Grace Care Center of Henrietta
807 W Bois D Arc · Henrietta, TX · 76365 · 9405384303
60 certified beds For profit - Limited Liability company
Why this verdict
- Inspection record is far worse than the national median (deficiency count and severity).
- Staffing levels are well below research benchmarks for safe care.
- Federal penalties on record: $293,092 in fines in the last 24 months.
- Inspection results have improved across recent cycles.
Red flags
3 immediate-jeopardy citations in prior inspection cycles
Serious past findings — check whether the underlying problems were fixed and stayed fixed.
$293,092 in federal fines in the last 24 months
1 fine — CMS fines are reserved for verified, serious non-compliance.
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: 1 of 5 Staffing: 1 of 5 Quality measures: 3 of 5
| Total nurse hours / resident-day | — | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | — | 0.55–0.75 |
| Weekend hours / resident-day | — | ≈ weekday level |
| Nursing turnover / year | — | median 45% |
| Fines (3-yr window) | 2 · $306,719 |
Inspection citations (54 in the current record)
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No harm found · C March 5, 2026 · found via complaint
Dispose of garbage and refuse properly.
Corrected April 1, 2026 · Nutrition and Dietary
-
Potential for harm · E November 18, 2025 · found via complaint
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected November 19, 2025 · Resident Assessment and Care Planning
-
Potential for harm · D July 30, 2025
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected August 30, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D July 30, 2025
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected August 30, 2025 · Resident Assessment and Care Planning
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Potential for harm · F July 30, 2025
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 August 30, 2025 · Nutrition and Dietary
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Potential for harm · F July 30, 2025
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected August 30, 2025 · Nutrition and Dietary
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Immediate jeopardy · L April 25, 2025 · found via complaint
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
Corrected May 20, 2025 · Administration
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Immediate jeopardy · L April 25, 2025 · found via complaint
Establish a governing body that is legally responsible for establishing and implementing policies for managing and operating the facility and appoints a properly licensed administrator responsible for managing the facility.
Corrected May 20, 2025 · Administration
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Potential for harm · E April 25, 2025 · found via complaint
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Corrected May 20, 2025 · Resident Rights
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Potential for harm · E April 25, 2025 · found via complaint
Ensure residents have reasonable access to and privacy in their use of communication methods.
Corrected May 20, 2025 · Resident Rights
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Potential for harm · E April 25, 2025 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected May 20, 2025 · Quality of Life and Care
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Potential for harm · E April 25, 2025 · found via complaint
Provide safe, appropriate pain management for a resident who requires such services.
Corrected May 20, 2025 · Quality of Life and Care
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Potential for harm · E April 25, 2025 · 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 May 20, 2025 · Nursing and Physician Services
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Potential for harm · E April 25, 2025 · found via complaint
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected May 20, 2025 · Pharmacy Service
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Potential for harm · E April 25, 2025 · found via complaint
Ensure that residents are free from significant medication errors.
Corrected May 20, 2025 · Pharmacy Service
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Potential for harm · E April 25, 2025 · found via complaint
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 May 20, 2025 · Nutrition and Dietary
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Potential for harm · E April 25, 2025 · found via complaint
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Corrected May 20, 2025 · Administration
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Potential for harm · F April 25, 2025 · found via complaint
Provide and implement an infection prevention and control program.
Corrected May 20, 2025 · Infection Control
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Potential for harm · E January 3, 2025 · 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 January 27, 2025 · Nursing and Physician Services
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Potential for harm · E January 3, 2025 · found via complaint
Provide and implement an infection prevention and control program.
Corrected January 27, 2025 · Infection Control
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Actual harm · H October 25, 2024 · found via complaint
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected November 10, 2024 · Quality of Life and Care
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Potential for harm · D October 25, 2024 · found via complaint
Honor the resident's right to manage his or her financial affairs.
Corrected November 10, 2024 · Resident Rights
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Potential for harm · E October 25, 2024 · found via complaint
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Corrected November 10, 2024 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D October 25, 2024 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected November 10, 2024 · Quality of Life and Care
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Potential for harm · F October 25, 2024 · found via complaint
Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.
Corrected November 10, 2024 · Administration
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| April 25, 2025 | Fine | $293,092 |
| April 25, 2025 | Payment Denial | 5 days |
| March 8, 2024 | Fine | $13,627 |
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 455893 · certified since September 7, 1990. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.