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| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J2 | K· | L· |
| Actual harm | G· | H· | I· |
| Potential harm | D26 | E18 | F1 |
| Minimal | A· | B· | 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.
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.
| Date | Domain | Survey types | Citations | Most severe | Open | |
|---|---|---|---|---|---|---|
| Apr 14, 2026 | Fire safety | Fire Safety Standard | 6 | Potential harm | — | Open → |
| Apr 14, 2026 | Health | Health Standard | 10 | Immediate jeopardy | — | Open → |
| Nov 25, 2025 | Health | Health Complaint | 2 | Potential harm | — | Open → |
| Feb 11, 2025 | Fire safety | Fire Safety Standard | 2 | Potential harm | — | Open → |
| Feb 11, 2025 | Health | Health Standard | 11 | Potential harm | — | Open → |
| Dec 4, 2024 | Health | Health Complaint | 1 | Immediate jeopardy | — | Open → |
| Jun 28, 2024 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| May 21, 2024 | Health | Health Complaint | 3 | Potential harm | — | Open → |
| Jan 9, 2024 | Fire safety | Fire Safety Standard | 0 | No citations | — | Open → |
| Jan 9, 2024 | Health | Health Standard | 11 | Potential harm | — | Open → |
| Date | Type | Amount | Payment denial | Record |
|---|---|---|---|---|
| Apr 14, 2026 | Denial of payment for new admissions | — | May 13, 2026 · 5 days | 675019|Payment Denial|2026-05-13 |
| Apr 14, 2026 | Civil money penalty (fine) | $8,496 | — | 675019|Fine|138587 |
| Dec 4, 2024 | Civil money penalty (fine) | $14,668 | — | 675019|Fine|113421 |
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J2 | K· | L· |
| Actual harm | G· | H· | I· |
| Potential harm | D26 | E18 | F1 |
| Minimal | A· | B· | C· |
| Date | Tag | Deficiency | Scope / severity | Correction | Flags |
|---|---|---|---|---|---|
| Apr 14, 2026 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | J · Immediate jeopardy Isolated | Corrected May 15, 2026 | |
| Apr 14, 2026 | K-0222 | Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. Egress Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected May 18, 2026 | |
| Apr 14, 2026 | K-0351 |
“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.
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.
CMS legal business name of the certified provider. Operates 12 facilities.
Not part of a CMS-reported chain.
| Name | Type | Role (Carefield group) | CMS role text | Share | Since |
|---|---|---|---|---|---|
| Theora Management Systems Inc | Organization | Direct owner | 5% OR GREATER DIRECT OWNERSHIP INTEREST | not provided | Dec 1, 2023 |
| Scott Spore | Individual | Direct owner | 5% OR GREATER DIRECT OWNERSHIP INTEREST | not provided | Dec 1, 2023 |
| Meridian Ltc Ltd | Organization | Direct owner | DIRECT OWNERSHIP INTEREST | not provided | Dec 1, 2014 |
| Carl Britton | Individual | Direct owner | DIRECT OWNERSHIP INTEREST | not provided | Dec 1, 2023 |
| Paul Chebib | Individual | Direct owner | DIRECT OWNERSHIP INTEREST | not provided | Dec 1, 2023 |
| Roger Wolcott | Individual | Direct owner | DIRECT OWNERSHIP INTEREST | not provided | Dec 1, 2023 |
| Childress County Hospital District | Organization | Indirect owner | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | not provided | Dec 1, 2014 |
| Name | Type | Role (Carefield group) | CMS role text | Share | Since |
|---|---|---|---|---|---|
| Theora Management Systems Inc | Organization | Direct owner | 5% OR GREATER DIRECT OWNERSHIP INTEREST | not provided | Dec 1, 2023 |
| Scott Spore | Individual | Direct owner | 5% OR GREATER DIRECT OWNERSHIP INTEREST | not provided | Dec 1, 2023 |
| Meridian Ltc Ltd | Organization | Direct owner | DIRECT OWNERSHIP INTEREST | not provided | Dec 1, 2014 |
| Carl Britton | Individual | Direct owner | DIRECT OWNERSHIP INTEREST | not provided | Dec 1, 2023 |
| Facility | Beds | CMS overall | Last inspection | Citations (window) | Fines |
|---|---|---|---|---|---|
| Palo Duro Nursing Home 405 S Collins St, Claude, TX 79019 CCN 455641 | 66 | Aug 20, 2025 | 251 open | — | |
| Landmark of Amarillo Rehabilitation and Nursing Ce 5601 Plum Creek Drive, Amarillo, TX 79124 CCN 455675 |
Coordinates as published by CMS.
| Facility | Distance | Beds | CMS overall | Last inspection | Citations (window) | Fines |
|---|---|---|---|---|---|---|
| Brownfield Rehabilitation and Care Center 510 S First St, Brownfield, TX 79316 CCN 675182 | 1.2 km | 54 | Aug 26, 2026 | 231 open | — |
| Source | Record | Facts | Evidence | Source release | Retrieved |
|---|---|---|---|---|---|
| CMS Provider Information US-CMS | 675019 | name, address, phone, certification, certified_beds, ownership_type, legal_business_name, chain | Verified | Oct 1, 2026 | Nov 7, 2026 |
| CMS Provider Information US-CMS | 675019 | 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 |
First seen by Carefield Nov 7, 2026 · last changed Nov 7, 2026. This record as JSON · Report a correction
| Install an approved automatic sprinkler system. Smoke Deficiencies · Environment & life safety |
| D · Potential harm Isolated |
| Corrected May 18, 2026 |
| Apr 14, 2026 | K-0353 | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected May 18, 2026 |
| Apr 14, 2026 | K-0372 | Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected May 18, 2026 |
| Apr 14, 2026 | K-0374 | Install smoke barrier doors that can resist smoke for at least 20 minutes. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected May 18, 2026 |
| Apr 14, 2026 | K-0920 | Ensure proper usage of power strips and extension cords. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected May 18, 2026 |
| Apr 14, 2026 | F-0583 | Keep residents' personal and medical records private and confidential. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected May 15, 2026 |
| Apr 14, 2026 | F-0584 | Honor 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. Resident Rights Deficiencies · Resident rights & abuse/neglect | E · Potential harm Pattern | Corrected May 15, 2026 |
| Apr 14, 2026 | F-0727 | Have 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. Nursing and Physician Services Deficiencies · Staffing & supervision | E · Potential harm Pattern | Corrected May 15, 2026 |
| Apr 14, 2026 | F-0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | D · Potential harm Isolated | Corrected May 15, 2026 |
| Apr 14, 2026 | 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 May 15, 2026 |
| Apr 14, 2026 | F-0839 | Employ staff that are licensed, certified, or registered in accordance with state laws. Administration Deficiencies · Administration & records | D · Potential harm Isolated | Corrected May 15, 2026 |
| Apr 14, 2026 | F-0908 | Keep all essential equipment working safely. Environmental Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected May 15, 2026 |
| Apr 14, 2026 | F-0921 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. Environmental Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected May 15, 2026 |
| Apr 14, 2026 | F-0924 | Put firmly secured handrails on each side of hallways. Environmental Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected May 15, 2026 |
| Nov 25, 2025 | 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 Nov 26, 2025 | Complaint |
| Nov 25, 2025 | 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 26, 2025 | Complaint |
| Feb 11, 2025 | K-0211 | Keep aisles, corridors, and exits free of obstruction in case of emergency. Egress Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Mar 21, 2025 |
| Feb 11, 2025 | K-0741 | Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. Miscellaneous Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Mar 21, 2025 |
| Feb 11, 2025 | F-0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Mar 21, 2025 |
| Feb 11, 2025 | F-0558 | Reasonably accommodate the needs and preferences of each resident. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Mar 21, 2025 |
| Feb 11, 2025 | F-0584 | Honor 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. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Mar 21, 2025 |
| Feb 11, 2025 | F-0585 | Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. Resident Rights Deficiencies · Resident rights & abuse/neglect | E · Potential harm Pattern | Corrected Mar 21, 2025 |
| Feb 11, 2025 | F-0644 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Mar 21, 2025 |
| Feb 11, 2025 | F-0679 | Provide activities to meet all resident's needs. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Mar 21, 2025 |
| Feb 11, 2025 | F-0803 | 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. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | D · Potential harm Isolated | Corrected Mar 21, 2025 |
| Feb 11, 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 Mar 21, 2025 |
| Feb 11, 2025 | F-0813 | Have a policy regarding use and storage of foods brought to residents by family and other visitors. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | D · Potential harm Isolated | Corrected Mar 21, 2025 |
| Feb 11, 2025 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | E · Potential harm Pattern | Corrected Mar 21, 2025 |
| Feb 11, 2025 | F-0921 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. Environmental Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Mar 21, 2025 |
| Dec 4, 2024 | F-0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Clinical care | J · Immediate jeopardy Isolated | Past non-compliance Nov 27, 2024 | Complaint |
| Jun 28, 2024 | F-0607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Aug 9, 2024 | Complaint |
| May 21, 2024 | F-0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Jun 21, 2024 | Complaint |
| May 21, 2024 | F-0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Jun 21, 2024 | Complaint |
| May 21, 2024 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | D · Potential harm Isolated | Corrected Jun 21, 2024 | Complaint |
| Jan 9, 2024 | F-0552 | Ensure that residents are fully informed and understand their health status, care and treatments. Resident Rights Deficiencies · Resident rights & abuse/neglect | E · Potential harm Pattern | Corrected Feb 16, 2024 |
| Jan 9, 2024 | F-0584 | Honor 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. Resident Rights Deficiencies · Resident rights & abuse/neglect | E · Potential harm Pattern | Corrected Feb 16, 2024 |
| Jan 9, 2024 | F-0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Feb 16, 2024 |
| Jan 9, 2024 | F-0692 | Provide enough food/fluids to maintain a resident's health. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Feb 16, 2024 |
| Jan 9, 2024 | F-0693 | Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Feb 16, 2024 |
| Jan 9, 2024 | F-0698 | Provide safe, appropriate dialysis care/services for a resident who requires such services. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Feb 16, 2024 |
| Jan 9, 2024 | F-0803 | 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. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | E · Potential harm Pattern | Corrected Feb 16, 2024 |
| Jan 9, 2024 | F-0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | E · Potential harm Pattern | Corrected Feb 16, 2024 |
| Jan 9, 2024 | F-0805 | Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | D · Potential harm Isolated | Corrected Feb 16, 2024 |
| Jan 9, 2024 | 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 | F · Potential harm Widespread | Corrected Feb 16, 2024 |
| Jan 9, 2024 | F-0925 | Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. Environmental Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Feb 16, 2024 |
Reported from Payroll-Based Journal (PBJ) data, as published by CMS. Case-mix adjusted total: 2.63 (case-mix index 1.24).
| Paul Chebib | Individual | Direct owner | DIRECT OWNERSHIP INTEREST | not provided | Dec 1, 2023 |
| Roger Wolcott | Individual | Direct owner | DIRECT OWNERSHIP INTEREST | not provided | Dec 1, 2023 |
| Childress County Hospital District | Organization | Indirect owner | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | not provided | Dec 1, 2014 |
| Sss Holdings LP | Organization | Partner | LIMITED PARTNERSHIP INTEREST | not provided | Dec 1, 2023 |
| Holly Holcomb | Individual | Operational / managerial control | MANAGING CONTROL - GOVERNING BODY | not provided | May 29, 2021 |
| Emilee Stratton | Individual | Operational / managerial control | MANAGING CONTROL - GOVERNING BODY | not provided | Mar 18, 2018 |
| Paul Chebib | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Dec 30, 2024 |
| Raymond Garcia | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Jan 10, 2025 |
| Scott Spore | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Dec 1, 2014 |
| Holly Holcomb | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | May 29, 2021 |
| Emilee Stratton | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | Mar 18, 2018 |
| Paul Chebib | Individual | Managing employee | W-2 MANAGING EMPLOYEE | not provided | Dec 1, 2023 |
| Raymond Garcia | Individual | Managing employee | W-2 MANAGING EMPLOYEE | not provided | Jun 15, 2019 |
| Childress County Hospital District | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Jan 23, 2025 |
| Meridian Ltc Ltd | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Jan 23, 2025 |
| Theora Management Systems Inc | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Jan 23, 2025 |
| Paul Chebib | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Jan 23, 2025 |
| Raymond Garcia | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Jan 23, 2025 |
| Holly Holcomb | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Jan 23, 2025 |
| Scott Spore | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Jan 23, 2025 |
| Emilee Stratton | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Jan 23, 2025 |
| 99 |
| May 20, 2026 |
381 IJ1 harm |
| $161k |
| Crowell Nursing Center 200 South B Ave, Crowell, TX 79227 CCN 675013 | 67 | Apr 9, 2026 | 201 open | — |
| Avir at Childress 1200 7th St NW, Childress, TX 79201 CCN 675055 | 120 | Jul 8, 2026 | 44 | — |
| Villa Haven Health and Rehabilitation Center 300 S Jackson St, Breckenridge, TX 76424 CCN 675279 | 92 | Mar 13, 2026 | 18 | — |
| Willowcreek Rehab and Nursing 4934 S 7th St, Abilene, TX 79605 CCN 675350 | 96 | May 6, 2026 | 351 IJ | $24k |
| Ralls Nursing Home 1111 Avenue P, Ralls, TX 79357 CCN 675407Abuse icon | 46 | Aug 13, 2026 | 378 IJ1 harm1 open | $303k |
| Prairie House Living Center 1301 Mesa Dr, Plainview, TX 79072 CCN 675478 | 121 | Jun 11, 2026 | 35 | — |