Levelland, TX

Lynwood Nursing and Rehabilitation

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

803 S Alamo, Levelland, TX

(806) 894-2806

Compare this facility

Overall

3 / 5

CMS overall stars

Health inspections

3 / 5

Survey and complaint cycles

Staffing

1 / 5

RN + nurse staffing

Quality measures

5 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

120

Certified beds

Average residents

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

Slp Operations

Operator or chain grouping

Approved since

1990-03-19

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Chain footprint

22 facilities

Chain averages 2 overall / 3 health / 2 staffing / 4 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

0.36

Registered nurse staffing · state 0.44 · national 0.68

LPN hours / resident day

0.77

Licensed practical nurse staffing · state 0.95 · national 0.87

Aide hours / resident day

1.84

Nurse aide staffing · state 2.01 · national 2.35

Total nurse hours

2.97

All reported nurse hours · state 3.40 · national 3.89

Licensed hours

1.13

RN + LPN hours · state 1.38 · national 1.54

Weekend hours

2.67

Weekend nurse staffing · state 2.99 · national 3.43

Weekend RN hours

0.25

Weekend registered nurse coverage · state 0.34 · national 0.47

Physical therapist

0.10

Reported PT staffing · state 0.07 · national 0.07

Adjusted RN hours

0.40

CMS adjusted RN staffing hours

Adjusted total hours

3.34

CMS adjusted total nurse staffing hours

Case-mix index

1.22

Higher values indicate more complex resident acuity

RN turnover

Annual RN turnover

Total nurse turnover

60%

Annual nurse turnover · state 52% · national 46%

SNF VBP

Value-based purchasing

Program rank

13,726

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

Performance score

Composite VBP score used to determine payment impact.

Payment multiplier

0.9803

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

Performance 64.15% · Measure score 0 · Achievement 0 · This facility did not have sufficient data to calculate a baseline period measure result.

Adjusted total nurse staffing

Baseline 3.39 hours · Performance 2.95 hours · Measure score 0 · Achievement 0 · Improvement 0

SNF QRP

Medicare quality reporting measures

Measure	Facility	National	Note
Potentially preventable 30-day readmission	11.85%	10.72% 1.1 pts worse	No Different than the National Rate · Eligible stays 38 · Observed rate 18.42% · Lower 95% interval 7.25%
Discharge to community	Not Available	50.57%	Not Available · Eligible stays 23 · Observed rate Not Available · Lower 95% interval Not Available · Too few residents or stays to report publicly.
Medicare spending per beneficiary	1.38	1.02 0.4 pts worse
Drug regimen review with follow-up	Not Available	95.27%	Numerator Not Available · Denominator 7 · Too few residents or stays to report publicly.
Falls with major injury	Not Available	0.77%	Numerator Not Available · Denominator 7 · Too few residents or stays to report publicly.
Discharge self-care score	Not Available	53.69%	Numerator Not Available · Denominator 5 · Too few residents or stays to report publicly.
Discharge mobility score	Not Available	50.94%	Numerator Not Available · Denominator 5 · Too few residents or stays to report publicly.
Pressure ulcers or injuries, new or worsened	Not Available	2.29%	Numerator Not Available · Denominator 7 · 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 17 · Observed rate Not Available · Lower 95% interval Not Available · Too few residents or stays to report publicly.
Staff COVID-19 vaccination coverage	3.39%	8.2% 4.8 pts worse	Numerator 2 · Denominator 59
Staff flu vaccination coverage	27.85%	42% 14.1 pts worse	Numerator 44 · Denominator 158
Discharge function score	Not Available	56.45%	Numerator Not Available · Denominator 5 · 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 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	1.4	2.1 0.7 pts better	1.9 0.5 pts better	Long Stay · 20240701-20250630 · Adjusted 1.4 · Observed 1.1 · Expected 1.5 · Used in QM five-star
Number of outpatient emergency department visits per 1000 long-stay resident days	0.7	2.1 1.4 pts better	1.8 1.1 pts better	Long Stay · 20240701-20250630 · Adjusted 0.7 · Observed 0.6 · Expected 1.4 · Used in QM five-star
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine	100.0%	97.1% 2.9 pts better	93.4% 6.6 pts better	Long Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 100.0% · Q3 100.0% · Q4 100.0% · 4Q avg 100.0%
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	3.5%	3.3% 0.2 pts worse	3.3% 0.2 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 5.4% · Q2 5.1% · Q3 3.7% · Q4 0.0% · 4Q avg 3.5% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms	1.6%	2.7% 1.1 pts better	11.4% 9.8 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 5.9% · 4Q avg 1.6%
Percentage of long-stay residents who lose too much weight	4.4%	3.3% 1.1 pts worse	5.4% 1 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 4.4% · Q3 10.9% · Q4 2.2% · 4Q avg 4.4%
Percentage of long-stay residents who received an antianxiety or hypnotic medication	21.7%	18.9% 2.8 pts worse	19.6% 2.1 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 17.4% · Q2 26.1% · Q3 23.9% · Q4 19.6% · 4Q avg 21.7%
Percentage of long-stay residents who received an antipsychotic medication	1.5%	10.8% 9.3 pts better	16.7% 15.2 pts better	Long Stay · 2024Q4-2025Q3 · Q1 3.1% · Q2 2.9% · Q3 0.0% · Q4 0.0% · 4Q avg 1.5% · 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	22.0%	15.4% 6.6 pts worse	16.3% 5.7 pts worse	Long Stay · 2024Q4-2025Q3 · Q4 15.8% · 4Q avg 22.0% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased	22.0%	16.1% 5.9 pts worse	14.9% 7.1 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 27.9% · Q2 17.9% · Q3 24.4% · Q4 17.1% · 4Q avg 22.0% · Used in QM five-star
Percentage of long-stay residents with a catheter inserted and left in their bladder	0.0%	0.5% 0.5 pts better	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% · Used in QM five-star
Percentage of long-stay residents with a urinary tract infection	0.4%	0.8% 0.4 pts better	1.7% 1.3 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 1.7% · Q3 0.0% · Q4 0.0% · 4Q avg 0.4% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence	13.5%	15.0% 1.5 pts better	19.8% 6.3 pts better	Long Stay · 2024Q4-2025Q3 · Q1 17.0% · Q2 10.4% · Q3 18.8% · Q4 7.8% · 4Q avg 13.5%
Percentage of long-stay residents with pressure ulcers	2.3%	4.2% 1.9 pts better	5.1% 2.8 pts better	Long Stay · 2024Q4-2025Q3 · Q1 1.6% · Q2 3.1% · Q3 1.5% · Q4 3.1% · 4Q avg 2.3% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine	100.0%	89.7% 10.3 pts better	81.7% 18.3 pts better	Short Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 100.0% · Q3 100.0% · Q4 100.0% · 4Q avg 100.0%
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	100.0%	88.0% 12 pts better	79.7% 20.3 pts better	Short Stay · 2024Q3-2025Q2 · 4Q avg 100.0%

Survey summary

Recent inspection cycles

Cycle 1 Health 2024-10-29 · Fire 2024-10-29

10 health deficiencies

Top issue: Pharmacy Service (3 deficiencies)

0 fire-safety deficiencies

No concentrated fire-safety issue counts in this cycle.

Cycle 2 Health 2023-09-20 · Fire 2023-09-20

16 health deficiencies

Top issue: Resident Assessment and Care Planning (5 deficiencies)

0 fire-safety deficiencies

No concentrated fire-safety issue counts in this cycle.

Cycle 3 Health 2022-08-04 · Fire 2022-08-04

7 health deficiencies

Top issue: Resident Rights (2 deficiencies)

0 fire-safety deficiencies

No concentrated fire-safety issue counts in this cycle.

Inspection history

Recent health citations

D · Potential for more than minimal harm 2025-12-08

F755 · Pharmacy Service Deficiencies

Health

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Corrected 2025-12-09

J · Immediate jeopardy 2025-09-03

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.

Not marked corrected

D · Potential for more than minimal harm 2025-09-03

F550 · Resident Rights Deficiencies

Health

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Corrected 2025-09-04

D · Potential for more than minimal harm 2025-02-05

F550 · Resident Rights Deficiencies

Health

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Corrected 2025-02-06

D · Potential for more than minimal harm 2025-02-05

F677 · Quality of Life and Care Deficiencies

Health

Provide care and assistance to perform activities of daily living for any resident who is unable.

Corrected 2025-02-06

F · Potential for more than minimal harm 2024-10-29

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 2024-10-30

E · Potential for more than minimal harm 2024-10-29

F695 · Quality of Life and Care Deficiencies

Health

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

Corrected 2024-10-30

E · Potential for more than minimal harm 2024-10-29

F759 · Pharmacy Service Deficiencies

Health

Ensure medication error rates are not 5 percent or greater.

Corrected 2024-10-30

E · Potential for more than minimal harm 2024-10-29

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 2024-10-30

E · Potential for more than minimal harm 2024-10-29

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2024-10-30

D · Potential for more than minimal harm 2024-10-29

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

D · Potential for more than minimal harm 2024-10-29

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 2024-10-30

E · Potential for more than minimal harm 2024-08-16

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 2024-09-16

D · Potential for more than minimal harm 2024-03-06

F641 · Resident Assessment and Care Planning Deficiencies

Health

Ensure each resident receives an accurate assessment.

Corrected 2024-04-06

D · Potential for more than minimal harm 2024-03-06

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 2024-04-06

F · Potential for more than minimal harm 2023-09-20

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 2023-10-20

E · Potential for more than minimal harm 2023-09-20

F584 · Resident Rights Deficiencies

Health

Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

Corrected 2023-10-20

E · Potential for more than minimal harm 2023-09-20

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 2023-10-20

E · Potential for more than minimal harm 2023-09-20