Ussery Roan Texas State Veterans Home
1020 Tascosa Rd · Amarillo, TX · 79124 · 8063228387
120 certified beds For profit - Limited Liability company Chain: Texvet
- Inspection results have improved across recent cycles.
Red flags
1 immediate-jeopardy citation in prior inspection cycles
Serious past findings — check whether the underlying problems were fixed and stayed fixed.
1 abuse-related citation at the actual-harm level
Inspectors cited failures in the abuse-prevention rules (F600–F610) that resulted in actual harm to a resident.
69% of nursing staff left within a year
High turnover disrupts continuity of care; the national median is 45%.
If someone you love was harmed at a facility with findings like these, you have options — read this.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 3 of 5 Inspections: 3 of 5 Staffing: 4 of 5 Quality measures: 4 of 5
| Total nurse hours / resident-day | 4.15 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.61 | 0.55–0.75 |
| Weekend hours / resident-day | 3.44 | ≈ weekday level |
| Nursing turnover / year | 69% | median 45% |
| Fines (3-yr window) | 1 · $9,692 |
Inspection citations (32 in the current record)
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Potential for harm · D May 30, 2025
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected June 20, 2025 · Resident Rights
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Potential for harm · D May 30, 2025
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Corrected June 20, 2025 · Resident Rights
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Potential for harm · D May 30, 2025
Ensure each resident receives an accurate assessment.
Corrected June 20, 2025 · Resident Assessment and Care Planning
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Potential for harm · D May 30, 2025
Provide safe and appropriate respiratory care for a resident when needed.
Corrected June 20, 2025 · Quality of Life and Care
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Potential for harm · D May 30, 2025
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected June 20, 2025 · Pharmacy Service
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Potential for harm · D May 30, 2025
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 June 20, 2025 · Pharmacy Service
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Potential for harm · E May 30, 2025
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected June 20, 2025 · Nutrition and Dietary
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Potential for harm · E May 30, 2025
Provide and implement an infection prevention and control program.
Corrected June 20, 2025 · Infection Control
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Actual harm · G April 11, 2025 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected April 3, 2025 · Quality of Life and Care
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Potential for harm · D September 13, 2024 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected August 21, 2024 · Quality of Life and Care
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Potential for harm · D July 25, 2024 · found via complaint
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 August 23, 2024 · Pharmacy Service
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Potential for harm · D March 22, 2024
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected May 1, 2024 · Resident Rights
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Potential for harm · E March 22, 2024
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected March 4, 2024 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · E March 22, 2024
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
Corrected May 1, 2024 · Resident Assessment and Care Planning
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Potential for harm · D March 22, 2024
Assess the resident when there is a significant change in condition
Corrected May 1, 2024 · Resident Assessment and Care Planning
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Potential for harm · E March 22, 2024
Ensure each resident receives an accurate assessment.
Corrected May 1, 2024 · Resident Assessment and Care Planning
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Potential for harm · D March 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 May 1, 2024 · Pharmacy Service
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Potential for harm · D March 22, 2024
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 1, 2024 · Nutrition and Dietary
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Potential for harm · F March 22, 2024
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected May 1, 2024 · Nutrition and Dietary
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Potential for harm · D March 22, 2024
Provide and implement an infection prevention and control program.
Corrected May 1, 2024 · Infection Control
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Potential for harm · D November 20, 2023 · found via complaint
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected November 21, 2023 · Pharmacy Service
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Immediate jeopardy · K July 5, 2023 · found via complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected July 7, 2023 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D July 5, 2023 · found via complaint
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Corrected July 7, 2023 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D July 5, 2023 · found via complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected July 7, 2023 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · E July 5, 2023 · found via complaint
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected July 7, 2023 · Resident Assessment and Care Planning
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| July 5, 2023 | Fine | $9,692 |
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 676157 · certified since November 15, 2007. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.