Nursing home in Lubbock, Texas
Carillon Inc
Medicare
1717 A NORFOLK AVE, Lubbock, TX 79416
(806) 281-6114
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 home3
- 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 home4
- Texas average3.7 (1,162 rated)
- U.S. average3.6 (14,495 rated)
Health inspections
Most recent standard health inspection (rating cycle 1): Jun 17, 2026. CMS counts 7 health deficiencies in rating cycle 1.
- This nursing home7
- 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 19 health deficiencies on 6 inspection dates since Sep 30, 2023. By level of harm: 1 immediate jeopardy, 18 potential for harm.
- 1 Immediate jeopardy to resident health or safety
- 0 Actual harm
- 18 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 17, 2026 | F0585 | Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.Resident Rights Deficiencies | E Potential for harm, pattern | Standard | Deficient, Provider has date of correction Jul 8, 2026 |
| Jun 17, 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 | E Potential for harm, pattern | Standard | Deficient, Provider has date of correction Jul 8, 2026 |
| Jun 17, 2026 | F0814 | Dispose of garbage and refuse properly.Nutrition and Dietary Deficiencies | E Potential for harm, pattern | Standard | Deficient, Provider has date of correction Jun 18, 2026 |
| Jun 17, 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 Jun 18, 2026 |
| Jun 17, 2026 | F0578 | Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.Resident Rights Deficiencies | D Potential for harm, isolated | Standard | Deficient, Provider has date of correction Jun 20, 2026 |
| Jun 17, 2026 | 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 Jun 19, 2026 |
| Jun 17, 2026 | F0759 | Ensure medication error rates are not 5 percent or greater.Pharmacy Service Deficiencies | D Potential for harm, isolated | Standard | Deficient, Provider has date of correction Jun 18, 2026 |
| Apr 25, 2025 | F0585 | Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.Resident Rights Deficiencies | E Potential for harm, pattern | Standard, Complaint | Deficient, Provider has date of correction May 9, 2025 |
| Apr 25, 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 | D Potential for harm, isolated | Standard, Complaint | Deficient, Provider has date of correction May 9, 2025 |
| Apr 25, 2025 | F0880 | Provide and implement an infection prevention and control program.Infection Control Deficiencies | D Potential for harm, isolated | Standard, Complaint | Deficient, Provider has date of correction May 9, 2025 |
Show the other 9 deficiencies
| Date | Tag | Deficiency | Scope and severity | Inspection type | Status |
|---|---|---|---|---|---|
| Feb 28, 2025 | 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 | Complaint | Deficient, Provider has date of correction Mar 28, 2025 |
| Feb 28, 2025 | 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 | Complaint | Deficient, Provider has date of correction Mar 28, 2025 |
| Oct 25, 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 | Complaint | Deficient, Provider has date of correction Nov 15, 2024 |
| Oct 25, 2024 | 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 | Complaint | Deficient, Provider has date of correction Nov 15, 2024 |
| Mar 21, 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 Mar 22, 2024 |
| Mar 21, 2024 | 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 | D Potential for harm, isolated | Standard | Deficient, Provider has date of correction Mar 22, 2024 |
| Jan 27, 2024 | F0697 | Provide safe, appropriate pain management for a resident who requires such services.Quality of Life and Care Deficiencies | K Immediate jeopardy, pattern | Complaint | Deficient, Provider has date of correction Feb 19, 2024 |
| Jan 27, 2024 | 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 | E Potential for harm, pattern | Complaint | Deficient, Provider has date of correction Feb 19, 2024 |
| Jan 27, 2024 | F0610 | Respond appropriately to all alleged violations.Freedom from Abuse, Neglect, and Exploitation Deficiencies | E Potential for harm, pattern | Complaint | Deficient, Provider has date of correction Feb 19, 2024 |
Staffing
Total nurse staffing
Reported hours per resident per day.
- This nursing home4.66 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 home0.49 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 home65.8%
- 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 $57,321, and 0 payment denials. CMS counts penalties from the last 3 years.
Facility details
| Certified beds | 100 |
|---|---|
| Average residents per day | 83.4 |
| Ownership | Non profit - Corporation |
| Provider type | Medicare |
| Inside a hospital | No |
| Continuing care retirement community | No |
| Resident and family council | Resident |
| Automatic sprinklers in all required areas | Yes |
| Chain | Life Care Services (43 facilities) |
| Legal business name | CARILLON, INC. |
| First approved for Medicare and Medicaid | Dec 17, 2003 |
| County | Lubbock |
| CMS certification number | 675997 |
Also in Lubbock
| Nursing home | CMS overall rating | Health inspection rating | Certified beds | Ownership |
|---|---|---|---|---|
| Crown Point Health Suites | 108 | Government - Hospital district | ||
| Lubbock Health Care Center | 120 | For profit - Corporation | ||
| Mi Casita Nursing and Rehabilitation | 95 | For profit - Partnership | ||
| The Plaza at Lubbock | 132 | For profit - Corporation | ||
| Hansford County Hospital District dba Lakeridge Nu | 90 | For profit - Corporation | ||
| The Mildred & Shirley L. Garrison Geriatric Educat | 120 | Government - Hospital district | ||
| Whisperwood Nursing & Rehabilitation Center | 114 | Government - Hospital district | ||
| Avir at Heritage Oaks | 159 | For profit - Limited Liability company | ||
| Avir at Lubbock | 117 | For profit - Corporation | ||
| Lakeside Rehabilitation and Care Center | 93 | For profit - Corporation | ||
| Mesquite Post Acute Care | 120 | For profit - Limited Liability company | ||
| Southern Specialty Rehab & Nursing | 144 | For profit - Corporation |
| Hospital | CMS overall rating | Type | Emergency services |
|---|---|---|---|
| Covenant Medical Center | Acute Care Hospitals | Yes | |
| Lubbock Heart Hospital LP | Acute Care Hospitals | Yes | |
| University Medical Center | Acute Care Hospitals | Yes | |
| Covenant Childrens Hospital | Not available | Childrens | Yes |
| Exceptional Community Hospital Lubbock | Not available | Acute Care Hospitals | Yes |
| Grace Surgical Hospital | Not available | Acute Care Hospitals | Yes |
| Oceans Behavioral Hospital of Lubbock | Not available | Psychiatric | No |
| Starcare Specialty Health /Sunrise Canyon Hospital | Not available | Psychiatric | No |