Nursing home in Sulphur Springs, Texas
Sulphur Springs Health and Rehabilitation
Medicare and Medicaid
411 AIRPORT RD, Sulphur Springs, TX 75482
(903) 885-7668
CMS star ratings
CMS gives this nursing home an overall star rating of 3 out of 5. Each rating is compared with the mean of rated nursing homes in Texas (1,165 for the overall rating) and in the U.S. (14,565). How to read an inspection report.
Overall rating
- This nursing home3
- Texas average2.7 (1,165 rated)
- U.S. average3.0 (14,565 rated)
Health inspections
- This nursing home2
- Texas average2.8 (1,165 rated)
- U.S. average2.8 (14,565 rated)
Staffing
- This nursing home3
- Texas average1.9 (1,163 rated)
- U.S. average2.9 (14,494 rated)
Quality measures
- This nursing home5
- Texas average3.7 (1,162 rated)
- U.S. average3.6 (14,495 rated)
Health inspections
Most recent standard health inspection (rating cycle 1): Mar 25, 2026. CMS counts 18 health deficiencies in rating cycle 1.
- This nursing home18
- Texas average9.4 (1,171 with data)
- U.S. average9.2 (14,652 with data)
Rating cycle 1 health deficiencies. Averages include every nursing home with a count in the CMS file; fewer is better.
Deficiencies since Sep 30, 2023
Inspectors cited 52 health deficiencies on 6 inspection dates since Sep 30, 2023. By level of harm: 1 immediate jeopardy, 51 potential for harm.
- 1 Immediate jeopardy to resident health or safety
- 0 Actual harm
- 51 No actual harm, potential for more than minimal harm
- 0 No actual harm, potential for minimal harm
| Date | Tag | Deficiency | Scope and severity | Inspection type | Status |
|---|---|---|---|---|---|
| Jun 24, 2026 | F0551 | Give the resident's representative the ability to exercise the resident's rights.Resident Rights Deficiencies | D Potential for harm, isolated | Complaint | Deficient, Provider has date of correction Jul 25, 2026 |
| Jun 24, 2026 | F0563 | Honor the resident's right to receive visitors of his or her choosing, at the time of his or her choosing.Resident Rights Deficiencies | D Potential for harm, isolated | Complaint | Deficient, Provider has date of correction Jul 25, 2026 |
| Mar 25, 2026 | F0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.Nutrition and Dietary Deficiencies | F Potential for harm, widespread | Standard | Deficient, Provider has date of correction Mar 26, 2026 |
| Mar 25, 2026 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Nutrition and Dietary Deficiencies | F Potential for harm, widespread | Standard | Deficient, Provider has date of correction Mar 26, 2026 |
| Mar 25, 2026 | F0925 | Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.Environmental Deficiencies | F Potential for harm, widespread | Standard | Deficient, Provider has date of correction Mar 26, 2026 |
| Mar 25, 2026 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.Resident Assessment and Care Planning Deficiencies | E Potential for harm, pattern | Standard | Deficient, Provider has date of correction Mar 26, 2026 |
| Mar 25, 2026 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing.Quality of Life and Care Deficiencies | E Potential for harm, pattern | Standard | Deficient, Provider has date of correction Mar 26, 2026 |
| Mar 25, 2026 | F0880 | Provide and implement an infection prevention and control program.Infection Control Deficiencies | E Potential for harm, pattern | Standard | Deficient, Provider has date of correction Mar 26, 2026 |
| Mar 25, 2026 | F0552 | Ensure that residents are fully informed and understand their health status, care and treatments.Resident Rights Deficiencies | D Potential for harm, isolated | Standard | Deficient, Provider has date of correction Mar 26, 2026 |
| Mar 25, 2026 | F0607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft.Freedom from Abuse, Neglect, and Exploitation Deficiencies | D Potential for harm, isolated | Standard | Deficient, Provider has date of correction Mar 26, 2026 |
Show the other 42 deficiencies
| Date | Tag | Deficiency | Scope and severity | Inspection type | Status |
|---|---|---|---|---|---|
| Mar 25, 2026 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.Freedom from Abuse, Neglect, and Exploitation Deficiencies | D Potential for harm, isolated | Standard | Deficient, Provider has date of correction Mar 26, 2026 |
| Mar 25, 2026 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality.Resident Assessment and Care Planning Deficiencies | D Potential for harm, isolated | Standard | Deficient, Provider has date of correction Mar 26, 2026 |
| Mar 25, 2026 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable.Quality of Life and Care Deficiencies | D Potential for harm, isolated | Standard | Deficient, Provider has date of correction Mar 26, 2026 |
| Mar 25, 2026 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals.Quality of Life and Care Deficiencies | D Potential for harm, isolated | Standard | Deficient, Provider has date of correction Mar 26, 2026 |
| Mar 25, 2026 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Quality of Life and Care Deficiencies | D Potential for harm, isolated | Standard | Deficient, Provider has date of correction Mar 26, 2026 |
| Mar 25, 2026 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.Pharmacy Service Deficiencies | D Potential for harm, isolated | Standard | Deficient, Provider has date of correction Mar 26, 2026 |
| Mar 25, 2026 | F0757 | Ensure each resident’s drug regimen must be free from unnecessary drugs.Pharmacy Service Deficiencies | D Potential for harm, isolated | Standard | Deficient, Provider has date of correction Mar 26, 2026 |
| Mar 25, 2026 | F0770 | Provide timely, quality laboratory services/tests to meet the needs of residents.Administration Deficiencies | D Potential for harm, isolated | Standard | Deficient, Provider has date of correction Mar 26, 2026 |
| Apr 8, 2025 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Nutrition and Dietary Deficiencies | E Potential for harm, pattern | Complaint | Deficient, Provider has date of correction Apr 10, 2025 |
| Dec 12, 2024 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Quality of Life and Care Deficiencies | J Immediate jeopardy, isolated | Standard, Complaint | Deficient, Provider has date of correction Dec 13, 2024 |
| Dec 12, 2024 | F0679 | Provide activities to meet all resident's needs.Quality of Life and Care Deficiencies | E Potential for harm, pattern | Standard, Complaint | Deficient, Provider has date of correction Dec 13, 2024 |
| Dec 12, 2024 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Nutrition and Dietary Deficiencies | E Potential for harm, pattern | Standard | Deficient, Provider has date of correction Dec 13, 2024 |
| Dec 12, 2024 | F0880 | Provide and implement an infection prevention and control program.Infection Control Deficiencies | E Potential for harm, pattern | Standard | Deficient, Provider has date of correction Dec 13, 2024 |
| Dec 12, 2024 | F0561 | Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.Resident Rights Deficiencies | D Potential for harm, isolated | Standard, Complaint | Deficient, Provider has date of correction Dec 13, 2024 |
| Dec 12, 2024 | F0573 | Let each resident or the resident's legal representative access or purchase copies of all the resident's records.Resident Rights Deficiencies | D Potential for harm, isolated | Standard, Complaint | Deficient, Provider has date of correction Dec 13, 2024 |
| Dec 12, 2024 | F0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.Resident Rights Deficiencies | D Potential for harm, isolated | Standard, Complaint | Deficient, Provider has date of correction Dec 13, 2024 |
| Dec 12, 2024 | F0583 | Keep residents' personal and medical records private and confidential.Resident Rights Deficiencies | D Potential for harm, isolated | Standard, Complaint | Deficient, Provider has date of correction Dec 13, 2024 |
| Dec 12, 2024 | F0655 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admittedResident Assessment and Care Planning Deficiencies | D Potential for harm, isolated | Standard | Deficient, Provider has date of correction Dec 13, 2024 |
| Dec 12, 2024 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.Resident Assessment and Care Planning Deficiencies | D Potential for harm, isolated | Standard | Deficient, Provider has date of correction Dec 13, 2024 |
| Dec 12, 2024 | F0695 | Provide safe and appropriate respiratory care for a resident when needed.Quality of Life and Care Deficiencies | D Potential for harm, isolated | Standard, Complaint | Deficient, Provider has date of correction Dec 13, 2024 |
| Dec 12, 2024 | F0761 | 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.Pharmacy Service Deficiencies | D Potential for harm, isolated | Standard, Complaint | Deficient, Provider has date of correction Dec 13, 2024 |
| Dec 12, 2024 | F0770 | Provide timely, quality laboratory services/tests to meet the needs of residents.Administration Deficiencies | D Potential for harm, isolated | Standard | Deficient, Provider has date of correction Dec 13, 2024 |
| Dec 12, 2024 | F0839 | Employ staff that are licensed, certified, or registered in accordance with state laws.Administration Deficiencies | D Potential for harm, isolated | Standard, Complaint | Deficient, Provider has date of correction Dec 13, 2024 |
| Dec 12, 2024 | F0840 | Employ or obtain outside professional resources to provide services in the nursing home when the facility does not employ a qualified professional to furnish a required service.Administration Deficiencies | D Potential for harm, isolated | Standard, Complaint | Deficient, Provider has date of correction Dec 13, 2024 |
| Dec 12, 2024 | F0849 | Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.Administration Deficiencies | D Potential for harm, isolated | Standard, Complaint | Deficient, Provider has date of correction Dec 13, 2024 |
| Aug 12, 2024 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.Resident Rights Deficiencies | D Potential for harm, isolated | Complaint | Deficient, Provider has date of correction Sep 7, 2024 |
| Nov 15, 2023 | F0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.Nutrition and Dietary Deficiencies | F Potential for harm, widespread | Standard | Deficient, Provider has date of correction Dec 20, 2023 |
| Nov 15, 2023 | F0809 | Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times.Nutrition and Dietary Deficiencies | F Potential for harm, widespread | Standard | Deficient, Provider has date of correction Dec 20, 2023 |
| Nov 15, 2023 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Nutrition and Dietary Deficiencies | F Potential for harm, widespread | Standard | Deficient, Provider has date of correction Dec 20, 2023 |
| Nov 15, 2023 | F0695 | Provide safe and appropriate respiratory care for a resident when needed.Quality of Life and Care Deficiencies | E Potential for harm, pattern | Standard | Deficient, Provider has date of correction Dec 20, 2023 |
| Nov 15, 2023 | F0756 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.Pharmacy Service Deficiencies | E Potential for harm, pattern | Standard | Deficient, Provider has date of correction Dec 20, 2023 |
| Nov 15, 2023 | F0758 | Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.Pharmacy Service Deficiencies | E Potential for harm, pattern | Standard | Deficient, Provider has date of correction Dec 20, 2023 |
| Nov 15, 2023 | F0880 | Provide and implement an infection prevention and control program.Infection Control Deficiencies | E Potential for harm, pattern | Standard | Deficient, Provider has date of correction Dec 20, 2023 |
| Nov 15, 2023 | F0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.Resident Rights Deficiencies | D Potential for harm, isolated | Standard | Deficient, Provider has date of correction Dec 20, 2023 |
| Nov 15, 2023 | F0640 | Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.Resident Assessment and Care Planning Deficiencies | D Potential for harm, isolated | Standard | Deficient, Provider has date of correction Dec 20, 2023 |
| Nov 15, 2023 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.Resident Assessment and Care Planning Deficiencies | D Potential for harm, isolated | Standard | Deficient, Provider has date of correction Dec 20, 2023 |
| Nov 15, 2023 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable.Quality of Life and Care Deficiencies | D Potential for harm, isolated | Standard | Deficient, Provider has date of correction Dec 20, 2023 |
| Nov 15, 2023 | F0745 | Provide medically-related social services to help each resident achieve the highest possible quality of life.Quality of Life and Care Deficiencies | D Potential for harm, isolated | Standard | Deficient, Provider has date of correction Dec 20, 2023 |
| Nov 15, 2023 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.Pharmacy Service Deficiencies | D Potential for harm, isolated | Standard | Deficient, Provider has date of correction Dec 20, 2023 |
| Nov 15, 2023 | F0770 | Provide timely, quality laboratory services/tests to meet the needs of residents.Administration Deficiencies | D Potential for harm, isolated | Standard | Deficient, Provider has date of correction Dec 20, 2023 |
| Nov 15, 2023 | F0881 | Implement a program that monitors antibiotic use.Infection Control Deficiencies | D Potential for harm, isolated | Standard | Deficient, Provider has date of correction Dec 20, 2023 |
| Nov 15, 2023 | F0926 | Have policies on smoking.Environmental Deficiencies | D Potential for harm, isolated | Standard | Deficient, Provider has date of correction Dec 20, 2023 |
Staffing
Total nurse staffing
Reported hours per resident per day.
- This nursing home3.38 hours
- Texas average3.39 hours (1,148 with data)
- U.S. average3.86 hours (14,351 with data)
Registered nurse staffing
Reported hours per resident per day.
- This nursing home0.61 hours
- Texas average0.43 hours (1,148 with data)
- U.S. average0.69 hours (14,351 with data)
Nursing staff turnover
Share of nursing staff who left during the year, as reported to CMS.
- This nursing home44.9%
- Texas average55.3% (1,051 with data)
- U.S. average45.8% (13,538 with data)
Penalties
CMS lists 1 penalty for this nursing home: 1 fine totaling $44,044, and 0 payment denials. CMS counts penalties from the last 3 years.
Facility details
| Certified beds | 128 |
|---|---|
| Average residents per day | 52.7 |
| Ownership | Government - Hospital district |
| Provider type | Medicare and Medicaid |
| Inside a hospital | No |
| Continuing care retirement community | No |
| Resident and family council | Resident |
| Automatic sprinklers in all required areas | Yes |
| Chain | Advanced Healthcare Solutions (28 facilities) |
| Legal business name | HAMILTON COUNTY HOSPITAL DISTRICT |
| First approved for Medicare and Medicaid | Jul 12, 1985 |
| County | Hopkins |
| CMS certification number | 455579 |
Also in Sulphur Springs
| Nursing home | CMS overall rating | Health inspection rating | Certified beds | Ownership |
|---|---|---|---|---|
| Carriage House Manor | 144 | For profit - Individual | ||
| Sunny Springs Nursing & Rehab | 95 | Government - Hospital district | ||
| Rock Creek Health and Rehabilitation | 120 | For profit - Corporation |
| Hospital | CMS overall rating | Type | Emergency services |
|---|---|---|---|
| CHRISTUS Mother Frances Hospital Sulphur Springs | Acute Care Hospitals | Yes |