Honey Grove, TX

Honey Grove Nursing Center

2-star overall rating with 2-star inspections with $213,797 in total fines with 7 recent health deficiencies with 2 fire-safety deficiencies in the latest cycle

1303 E Main St, Honey Grove, TX

(903) 378-2293

Compare this facility

Overall

2 / 5

CMS overall stars

Health inspections

2 / 5

Survey and complaint cycles

Staffing

2 / 5

RN + nurse staffing

Quality measures

3 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

102

Certified beds

Average residents

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

Creative Solutions In Healthcare

Operator or chain grouping

Approved since

1992-07-12

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Chain footprint

149 facilities

Chain averages 3 overall / 3 health / 2 staffing / 4 quality stars

Changed ownership

Within the last 12 months

Family council

Yes

Resident and family council reported

Sprinklers

Yes

Automatic sprinklers in all required areas

Staffing

Hours and turnover

RN hours / resident day

0.48

Registered nurse staffing · state 0.44 · national 0.68

LPN hours / resident day

1.14

Licensed practical nurse staffing · state 0.95 · national 0.87

Aide hours / resident day

1.51

Nurse aide staffing · state 2.01 · national 2.35

Total nurse hours

3.13

All reported nurse hours · state 3.40 · national 3.89

Licensed hours

1.62

RN + LPN hours · state 1.38 · national 1.54

Weekend hours

2.91

Weekend nurse staffing · state 2.99 · national 3.43

Weekend RN hours

0.39

Weekend registered nurse coverage · state 0.34 · national 0.47

Physical therapist

0.01

Reported PT staffing · state 0.07 · national 0.07

Adjusted RN hours

0.59

CMS adjusted RN staffing hours

Adjusted total hours

3.87

CMS adjusted total nurse staffing hours

Case-mix index

1.11

Higher values indicate more complex resident acuity

RN turnover

83%

Annual RN turnover · state 52% · national 45%

Total nurse turnover

66%

Annual nurse turnover · state 52% · national 46%

SNF QRP

Medicare quality reporting measures

Measure	Facility	National	Note
Potentially preventable 30-day readmission	11.04%	10.72% 0.3 pts worse	No Different than the National Rate · Eligible stays 28 · Observed rate 14.29% · Lower 95% interval 6.86%
Discharge to community	Not Available	50.57%	Not Available · Eligible stays 11 · Observed rate Not Available · Lower 95% interval Not Available · Too few residents or stays to report publicly.
Medicare spending per beneficiary	0.81	1.02 0.2 pts better
Drug regimen review with follow-up	Not Available	95.27%	Numerator Not Available · Denominator 7 · Too few residents or stays to report publicly.
Falls with major injury	Not Available	0.77%	Numerator Not Available · Denominator 7 · Too few residents or stays to report publicly.
Discharge self-care score	Not Available	53.69%	Numerator Not Available · Denominator 3 · Too few residents or stays to report publicly.
Discharge mobility score	Not Available	50.94%	Numerator Not Available · Denominator 3 · Too few residents or stays to report publicly.
Pressure ulcers or injuries, new or worsened	Not Available	2.29%	Numerator Not Available · Denominator 7 · Adjusted rate Not Available · Too few residents or stays to report publicly.
Healthcare-associated infections requiring hospitalization	Not Available	7.12%	Not Available · Eligible stays 10 · Observed rate Not Available · Lower 95% interval Not Available · Too few residents or stays to report publicly.
Staff COVID-19 vaccination coverage	0%	8.2% 8.2 pts worse	Numerator 0 · Denominator 46
Staff flu vaccination coverage	17.91%	42% 24.1 pts worse	Numerator 12 · Denominator 67
Discharge function score	Not Available	56.45%	Numerator Not Available · Denominator 3 · Too few residents or stays to report publicly.
Transfer of health information to provider	Not Available	95.95%	Numerator Not Available · Denominator 4 · Too few residents or stays to report publicly.
Transfer of health information to patient	Not Available	96.28%	Numerator Not Available · Denominator Not Available · Newly certified or not enough cases to report.
Resident COVID-19 vaccinations up to date	Not Available	25.2%	Numerator Not Available · Denominator 3 · Too few residents or stays to report publicly.

Quality measures

Resident outcomes and process scores

Measure	Facility	State	National	Note
Number of hospitalizations per 1000 long-stay resident days	3.3	2.1 1.2 pts worse	1.9 1.4 pts worse	Long Stay · 20240701-20250630 · Adjusted 3.3 · Observed 2.8 · Expected 1.6 · Used in QM five-star
Number of outpatient emergency department visits per 1000 long-stay resident days	1.7	2.1 0.4 pts better	1.8 0.1 pts better	Long Stay · 20240701-20250630 · Adjusted 1.7 · Observed 1.5 · Expected 1.5 · Used in QM five-star
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine	98.7%	97.1% 1.6 pts better	93.4% 5.3 pts better	Long Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 100.0% · Q3 94.7% · Q4 100.0% · 4Q avg 98.7%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine	100.0%	97.9% 2.1 pts better	95.5% 4.5 pts better	Long Stay · 2024Q3-2025Q2 · 4Q avg 100.0%
Percentage of long-stay residents experiencing one or more falls with major injury	5.9%	3.3% 2.6 pts worse	3.3% 2.6 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 2.4% · Q2 5.7% · Q3 7.9% · Q4 8.1% · 4Q avg 5.9% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms	0.7%	2.7% 2 pts better	11.4% 10.7 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 3.0% · 4Q avg 0.7%
Percentage of long-stay residents who lose too much weight	2.5%	3.3% 0.8 pts better	5.4% 2.9 pts better	Long Stay · 2024Q4-2025Q3 · Q1 2.9% · Q2 3.8% · Q3 0.0% · Q4 3.8% · 4Q avg 2.5%
Percentage of long-stay residents who received an antianxiety or hypnotic medication	11.6%	18.9% 7.3 pts better	19.6% 8 pts better	Long Stay · 2024Q4-2025Q3 · Q1 11.1% · Q2 10.7% · Q3 12.9% · Q4 11.5% · 4Q avg 11.6%
Percentage of long-stay residents who received an antipsychotic medication	3.2%	10.8% 7.6 pts better	16.7% 13.5 pts better	Long Stay · 2024Q4-2025Q3 · Q1 3.8% · Q2 0.0% · Q3 3.8% · 4Q avg 3.2% · Used in QM five-star
Percentage of long-stay residents who were physically restrained	0.0%	0.0% About the same	0.1% 0.1 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0%
Percentage of long-stay residents whose ability to walk independently worsened	34.0%	15.4% 18.6 pts worse	16.3% 17.7 pts worse	Long Stay · 2024Q4-2025Q3 · Q4 51.0% · 4Q avg 34.0% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased	25.7%	16.1% 9.6 pts worse	14.9% 10.8 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 40.6% · Q2 22.2% · Q3 13.8% · Q4 24.0% · 4Q avg 25.7% · Used in QM five-star
Percentage of long-stay residents with a catheter inserted and left in their bladder	0.0%	0.5% 0.5 pts better	1.0% 1 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% · Used in QM five-star
Percentage of long-stay residents with a urinary tract infection	0.7%	0.8% 0.1 pts better	1.7% 1 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 2.8% · Q4 0.0% · 4Q avg 0.7% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence	24.4%	15.0% 9.4 pts worse	19.8% 4.6 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 32.7% · Q2 21.9% · Q3 20.4% · Q4 21.7% · 4Q avg 24.4%
Percentage of long-stay residents with pressure ulcers	2.8%	4.2% 1.4 pts better	5.1% 2.3 pts better	Long Stay · 2024Q4-2025Q3 · Q1 5.4% · Q2 0.0% · Q3 3.0% · Q4 2.3% · 4Q avg 2.8% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine	62.5%	89.7% 27.2 pts worse	81.7% 19.2 pts worse	Short Stay · 2024Q4-2025Q3 · 4Q avg 62.5%

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-12-18 · Fire 2025-12-18

7 health deficiencies

Top issue: Resident Rights (3 deficiencies)

2 fire-safety deficiencies

Top issue: Services (1 deficiency)

Cycle 2 Health 2024-09-26 · Fire 2024-09-26

14 health deficiencies

Top issue: Nutrition and Dietary (4 deficiencies)

4 fire-safety deficiencies

Top issue: Smoke (2 deficiencies)

Cycle 3 Health 2023-07-28 · Fire 2023-07-28

18 health deficiencies

Top issue: Nutrition and Dietary (4 deficiencies)

4 fire-safety deficiencies

Top issue: Smoke (3 deficiencies)

Fire safety

Fire-safety citations

E · Potential for more than minimal harm 2025-12-18

K374 · Smoke Deficiencies

Fire Safety

Install smoke barrier doors that can resist smoke for at least 20 minutes.

Corrected 2025-12-19

C · Minimal harm 2025-12-18

K521 · Services Deficiencies

Fire Safety

Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

Not marked corrected

E · Potential for more than minimal harm 2024-09-26

K321 · Smoke Deficiencies

Fire Safety

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

Corrected 2024-10-15

E · Potential for more than minimal harm 2024-09-26

K351 · Smoke Deficiencies

Fire Safety

Install an approved automatic sprinkler system.

Corrected 2024-09-27

E · Potential for more than minimal harm 2024-09-26

K929 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure precautions for handling oxygen cylinders and equipment are correctly followed.

Corrected 2024-09-27

C · Minimal harm 2024-09-26

K521 · Services Deficiencies

Fire Safety

Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

Not marked corrected

F · Potential for more than minimal harm 2023-07-28

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2023-09-22

E · Potential for more than minimal harm 2023-07-28

K372 · Smoke Deficiencies

Fire Safety

Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

Corrected 2023-08-25

C · Minimal harm 2023-07-28

K345 · Smoke Deficiencies

Fire Safety

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

Corrected 2023-08-25

C · Minimal harm 2023-07-28

K521 · Services Deficiencies

Fire Safety

Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

Not marked corrected

Inspection history

Recent health citations

E · Potential for more than minimal harm 2025-12-18

F584 · Resident Rights Deficiencies

Health

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.

Corrected 2025-12-19

E · Potential for more than minimal harm 2025-12-18

F812 · Nutrition and Dietary Deficiencies

Health

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

Corrected 2025-12-19

D · Potential for more than minimal harm 2025-12-18

F550 · Resident Rights Deficiencies

Health

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Corrected 2025-12-19

D · Potential for more than minimal harm 2025-12-18

F558 · Resident Rights Deficiencies

Health

Reasonably accommodate the needs and preferences of each resident.

Corrected 2025-12-19

D · Potential for more than minimal harm 2025-12-18

F656 · Resident Assessment and Care Planning Deficiencies

Health

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

Corrected 2025-12-19

D · Potential for more than minimal harm 2025-12-18

F689 · Quality of Life and Care Deficiencies

Health

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

Corrected 2025-12-19

J · Immediate jeopardy 2025-09-30

F689 · Quality of Life and Care Deficiencies

Health

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

Not marked corrected

J · Immediate jeopardy 2024-09-26

F689 · Quality of Life and Care Deficiencies

Health

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

Corrected 2024-09-27

E · Potential for more than minimal harm 2024-09-26

F755 · Pharmacy Service Deficiencies

Health

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

Corrected 2024-09-27

E · Potential for more than minimal harm 2024-09-26

F803 · Nutrition and Dietary Deficiencies

Health

Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.

Corrected 2024-09-27

E · Potential for more than minimal harm 2024-09-26

F804 · Nutrition and Dietary Deficiencies

Health

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

Corrected 2024-09-27

E · Potential for more than minimal harm 2024-09-26

F812 · Nutrition and Dietary Deficiencies

Health

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

Corrected 2024-09-27

E · Potential for more than minimal harm 2024-09-26

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2024-09-27

D · Potential for more than minimal harm 2024-09-26

F584 · Resident Rights Deficiencies

Health

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.

Corrected 2024-09-27

D · Potential for more than minimal harm 2024-09-26

F641 · Resident Assessment and Care Planning Deficiencies

Health

Ensure each resident receives an accurate assessment.

Corrected 2024-09-27

D · Potential for more than minimal harm 2024-09-26

F656 · Resident Assessment and Care Planning Deficiencies

Health

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

Corrected 2024-09-27

D · Potential for more than minimal harm 2024-09-26

F690 · Quality of Life and Care Deficiencies

Health

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

Corrected 2024-09-27

D · Potential for more than minimal harm 2024-09-26

F695 · Quality of Life and Care Deficiencies

Health

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

Corrected 2024-09-27

D · Potential for more than minimal harm 2024-09-26

F810 · Nutrition and Dietary Deficiencies

Health

Provide special eating equipment and utensils for residents who need them and appropriate assistance.

Corrected 2024-09-27

D · Potential for more than minimal harm 2024-09-26

F849 · Administration Deficiencies

Health

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.

Corrected 2024-09-27

D · Potential for more than minimal harm 2024-06-22

F760 · Pharmacy Service Deficiencies

Health

Ensure that residents are free from significant medication errors.

Corrected 2024-06-03

K · Immediate jeopardy 2023-07-28

F755 · Pharmacy Service Deficiencies

Health

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

Corrected 2023-08-25

G · Actual harm 2023-07-28

F756 · Pharmacy Service Deficiencies

Health

Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

Corrected 2023-08-25

F · Potential for more than minimal harm 2023-07-28

F812 · Nutrition and Dietary Deficiencies

Health

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

Corrected 2023-08-25

F · Potential for more than minimal harm 2023-07-28

F925 · Environmental Deficiencies

Health

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

Corrected 2023-08-25

E · Potential for more than minimal harm 2023-07-28

F689 · Quality of Life and Care Deficiencies

Health

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

Corrected 2023-08-25

E · Potential for more than minimal harm 2023-07-28

F761 · Pharmacy Service Deficiencies

Health

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.

Corrected 2023-08-25

E · Potential for more than minimal harm 2023-07-28

F803 · Nutrition and Dietary Deficiencies

Health

Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.

Corrected 2023-08-25

E · Potential for more than minimal harm 2023-07-28

F804 · Nutrition and Dietary Deficiencies

Health

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

Corrected 2023-08-25

E · Potential for more than minimal harm 2023-07-28