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| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J6 | K2 | L· |
| Actual harm | G1 | H· | I· |
| Potential harm | D12 | E11 | F2 |
| Minimal | A· | B· | C3 |
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 | |
|---|---|---|---|---|---|---|
| Aug 13, 2026 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Jan 14, 2026 | Health | Health Complaint | 4 | Immediate jeopardy | — | Open → |
| Nov 26, 2025 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Sep 16, 2025 | Fire safety | Fire Safety Standard | 2 | Potential harm | 1 | Open → |
| Sep 16, 2025 | Health | Health Standard | 5 | Potential harm | — | Open → |
| Jul 18, 2025 | Health | Health Complaint | 3 | Immediate jeopardy | — | Open → |
| Aug 20, 2024 | Fire safety | Fire Safety Standard | 2 | Potential harm | — | Open → |
| Aug 20, 2024 | Health | Health Standard | 2 | Potential harm | — | Open → |
| Jun 10, 2024 | Health | Health Complaint | 5 | Immediate jeopardy | — | Open → |
| May 9, 2024 | Health | Health Complaint | 4 | Actual harm | — | Open → |
| Jan 18, 2024 | Health | Infection Control | 0 | No citations | — | Open → |
| Nov 14, 2023 | Health | Infection Control | 0 | No citations | — | Open → |
| Jul 18, 2023 | Fire safety | Fire Safety Standard | 3 | Potential harm | — | Open → |
| Jul 18, 2023 | Health | Health Standard | 5 | Potential harm | — | Open → |
| Date | Type | Amount | Payment denial | Record |
|---|---|---|---|---|
| Jan 14, 2026 | Civil money penalty (fine) | $12,740 | — | 675407|Fine|136750 |
| Jan 14, 2026 | Civil money penalty (fine) | $8,281 | — | 675407|Fine|136751 |
| Jul 18, 2025 | Civil money penalty (fine) | $16,543 | — | 675407|Fine|134118 |
| Jun 10, 2024 | Denial of payment for new admissions | — | Jul 12, 2024 · 11 days | 675407|Payment Denial|2024-07-12 |
| Jun 10, 2024 | Civil money penalty (fine) | $203,177 | — | 675407|Fine|112950 |
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J6 | K2 | L· |
| Actual harm | G1 | H· | I· |
| Potential harm | D12 | E11 | F2 |
| Minimal | A· | B· | C3 |
| Date | Tag | Deficiency | Scope / severity | Correction | Flags |
|---|---|---|---|---|---|
| Aug 13, 2026 | F-0726 | Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. Nursing and Physician Services Deficiencies · Staffing & supervision | D · Potential harm Isolated | Corrected Aug 26, 2026 | Complaint |
| Jan 14, 2026 | F-0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect | J · Immediate jeopardy Isolated | Past non-compliance |
“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 |
|---|---|---|---|---|---|
| Ralls Nh Operations, Ltd | Organization | Direct owner | 5% OR GREATER DIRECT OWNERSHIP INTEREST | not provided | Dec 1, 2014 |
| Scott Spore | Individual | Direct owner | 5% OR GREATER DIRECT OWNERSHIP INTEREST | not provided | Dec 1, 2014 |
| Sss Holdings LP | Organization | Direct owner | DIRECT OWNERSHIP INTEREST | not provided | Dec 1, 2023 |
| 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 |
|---|---|---|---|---|---|
| Ralls Nh Operations, Ltd | Organization | Direct owner | 5% OR GREATER DIRECT OWNERSHIP INTEREST | not provided | Dec 1, 2014 |
| Scott Spore | Individual | Direct owner | 5% OR GREATER DIRECT OWNERSHIP INTEREST | not provided | Dec 1, 2014 |
| Sss Holdings LP | Organization | Direct owner | DIRECT OWNERSHIP INTEREST | not provided | Dec 1, 2023 |
| 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 |
|---|---|---|---|---|---|---|
| Crosbyton Nursing and Rehabilitation Center 222 N. Farmer, Crosbyton, TX 79322 CCN 675291 | 12.2 km | 53 | Dec 2, 2025 | 382 open | — |
| Source | Record | Facts | Evidence | Source release | Retrieved |
|---|---|---|---|---|---|
| CMS Provider Information US-CMS | 675407 | name, address, phone, certification, certified_beds, ownership_type, legal_business_name, chain | Verified | Oct 1, 2026 | Nov 7, 2026 |
| CMS Provider Information US-CMS | 675407 | 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
| May 9, 2024 | Civil money penalty (fine) | $62,438 | — | 675407|Fine|112827 |
| Jan 14, 2026 | 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 | J · Immediate jeopardy Isolated | Past non-compliance | Complaint |
| Jan 14, 2026 | F-0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect | J · Immediate jeopardy Isolated | Past non-compliance | Complaint |
| Jan 14, 2026 | F-0602 | Protect each resident from the wrongful use of the resident's belongings or money. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect | E · Potential harm Pattern | Corrected Jan 15, 2026 | Complaint |
| Nov 26, 2025 | F-0760 | Ensure that residents are free from significant medication errors. Pharmacy Service Deficiencies · Medication management | D · Potential harm Isolated | Corrected Nov 27, 2025 | Complaint |
| Sep 16, 2025 | K-0353 | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Oct 11, 2025 |
| Sep 16, 2025 | F-0565 | Honor the resident's right to organize and participate in resident/family groups in the facility. Resident Rights Deficiencies · Resident rights & abuse/neglect | E · Potential harm Pattern | Corrected Oct 11, 2025 |
| Sep 16, 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 Oct 11, 2025 |
| Sep 16, 2025 | F-0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Oct 11, 2025 |
| Sep 16, 2025 | 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 Oct 11, 2025 |
| Sep 16, 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 Oct 11, 2025 |
| Sep 16, 2025 | K-0521 | Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. Services Deficiencies · Environment & life safety | C · Minimal Widespread | No plan of correction |
| Jul 18, 2025 | F-0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect | J · Immediate jeopardy Isolated | Past non-compliance | Complaint |
| Jul 18, 2025 | 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 | J · Immediate jeopardy Isolated | Past non-compliance | Complaint |
| Jul 18, 2025 | F-0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect | J · Immediate jeopardy Isolated | Past non-compliance | Complaint |
| Aug 20, 2024 | K-0341 | Install a fire alarm system that can be heard throughout the facility. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Oct 16, 2024 |
| Aug 20, 2024 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | D · Potential harm Isolated | Corrected Aug 21, 2024 |
| Aug 20, 2024 | 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 | D · Potential harm Isolated | Corrected Aug 21, 2024 |
| Aug 20, 2024 | K-0521 | Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. Services Deficiencies · Environment & life safety | C · Minimal Widespread | Waiver granted Sep 18, 2024 |
| Jun 10, 2024 | F-0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect | K · Immediate jeopardy Pattern | Corrected Jul 23, 2024 | Complaint |
| Jun 10, 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 | K · Immediate jeopardy Pattern | Corrected Jul 23, 2024 | Complaint |
| Jun 10, 2024 | F-0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Jul 23, 2024 | Complaint |
| Jun 10, 2024 | F-0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect | E · Potential harm Pattern | Corrected Jul 23, 2024 | Complaint |
| Jun 10, 2024 | F-0610 | Respond appropriately to all alleged violations. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect | E · Potential harm Pattern | Corrected Jul 23, 2024 | Complaint |
| May 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 | G · Actual harm Isolated | Corrected Jun 6, 2024 | Complaint |
| May 9, 2024 | 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 Jun 6, 2024 | Complaint |
| May 9, 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 | E · Potential harm Pattern | Corrected Jun 6, 2024 | Complaint |
| May 9, 2024 | 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 Jun 6, 2024 | Complaint |
| Jul 18, 2023 | 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 Aug 17, 2023 |
| Jul 18, 2023 | K-0345 | Have approved installation, maintenance and testing program for fire alarm systems. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Aug 17, 2023 |
| Jul 18, 2023 | 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 Jul 19, 2023 |
| Jul 18, 2023 | F-0558 | Reasonably accommodate the needs and preferences of each resident. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Jul 24, 2023 |
| Jul 18, 2023 | 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 Jul 27, 2023 |
| Jul 18, 2023 | F-0679 | Provide activities to meet all resident's needs. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Jul 19, 2023 |
| Jul 18, 2023 | 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 Aug 2, 2023 |
| Jul 18, 2023 | K-0521 | Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. Services Deficiencies · Environment & life safety | C · Minimal Widespread | Waiver granted |
Reported from Payroll-Based Journal (PBJ) data, as published by CMS. Case-mix adjusted total: 2.82 (case-mix index 1.26).
| 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 |
| Carl Britton | Individual | Partner | LIMITED PARTNERSHIP INTEREST | not provided | Dec 1, 2023 |
| Roger Wolcott | Individual | Partner | LIMITED PARTNERSHIP INTEREST | not provided | Dec 1, 2023 |
| Andrew Buchok | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Aug 22, 2023 |
| Paul Chebib | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Dec 1, 2023 |
| Scott Spore | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Dec 13, 2024 |
| 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 |
| Childress County Hospital District | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Jan 23, 2025 |
| Ralls Nh Operations, Ltd | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Jan 23, 2025 |
| Andrew Buchok | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Aug 22, 2023 |
| Paul Chebib | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Dec 1, 2023 |
| Holly Holcomb | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Dec 1, 2014 |
| 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 | — |
| Apex Secure Care Brownfield 1101 E Lake St, Brownfield, TX 79316 CCN 675019 | 108 | Apr 14, 2026 | 472 IJ | $23k |
| 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 |
| Prairie House Living Center 1301 Mesa Dr, Plainview, TX 79072 CCN 675478 | 121 | Jun 11, 2026 | 35 | — |