Advanced Rehabilitation and Healthcare of Bowie
700 W Highway 287 S · Bowie, TX · 76230 · 9408722818
180 certified beds Government - Hospital district Chain: Advanced Healthcare Solutions
Why this verdict
- Staffing levels are well below research benchmarks for safe care.
- No federal fines or payment denials in CMS’s 3-year window.
The composite number cleared 77 points, but Recommended is gated: staffing below the Recommended bar. That rule is part of the published method.
The complete Safety Report — $19
Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
Red flags
RN staffing in the bottom 10% nationally
0.17 registered-nurse hours per resident per day, vs a 0.58 national median and 0.75 benchmark.
Total nurse staffing below 3.0 hours per resident-day
2.75 reported hours vs the 3.48 minimum CMS's own staffing study recommends.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 5 of 5 Inspections: 5 of 5 Staffing: 1 of 5 Quality measures: 5 of 5
| Total nurse hours / resident-day | 2.75 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.17 | 0.55–0.75 |
| Weekend hours / resident-day | 2.24 | ≈ weekday level |
| Nursing turnover / year | 43% | median 45% |
| Fines (3-yr window) | none |
Inspection citations (10 in the current record)
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Potential for harm · E February 27, 2026
Honor the resident's right to organize and participate in resident/family groups in the facility.
Corrected March 20, 2026 · Resident Rights
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Potential for harm · E February 27, 2026
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected March 20, 2026 · Nutrition and Dietary
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Potential for harm · E November 8, 2024
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected December 2, 2024 · Nutrition and Dietary
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Potential for harm · D November 8, 2024
Provide and implement an infection prevention and control program.
Corrected December 12, 2024 · Infection Control
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Potential for harm · E February 13, 2024 · found via complaint
Provide and implement an infection prevention and control program.
Corrected March 31, 2024 · Infection Control
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Potential for harm · D September 15, 2023
Ensure each resident receives an accurate assessment.
Corrected October 31, 2023 · Resident Assessment and Care Planning
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Potential for harm · D September 15, 2023
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected October 31, 2023 · Resident Assessment and Care Planning
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Potential for harm · D September 15, 2023
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected October 31, 2023 · Resident Assessment and Care Planning
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Potential for harm · D September 15, 2023
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected October 31, 2023 · Quality of Life and Care
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Potential for harm · D September 15, 2023
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected October 31, 2023 · Pharmacy Service
Better-scoring options nearby
No better-scoring facility within 25 miles in the current data. See the whole state.
Family & resident reviews — a separate signal, never mixed into the score
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 455849 · certified since November 1, 1989. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.