Arbor Grace Wellness Center
1241 W Marshall Howard Blvd · Littlefield, TX · 79339 · 8063856600
80 certified beds For profit - Limited Liability company Chain: Paramount Healthcare Consultants
Why this verdict
- Staffing levels are well below research benchmarks for safe care.
- Federal penalties on record: $15,944 in fines in the last 24 months.
- Inspection results have improved across recent cycles.
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
2 immediate-jeopardy citations in prior inspection cycles
Serious past findings — check whether the underlying problems were fixed and stayed fixed.
Medicare/Medicaid payments were denied
CMS refused payment for new admissions for a period — one of its strongest enforcement tools.
RN staffing in the bottom 10% nationally
0.20 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
2.77 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: 1 of 5 Inspections: 2 of 5 Staffing: 1 of 5 Quality measures: 1 of 5
| Total nurse hours / resident-day | 2.77 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.20 | 0.55–0.75 |
| Weekend hours / resident-day | 2.64 | ≈ weekday level |
| Nursing turnover / year | 55% | median 45% |
| Fines (3-yr window) | 2 · $44,434 |
Inspection citations (38 in the current record)
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Potential for harm · E February 26, 2026
Ensure residents have reasonable access to and privacy in their use of communication methods.
Corrected March 2, 2026 · Resident Rights
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Potential for harm · E February 26, 2026
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.
Corrected March 2, 2026 · Resident Rights
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Potential for harm · E February 26, 2026
Provide enough food/fluids to maintain a resident's health.
Corrected March 2, 2026 · Quality of Life and Care
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Potential for harm · D February 26, 2026
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.
Corrected March 2, 2026 · Pharmacy Service
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Potential for harm · E February 26, 2026
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.
Corrected March 2, 2026 · Nutrition and Dietary
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Potential for harm · E February 26, 2026
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected March 2, 2026 · Nutrition and Dietary
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Potential for harm · D February 26, 2026
Provide and implement an infection prevention and control program.
Corrected March 2, 2026 · Infection Control
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Potential for harm · D February 26, 2026
Have policies on smoking.
Corrected March 2, 2026 · Environmental
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No harm found · C February 26, 2026
Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.
Corrected March 2, 2026 · Resident Rights
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Potential for harm · D December 22, 2025 · found via complaint
Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
Corrected January 21, 2026 · Quality of Life and Care
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Potential for harm · E January 15, 2025 · found via complaint
Provide and implement an infection prevention and control program.
Corrected January 30, 2025 · Infection Control
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Potential for harm · D November 22, 2024
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected December 10, 2024 · Resident Rights
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Potential for harm · D November 22, 2024
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected December 10, 2024 · Quality of Life and Care
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Potential for harm · D November 22, 2024
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.
Corrected December 20, 2024 · Nursing and Physician Services
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Potential for harm · D November 22, 2024
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.
Corrected December 10, 2024 · Pharmacy Service
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Potential for harm · E November 22, 2024
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected December 10, 2024 · Nutrition and Dietary
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Immediate jeopardy · J August 26, 2024 · found via complaint
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected August 27, 2024 · Resident Rights
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Immediate jeopardy · J August 26, 2024 · found via complaint
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected August 27, 2024 · Quality of Life and Care
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Potential for harm · D June 5, 2024 · found via complaint
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Corrected July 5, 2024 · Resident Assessment and Care Planning
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Potential for harm · D June 5, 2024 · found via complaint
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected July 5, 2024 · Resident Assessment and Care Planning
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Potential for harm · D June 5, 2024 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected July 5, 2024 · Quality of Life and Care
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Potential for harm · D June 5, 2024 · found via complaint
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.
Corrected June 8, 2024 · Nursing and Physician Services
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Potential for harm · D February 28, 2024 · found via complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected March 29, 2024 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · E February 28, 2024 · found via complaint
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.
Corrected March 29, 2024 · Nursing and Physician Services
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Potential for harm · E November 1, 2023 · found via complaint
Provide and implement an infection prevention and control program.
Corrected November 15, 2023 · Infection Control
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| August 26, 2024 | Fine | $15,944 |
| August 29, 2023 | Fine | $28,490 |
| August 29, 2023 | Payment Denial | 1 days |
Better-scoring options nearby
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 675978 · certified since June 25, 2003. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.