Federal inspection record · CMS data as of October 1, 2026
Flatonia Healthcare Center
624 N Converse St, Flatonia, TX · (361) 865-3571
- Certified beds
- 70
- Residents per day
- 36
- Ownership
- For-Profit
- Chain
- Nexion Health
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- February 14, 1995
1
How this home got 3 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.
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Health inspections
★★★★★starting point
Everything starts from what state inspectors found on site. This is a ranking against other homes in Texas.
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Staffing
★★★★★no change
Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.
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Quality measures
★★★★★no change
Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
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Overall
★★★★★3 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among Texas homes
Flatonia Healthcare Center carries 61.75 inspection points. That is fewer than 58% of Texas's 1,166 rated homes.
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
15 health citations on record since 2023. Each one gets a letter: the row says how badly residents were affected, the column how many.
Immediate jeopardyResidents at risk of serious injury or death
Actual harmA resident was hurt
Potential for harmNo one was hurt, but could have been
Minimal harmPaperwork-level problems
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 (2)
-
J
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
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G
Protect each resident from the wrongful use of the resident's belongings or money.
Everything else, by area of care
Resident Rights5E
- D
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- 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.
- 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.
- E
Honor the resident's right to organize and participate in resident/family groups in the facility.
- E
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.
Nutrition and Dietary4F
- F
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- E
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
- D
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- E
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Pharmacy Service2D
- D
Ensure medication error rates are not 5 percent or greater.
- D
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Quality of Life and Care1D
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Infection Control1D
- D
Provide and implement an infection prevention and control program.
Inspection history
2025-12-04
7 health deficiencies · 2 fire-safety deficiencies
Top issue: Nutrition and Dietary (3 deficiencies)
2024-08-01
5 health deficiencies · 1 fire-safety deficiencies
Top issue: Freedom from Abuse and Neglect and Exploitation (2 deficiencies)
2023-06-14
3 health deficiencies · 4 fire-safety deficiencies
Top issue: Resident Rights (3 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 4 h 34 min of nursing staff time a day, 50 min of it from a registered nurse.
This home
4 h 34 min
Texas average
3 h 25 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 60% of nursing staff and 75% of registered nurses left in the past year, along with 2 administrators.
Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.
5
Fines and payment denials
$15,098 in federal fines on record over the past three years.
| Date | Penalty | Amount |
|---|---|---|
| 2025-09-02 | Fine | $14,688 |
| 2024-10-05 | Fine | $410 |
6
Resident outcomes
Quality measures compared with state and national averages. Most come from assessments the home itself reports.
| Measure | This home | State | U.S. |
|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days0.9 pts worse | 2.9 | 2.0 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident days1.4 pts worse | 3.4 | 2.0 | 1.7 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine0.8 pts worse | 95.6% | 96.4% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine10.2 pts worse | 86.8% | 97.0% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury1.8 pts worse | 5.0% | 3.2% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms2.3 pts better | 0.0% | 2.3% | 13.5% |
| Percentage of long-stay residents who lose too much weight1.1 pts better | 1.8% | 2.9% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication0.1 pts worse | 17.9% | 17.8% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication10.2 pts worse | 20.0% | 9.8% | 15.4% |
| Percentage of long-stay residents who were physically restrainedAbout the same | 0.0% | 0.0% | 0.1% |
| Percentage of long-stay residents whose ability to walk independently worsened11.7 pts worse | 24.6% | 12.9% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased21.9 pts worse | 37.7% | 15.8% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder0.3 pts better | 0.0% | 0.3% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection0.8 pts better | 0.0% | 0.8% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence6.2 pts better | 6.3% | 12.5% | 18.3% |
| Percentage of long-stay residents with pressure ulcers3.1 pts better | 0.6% | 3.7% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine9.2 pts worse | 79.5% | 88.7% | 82.3% |
| Percentage of short-stay residents who newly received an antipsychotic medication3.1 pts worse | 4.5% | 1.4% | 1.5% |
·
Who owns and runs it
6 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.
Show ownership list
| Name | Role | Share | Homes |
|---|---|---|---|
| Kirley, Francis | W-2 Managing Employee · Individual | 0% | 50 facilities |
| Kirley, Francis | Operational/Managerial Control · Individual | 0% | 50 facilities |
| Murrell, Edward | Corporate Director · Individual | 0% | 77 facilities |
| Murrell, Edward | Corporate Officer · Individual | 0% | 77 facilities |
| Nexion Health At Flatonia, Inc. | Operational/Managerial Control · Organization | 0% | 1 facilities |
| Norris, Sherrie | Corporate Director · Individual | 0% | 1 facilities |
·
Fire safety
7 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Smoke3E
- E
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
- C
Install an approved automatic sprinkler system.
- C
Inspect, test, and maintain automatic sprinkler systems.
Miscellaneous2F
- F
Have simulated fire drills held at unexpected times.
- C
Have simulated fire drills held at unexpected times.
Gas, Vacuum, and Electrical Systems1F
- F
Ensure proper usage of power strips and extension cords.
Egress1D
- D
Keep aisles, corridors, and exits free of obstruction in case of emergency.
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Other homes nearby
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Shady Oak Nursing And Rehabilitation
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★★★★★- Worst citation, 3 yrs
- E
- Nursing / resident / day
- 3 h 17 min
- Fines
- $0
-
Paradigm at the Oak
Schulenburg, TX · Paradigm Healthcare · Abuse icon
★★★★★- Worst citation, 3 yrs
- K
- Nursing / resident / day
- 3 h 6 min
- Fines
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-
Schulenburg Regency Nursing Center
Schulenburg, TX
★★★★★- Worst citation, 3 yrs
- J
- Nursing / resident / day
- 3 h 41 min
- Fines
- $8,827