Flatonia Healthcare Center — nursing home in Flatonia, TX

Facility type: Nursing home · SNF / NF
CMS provider type: Medicare and Medicaid
Certified beds: 70 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: 35.5 CMS, MDS-derived
CMS Certification Number: 675445
Certification status: Active CMS certification Verified
First approved (Medicare/Medicaid): Feb 14, 1995
Ownership type: For profit - Corporation
Operator (legal business name): Winnie-Stowell Hospital District
CMS chain: Nexion Health 51 facilities
Phone: (361) 865-3571
Resident & family council: Resident
Sprinklers in all required areas: Yes
Official profile: Medicare Care Compare ↗

Inspection record · CMS window

Verified

Inspections

11

latest Dec 4, 2025

Citations

22

15 health · 7 fire

Harm or worse

2

1 immediate jeopardy

Severity	Isolated	Pattern	Widespread
Immediate jeopardy	J1	K·	L·
Actual harm	G1	H·	I·
Potential harm	D9	E5	F3
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.

CMS Five-Star ratings

Federal · CMS

Overall

Health inspections

Staffing

Quality measures

Penalties · about the last 3 years

Fines

2

$15,098

Payment denials

0

Latest

Sep 2, 2025

Federal certification

Federal · CMS

Authority: Centers for Medicare & Medicaid Services (CMS), surveyed by the state survey agency
CCN: 675445
Program: Medicare and Medicaid
Medicare (SNF): Certified
Medicaid (NF): Certified
Certified beds: 70
First approved: Feb 14, 1995
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
Dec 4, 2025	Fire safety	Fire Safety Standard	2	Potential harm	—	Open →
Dec 4, 2025	Health	Health Standard	4	Potential harm	—	Open →
Nov 18, 2025	Health	Health Complaint	3	Potential harm	—	Open →
Sep 2, 2025	Health	Health Complaint	2	Immediate jeopardy	—	Open →
Oct 5, 2024	Health	Health Complaint	1	Actual harm	—	Open →
Aug 1, 2024	Fire safety	Fire Safety Standard	1	Potential harm	—	Open →
Aug 1, 2024	Health	Health Standard	2	Potential harm	—	Open →
Jan 9, 2024	Health	Health Complaint	1	Potential harm	—	Open →
Nov 1, 2023	Health	Infection Control	0	No citations	—	Open →
Jun 14, 2023	Fire safety	Fire Safety Standard	4	Potential harm	—	Open →
Jun 14, 2023	Health	Health Standard	2	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.

Date	Type	Amount	Payment denial	Record
Sep 2, 2025	Civil money penalty (fine)	$14,688	—	675445\|Fine\|134892
Oct 5, 2024	Civil money penalty (fine)	$410	—	675445\|Fine\|113261

Scope × severity

Severity	Isolated	Pattern	Widespread
Immediate jeopardy	J1	K·	L·
Actual harm	G1	H·	I·
Potential harm	D9	E5	F3
Minimal	A·	B·	C3

By concept

Date	Tag	Deficiency	Scope / severity	Correction	Flags
Dec 4, 2025	K-0712	Have simulated fire drills held at unexpected times. Miscellaneous Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Dec 19, 2025
Dec 4, 2025	K-0920	Ensure proper usage of power strips and extension cords. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Dec 9, 2025
Dec 4, 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 Dec 5, 2025
Dec 4, 2025	F-0759	Ensure medication error rates are not 5 percent or greater. Pharmacy Service Deficiencies · Medication management	D · Potential harm Isolated	Corrected Dec 5, 2025
Dec 4, 2025	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 Dec 5, 2025
Dec 4, 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	F · Potential harm Widespread	Corrected Dec 5, 2025
Nov 18, 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 Nov 21, 2025	Complaint
Nov 18, 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	D · Potential harm Isolated	Corrected Nov 21, 2025	Complaint
Nov 18, 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	D · Potential harm Isolated	Corrected Nov 21, 2025	Complaint
Sep 2, 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	Corrected Sep 3, 2025	Complaint
Sep 2, 2025	F-0684	Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Sep 3, 2025	Complaint
Oct 5, 2024	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	G · Actual harm Isolated	Corrected Oct 6, 2024	Complaint
Aug 1, 2024	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 31, 2025
Aug 1, 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	E · Potential harm Pattern	Corrected Aug 2, 2024
Aug 1, 2024	F-0880	Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention	D · Potential harm Isolated	Corrected Aug 2, 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	D · Potential harm Isolated	Corrected Jan 31, 2024	Complaint
Jun 14, 2023	K-0372	Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Smoke Deficiencies · Environment & life safety	E · Potential harm Pattern	Corrected Mar 7, 2024
Jun 14, 2023	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 Jun 14, 2023
Jun 14, 2023	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 Jun 14, 2023
Jun 14, 2023	K-0351	Install an approved automatic sprinkler system. Smoke Deficiencies · Environment & life safety	C · Minimal Widespread	Corrected Mar 7, 2024
Jun 14, 2023	K-0353	Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety	C · Minimal Widespread	Corrected Mar 7, 2024
Jun 14, 2023	K-0712	Have simulated fire drills held at unexpected times. Miscellaneous Deficiencies · Environment & life safety	C · Minimal Widespread	Corrected Mar 7, 2024

“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 QMNot rated

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 staffing4.57

State avg 3.42US avg 3.90

Registered nurse (RN)0.84

State avg 0.44US avg 0.69

Licensed practical nurse0.39

State avg 0.94US avg 0.86

Nurse aide3.34

State avg 2.03US avg 2.35

Weekend total nurse4.45

State avg 2.99US avg 3.43

Reported from Payroll-Based Journal (PBJ) data, as published by CMS. Case-mix adjusted total: 5.31 (case-mix index 1.20).

Staff turnover

Total nursing staff turnover60.3%

State avg 50.8%US avg 45.3%

Registered nurse turnover75.0%

State avg 49.8%US avg 42.5%

Administrators who left2

State avg 1US avg 1

Health survey score

Cycle 1 standard survey: Dec 4, 2025
Cycle 1 health score: 44
Total weighted score: 61.75
Infection-control citations: 0

Operating entity

Winnie-Stowell Hospital District

CMS legal business name of the certified provider. Operates 77 facilities.

VerifiedLinked by exact legal name

CMS chain

Nexion Health

51 facilities in 3 states. CMS chain ID 370.

VerifiedAssigned by CMS

Chain average overall rating (CMS): 2.3

Ownership disclosures

Disclosures

6

Organizations

1

Individuals

5

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
Nexion Health at Flatonia, Inc	Organization	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Apr 1, 2023
Francis Kirley	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Apr 1, 2023
Edward Murrell	Individual	Corporate officer / director	CORPORATE DIRECTOR	not provided	Dec 1, 2012
Sherrie Norris	Individual	Corporate officer / director	CORPORATE DIRECTOR	not provided	Mar 1, 2013
Edward Murrell	Individual	Corporate officer / director	CORPORATE OFFICER	not provided	Nov 22, 2016
Francis Kirley	Individual	Managing employee	W-2 MANAGING EMPLOYEE	not provided	Apr 1, 2023

Other facilities operated by Winnie-Stowell Hospital District

All 76 →

Facility	Beds	Last inspection	Citations (window)	Fines
Copperas Cove Nursing & Rehabilitation 607 W. Ave. B, Copperas Cove, TX 76522 CCN 455515	123	Aug 19, 2026	472 IJ	$24k
Beaumont Health Care Center 795 Lindbergh Dr, Beaumont, TX 77707 CCN 455561	82	Jul 8, 2026	24	—
Avir at Town Creek 1816 Tile Factory Rd, Palestine, TX 75801 CCN 455565	102	Feb 18, 2026	302 harm	$49k
Marshall Manor Nursing & Rehabilitation Center 1007 S Washington Ave, Marshall, TX 75670 CCN 455646	179	Jul 29, 2026	31	—
Afton Oaks Nursing and Rehabilitation Center 7514 Kingsley St, Houston, TX 77087 CCN 455682SFF CandidateAbuse icon	169	Aug 28, 2026	468 IJ2 harm2 open	$72k
Willowbrook Nursing Center 227 Russell Blvd, Nacogdoches, TX 75965 CCN 455700	166	Jul 9, 2025	271 IJ	$153k
Monument Hill Nursing and Rehabilitation Center 120 State Loop 92, La Grange, TX 78945 CCN 455715	104	Aug 6, 2026	311 IJ	$8,281
Oak Brook Health Care Center 107 Stacy Dr., Whitehouse, TX 75791 CCN 455753	120	Jun 17, 2026	24	—

Same chain in Texas

All 50 in chain →

Facility	Beds	Last inspection	Citations (window)	Fines
Sterling Hills Rehabilitation and Healthcare Cente 705 NE Georgia Ave, Sweetwater, TX 79556 CCN 455509	96	Mar 26, 2026	17	—
Lily Springs Rehabilitation and Healthcare Center 901 Central Texas Exp, Lampasas, TX 76550 CCN 455889	116	Jun 24, 2026	594 IJ2 harm	$86k
Cedar Ridge Rehabilitation and Healthcare Center 1700 N Washington St, Pilot Point, TX 76258 CCN 455930	108	Apr 1, 2026	36	—
Pecan Creek Healthcare Center 910 E Pierson St, Hamilton, TX 76531 CCN 455954	76	Jun 11, 2026	192 open	—
Coleman Healthcare Center 2713 S. Commercial Ave, Coleman, TX 76834 CCN 675009	54	Mar 6, 2026	27	—
Lakeview Rehabilitation and Healthcare Center 502 E Coke Rd, Winnsboro, TX 75494 CCN 675051	60	Apr 23, 2026	372 harm	$34k
Bay Ridge Healthcare Center 208 South Utah, La Porte, TX 77571 CCN 675052	58	Jun 26, 2026	395 IJ1 harm	$55k
Renaissance Rehabilitation and Healthcare Center 220 Davenport, Italy, TX 76651 CCN 675103	74	Sep 10, 2025	18	—

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: 624 N Converse St, Flatonia, TX 78941
ZIP: 78941
County: Fayette County FIPS 48149
State: Texas
Urban / rural (CMS): Rural

Within ~25 km

Nearby nursing homes

Facility	Distance	Beds	CMS overall	Last inspection	Citations (window)	Fines
Shady Oak Nursing and Rehabilitation 101 South Lancaster, Moulton, TX 77975 CCN 676030	14 km	61		Sep 5, 2025	26	—

Source	Record	Facts	Evidence	Source release	Retrieved
CMS Provider Information US-CMS	675445	name, address, phone, certification, certified_beds, ownership_type, legal_business_name, chain	Verified	Oct 1, 2026	Nov 7, 2026
CMS Provider Information US-CMS	675445	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 675445

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