Nursing home in Breckenridge, Texas
Villa Haven Health and Rehabilitation Center
Medicare and Medicaid
300 S JACKSON ST, Breckenridge, TX 76424
(254) 559-3386
CMS star ratings
CMS gives this nursing home an overall star rating of 5 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 home5
- Texas average2.7 (1,165 rated)
- U.S. average3.0 (14,565 rated)
Health inspections
- This nursing home5
- Texas average2.8 (1,165 rated)
- U.S. average2.8 (14,565 rated)
Staffing
- This nursing home1
- 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 13, 2026. CMS counts 3 health deficiencies in rating cycle 1.
- This nursing home3
- 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 9 health deficiencies on 5 inspection dates since Sep 30, 2023. By level of harm: 8 potential for harm, 1 minimal harm potential.
- 0 Immediate jeopardy to resident health or safety
- 0 Actual harm
- 8 No actual harm, potential for more than minimal harm
- 1 No actual harm, potential for minimal harm
| Date | Tag | Deficiency | Scope and severity | Inspection type | Status |
|---|---|---|---|---|---|
| Mar 13, 2026 | F0949 | Provide behavior health training consistent with the requirements and as determined by a facility assessment.Administration Deficiencies | E Potential for harm, pattern | Standard, Complaint | Deficient, Provider has date of correction Apr 6, 2026 |
| Mar 13, 2026 | 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 | Deficient, Provider has date of correction Mar 31, 2026 |
| Dec 27, 2025 | F0844 | Follow rules about disclosure of ownership requirements and tell the state agency about changes in ownership and/or administrative personnel.Administration Deficiencies | C Minimal harm potential, widespread | Complaint | Deficient, Provider has date of correction Jan 14, 2026 |
| Dec 19, 2024 | F0880 | Provide and implement an infection prevention and control program.Infection Control Deficiencies | E Potential for harm, pattern | Standard, Complaint | Deficient, Provider has date of correction Jan 9, 2025 |
| Dec 19, 2024 | F0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.Resident Assessment and Care Planning Deficiencies | D Potential for harm, isolated | Standard, Complaint | Deficient, Provider has date of correction Dec 23, 2024 |
| Jul 18, 2024 | F0880 | Provide and implement an infection prevention and control program.Infection Control Deficiencies | D Potential for harm, isolated | Complaint | Deficient, Provider has date of correction Aug 6, 2024 |
| Nov 2, 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 | E Potential for harm, pattern | Standard, Complaint | Deficient, Provider has date of correction Nov 20, 2023 |
| Nov 2, 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 | E Potential for harm, pattern | Standard, Complaint | Deficient, Provider has date of correction Nov 21, 2023 |
| Nov 2, 2023 | F0880 | Provide and implement an infection prevention and control program.Infection Control Deficiencies | E Potential for harm, pattern | Standard, Complaint | Deficient, Provider has date of correction Nov 20, 2023 |
Staffing
Total nurse staffing
Reported hours per resident per day.
- This nursing home3.45 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 home0.45 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 home60.0%
- Texas average55.3% (1,051 with data)
- U.S. average45.8% (13,538 with data)
Penalties
CMS lists 0 penalties for this nursing home: 0 fines totaling $0, and 0 payment denials. CMS counts penalties from the last 3 years.
Facility details
| Certified beds | 92 |
|---|---|
| Average residents per day | 33.3 |
| 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 | Fundamental Healthcare (66 facilities) |
| Legal business name | CHILDRESS COUNTY HOSPITAL DISTRICT |
| First approved for Medicare and Medicaid | Mar 18, 1994 |
| County | Stephens |
| CMS certification number | 675279 |
Also in Breckenridge
| Hospital | CMS overall rating | Type | Emergency services |
|---|---|---|---|
| Stephens Memorial Hospital | Not available | Critical Access Hospitals | Yes |