Federal inspection record · CMS data as of October 1, 2026
Lamun-Lusk-Sanchez Texas State Veterans Home
1809 N Hwy 87, Big Spring, TX · (432) 268-8387
- Certified beds
- 160
- Residents per day
- 153
- Ownership
- For-Profit
- Chain
- Texvet
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- March 26, 2001
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
★★★★★+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.
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Quality measures
★★★★★+1 star
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
Lamun-Lusk-Sanchez Texas State Veterans Home carries 63 inspection points. That is fewer than 56% 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
25 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 (1)
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K
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
Everything else, by area of care
Resident Rights6E
- E
Ensure residents have reasonable access to and privacy in their use of communication methods.
- D
Keep residents' personal and medical records private and confidential.
- D
Keep residents' personal and medical records private and confidential.
- D
Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
- E
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.
- D
Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
Nutrition and Dietary5E
- E
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
- D
Have a policy regarding use and storage of foods brought to residents by family and other visitors.
- E
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- D
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
- E
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Pharmacy Service5D
- D
Ensure medication error rates are not 5 percent or greater.
- D
Ensure that residents are free from significant medication errors.
- D
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
- D
Ensure that residents are free from significant medication errors.
- D
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.
Infection Control3E
- E
Provide and implement an infection prevention and control program.
- D
Provide and implement an infection prevention and control program.
- E
Provide and implement an infection prevention and control program.
Quality of Life and Care2D
- D
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Environmental1E
- E
Keep all essential equipment working safely.
Resident Assessment and Care Planning1D
- D
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
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.
Inspection history
2026-09-17
7 health deficiencies · 1 fire-safety deficiencies
Top issue: Pharmacy Service (2 deficiencies)
2025-08-07
7 health deficiencies · 0 fire-safety deficiencies
Top issue: Nutrition and Dietary (4 deficiencies)
2024-07-11
11 health deficiencies · 0 fire-safety deficiencies
Top issue: Pharmacy Service (3 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 3 h 32 min of nursing staff time a day, 43 min of it from a registered nurse.
This home
3 h 32 min
Texas average
3 h 25 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 35% of nursing staff and 19% 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
Fines and payment denials
$21,252 in federal fines on record over the past three years.
| Date | Penalty | Amount |
|---|---|---|
| 2024-12-18 | Fine | $21,252 |
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 days1.6 pts better | 0.4 | 2.0 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident days1.5 pts better | 0.5 | 2.0 | 1.7 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine15.8 pts worse | 80.6% | 96.4% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine1 pts better | 98.0% | 97.0% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury1.1 pts worse | 4.3% | 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 weight0.1 pts better | 2.8% | 2.9% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication14.8 pts worse | 32.6% | 17.8% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication1.7 pts better | 8.1% | 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 worsened2.8 pts better | 10.1% | 12.9% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased3.5 pts better | 12.3% | 15.8% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder0.7 pts worse | 1.0% | 0.3% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection0.3 pts better | 0.5% | 0.8% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence3.8 pts worse | 16.3% | 12.5% | 18.3% |
| Percentage of long-stay residents with pressure ulcers0.6 pts better | 3.1% | 3.7% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine61.9 pts worse | 26.8% | 88.7% | 82.3% |
| 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 vaccine37.5 pts worse | 47.9% | 85.4% | 80.1% |
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Who owns and runs it
4 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 |
|---|---|---|---|
| Berkely, John | Corporate Director · Individual | 0% | 8 facilities |
| Care Inns Of Texas-Temple Ltd | Operational/Managerial Control · Organization | 0% | 3 facilities |
| Havens, Mark | Corporate Officer · Individual | 0% | 3 facilities |
| Johanns, Kathy | W-2 Managing Employee · Individual | 0% | 3 facilities |
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Fire safety
1 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Smoke1F
- F
Have approved installation, maintenance and testing program for fire alarm systems.
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Other homes nearby
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Parkview Skilled Care And Rehabilitation
Big Spring, TX · Abuse icon
★★★★★- Worst citation, 3 yrs
- F
- Nursing / resident / day
- 3 h 30 min
- Fines
- $0
-
Big Spring Center For Skilled Care
Big Spring, TX · Creative Solutions In Healthcare
★★★★★- Worst citation, 3 yrs
- G
- Nursing / resident / day
- 3 h 7 min
- Fines
- $8,184
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Mitchell County Nursing And Rehabilitation Center
Colorado City, TX
★★★★★- Worst citation, 3 yrs
- F
- Nursing / resident / day
- 3 h 45 min
- Fines
- $0