Federal inspection record · CMS data as of October 1, 2026
La Dora Nursing And Rehabilitation Center
1960 Bedford Rd, Bedford, TX · (817) 283-4771
- Certified beds
- 62
- Residents per day
- 54
- Ownership
- Non-Profit
- Chain
- Cross Healthcare Management
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- November 1, 2002
1
How this home got 5 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 (already 5)
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
★★★★★5 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among Texas homes
La Dora Nursing And Rehabilitation Center carries 15 inspection points. That is fewer than 96% 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
10 health citations on record since 2024. 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.
No citation on record at the harm or immediate-jeopardy level.
Everything else, by area of care
Nutrition and Dietary2E
- E
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 Service2E
- 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.
- D
Ensure medication error rates are not 5 percent or greater.
Infection Control2E
- E
Provide and implement an infection prevention and control program.
- E
Provide and implement an infection prevention and control program.
Resident Assessment and Care Planning2D
- D
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
- D
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Freedom from Abuse, Neglect, and Exploitation1D
- D
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Quality of Life and Care1D
- D
Provide for the safe, appropriate administration of IV fluids for a resident when needed.
Inspection history
2026-04-24
1 health deficiencies · 5 fire-safety deficiencies
Top issue: Nutrition and Dietary (1 deficiency)
2025-02-13
4 health deficiencies · 9 fire-safety deficiencies
Top issue: Freedom from Abuse and Neglect and Exploitation (1 deficiency)
2024-01-05
5 health deficiencies · 6 fire-safety deficiencies
Top issue: Resident Assessment and Care Planning (2 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 3 h 10 min of nursing staff time a day, 36 min of it from a registered nurse.
This home
3 h 10 min
Texas average
3 h 25 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 44% of nursing staff and 50% 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.
| Measure | This home | State | U.S. |
|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days0.7 pts better | 1.3 | 2.0 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident days1.3 pts better | 0.7 | 2.0 | 1.7 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine3 pts better | 99.4% | 96.4% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine9.8 pts worse | 87.2% | 97.0% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury2.1 pts better | 1.1% | 3.2% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms1.7 pts better | 0.6% | 2.3% | 13.5% |
| Percentage of long-stay residents who lose too much weight2.9 pts better | 0.0% | 2.9% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication1.2 pts worse | 19.0% | 17.8% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication7.2 pts better | 2.6% | 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 worsened0.2 pts better | 12.7% | 12.9% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased2.2 pts better | 13.6% | 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 infection0.3 pts worse | 1.1% | 0.8% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence3.6 pts worse | 16.1% | 12.5% | 18.3% |
| Percentage of long-stay residents with pressure ulcers2.1 pts better | 1.6% | 3.7% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine9.7 pts better | 98.4% | 88.7% | 82.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit4.5 pts better | 7.7% | 12.2% | 11.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication1.4 pts better | 0.0% | 1.4% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine79.5 pts worse | 5.9% | 85.4% | 80.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission8.3 pts better | 17.2% | 25.5% | 23.4% |
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Who owns and runs it
13 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 |
|---|---|---|---|
| Fannin County Hospital Authority | 5% Or Greater Direct Ownership Interest · Organization | 100% | 54 facilities |
| Bedford Road Health Holdings LLC | Adp Of The SNF · Organization | 0% | 1 facilities |
| Burnam, Soon | Operational/Managerial Control · Individual | 0% | 353 facilities |
| Ensign Services Inc | Adp Of The SNF · Organization | 0% | 299 facilities |
| Keetch, Chad | Corporate Officer · Individual | 0% | 301 facilities |
| Lavaca River Healthcare LLC | Operational/Managerial Control · Organization | 0% | 1 facilities |
| Lavaca River Healthcare LLC | Adp Of The SNF · Organization | 0% | 1 facilities |
| Rai, Sweety | Managing Control - Governing Body · Individual | 0% | 2 facilities |
| Rai, Sweety | Operational/Managerial Control · Individual | 0% | 2 facilities |
| Rai, Sweety | Adp Of The SNF · Individual | 0% | 2 facilities |
| Sanderson, Clark | Corporate Director · Individual | 0% | 58 facilities |
| Standard Bearer Healthcare Op, LP | Adp Of The SNF · Organization | 0% | 78 facilities |
| The Ensign Group Inc | Adp Of The SNF · Organization | 0% | 135 facilities |
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Fire safety
20 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Smoke9F
- E
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- F
Properly select, install, inspect, or maintain portable fire extinguishes.
- E
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- E
Install corridor and hallway doors that block smoke.
- F
Provide properly protected cooking facilities.
- F
Have approved installation, maintenance and testing program for fire alarm systems.
- E
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- E
Inspect, test, and maintain automatic sprinkler systems.
- E
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Miscellaneous3F
- F
Have simulated fire drills held at unexpected times.
- F
Have simulated fire drills held at unexpected times.
- E
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Gas, Vacuum, and Electrical Systems3F
- F
Have generator or other power source capable of supplying service within 10 seconds.
- F
Have generator or other power source capable of supplying service within 10 seconds.
- E
Ensure electrical receptacles or cover plates have distinctive color or marking.
Egress3F
- E
Install emergency lighting that can last at least 1 1/2 hours.
- E
Install emergency lighting that can last at least 1 1/2 hours.
- F
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Emergency Preparedness2F
- F
Develop and maintain an Emergency Preparedness Program (EP).
- F
Conduct testing and exercise requirements.
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Other homes nearby
-
Bedford Wellness & Rehabilitation
Bedford, TX · Opco Skilled Management
★★★★★- Worst citation, 3 yrs
- J
- Nursing / resident / day
- 2 h 58 min
- Fines
- $13,627
-
Parkwood Village
Bedford, TX · Life Care Services
★★★★★- Worst citation, 3 yrs
- E
- Nursing / resident / day
- 4 h 10 min
- Fines
- $0
-
Forum Parkway Health & Rehabilitation
Bedford, TX · Hmg Healthcare
★★★★★- Worst citation, 3 yrs
- K
- Nursing / resident / day
- 3 h 25 min
- Fines
- $19,083