Houston County Nursing Home
100 N E Loop 304 · Crockett, TX · 75835 · 9365447884
90 certified beds For profit - Corporation
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.
- Inspection results have improved across recent cycles.
The composite number cleared 78 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
0.22 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
2.06 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 | 2.06 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.22 | 0.55–0.75 |
| Weekend hours / resident-day | 1.95 | ≈ weekday level |
| Nursing turnover / year | 33% | median 45% |
| Fines (3-yr window) | none |
Inspection citations (15 in the current record)
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Potential for harm · D June 4, 2025
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected June 5, 2025 · Quality of Life and Care
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Potential for harm · E June 4, 2025
Provide and implement an infection prevention and control program.
Corrected June 5, 2025 · Infection Control
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Potential for harm · E May 8, 2024
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Corrected June 7, 2024 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D May 8, 2024
Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.
Corrected June 7, 2024 · Quality of Life and Care
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Potential for harm · F May 8, 2024
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected June 7, 2024 · Nutrition and Dietary
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Potential for harm · E May 8, 2024
Make sure that a working call system is available in each resident's bathroom and bathing area.
Corrected June 7, 2024 · Environmental
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Potential for harm · D May 8, 2024 · found via complaint
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
Corrected June 7, 2024 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D May 8, 2024 · found via complaint
Ensure each resident receives an accurate assessment.
Corrected June 7, 2024 · Resident Assessment and Care Planning
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Potential for harm · D May 8, 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 June 7, 2024 · Resident Assessment and Care Planning
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Potential for harm · E May 8, 2024 · found via complaint
Provide and implement an infection prevention and control program.
Corrected June 7, 2024 · Infection Control
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Potential for harm · D April 12, 2023
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Corrected May 12, 2023 · Resident Rights
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Potential for harm · D April 12, 2023
Provide safe and appropriate respiratory care for a resident when needed.
Corrected May 12, 2023 · Quality of Life and Care
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Potential for harm · D April 12, 2023
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 May 12, 2023 · Pharmacy Service
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Potential for harm · D April 12, 2023
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
Corrected May 12, 2023 · Nutrition and Dietary
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Potential for harm · D April 12, 2023
Provide and implement an infection prevention and control program.
Corrected May 12, 2023 · Infection Control
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 676043 · certified since January 1, 2005. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.