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

Certified beds

Average residents

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

Chain footprint

5 facilities

Chain averages 3 overall / 3 health / 2 staffing / 3 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

0.29

Registered nurse staffing · state 0.44 · national 0.68

LPN hours / resident day

1.04

Licensed practical nurse staffing · state 0.95 · national 0.87

Aide hours / resident day

1.82

Nurse aide staffing · state 2.01 · national 2.35

Total nurse hours

3.15

All reported nurse hours · state 3.40 · national 3.89

Licensed hours

1.34

RN + LPN hours · state 1.38 · national 1.54

Weekend hours

2.65

Weekend nurse staffing · state 2.99 · national 3.43

Weekend RN hours

0.40

Weekend registered nurse coverage · state 0.34 · national 0.47

Physical therapist

0.28

Reported PT staffing · state 0.07 · national 0.07

Adjusted RN hours

0.37

CMS adjusted RN staffing hours

Adjusted total hours

3.94

CMS adjusted total nurse staffing hours

Case-mix index

1.09

Higher values indicate more complex resident acuity

RN turnover

Annual RN turnover

Total nurse turnover

47%

Annual nurse turnover · state 52% · national 46%

SNF VBP

Value-based purchasing

Program rank

2,762

Lower is better among SNFs in the FY 2026 VBP program.

Performance score

47.90

Composite VBP score used to determine payment impact.

Payment multiplier

1.0015

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

Not reported

This facility did not meet this measure's case minimum policy requirement and therefore no measure data is publicly reported.

Healthcare-associated infections

Not reported

This facility did not meet this measure's case minimum policy requirement and therefore no measure data is publicly reported.

Total nurse turnover

6.84

Baseline 43.75% · Performance 35.71% · Measure score 6.84 · Achievement 6.84 · Improvement 3.75

Adjusted total nurse staffing

2.74

Baseline 3.59 hours · Performance 3.86 hours · Measure score 2.74 · Achievement 2.74 · Improvement 0.72

SNF QRP

Medicare quality reporting measures

Measure	Facility	National	Note
Potentially preventable 30-day readmission	Not Available	10.72%	Not Available · Eligible stays 23 · Observed rate Not Available · Lower 95% interval Not Available · Too few residents or stays to report publicly.
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	1.34	1.02 0.3 pts worse
Drug regimen review with follow-up	Not Available	95.27%	Numerator Not Available · Denominator 13 · Too few residents or stays to report publicly.
Falls with major injury	Not Available	0.77%	Numerator Not Available · Denominator 13 · Too few residents or stays to report publicly.
Discharge self-care score	Not Available	53.69%	Numerator Not Available · Denominator 10 · Too few residents or stays to report publicly.
Discharge mobility score	Not Available	50.94%	Numerator Not Available · Denominator 10 · Too few residents or stays to report publicly.
Pressure ulcers or injuries, new or worsened	Not Available	2.29%	Numerator Not Available · Denominator 13 · 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 13 · Observed rate Not Available · Lower 95% interval Not Available · Too few residents or stays to report publicly.
Staff COVID-19 vaccination coverage	1.23%	8.2% 7 pts worse	Numerator 1 · Denominator 81
Staff flu vaccination coverage	6.72%	42% 35.3 pts worse	Numerator 8 · Denominator 119
Discharge function score	Not Available	56.45%	Numerator Not Available · Denominator 10 · Too few residents or stays to report publicly.
Transfer of health information to provider	Not Available	95.95%	Numerator Not Available · Denominator 2 · Too few residents or stays to report publicly.
Transfer of health information to patient	Not Available	96.28%	Numerator Not Available · Denominator 2 · Too few residents or stays to report publicly.
Resident COVID-19 vaccinations up to date	Not Available	25.2%	Numerator Not Available · Denominator 5 · 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	1.6	2.1 0.5 pts better	1.9 0.3 pts better	Long Stay · 20240701-20250630 · Adjusted 1.6 · Observed 1.3 · Expected 1.5 · Used in QM five-star
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 · Adjusted 1.8 · Observed 1.5 · Expected 1.4 · Used in QM five-star
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 · Q1 62.5% · Q2 69.0% · Q3 100.0% · Q4 100.0% · 4Q avg 82.0%
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 · 4Q avg 91.1%
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 · Q1 2.1% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.6% · 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	1.4%	3.3% 1.9 pts better	5.4% 4 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 2.8% · Q3 3.1% · Q4 0.0% · 4Q avg 1.4%
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 · Q1 24.4% · Q2 29.7% · Q3 28.1% · Q4 27.8% · 4Q avg 27.4%
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 · Q1 18.4% · Q2 18.2% · Q3 20.0% · Q4 21.9% · 4Q avg 19.5% · 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	20.4%	15.4% 5 pts worse	16.3% 4.1 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 36.1% · 4Q avg 20.4% · Used in QM five-star
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 · Q1 5.1% · Q2 27.0% · Q3 25.0% · Q4 22.2% · 4Q avg 19.4% · Used in QM five-star
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 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 2.2% · 4Q avg 0.5% · Used in QM five-star
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 · 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 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 · Q1 33.6% · Q2 14.7% · Q3 4.0% · Q4 12.3% · 4Q avg 16.7%
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 · Q1 12.3% · Q2 7.5% · Q3 3.8% · Q4 3.4% · 4Q avg 7.0% · Used in QM five-star
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 · Q1 13.6% · Q2 29.6% · Q3 72.7% · Q4 95.5% · 4Q avg 51.6%
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 · 4Q avg 0.0% · Used in QM five-star
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 · 4Q avg 88.9%

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