Advanced Rehabilitation and Healthcare of Vernon — nursing home in Vernon, TX

Facility type: Nursing home · SNF / NF
CMS provider type: Medicare and Medicaid
Certified beds: 120 CMS-certified beds (not state-licensed beds)
Licensed beds: 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.
Average residents per day: 100.7 CMS, MDS-derived
CMS Certification Number: 455931
Certification status: Active CMS certification Verified
First approved (Medicare/Medicaid): Jun 25, 1991
Ownership type: For profit - Corporation
Operator (legal business name): Baylor County Hospital District
CMS chain: Advanced Healthcare Solutions 28 facilities
Phone: (940) 552-9316
Resident & family council: Resident
Sprinklers in all required areas: Yes
Official profile: Medicare Care Compare ↗

Inspection record · CMS window

Verified

Inspections

11

latest Jul 22, 2026

Citations

20

18 health · 2 fire

Harm or worse

0

no immediate jeopardy

Severity	Isolated	Pattern	Widespread
Immediate jeopardy	J·	K·	L·
Actual harm	G·	H·	I·
Potential harm	D11	E7	F1
Minimal	A·	B1	C·

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.

CMS Five-Star ratings

Federal · CMS

Overall

Health inspections

Staffing

Quality measures

Penalties · about the last 3 years

Fines

0

$0

Payment denials

0

Latest

—

Federal certification

Federal · CMS

Authority: Centers for Medicare & Medicaid Services (CMS), surveyed by the state survey agency
CCN: 455931
Program: Medicare and Medicaid
Medicare (SNF): Certified
Medicaid (NF): Certified
Certified beds: 120
First approved: Jun 25, 1991
Located in a hospital: No
Status: Active CMS certification as of CMS release Oct 1, 2026
Evidence: Verified

State license

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. State coverage for Texas.

Federal certification and the state license are different records. A nursing home is licensed by the state and, separately, certified by CMS to bill Medicare and/or Medicaid. We link them by the CCN when the state publishes it; otherwise by exact address, house number and street, or exact name within the same ZIP, and label that link as inferred. Never by name alone.

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.

Date	Domain	Survey types	Citations	Most severe	Open
Jul 22, 2026	Health	Health Complaint	1	Potential harm	—	Open →
Aug 8, 2025	Fire safety	Fire Safety Standard	1	Potential harm	—	Open →
Aug 8, 2025	Health	Health Standard	3	Potential harm	—	Open →
Jun 12, 2025	Health	Health Complaint	1	Potential harm	—	Open →
Feb 20, 2025	Health	Health Complaint	1	Potential harm	—	Open →
Jun 6, 2024	Fire safety	Fire Safety Standard	1	Potential harm	—	Open →
Jun 6, 2024	Health	Health Standard	5	Potential harm	—	Open →
Feb 21, 2024	Health	Health Complaint, Infection Control	1	Minimal	—	Open →
Nov 19, 2023	Health	Health Complaint, Infection Control	1	Potential harm	—	Open →
Apr 13, 2023	Fire safety	Fire Safety Standard	0	No citations	—	Open →
Apr 13, 2023	Health	Health Standard	5	Potential harm	—	Open →

Enforcement

Penalties

Civil money penalties and denials of payment for new admissions, as published by CMS (about the last three years). Amounts may change on appeal.

No fines or payment denials in the CMS Penalties file for this CCN.

Scope × severity

Severity	Isolated	Pattern	Widespread
Immediate jeopardy	J·	K·	L·
Actual harm	G·	H·	I·
Potential harm	D11	E7	F1
Minimal	A·	B1	C·

By concept

Date	Tag	Deficiency	Scope / severity	Correction	Flags
Jul 22, 2026	F-0755	Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Pharmacy Service Deficiencies · Medication management	D · Potential harm Isolated	Corrected Jul 25, 2026	Complaint
Aug 8, 2025	K-0321	Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. Smoke Deficiencies · Environment & life safety	E · Potential harm Pattern	Corrected Sep 8, 2025
Aug 8, 2025	F-0628	Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. Resident Rights Deficiencies · Resident rights & abuse/neglect	D · Potential harm Isolated	Corrected Aug 29, 2025
Aug 8, 2025	F-0755	Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Pharmacy Service Deficiencies · Medication management	E · Potential harm Pattern	Corrected Aug 29, 2025
Aug 8, 2025	F-0812	Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Food, nutrition & hydration	E · Potential harm Pattern	Corrected Aug 29, 2025
Jun 12, 2025	F-0880	Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention	D · Potential harm Isolated	Corrected Jul 10, 2025	Complaint
Feb 20, 2025	F-0657	Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. Resident Assessment and Care Planning Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Mar 31, 2025	Complaint
Jun 6, 2024	K-0712	Have simulated fire drills held at unexpected times. Miscellaneous Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Jun 30, 2024
Jun 6, 2024	F-0641	Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Jul 5, 2024
Jun 6, 2024	F-0679	Provide activities to meet all resident's needs. Quality of Life and Care Deficiencies · Clinical care	E · Potential harm Pattern	Corrected Jul 5, 2024
Jun 6, 2024	F-0761	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. Pharmacy Service Deficiencies · Medication management	D · Potential harm Isolated	Corrected Jul 5, 2024
Jun 6, 2024	F-0842	Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Resident Assessment and Care Planning Deficiencies · Clinical care	E · Potential harm Pattern	Corrected Jul 5, 2024
Jun 6, 2024	F-0880	Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention	D · Potential harm Isolated	Corrected Jul 5, 2024
Feb 21, 2024	F-0908	Keep all essential equipment working safely. Environmental Deficiencies · Environment & life safety	B · Minimal Pattern	Past non-compliance Feb 6, 2024	Complaint
Nov 19, 2023	F-0842	Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Resident Assessment and Care Planning Deficiencies · Clinical care	E · Potential harm Pattern	Corrected Nov 28, 2023	ComplaintInfection control
Apr 13, 2023	F-0641	Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · Clinical care	E · Potential harm Pattern	Corrected May 15, 2023
Apr 13, 2023	F-0694	Provide for the safe, appropriate administration of IV fluids for a resident when needed. Quality of Life and Care Deficiencies · Clinical care	D · Potential harm Isolated	Corrected May 15, 2023
Apr 13, 2023	F-0695	Provide safe and appropriate respiratory care for a resident when needed. Quality of Life and Care Deficiencies · Clinical care	D · Potential harm Isolated	Corrected May 15, 2023
Apr 13, 2023	F-0842	Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Resident Assessment and Care Planning Deficiencies · Clinical care	D · Potential harm Isolated	Corrected May 15, 2023
Apr 13, 2023	F-0880	Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention	D · Potential harm Isolated	Corrected May 15, 2023

“Corrected” does not erase a citation: the historical finding stays listed with its disposition. Narrative statements of deficiencies are not part of the CMS dataset; see Care Compare for the official inspection report.

Five-Star ratings

Federal · CMS

Overallstate 2.8

Health inspectionsstate 2.8

Staffingstate 1.9

Quality measuresstate 3.8

Long-stay QM

Short-stay QM

CMS ratings apply to CMS-certified nursing homes only and are relative within each state. They are not a guarantee of any individual resident’s experience.

Nurse staffing · hours per resident per day

Total nurse staffing3.12

State avg 3.42US avg 3.90

Registered nurse (RN)0.80

State avg 0.44US avg 0.69

Licensed practical nurse0.68

State avg 0.94US avg 0.86

Nurse aide1.64

State avg 2.03US avg 2.35

Weekend total nurse2.71

State avg 2.99US avg 3.43

Reported from Payroll-Based Journal (PBJ) data, as published by CMS. Case-mix adjusted total: 3.02 (case-mix index 1.44).

Staff turnover

Total nursing staff turnover49.1%

State avg 50.8%US avg 45.3%

Registered nurse turnover21.1%

State avg 49.8%US avg 42.5%

Administrators who left0

State avg 1US avg 1

Health survey score

Cycle 1 standard survey: Aug 8, 2025
Cycle 1 health score: 24
Total weighted score: 29
Infection-control citations: 1

Operating entity

Baylor County Hospital District

CMS legal business name of the certified provider. Operates 5 facilities.

VerifiedLinked by exact legal name

CMS chain

Advanced Healthcare Solutions

28 facilities in 1 states. CMS chain ID 13.

VerifiedAssigned by CMS

Chain average overall rating (CMS): 3

Ownership disclosures

Disclosures

7

Organizations

2

Individuals

5

Direct & indirect ownership

Owners of record

Name	Type	Role (Carefield group)	CMS role text	Share	Since
Baylor County Hospital District	Organization	Indirect owner	5% OR GREATER INDIRECT OWNERSHIP INTEREST	not provided	Oct 1, 2014

CMS Ownership file

All disclosed roles

Operator, owners, managers, officers and lenders are distinct roles and are never flattened into one entity. Organizations link across facilities by exact normalized legal name; individuals are listed per facility only.

Name	Type	Role (Carefield group)	CMS role text	Share	Since
Baylor County Hospital District	Organization	Indirect owner	5% OR GREATER INDIRECT OWNERSHIP INTEREST	not provided	Oct 1, 2014
Advanced Hcs LLC	Organization	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Jul 1, 2021
Teddy Lichtschein	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Jul 1, 2021
Robert Meisner	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Jul 1, 2021
Eliezer Scheiner	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Jul 1, 2021
Leslie Hardin	Individual	Corporate officer / director	CORPORATE DIRECTOR	not provided	Oct 1, 2014
Leslie Hardin	Individual	Managing employee	W-2 MANAGING EMPLOYEE	not provided	Oct 1, 2014

Other facilities operated by Baylor County Hospital District

All 4 →

Facility	Beds	Last inspection	Citations (window)	Fines
Seymour Rehabilitation and Healthcare 1110 Westview Dr, Seymour, TX 76380 CCN 675042	90	Jun 11, 2026	28	—
Tomball Rehab & Nursing 815 Peach St., Tomball, TX 77375 CCN 675714	126	Apr 10, 2026	311 IJ	$15k
Cherokee Trails Nursing Home 330 E. Bagley Rd., Rusk, TX 75785 CCN 675835	140	May 20, 2026	661 IJ1 open	$31k
Brady West Rehab & Nursing 2201 Menard Hwy, Brady, TX 76825 CCN 676034	106	Sep 4, 2025	371 harm	$11k

Same chain in Texas

All 27 in chain →

Facility	Beds	Last inspection	Citations (window)	Fines
Mcallen Nursing Center 600 N Cynthia St, Mcallen, TX 78501 CCN 455560	122	Aug 5, 2026	412 IJ5 open	$17k
Sulphur Springs Health and Rehabilitation 411 Airport Rd, Sulphur Springs, TX 75482 CCN 455579	128	Jun 24, 2026	581 IJ	$44k
Advanced Health & Rehab Center of Garland 1201 Colonel Dr., Garland, TX 75043 CCN 455731SFF Candidate	139	Jun 4, 2026	584 IJ	$183k
Advanced Rehabilitation and Healthcare of Bowie 700 W Highway 287 S, Bowie, TX 76230 CCN 455849	180	Feb 27, 2026	14	—
El Paso Health & Rehabilitation Center 11525 Vista Del Sol Drive, El Paso, TX 79936 CCN 455935	150	Aug 24, 2026	67	—
Santa Fe Health & Rehabilitation Center 1205 Santa Fe Dr, Weatherford, TX 76086 CCN 455957	116	May 7, 2026	33	—
Palo Pinto Nursing Center 200 Southwest 25th Ave, Mineral Wells, TX 76067 CCN 455961	106	Sep 11, 2025	342 IJ	$41k
Clarksville Nursing Center 300 East Baker St., Clarksville, TX 75426 CCN 455985	132	Apr 14, 2026	33	—

No building or property record is linked to this facility yet. Parcel, assessor and building-permit joins will be added only where a valid site match exists.

Coordinates as published by CMS.

Address: 4401 College Dr., Vernon, TX 76384
ZIP: 76384
County: Wilbarger County FIPS 48487
State: Texas
Urban / rural (CMS): Rural

Within ~25 km

Nearby nursing homes

No nearby facilities with coordinates.

Source	Record	Facts	Evidence	Source release	Retrieved
CMS Provider Information US-CMS	455931	name, address, phone, certification, certified_beds, ownership_type, legal_business_name, chain	Verified	Oct 1, 2026	Nov 7, 2026
CMS Provider Information US-CMS	455931	ratings, staffing, health_survey_score Five-Star ratings and PBJ staffing apply to the CMS-certified universe only.	Verified	Oct 1, 2026	Nov 7, 2026

Record-level source links for CCN 455931

First seen by Carefield Nov 7, 2026 · last changed Nov 7, 2026. This record as JSON · Report a correction