Mabank, TX

Mabank Nursing Center

3-star overall rating with 3-star inspections with $31,234 in total fines with 11 recent health deficiencies

18957 Us Hwy 175 W., Mabank, TX

(903) 887-2436

Compare this facility

Overall

3 / 5

CMS overall stars

Health inspections

3 / 5

Survey and complaint cycles

Staffing

3 / 5

RN + nurse staffing

Quality measures

3 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

90

Certified beds

Average residents

83

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

Priority Management

Operator or chain grouping

Approved since

2018-12-23

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Staffing

Hours and turnover

RN hours / resident day

0.36

Registered nurse staffing

LPN hours / resident day

0.90

Licensed practical nurse staffing

Aide hours / resident day

1.98

Nurse aide staffing

Weekend hours

2.86

Weekend nurse staffing

RN turnover

25%

Annual RN turnover

Total nurse turnover

49%

Annual nurse turnover

Quality measures

Resident outcomes and process scores

Measure Facility State National Note
Number of hospitalizations per 1000 long-stay resident days 2.3
2.1
0.2 pts worse
1.9
0.4 pts worse
Long Stay · 20240701-20250630
Number of outpatient emergency department visits per 1000 long-stay resident days 3.3
2.1
1.2 pts worse
1.8
1.5 pts worse
Long Stay · 20240701-20250630
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine 99.7%
97.1%
2.6 pts better
93.4%
6.3 pts better
Long Stay · 2024Q4-2025Q3
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
Percentage of long-stay residents experiencing one or more falls with major injury 1.4%
3.3%
1.9 pts better
3.3%
1.9 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who have depressive symptoms 6.4%
2.7%
3.7 pts worse
11.4%
5 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who lose too much weight 0.9%
3.3%
2.4 pts better
5.4%
4.5 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who received an antianxiety or hypnotic medication 13.8%
18.9%
5.1 pts better
19.6%
5.8 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who received an antipsychotic medication 9.9%
10.8%
0.9 pts better
16.7%
6.8 pts better
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 9.7%
15.4%
5.7 pts better
16.3%
6.6 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents whose need for help with daily activities has increased 12.4%
16.1%
3.7 pts better
14.9%
2.5 pts better
Long Stay · 2024Q4-2025Q3
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
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 15.7%
15.0%
0.7 pts worse
19.8%
4.1 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with pressure ulcers 1.7%
4.2%
2.5 pts better
5.1%
3.4 pts better
Long Stay · 2024Q4-2025Q3
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine 98.2%
89.7%
8.5 pts better
81.7%
16.5 pts better
Short Stay · 2024Q4-2025Q3
Percentage of short-stay residents who had an outpatient emergency department visit 12.6%
12.0%
0.6 pts worse
12.0%
0.6 pts worse
Short Stay · 20240701-20250630
Percentage of short-stay residents who newly received an antipsychotic medication 1.6%
1.5%
0.1 pts worse
1.6%
About the same
Short Stay · 2024Q4-2025Q3
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine 98.0%
88.0%
10 pts better
79.7%
18.3 pts better
Short Stay · 2024Q3-2025Q2
Percentage of short-stay residents who were rehospitalized after a nursing home admission 33.0%
25.9%
7.1 pts worse
23.9%
9.1 pts worse
Short Stay · 20240701-20250630

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-03-12 · Fire 2025-03-12

11 health deficiencies

Top issue: Quality of Life and Care (4 deficiencies)

0 fire-safety deficiencies

No concentrated fire-safety issue counts in this cycle.

Cycle 2 Health 2024-02-14 · Fire 2024-02-14

9 health deficiencies

Top issue: Nutrition and Dietary (3 deficiencies)

4 fire-safety deficiencies

Top issue: Smoke (2 deficiencies)

Cycle 3 Health 2023-01-12 · Fire 2023-01-12

3 health deficiencies

Top issue: Infection Control (1 deficiency)

2 fire-safety deficiencies

Top issue: Smoke (2 deficiencies)

Fire safety

Fire-safety citations

E · Potential for more than minimal harm 2024-02-14

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 2024-03-04

D · Potential for more than minimal harm 2024-02-14

K293 · Egress Deficiencies

Fire Safety

Have properly located and lighted "Exit" signs.

Corrected 2024-02-14

D · Potential for more than minimal harm 2024-02-14

K321 · Smoke Deficiencies

Fire Safety

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

Corrected 2024-02-14

D · Potential for more than minimal harm 2024-02-14

K374 · Smoke Deficiencies

Fire Safety

Install smoke barrier doors that can resist smoke for at least 20 minutes.

Corrected 2024-02-14

F · Potential for more than minimal harm 2023-01-12

K342 · Smoke Deficiencies

Fire Safety

Have a complete alarm system manually initiated and initiated by fire sprinkler system connection.

Corrected 2023-03-06

E · Potential for more than minimal harm 2023-01-12

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2023-03-06

Inspection history

Recent health citations

E · Potential for more than minimal harm 2025-03-12

F695 · Quality of Life and Care Deficiencies

Health

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

Corrected 2025-03-30

E · Potential for more than minimal harm 2025-03-12

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2025-03-30

D · Potential for more than minimal harm 2025-03-12

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 2025-03-30

D · Potential for more than minimal harm 2025-03-12

F558 · Resident Rights Deficiencies

Health

Reasonably accommodate the needs and preferences of each resident.

Corrected 2025-03-30

D · Potential for more than minimal harm 2025-03-12

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 2025-03-30

D · Potential for more than minimal harm 2025-03-12

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 2025-03-30

D · Potential for more than minimal harm 2025-03-12

F688 · Quality of Life and Care Deficiencies

Health

Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.

Corrected 2025-03-30

D · Potential for more than minimal harm 2025-03-12

F690 · Quality of Life and Care Deficiencies

Health

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

Corrected 2025-03-30

D · Potential for more than minimal harm 2025-03-12

F699 · Quality of Life and Care Deficiencies

Health

Provide care or services that was trauma informed and/or culturally competent.

Corrected 2025-03-30

D · Potential for more than minimal harm 2025-03-12

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 2025-03-30

D · Potential for more than minimal harm 2025-03-12

F806 · Nutrition and Dietary Deficiencies

Health

Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.

Corrected 2025-03-30

K · Immediate jeopardy 2024-07-30

F580 · Resident Rights Deficiencies

Health

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Corrected 2024-07-26

K · Immediate jeopardy 2024-07-30

F684 · Quality of Life and Care Deficiencies

Health

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Corrected 2024-07-26

F · Potential for more than minimal harm 2024-02-14

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 2024-03-08

E · Potential for more than minimal harm 2024-02-14

F804 · Nutrition and Dietary Deficiencies

Health

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

Corrected 2024-03-25

D · Potential for more than minimal harm 2024-02-14

F561 · Resident Rights Deficiencies

Health

Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.

Corrected 2024-02-19

D · Potential for more than minimal harm 2024-02-14

F655 · Resident Assessment and Care Planning Deficiencies

Health

Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

Corrected 2024-02-15

D · Potential for more than minimal harm 2024-02-14

F676 · Quality of Life and Care Deficiencies

Health

Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.

Corrected 2024-02-15

D · Potential for more than minimal harm 2024-02-14

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 2024-02-15

D · Potential for more than minimal harm 2024-02-14

F806 · Nutrition and Dietary Deficiencies

Health

Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.

Corrected 2024-03-25

E · Potential for more than minimal harm 2023-01-12

F576 · Resident Rights Deficiencies

Health

Ensure residents have reasonable access to and privacy in their use of communication methods.

Corrected 2023-02-02

D · Potential for more than minimal harm 2023-01-12

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 2023-01-13

D · Potential for more than minimal harm 2023-01-12

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2023-02-14

Penalties and ownership

What sits behind the stars

$14,433 2024-07-30

Fine

Fine · fine $14,433

Fine

$16,801 2024-07-30

Fine

Fine · fine $16,801

Fine

Ownership

Stephens Memorial Hospital District

5% Or Greater Direct Ownership Interest · Organization

100% 7 facilities 2022-06-01
Bauder Family Investments, LLC

5% Or Greater Mortgage Interest · Organization

0% 16 facilities 2023-10-01
Bauder, Kelly

5% Or Greater Mortgage Interest · Individual

0% 14 facilities 2023-10-01
Bauder, Madison

5% Or Greater Mortgage Interest · Individual

0% 13 facilities 2023-10-01
Bauder, Parker

Operational/Managerial Control · Individual

0% 14 facilities 2023-10-01
Bauder, Parker

5% Or Greater Mortgage Interest · Individual

0% 14 facilities 2023-10-01
Bauder, William

Operational/Managerial Control · Individual

0% 29 facilities 2023-10-01
Boulware St James LLC

5% Or Greater Mortgage Interest · Organization

0% 16 facilities 2023-10-01
Boulware, Douglas

5% Or Greater Mortgage Interest · Individual

0% 22 facilities 2023-10-01
Boulware, Sandra

5% Or Greater Mortgage Interest · Individual

0% 11 facilities 2023-10-01
Boulware, Steven

Operational/Managerial Control · Individual

0% 29 facilities 2023-10-01
Boulware, Steven

5% Or Greater Mortgage Interest · Individual

0% 29 facilities 2023-10-01
Boulware, Thomas

5% Or Greater Mortgage Interest · Individual

0% 16 facilities 2023-10-01
Cline, Amanda

Operational/Managerial Control · Individual

0% 1 facilities 2023-10-01
Easley, James

Corporate Officer · Individual

0% 4 facilities 2024-12-02
Pmg Opco - Mabank LLC

Operational/Managerial Control · Organization

0% 1 facilities 2023-10-01
Pmg Realco-Mabank, LLC

5% Or Greater Mortgage Interest · Organization

0% 1 facilities 2023-10-01
Walker, Katie

5% Or Greater Mortgage Interest · Individual

0% 16 facilities 2023-10-01

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