Levelland, TX

Levelland Nursing & Rehabilitation Center

2-star overall rating with 2-star inspections with $9,255 in total fines with 11 recent health deficiencies with 3 fire-safety deficiencies in the latest cycle

210 West Ave, Levelland, TX

(806) 894-5053

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

4 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

87

Certified beds

Average residents

45

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

Fannin County Hospital District

Operator or chain grouping

Approved since

1994-05-31

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Staffing

Hours and turnover

RN hours / resident day

0.29

Registered nurse staffing

LPN hours / resident day

1.04

Licensed practical nurse staffing

Aide hours / resident day

1.82

Nurse aide staffing

Weekend hours

2.65

Weekend nurse staffing

RN turnover

0%

Annual RN turnover

Total nurse turnover

47%

Annual nurse turnover

Quality measures

Resident outcomes and process scores

Measure Facility State National Note
Number of hospitalizations per 1000 long-stay resident days 1.6
2.1
0.5 pts better
1.9
0.3 pts better
Long Stay · 20240701-20250630
Number of outpatient emergency department visits per 1000 long-stay resident days 1.8
2.1
0.3 pts better
1.8
About the same
Long Stay · 20240701-20250630
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine 82.0%
97.1%
15.1 pts worse
93.4%
11.4 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine 91.1%
97.9%
6.8 pts worse
95.5%
4.4 pts worse
Long Stay · 2024Q3-2025Q2
Percentage of long-stay residents experiencing one or more falls with major injury 0.6%
3.3%
2.7 pts better
3.3%
2.7 pts better
Long Stay · 2024Q4-2025Q3
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
Percentage of long-stay residents who lose too much weight 1.4%
3.3%
1.9 pts better
5.4%
4 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who received an antianxiety or hypnotic medication 27.4%
18.9%
8.5 pts worse
19.6%
7.8 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who received an antipsychotic medication 19.5%
10.8%
8.7 pts worse
16.7%
2.8 pts worse
Long Stay · 2024Q4-2025Q3
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
Percentage of long-stay residents whose ability to walk independently worsened 20.4%
15.4%
5 pts worse
16.3%
4.1 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents whose need for help with daily activities has increased 19.4%
16.1%
3.3 pts worse
14.9%
4.5 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with a catheter inserted and left in their bladder 0.5%
0.5%
About the same
1.0%
0.5 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with a urinary tract infection 0.0%
0.8%
0.8 pts better
1.7%
1.7 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with new or worsened bowel or bladder incontinence 16.7%
15.0%
1.7 pts worse
19.8%
3.1 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with pressure ulcers 7.0%
4.2%
2.8 pts worse
5.1%
1.9 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine 51.6%
89.7%
38.1 pts worse
81.7%
30.1 pts worse
Short Stay · 2024Q4-2025Q3
Percentage of short-stay residents who newly received an antipsychotic medication 0.0%
1.5%
1.5 pts better
1.6%
1.6 pts better
Short Stay · 2024Q4-2025Q3
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine 88.9%
88.0%
0.9 pts better
79.7%
9.2 pts better
Short Stay · 2024Q3-2025Q2

Survey summary

Recent inspection cycles

Cycle 1 Health 2024-10-17 · Fire 2024-10-17

11 health deficiencies

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

3 fire-safety deficiencies

Top issue: Miscellaneous (1 deficiency)

Cycle 2 Health 2023-09-08 · Fire 2023-09-08

7 health deficiencies

Top issue: Nutrition and Dietary (3 deficiencies)

1 fire-safety deficiencies

Top issue: Services (1 deficiency)

Cycle 3 Health 2022-07-21 · Fire 2022-07-21

7 health deficiencies

Top issue: Nutrition and Dietary (2 deficiencies)

1 fire-safety deficiencies

Top issue: Services (1 deficiency)

Fire safety

Fire-safety citations

F · Potential for more than minimal harm 2024-10-17

K341 · Smoke Deficiencies

Fire Safety

Install a fire alarm system that can be heard throughout the facility.

Corrected 2024-11-05

D · Potential for more than minimal harm 2024-10-17

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 2024-10-23

C · Minimal harm 2024-10-17

K521 · Services Deficiencies

Fire Safety

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

Corrected 2024-10-18

C · Minimal harm 2023-09-08

K521 · Services Deficiencies

Fire Safety

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

Corrected 2023-09-11

C · Minimal harm 2022-07-21

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 2025-11-05

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 2025-11-06

J · Immediate jeopardy 2025-08-14

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 2025-08-12

J · Immediate jeopardy 2025-03-24

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 2025-03-27

E · Potential for more than minimal harm 2025-03-24

F552 · Resident Rights Deficiencies

Health

Ensure that residents are fully informed and understand their health status, care and treatments.

Corrected 2025-03-27

E · Potential for more than minimal harm 2025-03-24

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 2025-03-27

F · Potential for more than minimal harm 2024-10-17

F925 · Environmental Deficiencies

Health

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

Corrected 2024-11-08

E · Potential for more than minimal harm 2024-10-17

F585 · Resident Rights Deficiencies

Health

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.

Corrected 2024-11-08

E · Potential for more than minimal harm 2024-10-17

F695 · Quality of Life and Care Deficiencies

Health

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

Corrected 2024-11-08

E · Potential for more than minimal harm 2024-10-17

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 2024-11-08

E · Potential for more than minimal harm 2024-10-17

F813 · Nutrition and Dietary Deficiencies

Health

Have a policy regarding use and storage of foods brought to residents by family and other visitors.

Corrected 2024-11-08

E · Potential for more than minimal harm 2024-10-17

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2024-11-08

D · Potential for more than minimal harm 2024-08-07

F607 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

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

Corrected 2024-08-25

F · Potential for more than minimal harm 2023-09-08

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 2023-09-25

F · Potential for more than minimal harm 2023-09-08

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 2023-09-25

E · Potential for more than minimal harm 2023-09-08

F552 · Resident Rights Deficiencies

Health

Ensure that residents are fully informed and understand their health status, care and treatments.

Corrected 2023-09-25

E · Potential for more than minimal harm 2023-09-08

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 2023-09-25

E · Potential for more than minimal harm 2023-09-08

F813 · Nutrition and Dietary Deficiencies

Health

Have a policy regarding use and storage of foods brought to residents by family and other visitors.

Corrected 2023-09-25

D · Potential for more than minimal harm 2023-09-08

F758 · Pharmacy Service Deficiencies

Health

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.

Corrected 2023-09-25

F · Potential for more than minimal harm 2022-07-21

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 2022-07-22

E · Potential for more than minimal harm 2022-07-21

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 2022-07-22

E · Potential for more than minimal harm 2022-07-21

F680 · Quality of Life and Care Deficiencies

Health

Ensure the activities program is directed by a qualified professional.

Corrected 2022-07-22

E · Potential for more than minimal harm 2022-07-21

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 2022-07-22

E · Potential for more than minimal harm 2022-07-21

F804 · Nutrition and Dietary Deficiencies

Health

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

Corrected 2022-07-22

E · Potential for more than minimal harm 2022-07-21

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2022-07-22

E · Potential for more than minimal harm 2022-07-21

F925 · Environmental Deficiencies

Health

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

Corrected 2022-07-22

Penalties and ownership

What sits behind the stars

$9,255 2025-03-24

Fine

Fine · fine $9,255

Fine

Ownership

Fannin County Hospital Authority

5% Or Greater Direct Ownership Interest · Organization

100% 52 facilities 2022-04-01
Sanderson, Clark

Corporate Director · Individual

0% 56 facilities 2012-10-29
Sanderson, Clark

Corporate Officer · Individual

0% 56 facilities 2012-10-29
Sheddy, Theresa

Operational/Managerial Control · Individual

0% 6 facilities 2016-09-01
Sheddy, Theresa

Contracted Managing Employee · Individual

0% 6 facilities 2016-09-01

Nearby options

Other facilities in reach

#1

Lynwood Nursing and Rehabilitation

Levelland, TX

3-star overall rating with 3-star inspections with $12,740 in total fines with 10 recent health deficiencies

Overall
3 / 5
Health
3 / 5
Staffing
1 / 5
Fines
$12,740
#2

Arbor Grace Wellness Center

Littlefield, TX

2-star overall rating with 3-star inspections with $44,434 in total fines with 6 recent health deficiencies with 2 fire-safety deficiencies in the latest cycle

Overall
2 / 5
Health
3 / 5
Staffing
2 / 5
Fines
$44,434
#3

Crown Point Health Suites

Lubbock, TX

3-star overall rating with 2-star inspections with $8,281 in total fines with 9 recent health deficiencies

Overall
3 / 5
Health
2 / 5
Staffing
4 / 5
Fines
$8,281

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