Sunset Valley Rehabilitation and Healthcare Center — nursing home in Littlefield, TX

Facility type: Nursing home · SNF / NF
CMS provider type: Medicare and Medicaid
Certified beds: 80 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: 47.0 CMS, MDS-derived
CMS Certification Number: 675978
Certification status: Active CMS certification Verified
First approved (Medicare/Medicaid): Jun 25, 2003
Ownership type: For profit - Limited Liability company
Operator (legal business name): Pdm Operators LLC
CMS chain: Paramount Healthcare Consultants 14 facilities
Phone: (806) 385-6600
Resident & family council: Resident
Sprinklers in all required areas: Yes
Official profile: Medicare Care Compare ↗

Inspection record · CMS window

Verified

Inspections

12

latest Feb 26, 2026

Citations

43

36 health · 7 fire

Harm or worse

2

2 immediate jeopardy

Severity	Isolated	Pattern	Widespread
Immediate jeopardy	J2	K·	L·
Actual harm	G·	H·	I·
Potential harm	D23	E13	F3
Minimal	A·	B·	C2

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

1

$15,944

Payment denials

0

Latest

Aug 26, 2024

Federal certification

Federal · CMS

Authority: Centers for Medicare & Medicaid Services (CMS), surveyed by the state survey agency
CCN: 675978
Program: Medicare and Medicaid
Medicare (SNF): Certified
Medicaid (NF): Certified
Certified beds: 80
First approved: Jun 25, 2003
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
Feb 26, 2026	Fire safety	Fire Safety Standard	5	Potential harm	—	Open →
Feb 26, 2026	Health	Health Standard	9	Potential harm	—	Open →
Dec 22, 2025	Health	Health Complaint	1	Potential harm	—	Open →
Jan 15, 2025	Health	Health Complaint	1	Potential harm	—	Open →
Nov 22, 2024	Fire safety	Fire Safety Standard	2	Potential harm	—	Open →
Nov 22, 2024	Health	Health Standard	5	Potential harm	—	Open →
Aug 26, 2024	Health	Health Complaint	2	Immediate jeopardy	—	Open →
Jun 5, 2024	Health	Health Complaint	4	Potential harm	—	Open →
Feb 28, 2024	Health	Health Complaint	2	Potential harm	—	Open →
Nov 1, 2023	Health	Health Complaint	1	Potential harm	—	Open →
Oct 10, 2023	Fire safety	Fire Safety Standard	0	No citations	—	Open →
Oct 10, 2023	Health	Health Standard	11	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
Aug 26, 2024	Civil money penalty (fine)	$15,944	—	675978\|Fine\|113148

Scope × severity

Severity	Isolated	Pattern	Widespread
Immediate jeopardy	J2	K·	L·
Actual harm	G·	H·	I·
Potential harm	D23	E13	F3
Minimal	A·	B·	C2

By concept

Date	Tag	Deficiency	Scope / severity	Correction	Flags
Feb 26, 2026	E-0030	List the names and contact information of those in the facility. Emergency Preparedness Deficiencies · Emergency preparedness	F · Potential harm Widespread	Corrected Mar 2, 2026
Feb 26, 2026	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 Mar 27, 2026
Feb 26, 2026	K-0351	Install an approved automatic sprinkler system. Smoke Deficiencies · Environment & life safety	E · Potential harm Pattern	Corrected Mar 2, 2026
Feb 26, 2026	K-0353	Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety	E · Potential harm Pattern	Corrected Mar 4, 2026
Feb 26, 2026	K-0923	Have proper medical gas storage and administration areas. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected Mar 2, 2026
Feb 26, 2026	F-0576	Ensure residents have reasonable access to and privacy in their use of communication methods. Resident Rights Deficiencies · Resident rights & abuse/neglect	E · Potential harm Pattern	Corrected Mar 2, 2026
Feb 26, 2026	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 2, 2026
Feb 26, 2026	F-0692	Provide enough food/fluids to maintain a resident's health. Quality of Life and Care Deficiencies · Clinical care	E · Potential harm Pattern	Corrected Mar 2, 2026
Feb 26, 2026	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 Mar 2, 2026
Feb 26, 2026	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 Mar 2, 2026
Feb 26, 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 Mar 2, 2026
Feb 26, 2026	F-0880	Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention	D · Potential harm Isolated	Corrected Mar 2, 2026
Feb 26, 2026	F-0926	Have policies on smoking. Environmental Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected Mar 2, 2026
Feb 26, 2026	F-0577	Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. Resident Rights Deficiencies · Resident rights & abuse/neglect	C · Minimal Widespread	Corrected Mar 2, 2026
Dec 22, 2025	F-0740	Ensure each resident must receive and the facility must provide necessary behavioral health care and services. Quality of Life and Care Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Jan 21, 2026	Complaint
Jan 15, 2025	F-0880	Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention	E · Potential harm Pattern	Corrected Jan 30, 2025	Complaint
Nov 22, 2024	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	D · Potential harm Isolated	Corrected Dec 20, 2024
Nov 22, 2024	K-0355	Properly select, install, inspect, or maintain portable fire extinguishes. Smoke Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Dec 20, 2024
Nov 22, 2024	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 10, 2024
Nov 22, 2024	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 Dec 10, 2024
Nov 22, 2024	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	D · Potential harm Isolated	Corrected Dec 20, 2024
Nov 22, 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 Dec 10, 2024
Nov 22, 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 Dec 10, 2024
Aug 26, 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	J · Immediate jeopardy Isolated	Corrected Aug 27, 2024	Complaint
Aug 26, 2024	F-0686	Provide appropriate pressure ulcer care and prevent new ulcers from developing. Quality of Life and Care Deficiencies · Clinical care	J · Immediate jeopardy Isolated	Corrected Aug 27, 2024	Complaint
Jun 5, 2024	F-0655	Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted Resident Assessment and Care Planning Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Jul 5, 2024	Complaint
Jun 5, 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 Jul 5, 2024	Complaint
Jun 5, 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 Jul 5, 2024	Complaint
Jun 5, 2024	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	D · Potential harm Isolated	Corrected Jun 8, 2024	Complaint
Feb 28, 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	D · Potential harm Isolated	Corrected Mar 29, 2024	Complaint
Feb 28, 2024	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 Mar 29, 2024	Complaint
Nov 1, 2023	F-0880	Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention	E · Potential harm Pattern	Corrected Nov 15, 2023	Complaint
Oct 10, 2023	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 Nov 10, 2023
Oct 10, 2023	F-0641	Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Nov 10, 2023
Oct 10, 2023	F-0655	Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted Resident Assessment and Care Planning Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Nov 10, 2023
Oct 10, 2023	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 Nov 10, 2023
Oct 10, 2023	F-0676	Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. Quality of Life and Care Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Nov 10, 2023
Oct 10, 2023	F-0677	Provide care and assistance to perform activities of daily living for any resident who is unable. Quality of Life and Care Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Nov 10, 2023
Oct 10, 2023	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 Nov 10, 2023
Oct 10, 2023	F-0725	Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. Nursing and Physician Services Deficiencies · Staffing & supervision	E · Potential harm Pattern	Corrected Nov 10, 2023
Oct 10, 2023	F-0791	Provide or obtain dental services for each resident. Quality of Life and Care Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Nov 14, 2023
Oct 10, 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 Nov 10, 2023
Oct 10, 2023	F-0732	Post nurse staffing information every day. Nursing and Physician Services Deficiencies · Staffing & supervision	C · Minimal Widespread	Corrected Nov 10, 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 staffing3.37

State avg 3.42US avg 3.90

Registered nurse (RN)0.41

State avg 0.44US avg 0.69

Licensed practical nurse1.10

State avg 0.94US avg 0.86

Nurse aide1.86

State avg 2.03US avg 2.35

Weekend total nurse2.93

State avg 2.99US avg 3.43

Reported from Payroll-Based Journal (PBJ) data, as published by CMS. Case-mix adjusted total: 3.22 (case-mix index 1.46).

Staff turnover

Total nursing staff turnover63.0%

State avg 50.8%US avg 45.3%

Registered nurse turnoverNot reported

State avg 49.8%US avg 42.5%

Administrators who leftNot reported

State avg 1US avg 1

Health survey score

Cycle 1 standard survey: Feb 26, 2026
Cycle 1 health score: 56
Total weighted score: 90.25

Operating entity

Pdm Operators LLC

CMS legal business name of the certified provider. Operates this facility only.

VerifiedLinked by exact legal name

CMS chain

Paramount Healthcare Consultants

14 facilities in 2 states. CMS chain ID 396.

VerifiedAssigned by CMS

Chain average overall rating (CMS): 2.4

Ownership disclosures

Disclosures

15

Organizations

5

Individuals

6

Direct & indirect ownership

Owners of record

Name	Type	Role (Carefield group)	CMS role text	Share	Since
Dawne Smith	Individual	Direct owner	5% OR GREATER DIRECT OWNERSHIP INTEREST	100%	Mar 1, 2017

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
Dawne Smith	Individual	Direct owner	5% OR GREATER DIRECT OWNERSHIP INTEREST	100%	Mar 1, 2017
Russell Sheppel	Individual	Partner	INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF	not provided	May 13, 2025
Bradley Smith	Individual	Partner	INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF	not provided	May 13, 2025
Diana Riojas	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Jun 26, 2023
Littlefield Smith, LLC	Organization	Mortgage / security interest	5% OR GREATER MORTGAGE INTEREST	not provided	Jan 1, 2008
Sheppel Littlefield, LLC	Organization	Mortgage / security interest	5% OR GREATER MORTGAGE INTEREST	not provided	Jan 1, 2008
Smith Family 2001 Trust	Organization	Mortgage / security interest	5% OR GREATER MORTGAGE INTEREST	not provided	Jan 1, 2008
The Russell M. Sheppel 2010 Separate Property Trust	Organization	Mortgage / security interest	5% OR GREATER MORTGAGE INTEREST	not provided	Jan 1, 2008
Littlefield Smith, LLC	Organization	Additional disclosable party	ADP OF THE SNF	not provided	Jan 1, 2008
Paramount Healthcare Consultants, LLC	Organization	Additional disclosable party	ADP OF THE SNF	not provided	Mar 1, 2017
Sheppel Littlefield, LLC	Organization	Additional disclosable party	ADP OF THE SNF	not provided	Jan 1, 2008
Smith Family 2001 Trust	Organization	Additional disclosable party	ADP OF THE SNF	not provided	Jan 1, 2008
The Russell M. Sheppel 2010 Separate Property Trust	Organization	Additional disclosable party	ADP OF THE SNF	not provided	Jan 1, 2008
Cindy George	Individual	Additional disclosable party	ADP OF THE SNF	not provided	Mar 1, 2017
Diana Riojas	Individual	Additional disclosable party	ADP OF THE SNF	not provided	Jun 26, 2023

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: 1241 W. Marshall Howard Blvd., Littlefield, TX 79339
ZIP: 79339
County: Lamb County FIPS 48279
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	675978	name, address, phone, certification, certified_beds, ownership_type, legal_business_name, chain	Verified	Oct 1, 2026	Nov 7, 2026
CMS Provider Information US-CMS	675978	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 675978

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