/datastore/query/4pq5-n9py/0?conditions%5B0%5D%5Bproperty%5D=cms_certification_number_ccn&conditions%5B0%5D%5Bvalue%5D=676010&conditions%5B0%5D%5Boperator%5D=%3D","cms_ownership":"https://data.cms.gov/provider-data/api/1/datastore/query/y2hd-n93e/0?conditions%5B0%5D%5Bproperty%5D=cms_certification_number_ccn&conditions%5B0%5D%5Bvalue%5D=676010&conditions%5B0%5D%5Boperator%5D=%3D","cms_health_deficiencies":"https://data.cms.gov/provider-data/api/1/datastore/query/r5ix-sfxw/0?conditions%5B0%5D%5Bproperty%5D=cms_certification_number_ccn&conditions%5B0%5D%5Bvalue%5D=676010&conditions%5B0%5D%5Boperator%5D=%3D","cms_fire_safety_deficiencies":"https://data.cms.gov/provider-data/api/1/datastore/query/ifjz-ge4w/0?conditions%5B0%5D%5Bproperty%5D=cms_certification_number_ccn&conditions%5B0%5D%5Bvalue%5D=676010&conditions%5B0%5D%5Boperator%5D=%3D","cms_penalties":"https://data.cms.gov/provider-data/api/1/datastore/query/g6vv-u9sr/0?conditions%5B0%5D%5Bproperty%5D=cms_certification_number_ccn&conditions%5B0%5D%5Bvalue%5D=676010&conditions%5B0%5D%5Boperator%5D=%3D","cms_inspection_dates":"https://data.cms.gov/provider-data/api/1/datastore/query/svdt-c123/0?conditions%5B0%5D%5Bproperty%5D=cms_certification_number_ccn&conditions%5B0%5D%5Bvalue%5D=676010&conditions%5B0%5D%5Boperator%5D=%3D"},"compact_keys":{"t":"deficiency_type_id","ss":"scope_severity_code","sl":"severity_level (1–4)","cs":"correction_status","cd":"correction_date","cmp":"complaint","std":"standard survey","ic":"infection control","idr":"under IDR","iidr":"under IIDR","tv":"tag version"},"benchmarks":{"state":{"key":"TX","overall_rating":2.8,"health_inspection_rating":2.8,"qm_rating":3.8,"staffing_rating":1.9,"avg_residents_per_day":75.9,"cycle1_health_deficiencies":9.6,"cycle1_fire_deficiencies":3.2,"nurse_aide_hprd":2.03,"lpn_hprd":0.94,"rn_hprd":0.44127,"licensed_hprd":1.39,"total_nurse_hprd":3.41615,"weekend_total_nurse_hprd":2.99221,"weekend_rn_hprd":0.35,"pt_hprd":0.07,"nursing_turnover_pct":50.8,"rn_turnover_pct":49.8,"administrators_left":0.6,"case_mix_index":1.39704,"fines":1.4,"fine_amount":42987,"processing_note":"CMS State and US Averages"},"nation":{"key":"NATION","overall_rating":3,"health_inspection_rating":2.8,"qm_rating":3.7,"staffing_rating":3,"avg_residents_per_day":85.7,"cycle1_health_deficiencies":9.2,"cycle1_fire_deficiencies":4.4,"nurse_aide_hprd":2.35,"lpn_hprd":0.86,"rn_hprd":0.69164,"licensed_hprd":1.55,"total_nurse_hprd":3.90085,"weekend_total_nurse_hprd":3.43303,"weekend_rn_hprd":0.48,"pt_hprd":0.07,"nursing_turnover_pct":45.3,"rn_turnover_pct":42.5,"administrators_left":0.5,"case_mix_index":1.41025,"fines":0.9,"fine_amount":30351,"processing_note":"CMS State and US Averages"}},"geo":{"state":{"code":"TX","name":"Texas"},"county":{"fips":"48381","name":"Randall County"},"zip":"79109","city":"Amarillo"},"related":{"same_operator":[{"id":"cms-455522","ccn":"455522","name":"Avir at Temple West","address":"1700 Marlandwood Rd","city":"Temple","state":"TX","zip":"76502","beds":104,"overall":4,"inspections":10,"last_inspection":"2025-12-18","deficiencies":31,"serious":2,"ij":2,"open":1,"fines_total":7257,"status":"active","universe":"cms","state_actions":0,"state_serious":0,"types":["skilled_nursing_facility","nursing_home"]},{"id":"cms-455551","ccn":"455551","name":"Plainview Healthcare Center","address":"2510 W 24th St","city":"Plainview","state":"TX","zip":"79072","beds":93,"overall":2,"inspections":12,"last_inspection":"2026-07-01","deficiencies":37,"serious":1,"ij":1,"open":0,"fines_total":19190,"status":"active","universe":"cms","state_actions":0,"state_serious":0,"types":["skilled_nursing_facility","nursing_home"]},{"id":"cms-455697","ccn":"455697","name":"Avir at Corpus Christi","address":"202 Fortune Dr.","city":"Corpus Christi","state":"TX","zip":"78405","beds":121,"overall":3,"inspections":12,"last_inspection":"2026-06-04","deficiencies":32,"serious":1,"ij":1,"open":0,"fines_total":14069,"status":"active","universe":"cms","state_actions":0,"state_serious":0,"types":["skilled_nursing_facility","nursing_home"]},{"id":"cms-455771","ccn":"455771","name":"Hearthstone Nursing and Rehabilitation","address":"401 Oakwood Blvd","city":"Round Rock","state":"TX","zip":"78681","beds":120,"overall":3,"inspections":12,"last_inspection":"2026-04-03","deficiencies":27,"serious":4,"ij":3,"open":0,"fines_total":25626,"status":"active","universe":"cms","state_actions":0,"state_serious":0,"types":["skilled_nursing_facility","nursing_home"]},{"id":"cms-455785","ccn":"455785","name":"Avir at Western Hills","address":"512 Draper Dr","city":"Temple","state":"TX","zip":"76504","beds":120,"overall":3,"inspections":15,"last_inspection":"2026-07-16","deficiencies":28,"serious":3,"ij":2,"open":0,"fines_total":16562,"status":"active","universe":"cms","state_actions":0,"state_serious":0,"types":["skilled_nursing_facility","nursing_home"]},{"id":"cms-455936","ccn":"455936","name":"Focused Care at Lamesa","address":"1201 N 15th St","city":"Lamesa","state":"TX","zip":"79331","beds":80,"overall":2,"inspections":11,"last_inspection":"2026-07-28","deficiencies":28,"serious":2,"ij":2,"open":0,"fines_total":10692,"status":"active","universe":"cms","state_actions":0,"state_serious":0,"types":["skilled_nursing_facility","nursing_home"]},{"id":"cms-455940","ccn":"455940","name":"Avir at Lubbock","address":"4710 Slide Rd","city":"Lubbock","state":"TX","zip":"79414","beds":117,"overall":1,"inspections":17,"last_inspection":"2026-05-15","deficiencies":63,"serious":7,"ij":6,"open":0,"fines_total":69307,"status":"active","universe":"cms","state_actions":0,"state_serious":0,"types":["skilled_nursing_facility","nursing_home"]},{"id":"cms-455946","ccn":"455946","name":"Avir at Sweetwater","address":"4925 Elizabeth St.","city":"Sweetwater","state":"TX","zip":"79556","beds":79,"overall":4,"inspections":7,"last_inspection":"2026-03-10","deficiencies":23,"serious":0,"ij":0,"open":0,"fines_total":0,"status":"active","universe":"cms","state_actions":0,"state_serious":0,"types":["skilled_nursing_facility","nursing_home"]}],"same_operator_total":29,"same_chain":[{"id":"cms-455576","ccn":"455576","name":"Richland Hills Rehabilitation and Healthcare Cente","address":"3109 Kings Ct","city":"Fort Worth","state":"TX","zip":"76118","beds":92,"overall":3,"inspections":12,"last_inspection":"2026-05-28","deficiencies":40,"serious":1,"ij":0,"open":0,"fines_total":8190,"status":"active","universe":"cms","state_actions":0,"state_serious":0,"types":["skilled_nursing_facility","nursing_home"]},{"id":"cms-455586","ccn":"455586","name":"Grand Terrace Rehabilitation and Healthcare","address":"812 W. Houston Ave.","city":"Mcallen","state":"TX","zip":"78501","beds":93,"overall":5,"inspections":12,"last_inspection":"2026-06-17","deficiencies":16,"serious":0,"ij":0,"open":0,"fines_total":0,"status":"active","universe":"cms","state_actions":0,"state_serious":0,"types":["skilled_nursing_facility","nursing_home"]},{"id":"cms-455625","ccn":"455625","name":"Alta Vista Rehabilitation and Healthcare","address":"510 Paredes Line Rd","city":"Brownsville","state":"TX","zip":"78521","beds":100,"overall":5,"inspections":10,"last_inspection":"2026-05-01","deficiencies":28,"serious":1,"ij":1,"open":0,"fines_total":0,"status":"active","universe":"cms","state_actions":0,"state_serious":0,"types":["skilled_nursing_facility","nursing_home"]},{"id":"cms-455637","ccn":"455637","name":"Wellington Rehabilitation and Healthcare","address":"1802 S 31st","city":"Temple","state":"TX","zip":"76504","beds":124,"overall":4,"inspections":13,"last_inspection":"2026-08-06","deficiencies":40,"serious":4,"ij":4,"open":0,"fines_total":32275,"status":"active","universe":"cms","state_actions":0,"state_serious":0,"types":["skilled_nursing_facility","nursing_home"]},{"id":"cms-455672","ccn":"455672","name":"Golden Palms Rehabilitation and Retirement","address":"2101 Treasure Hills Boulevard","city":"Harlingen","state":"TX","zip":"78550","beds":60,"overall":5,"inspections":17,"last_inspection":"2026-05-13","deficiencies":27,"serious":2,"ij":1,"open":0,"fines_total":15997,"status":"active","universe":"cms","state_actions":0,"state_serious":0,"types":["skilled_nursing_facility","nursing_home"]},{"id":"cms-455727","ccn":"455727","name":"Park Village Healthcare and Rehabilitation","address":"207 E Parkerville Rd","city":"Desoto","state":"TX","zip":"75115","beds":150,"overall":2,"inspections":22,"last_inspection":"2026-08-25","deficiencies":63,"serious":8,"ij":6,"open":2,"fines_total":221389,"abuse":true,"status":"active","universe":"cms","state_actions":0,"state_serious":0,"types":["skilled_nursing_facility","nursing_home"]},{"id":"cms-455732","ccn":"455732","name":"Kirkwood Manor","address":"2590 Loop 337 N","city":"New Braunfels","state":"TX","zip":"78130","beds":162,"overall":2,"inspections":12,"last_inspection":"2026-06-17","deficiencies":69,"serious":1,"ij":1,"open":0,"fines_total":29026,"status":"active","universe":"cms","state_actions":0,"state_serious":0,"types":["skilled_nursing_facility","nursing_home"]},{"id":"cms-455745","ccn":"455745","name":"Timberwood Nursing and Rehabilitation Center","address":"4001 Hwy 59 North","city":"Livingston","state":"TX","zip":"77351","beds":120,"overall":3,"inspections":8,"last_inspection":"2026-01-14","deficiencies":18,"serious":1,"ij":1,"open":0,"fines_total":8021,"status":"active","universe":"cms","state_actions":0,"state_serious":0,"types":["skilled_nursing_facility","nursing_home"]}],"same_chain_total":346,"same_site_review":[],"nearby":[{"id":"cms-675851","ccn":"675851","name":"Georgia Manor Nursing Home","address":"2611 West 46th Avenue","city":"Amarillo","state":"TX","zip":"79110","beds":76,"overall":2,"inspections":11,"last_inspection":"2026-06-05","deficiencies":36,"serious":1,"ij":0,"open":0,"fines_total":8031,"status":"active","universe":"cms","state_actions":0,"state_serious":0,"types":["skilled_nursing_facility","nursing_home"],"distance_km":2},{"id":"cms-675336","ccn":"675336","name":"Kirkland Court Health and Rehabilitation Center","address":"1601 Kirkland Dr","city":"Amarillo","state":"TX","zip":"79106","beds":98,"overall":2,"inspections":18,"last_inspection":"2026-08-26","deficiencies":45,"serious":3,"ij":3,"open":0,"fines_total":16810,"status":"active","universe":"cms","state_actions":0,"state_serious":0,"types":["skilled_nursing_facility","nursing_home"],"distance_km":5.2},{"id":"cms-675498","ccn":"675498","name":"Hillside Heights Rehabilitation Suites","address":"6650 South Soncy Road","city":"Amarillo","state":"TX","zip":"79119","beds":120,"overall":2,"inspections":10,"last_inspection":"2026-06-04","deficiencies":30,"serious":1,"ij":1,"open":0,"fines_total":14901,"abuse":true,"status":"active","universe":"cms","state_actions":0,"state_serious":0,"types":["skilled_nursing_facility","nursing_home"],"distance_km":5.5},{"id":"cms-676347","ccn":"676347","name":"Amarillo Center for Skilled Care","address":"6641 West Amarillo Boulevard","city":"Amarillo","state":"TX","zip":"79106","beds":122,"overall":2,"inspections":12,"last_inspection":"2026-07-24","deficiencies":22,"serious":1,"ij":1,"open":0,"fines_total":0,"status":"active","universe":"cms","state_actions":0,"state_serious":0,"types":["skilled_nursing_facility","nursing_home"],"distance_km":5.6},{"id":"cms-455480","ccn":"455480","name":"Heritage Convalescent Center","address":"1009 Clyde St","city":"Amarillo","state":"TX","zip":"79106","beds":116,"overall":3,"inspections":12,"last_inspection":"2025-12-04","deficiencies":27,"serious":0,"ij":0,"open":0,"fines_total":0,"status":"active","universe":"cms","state_actions":0,"state_serious":0,"types":["skilled_nursing_facility","nursing_home"],"distance_km":5.9},{"id":"cms-675904","ccn":"675904","name":"Windflower Health Center","address":"5500 SW 9th Ave","city":"Amarillo","state":"TX","zip":"79106","beds":120,"overall":4,"inspections":10,"last_inspection":"2026-06-18","deficiencies":31,"serious":0,"ij":0,"open":0,"fines_total":0,"status":"active","universe":"cms","state_actions":0,"state_serious":0,"types":["skilled_nursing_facility","nursing_home"],"distance_km":6},{"id":"cms-745022","ccn":"745022","name":"Ware Memorial Care Center","address":"1510 S. Van Buren St.","city":"Amarillo","state":"TX","zip":"79101","beds":120,"overall":3,"inspections":10,"last_inspection":"2026-04-16","deficiencies":27,"serious":2,"ij":1,"open":0,"fines_total":81894,"status":"active","universe":"cms","state_actions":0,"state_serious":0,"types":["skilled_nursing_facility","nursing_home"],"distance_km":6.1},{"id":"cms-675282","ccn":"675282","name":"Amarillo Medical Lodge","address":"9 Medical Dr","city":"Amarillo","state":"TX","zip":"79106","beds":102,"overall":5,"inspections":7,"last_inspection":"2026-03-12","deficiencies":13,"serious":0,"ij":0,"open":0,"fines_total":0,"status":"active","universe":"cms","state_actions":0,"state_serious":0,"types":["skilled_nursing_facility","nursing_home"],"distance_km":6.2}]}}