Federal inspection record · CMS data as of October 1, 2026

Decatur Medical Lodge

701 W Bennett Rd, Decatur, TX · (940) 626-2800

CMS overall rating

2 of 5

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Certified beds
124
Residents per day
99
Ownership
For-Profit
Chain
Priority Management
Medicare / Medicaid
Medicare + Medicaid
Certified since
February 3, 2009

1

How this home got 2 stars

The overall rating isn't an average. CMS starts from the inspection rating and nudges it at most two steps. Here is the arithmetic for this home, using CMS's own rules.

  1. Health inspections

    starting point

    Everything starts from what state inspectors found on site. This is a ranking against other homes in Texas.

  2. Staffing

    −1 star

    Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.

  3. Quality measures

    no change

    Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.

  4. Overall

    2 of 5

    Matches the rating CMS publishes on Care Compare.

2

Where it sits among Texas homes

Decatur Medical Lodge carries 54 inspection points. That is fewer than 63% of Texas's 1,166 rated homes.

5★4★3★2★1★+35 homes above 292.505102550100200inspection points → fewer is better on the leftThis home · 54 pts · 3★

Inspectors' citations earn points by how serious and how widespread they were (the grid below). CMS then ranks every home in Texas: the 10% with the fewest points get 5 stars, the 20% with the most get 1 star, and the middle 70% split evenly into 2, 3 and 4.

  • 5★ 0–26 pts
  • 4★ 26–51 pts
  • 3★ 51–85 pts
  • 2★ 85–145.75 pts
  • 1★ over 145.75 pts

Bars show every rated home in Texas by its weighted inspection score. CMS recalibrates the cut points monthly but holds a home's rating until its own score changes, so a home can sit just outside today's band.

3

What inspectors found

26 health citations on record since 2023. Each one gets a letter: the row says how badly residents were affected, the column how many.

One resident or a fewA patternWidespread

Immediate jeopardyResidents at risk of serious injury or death

J 1 50 pts
K 0 100 pts
L 0 150 pts

Actual harmA resident was hurt

G 0 20 pts
H 0 35 pts
I 0 45 pts

Potential for harmNo one was hurt, but could have been

D 14 4 pts
E 10 8 pts
F 0 16 pts

Minimal harmPaperwork-level problems

A 0 0 pts
B 0 0 pts
C 1 0 pts

Read the rows, not the total. Most citations nationwide are a D: one problem, nobody hurt. Rows G–I mean a resident was harmed; J–L mean inspectors found residents in immediate danger of serious injury or death.

Small numbers in each cell are the inspection points CMS assigns per citation. Those points are what the state curve above ranks.

Harm and immediate-jeopardy citations (1)

  1. J

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    October 11, 2023 · Complaint inspection · Quality of Life and Care · F689 · Corrected August 28, 2023

Everything else, by area of care

Nutrition and Dietary7E
  1. E

    Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.

    April 28, 2026 · Standard · F805 · Corrected May 30, 2026

  2. E

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    April 28, 2026 · Standard · F812 · Corrected May 30, 2026

  3. E

    Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

    June 25, 2025 · Complaint · F804 · Corrected July 25, 2025

  4. E

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    December 14, 2023 · Standard · F812 · Corrected January 15, 2024

  5. D

    Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.

    December 14, 2023 · Standard · F805 · Corrected January 15, 2024

  6. D

    Dispose of garbage and refuse properly.

    December 14, 2023 · Standard · F814 · Corrected January 15, 2024

  7. C

    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.

    October 11, 2023 · Complaint · F809 · Corrected November 10, 2023

Quality of Life and Care5E
  1. E

    Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.

    April 28, 2026 · Standard · F676 · Corrected May 30, 2026

  2. D

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    April 28, 2026 · Standard · F689 · Corrected May 30, 2026

  3. D

    Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.

    February 6, 2025 · Standard · F693 · Corrected March 7, 2025

  4. D

    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.

    February 6, 2025 · Standard · F700 · Corrected March 7, 2025

  5. D

    Provide safe and appropriate respiratory care for a resident when needed.

    May 10, 2024 · Complaint · F695 · Corrected June 10, 2024

Resident Rights3E
  1. E

    Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.

    April 28, 2026 · Standard · F628 · Corrected May 30, 2026

  2. D

    Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

    April 17, 2024 · Complaint · F580 · Corrected May 13, 2024

  3. D

    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.

    October 11, 2023 · Complaint · F584 · Corrected October 31, 2023

Infection Control3E
  1. D

    Provide and implement an infection prevention and control program.

    April 28, 2026 · Standard · F880 · Corrected May 30, 2026

  2. E

    Provide and implement an infection prevention and control program.

    February 6, 2025 · Standard · F880 · Corrected March 7, 2025

  3. D

    Provide and implement an infection prevention and control program.

    December 14, 2023 · Standard · F880 · Corrected January 15, 2024

Resident Assessment and Care Planning2D
  1. D

    Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

    April 28, 2026 · Standard · F644 · Corrected May 30, 2026

  2. D

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    February 6, 2025 · Standard · F656 · Corrected March 7, 2025

Pharmacy Service2E
  1. E

    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.

    February 6, 2025 · Standard · F761 · Corrected March 7, 2025

  2. E

    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

    November 29, 2023 · Complaint · F755 · Corrected December 9, 2023

Freedom from Abuse, Neglect, and Exploitation2D
  1. D

    Develop and implement policies and procedures to prevent abuse, neglect, and theft.

    October 11, 2023 · Complaint · F607 · Corrected October 12, 2023

  2. D

    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

    October 11, 2023 · Complaint · F609 · Corrected October 12, 2023

Environmental1E
  1. E

    Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.

    December 14, 2023 · Standard · F925 · Corrected January 15, 2024

Inspection history

  1. 2026-04-28

    7 health deficiencies · 8 fire-safety deficiencies

    Top issue: Nutrition and Dietary (2 deficiencies)

  2. 2025-02-06

    6 health deficiencies · 1 fire-safety deficiencies

    Top issue: Quality of Life and Care (2 deficiencies)

  3. 2023-12-14

    13 health deficiencies · 5 fire-safety deficiencies

    Top issue: Nutrition and Dietary (4 deficiencies)

4

Nursing time per resident, per day

Each resident here gets about 3 h 9 min of nursing staff time a day, 18 min of it from a registered nurse.

This home

3 h 9 min

Texas average

3 h 25 min

U.S. average

3 h 54 min

  • Registered nurse
  • Licensed practical nurse
  • Nurse aide

Turnover: 76% of nursing staff and 60% of registered nurses left in the past year.

Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.

5

Resident outcomes

Quality measures compared with state and national averages. Most come from assessments the home itself reports.

MeasureThis homeStateU.S.
Number of hospitalizations per 1000 long-stay resident days1.5 pts worse3.52.01.8
Number of outpatient emergency department visits per 1000 long-stay resident days0.5 pts worse2.52.01.7
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine3.6 pts better100.0%96.4%93.7%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine3 pts better100.0%97.0%95.3%
Percentage of long-stay residents experiencing one or more falls with major injury2.4 pts worse5.6%3.2%3.2%
Percentage of long-stay residents who have depressive symptoms0.2 pts worse2.5%2.3%13.5%
Percentage of long-stay residents who lose too much weight2.2 pts better0.7%2.9%5.1%
Percentage of long-stay residents who received an antianxiety or hypnotic medication7.2 pts better10.6%17.8%19.5%
Percentage of long-stay residents who received an antipsychotic medication3.7 pts worse13.5%9.8%15.4%
Percentage of long-stay residents who were physically restrainedAbout the same0.0%0.0%0.1%
Percentage of long-stay residents whose ability to walk independently worsened8 pts better4.9%12.9%12.7%
Percentage of long-stay residents whose need for help with daily activities has increased1.9 pts worse17.7%15.8%13.5%
Percentage of long-stay residents with a catheter inserted and left in their bladderAbout the same0.3%0.3%0.7%
Percentage of long-stay residents with a urinary tract infection0.8 pts better0.0%0.8%1.5%
Percentage of long-stay residents with new or worsened bowel or bladder incontinence1.3 pts better11.2%12.5%18.3%
Percentage of long-stay residents with pressure ulcers1 pts better2.7%3.7%4.5%
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine11.3 pts better100.0%88.7%82.3%
Percentage of short-stay residents who had an outpatient emergency department visit9.7 pts worse21.9%12.2%11.8%
Percentage of short-stay residents who newly received an antipsychotic medication0.8 pts worse2.2%1.4%1.5%
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine12.3 pts better97.7%85.4%80.1%
Percentage of short-stay residents who were rehospitalized after a nursing home admission0.5 pts better25.0%25.5%23.4%

·

Who owns and runs it

17 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.

Show ownership list
NameRoleShareHomes
Decatur Hospital Authority5% Or Greater Direct Ownership Interest · Organization100%9 facilities
Bauder, WilliamOperational/Managerial Control · Individual0%42 facilities
Boulware, DouglasIndividual Is An Owner, Partner Or Trustee Of Any Adp Of The SNF · Individual0%46 facilities
Boulware, StevenIndividual Is An Owner, Partner Or Trustee Of Any Adp Of The SNF · Individual0%48 facilities
Bridgepointe Finanical Services, LLCAdp Of The SNF · Organization0%24 facilities
Caretrust Reit Inc5% Or Greater Mortgage Interest · Organization0%102 facilities
Caretrust Reit IncAdp Of The SNF · Organization0%102 facilities
Ctr Partnership LP5% Or Greater Mortgage Interest · Organization0%104 facilities
Ctr Partnership LPAdp Of The SNF · Organization0%104 facilities
Innovative Nurse Consulting, LLCAdp Of The SNF · Organization0%20 facilities
Pinegar, JohnAdp Of The SNF · Individual0%1 facilities
Pmg Opco Decatur LLCOperational/Managerial Control · Organization0%1 facilities
Pmg Opco Decatur LLCAdp Of The SNF · Organization0%1 facilities
Priority Management Group, LLCAdp Of The SNF · Organization0%40 facilities
Progressive Rehab Solutions, LLCAdp Of The SNF · Organization0%36 facilities
Richardson, JohnAdp Of The SNF · Individual0%2 facilities
Scroggins, BrianCorporate Officer · Individual0%10 facilities

·

Fire safety

14 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.

Smoke7F
  1. F

    Provide properly protected cooking facilities.

    April 28, 2026 · K324 · Corrected May 30, 2026

  2. F

    Have approved installation, maintenance and testing program for fire alarm systems.

    April 28, 2026 · K345 · Corrected May 30, 2026

  3. F

    Properly install and monitor supervisory attachments on automatic sprinkler systems.

    April 28, 2026 · K352 · Corrected May 30, 2026

  4. F

    Inspect, test, and maintain automatic sprinkler systems.

    April 28, 2026 · K353 · Corrected June 3, 2026

  5. E

    Inspect, test, and maintain automatic sprinkler systems.

    December 14, 2023 · K353 · Corrected January 20, 2024

  6. E

    Properly select, install, inspect, or maintain portable fire extinguishes.

    December 14, 2023 · K355 · Corrected January 20, 2024

  7. E

    Install corridor and hallway doors that block smoke.

    December 14, 2023 · K363 · Corrected January 20, 2024

Gas, Vacuum, and Electrical Systems3F
  1. F

    Have proper medical gas storage and administration areas.

    April 28, 2026 · K923 · Corrected May 30, 2026

  2. D

    Have a battery powered remote alarm panel in a location accessible by operating personnel.

    February 6, 2025 · K916 · Corrected March 20, 2025

  3. E

    Have proper medical gas storage and administration areas.

    December 14, 2023 · K923 · Corrected January 20, 2024

Emergency Preparedness2F
  1. F

    Establish staff and initial training requirements.

    April 28, 2026 · E37 · Corrected May 30, 2026

  2. F

    Conduct risk assessment and an All-Hazards approach.

    April 28, 2026 · E6 · Corrected May 30, 2026

Services1F
  1. F

    Have an externally vented heating system.

    April 28, 2026 · K522 · Corrected May 30, 2026

Miscellaneous1F
  1. F

    Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.

    December 14, 2023 · K741 · Corrected January 20, 2024

·

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