Amarillo, TX

Kirkland Court Health and Rehabilitation Center

1-star overall rating with 1-star inspections with abuse icon flag with $25,480 in total fines with 14 recent health deficiencies with 3 fire-safety deficiencies in the latest cycle

1601 Kirkland Dr, Amarillo, TX

(806) 355-8281

Compare this facility

Overall

1 / 5

CMS overall stars

Health inspections

1 / 5

Survey and complaint cycles

Staffing

3 / 5

RN + nurse staffing

Quality measures

3 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

98

Certified beds

Average residents

51

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

No chain reported

Operator or chain grouping

Approved since

1994-06-03

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Changed ownership

No

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

0.40

Registered nurse staffing · state 0.44 · national 0.68

LPN hours / resident day

0.87

Licensed practical nurse staffing · state 0.95 · national 0.87

Aide hours / resident day

1.80

Nurse aide staffing · state 2.01 · national 2.35

Total nurse hours

3.07

All reported nurse hours · state 3.40 · national 3.89

Licensed hours

1.28

RN + LPN hours · state 1.38 · national 1.54

Weekend hours

2.83

Weekend nurse staffing · state 2.99 · national 3.43

Weekend RN hours

0.50

Weekend registered nurse coverage · state 0.34 · national 0.47

Physical therapist

0.11

Reported PT staffing · state 0.07 · national 0.07

Adjusted RN hours

0.50

CMS adjusted RN staffing hours

Adjusted total hours

3.80

CMS adjusted total nurse staffing hours

Case-mix index

1.11

Higher values indicate more complex resident acuity

RN turnover

20%

Annual RN turnover · state 52% · national 45%

Total nurse turnover

54%

Annual nurse turnover · state 52% · national 46%

SNF QRP

Medicare quality reporting measures

Measure Facility National Note
Potentially preventable 30-day readmission 10.51%
10.72%
0.2 pts better
No Different than the National Rate · Eligible stays 31 · Observed rate 9.68% · Lower 95% interval 6.13%
Discharge to community Not Available
50.57%
Not Available · Eligible stays 13 · Observed rate Not Available · Lower 95% interval Not Available · Too few residents or stays to report publicly.
Medicare spending per beneficiary 0.95
1.02
0.1 pts better
Drug regimen review with follow-up Not Available
95.27%
Numerator Not Available · Denominator 5 · Too few residents or stays to report publicly.
Falls with major injury Not Available
0.77%
Numerator Not Available · Denominator 5 · Too few residents or stays to report publicly.
Discharge self-care score Not Available
53.69%
Numerator Not Available · Denominator 4 · Too few residents or stays to report publicly.
Discharge mobility score Not Available
50.94%
Numerator Not Available · Denominator 4 · Too few residents or stays to report publicly.
Pressure ulcers or injuries, new or worsened Not Available
2.29%
Numerator Not Available · Denominator 5 · 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 16 · Observed rate Not Available · Lower 95% interval Not Available · Too few residents or stays to report publicly.
Staff COVID-19 vaccination coverage 60%
8.2%
51.8 pts better
Numerator 30 · Denominator 50
Staff flu vaccination coverage 52.38%
42%
10.4 pts better
Numerator 22 · Denominator 42
Discharge function score Not Available
56.45%
Numerator Not Available · Denominator 4 · Too few residents or stays to report publicly.
Transfer of health information to provider Not Available
95.95%
Numerator Not Available · Denominator Not Available · Newly certified or not enough cases to report.
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 4 · 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 1.8
2.1
0.3 pts better
1.9
0.1 pts better
Long Stay · 20240701-20250630 · Adjusted 1.8 · Observed 1.9 · Expected 1.9 · Used in QM five-star
Number of outpatient emergency department visits per 1000 long-stay resident days 1.2
2.1
0.9 pts better
1.8
0.6 pts better
Long Stay · 20240701-20250630 · Adjusted 1.2 · Observed 1.3 · Expected 1.7 · Used in QM five-star
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine 96.4%
97.1%
0.7 pts worse
93.4%
3 pts better
Long Stay · 2024Q4-2025Q3 · Q1 93.2% · Q2 96.2% · Q3 100.0% · Q4 95.9% · 4Q avg 96.4%
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 4.1%
3.3%
0.8 pts worse
3.3%
0.8 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 4.5% · Q2 3.8% · Q3 6.2% · Q4 2.0% · 4Q avg 4.1% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms 0.0%
2.7%
2.7 pts better
11.4%
11.4 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 who lose too much weight 3.3%
3.3%
About the same
5.4%
2.1 pts better
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 10.0% · Q4 2.5% · 4Q avg 3.3%
Percentage of long-stay residents who received an antianxiety or hypnotic medication 6.9%
18.9%
12 pts better
19.6%
12.7 pts better
Long Stay · 2024Q4-2025Q3 · Q1 5.7% · Q2 4.9% · Q3 4.9% · Q4 11.9% · 4Q avg 6.9%
Percentage of long-stay residents who received an antipsychotic medication 12.9%
10.8%
2.1 pts worse
16.7%
3.8 pts better
Long Stay · 2024Q4-2025Q3 · Q1 12.5% · Q2 10.0% · Q3 13.3% · Q4 15.6% · 4Q avg 12.9% · 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 17.1%
15.4%
1.7 pts worse
16.3%
0.8 pts worse
Long Stay · 2024Q4-2025Q3 · Q2 10.9% · Q3 4.6% · Q4 40.6% · 4Q avg 17.1% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased 15.7%
16.1%
0.4 pts better
14.9%
0.8 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 11.4% · Q2 9.8% · Q3 22.0% · Q4 19.0% · 4Q avg 15.7% · Used in QM five-star
Percentage of long-stay residents with a catheter inserted and left in their bladder 1.7%
0.5%
1.2 pts worse
1.0%
0.7 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 2.8% · Q2 4.1% · Q3 0.0% · Q4 0.0% · 4Q avg 1.7% · Used in QM five-star
Percentage of long-stay residents with a urinary tract infection 2.7%
0.8%
1.9 pts worse
1.7%
1 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 2.3% · Q2 2.0% · Q3 4.3% · Q4 2.1% · 4Q avg 2.7% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence 17.6%
15.0%
2.6 pts worse
19.8%
2.2 pts better
Long Stay · 2024Q4-2025Q3 · Q1 17.7% · Q2 15.5% · Q3 14.7% · Q4 22.4% · 4Q avg 17.6%
Percentage of long-stay residents with pressure ulcers 8.3%
4.2%
4.1 pts worse
5.1%
3.2 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 14.0% · Q2 11.6% · Q3 5.2% · Q4 2.6% · 4Q avg 8.3% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine 56.6%
89.7%
33.1 pts worse
81.7%
25.1 pts worse
Short Stay · 2024Q4-2025Q3 · Q1 47.1% · Q2 65.0% · Q3 74.2% · Q4 38.1% · 4Q avg 56.6%
Percentage of short-stay residents who newly received an antipsychotic medication 3.8%
1.5%
2.3 pts worse
1.6%
2.2 pts worse
Short Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 8.0% · 4Q avg 3.8% · Used in QM five-star
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine 65.9%
88.0%
22.1 pts worse
79.7%
13.8 pts worse
Short Stay · 2024Q3-2025Q2 · 4Q avg 65.9%

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-06-11 · Fire 2025-06-11

14 health deficiencies

Top issue: Freedom from Abuse and Neglect and Exploitation (4 deficiencies)

3 fire-safety deficiencies

Top issue: Egress (1 deficiency)

Cycle 2 Health 2024-04-26 · Fire 2024-04-26

12 health deficiencies

Top issue: Quality of Life and Care (3 deficiencies)

2 fire-safety deficiencies

Top issue: Egress (1 deficiency)

Cycle 3 Health 2023-03-08 · Fire 2023-03-08

11 health deficiencies

Top issue: Quality of Life and Care (3 deficiencies)

4 fire-safety deficiencies

Top issue: Egress (1 deficiency)

Fire safety

Fire-safety citations

D · Potential for more than minimal harm 2025-06-11

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 2025-07-03

C · Minimal harm 2025-06-11

K222 · Egress Deficiencies

Fire Safety

Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.

Corrected 2025-06-30

C · Minimal harm 2025-06-11

K521 · Services Deficiencies

Fire Safety

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

Corrected 2025-06-30

C · Minimal harm 2024-04-26

K211 · Egress Deficiencies

Fire Safety

Keep aisles, corridors, and exits free of obstruction in case of emergency.

Corrected 2024-05-16

C · Minimal harm 2024-04-26

K521 · Services Deficiencies

Fire Safety

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

Corrected 2024-05-16

F · Potential for more than minimal harm 2023-03-08

E4 · Emergency Preparedness Deficiencies

Fire Safety

Develop and maintain an Emergency Preparedness Program (EP).

Corrected 2023-03-31

F · Potential for more than minimal harm 2023-03-08

K741 · Miscellaneous Deficiencies

Fire Safety

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

Corrected 2023-04-07

C · Minimal harm 2023-03-08

K211 · Egress Deficiencies

Fire Safety

Keep aisles, corridors, and exits free of obstruction in case of emergency.

Not marked corrected

C · Minimal harm 2023-03-08

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

D · Potential for more than minimal harm 2025-12-17

F578 · Resident Rights Deficiencies

Health

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.

Corrected 2026-01-08

D · Potential for more than minimal harm 2025-12-17

F700 · Quality of Life and Care Deficiencies

Health

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.

Corrected 2026-01-08

D · Potential for more than minimal harm 2025-12-01

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 2025-12-10

J · Immediate jeopardy 2025-09-13

F600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Corrected 2025-09-14

J · Immediate jeopardy 2025-09-13

F607 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

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

Corrected 2025-09-14

J · Immediate jeopardy 2025-09-13

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 2025-09-14

D · Potential for more than minimal harm 2025-09-13

F609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

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

Corrected 2025-10-01

D · Potential for more than minimal harm 2025-09-13

F610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Respond appropriately to all alleged violations.

Corrected 2025-10-01

E · Potential for more than minimal harm 2025-06-11

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 2025-06-17

E · Potential for more than minimal harm 2025-06-11

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 2025-07-01

D · Potential for more than minimal harm 2025-06-11

F644 · Resident Assessment and Care Planning Deficiencies

Health

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

Corrected 2025-07-14

D · Potential for more than minimal harm 2025-06-11

F655 · Resident Assessment and Care Planning Deficiencies

Health

Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

Corrected 2025-07-14

D · Potential for more than minimal harm 2025-06-11

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2025-06-17

D · Potential for more than minimal harm 2025-06-04

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 2025-06-11

D · Potential for more than minimal harm 2025-01-07

F842 · Resident Assessment and Care Planning Deficiencies

Health

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Corrected 2025-01-31

D · Potential for more than minimal harm 2024-11-27

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2024-12-19

D · Potential for more than minimal harm 2024-07-11

F580 · Resident Rights Deficiencies

Health

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

Corrected 2024-07-31

F · Potential for more than minimal harm 2024-04-26

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 2024-05-16

F · Potential for more than minimal harm 2024-04-26

F851 · Administration Deficiencies

Health

Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.

Corrected 2024-05-16

E · Potential for more than minimal harm 2024-04-26

F679 · Quality of Life and Care Deficiencies

Health

Provide activities to meet all resident's needs.

Corrected 2024-05-16

E · Potential for more than minimal harm 2024-04-26

F680 · Quality of Life and Care Deficiencies

Health

Ensure the activities program is directed by a qualified professional.

Corrected 2024-05-16

E · Potential for more than minimal harm 2024-04-26

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 2024-05-16

E · Potential for more than minimal harm 2024-04-26

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2024-05-16

D · Potential for more than minimal harm 2024-04-26

F700 · Quality of Life and Care Deficiencies

Health

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.

Corrected 2024-05-16

D · Potential for more than minimal harm 2024-04-26

F726 · Nursing and Physician Services Deficiencies

Health

Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.

Corrected 2024-05-16

D · Potential for more than minimal harm 2024-04-26

F760 · Pharmacy Service Deficiencies

Health

Ensure that residents are free from significant medication errors.

Corrected 2024-05-16

D · Potential for more than minimal harm 2024-01-23

F609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

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

Corrected 2024-02-21

E · Potential for more than minimal harm 2024-01-04

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2024-02-02

D · Potential for more than minimal harm 2023-11-28

F700 · Quality of Life and Care Deficiencies

Health

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.

Corrected 2024-01-02

D · Potential for more than minimal harm 2023-11-28

F842 · Resident Assessment and Care Planning Deficiencies

Health

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Corrected 2024-01-02

D · Potential for more than minimal harm 2023-07-06

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 2023-07-17

E · Potential for more than minimal harm 2023-03-08

F602 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Protect each resident from the wrongful use of the resident's belongings or money.

Corrected 2023-04-07

D · Potential for more than minimal harm 2023-03-08

F578 · Resident Rights Deficiencies

Health

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.

Corrected 2023-04-07

D · Potential for more than minimal harm 2023-03-08

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 2023-04-07

D · Potential for more than minimal harm 2023-03-08

F693 · Quality of Life and Care Deficiencies

Health

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.

Corrected 2023-04-07

D · Potential for more than minimal harm 2023-03-08

F729 · Nursing and Physician Services Deficiencies

Health

Verify that a nurse aide has been trained; and if they haven't worked as a nurse aide for 2 years, receive retraining.

Corrected 2023-04-07

D · Potential for more than minimal harm 2023-03-08

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 2023-04-07

Penalties and ownership

What sits behind the stars

$12,740 2025-09-13

Fine

Fine · fine $12,740

Fine

$12,740 2025-09-13

Fine

Fine · fine $12,740

Fine

Ownership

Stratford Hospital District

5% Or Greater Direct Ownership Interest · Organization

100% 28 facilities 2017-04-01
Brown, Janet

W-2 Managing Employee · Individual

0% 1 facilities 2017-04-01
Chumley, Richard

Corporate Director · Individual

0% 30 facilities 2017-04-01
Sb Galleria Healthcare Management LLC

Operational/Managerial Control · Organization

0% 1 facilities 2022-07-15

Nearby options

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Amarillo Center For Skilled Care

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4-star overall rating with 3-star inspections with $21,390 in total fines with 8 recent health deficiencies

Overall
4 / 5
Health
3 / 5
Staffing
3 / 5
Fines
$21,390
#2

Heritage Convalescent Center

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2-star overall rating with 3-star inspections with 11 recent health deficiencies

Overall
2 / 5
Health
3 / 5
Staffing
1 / 5
Fines
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#3

Windflower Health Center

Amarillo, TX

3-star overall rating with 3-star inspections with $4,922 in total fines with 9 recent health deficiencies

Overall
3 / 5
Health
3 / 5
Staffing
3 / 5
Fines
$4,922

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