Federal inspection record · CMS data as of October 1, 2026

Pampa Nursing Center

1321 W. Kentucky, Pampa, TX · (806) 669-2551

CMS overall rating

4 of 5

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Certified beds
88
Residents per day
52
Ownership
For-Profit
Chain
Fannin County Hospital District
Medicare / Medicaid
Medicare + Medicaid
Certified since
April 30, 1994

1

How this home got 4 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.

  1. Health inspections

    starting point

    Everything starts from what state inspectors found on site. This is a ranking against other homes in Texas.

  2. Staffing

    no change

    Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.

  3. Quality measures

    no change

    Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.

  4. Overall

    4 of 5

    Matches the rating CMS publishes on Care Compare.

2

Where it sits among Texas homes

Pampa Nursing Center carries 45 inspection points. That is fewer than 72% of Texas's 1,166 rated homes.

5★4★3★2★1★+35 homes above 292.505102550100200inspection points → fewer is better on the leftThis home · 45 pts · 4★

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

19 health citations on record since 2023. Each one gets a letter: the row says how badly residents were affected, the column how many.

One resident or a fewA patternWidespread

Immediate jeopardyResidents at risk of serious injury or death

J 0 50 pts
K 0 100 pts
L 0 150 pts

Actual harmA resident was hurt

G 0 20 pts
H 0 35 pts
I 0 45 pts

Potential for harmNo one was hurt, but could have been

D 10 4 pts
E 5 8 pts
F 4 16 pts

Minimal harmPaperwork-level problems

A 0 0 pts
B 0 0 pts
C 0 0 pts

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.

No citation on record at the harm or immediate-jeopardy level.

Everything else, by area of care

Resident Rights5E
  1. E

    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.

    June 11, 2026 · Complaint · F584 · Corrected June 12, 2026

  2. D

    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.

    March 5, 2026 · Complaint · F578 · Corrected March 6, 2026

  3. D

    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.

    July 23, 2025 · Standard · F584 · Corrected August 12, 2025

  4. D

    Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

    June 25, 2024 · Standard · F623 · Corrected July 12, 2024

  5. D

    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.

    May 9, 2023 · Standard · F578 · Corrected June 2, 2023

Nursing and Physician Services2F
  1. F

    Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.

    June 11, 2026 · Complaint · F727 · Corrected July 7, 2026

  2. F

    Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.

    May 9, 2023 · Standard · F727 · Corrected June 2, 2023

Resident Assessment and Care Planning2F
  1. D

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    July 23, 2025 · Standard · F656 · Corrected August 28, 2025

  2. F

    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

    May 9, 2023 · Standard · F657 · Corrected June 2, 2023

Quality of Life and Care2D
  1. D

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

    July 23, 2025 · Standard · F695 · Corrected August 28, 2025

  2. D

    Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.

    June 25, 2024 · Standard · F700 · Corrected July 16, 2024

Nutrition and Dietary2F
  1. F

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    June 25, 2024 · Standard · F812 · Corrected July 16, 2024

  2. E

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    May 9, 2023 · Standard · F812 · Corrected June 2, 2023

Pharmacy Service2E
  1. 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.

    June 25, 2024 · Standard · F761 · Corrected July 16, 2024

  2. E

    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.

    May 9, 2023 · Standard · F761 · Corrected June 2, 2023

Infection Control2E
  1. D

    Provide and implement an infection prevention and control program.

    June 25, 2024 · Standard · F880 · Corrected July 16, 2024

  2. E

    Provide and implement an infection prevention and control program.

    May 9, 2023 · Standard · F880 · Corrected June 2, 2023

Environmental1E
  1. E

    Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

    June 11, 2026 · Complaint · F921 · Corrected July 24, 2026

Freedom from Abuse, Neglect, and Exploitation1D
  1. D

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

    November 30, 2023 · Complaint · F607 · Corrected December 4, 2023

Inspection history

  1. 2025-07-23

    7 health deficiencies · 6 fire-safety deficiencies

    Top issue: Resident Rights (3 deficiencies)

  2. 2024-06-25

    5 health deficiencies · 2 fire-safety deficiencies

    Top issue: Infection Control (1 deficiency)

  3. 2023-05-09

    7 health deficiencies · 2 fire-safety deficiencies

    Top issue: Freedom from Abuse and Neglect and Exploitation (1 deficiency)

4

Nursing time per resident, per day

Each resident here gets about 2 h 47 min of nursing staff time a day, 13 min of it from a registered nurse.

This home

2 h 47 min

Texas average

3 h 25 min

U.S. average

3 h 54 min

  • Registered nurse
  • Licensed practical nurse
  • Nurse aide

Turnover: 47% of nursing staff and 0% 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

$4,085 in federal fines on record over the past three years.

DatePenaltyAmount
2024-06-25Fine$4,085

6

Resident outcomes

Quality measures compared with state and national averages. Most come from assessments the home itself reports.

MeasureThis homeStateU.S.
Number of hospitalizations per 1000 long-stay resident days0.9 pts better1.12.01.8
Number of outpatient emergency department visits per 1000 long-stay resident days0.2 pts better1.82.01.7
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine3.6 pts better100.0%96.4%93.7%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine3 pts better100.0%97.0%95.3%
Percentage of long-stay residents experiencing one or more falls with major injury1.3 pts better1.9%3.2%3.2%
Percentage of long-stay residents who have depressive symptoms0.3 pts worse2.6%2.3%13.5%
Percentage of long-stay residents who lose too much weight3 pts worse5.9%2.9%5.1%
Percentage of long-stay residents who received an antianxiety or hypnotic medication3.9 pts better13.9%17.8%19.5%
Percentage of long-stay residents who received an antipsychotic medication4.7 pts better5.1%9.8%15.4%
Percentage of long-stay residents who were physically restrainedAbout the same0.0%0.0%0.1%
Percentage of long-stay residents whose ability to walk independently worsened9.2 pts worse22.1%12.9%12.7%
Percentage of long-stay residents whose need for help with daily activities has increased1.5 pts better14.3%15.8%13.5%
Percentage of long-stay residents with a catheter inserted and left in their bladder0.3 pts better0.0%0.3%0.7%
Percentage of long-stay residents with a urinary tract infection0.5 pts worse1.3%0.8%1.5%
Percentage of long-stay residents with new or worsened bowel or bladder incontinence5.8 pts better6.7%12.5%18.3%
Percentage of long-stay residents with pressure ulcers1.5 pts better2.2%3.7%4.5%
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine11.3 pts better100.0%88.7%82.3%
Percentage of short-stay residents who had an outpatient emergency department visit0.4 pts worse12.6%12.2%11.8%
Percentage of short-stay residents who newly received an antipsychotic medication1.4 pts better0.0%1.4%1.5%
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine14.6 pts better100.0%85.4%80.1%
Percentage of short-stay residents who were rehospitalized after a nursing home admission3.7 pts better21.8%25.5%23.4%

·

Who owns and runs it

5 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.

Show ownership list
NameRoleShareHomes
Sanderson, Clark5% Or Greater Direct Ownership Interest · Individual100%58 facilities
Fannin County Hospital Authority5% Or Greater Direct Ownership Interest · Organization0%54 facilities
Sanderson, ClarkCorporate Officer · Individual0%58 facilities
Sheddy, TheresaCorporate Director · Individual0%4 facilities
Sheddy, TheresaOperational/Managerial Control · Individual0%4 facilities

·

Fire safety

10 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.

Smoke3F
  1. F

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

    July 23, 2025 · K321 · Corrected September 1, 2025

  2. E

    Inspect, test, and maintain automatic sprinkler systems.

    July 23, 2025 · K353 · Corrected September 5, 2025

  3. D

    Properly select, install, inspect, or maintain portable fire extinguishes.

    June 25, 2024 · K355 · Corrected July 30, 2024

Egress3E
  1. E

    Keep aisles, corridors, and exits free of obstruction in case of emergency.

    July 23, 2025 · K211 · Corrected September 1, 2025

  2. E

    Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.

    July 23, 2025 · K222 · Corrected September 5, 2025

  3. E

    Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.

    May 9, 2023 · K222 · Corrected May 9, 2023

Services3C
  1. C

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

    July 23, 2025 · K521 · Not yet marked corrected

  2. C

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

    June 25, 2024 · K521 · Not yet marked corrected

  3. C

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

    May 9, 2023 · K521 · Not yet marked corrected

Gas, Vacuum, and Electrical Systems1F
  1. F

    Ensure precautions for handling oxygen cylinders and equipment are correctly followed.

    July 23, 2025 · K929 · Corrected July 25, 2025

·

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