Andrews, TX

Permian Residential Care Center

5-star overall rating with 5-star inspections with $20,865 in total fines with 4 recent health deficiencies with 4 fire-safety deficiencies in the latest cycle

1601 Ne Mustang, Andrews, TX

(432) 464-2430

Compare this facility

Overall

5 / 5

CMS overall stars

Health inspections

5 / 5

Survey and complaint cycles

Staffing

5 / 5

RN + nurse staffing

Quality measures

2 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

112

Certified beds

Average residents

70

Average occupied residents

Ownership

Government

Publicly displayed owner type

Chain

No chain reported

Operator or chain grouping

Approved since

2008-05-23

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Changed ownership

No

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

0.68

Registered nurse staffing · state 0.44 · national 0.68

LPN hours / resident day

0.98

Licensed practical nurse staffing · state 0.95 · national 0.87

Aide hours / resident day

3.64

Nurse aide staffing · state 2.01 · national 2.35

Total nurse hours

5.30

All reported nurse hours · state 3.40 · national 3.89

Licensed hours

1.66

RN + LPN hours · state 1.38 · national 1.54

Weekend hours

4.44

Weekend nurse staffing · state 2.99 · national 3.43

Weekend RN hours

0.53

Weekend registered nurse coverage · state 0.34 · national 0.47

Physical therapist

0.01

Reported PT staffing · state 0.07 · national 0.07

Adjusted RN hours

0.77

CMS adjusted RN staffing hours

Adjusted total hours

6.00

CMS adjusted total nurse staffing hours

Case-mix index

1.21

Higher values indicate more complex resident acuity

RN turnover

58%

Annual RN turnover · state 52% · national 45%

Total nurse turnover

31%

Annual nurse turnover · state 52% · national 46%

SNF VBP

Value-based purchasing

Program rank

1,106

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

Performance score

59.87

Composite VBP score used to determine payment impact.

Payment multiplier

1.0150

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

1.70

Performance 7.32% · Measure score 1.70 · Achievement 1.70 · This facility did not have sufficient data to calculate a baseline period measure result.

Total nurse turnover

7.42

Baseline 37.10% · Performance 33.33% · Measure score 7.42 · Achievement 7.42 · Improvement 2.57

Adjusted total nurse staffing

8.83

Baseline 4.25 hours · Performance 5.59 hours · Measure score 8.83 · Achievement 8.83 · Improvement 8.25

SNF QRP

Medicare quality reporting measures

Measure	Facility	National	Note
Potentially preventable 30-day readmission	10.13%	10.72% 0.6 pts better	No Different than the National Rate · Eligible stays 42 · Observed rate 7.14% · Lower 95% interval 6.49%
Discharge to community	50.16%	50.57% 0.4 pts worse	No Different than the National Rate · Eligible stays 34 · Observed rate 47.06% · Lower 95% interval 37.33%
Medicare spending per beneficiary	1.21	1.02 0.2 pts worse
Drug regimen review with follow-up	97.67%	95.27% 2.4 pts better	Numerator 42 · Denominator 43
Falls with major injury	4.65%	0.77% 3.9 pts worse	Numerator 2 · Denominator 43
Discharge self-care score	36.67%	53.69% 17 pts worse	Numerator 11 · Denominator 30
Discharge mobility score	23.33%	50.94% 27.6 pts worse	Numerator 7 · Denominator 30
Pressure ulcers or injuries, new or worsened	2.33%	2.29% About the same	Numerator 1 · Denominator 43 · Adjusted rate 1.94%
Healthcare-associated infections requiring hospitalization	7.32%	7.12% 0.2 pts worse	No Different than the National Rate · Eligible stays 26 · Observed rate 7.69% · Lower 95% interval 3.62%
Staff COVID-19 vaccination coverage	0%	8.2% 8.2 pts worse	Numerator 0 · Denominator 94
Staff flu vaccination coverage	42%	42% About the same	Numerator 42 · Denominator 100
Discharge function score	33.33%	56.45% 23.1 pts worse	Numerator 10 · Denominator 30
Transfer of health information to provider	Not Available	95.95%	Numerator Not Available · Denominator 16 · Too few residents or stays to report publicly.
Transfer of health information to patient	Not Available	96.28%	Numerator Not Available · Denominator 4 · Too few residents or stays to report publicly.
Resident COVID-19 vaccinations up to date	26.09%	25.2% 0.9 pts better	Numerator 6 · Denominator 23

Quality measures

Resident outcomes and process scores

Measure	Facility	State	National	Note
Number of hospitalizations per 1000 long-stay resident days	2.5	2.1 0.4 pts worse	1.9 0.6 pts worse	Long Stay · 20240701-20250630 · Adjusted 2.5 · Observed 2.6 · Expected 2.0 · Used in QM five-star
Number of outpatient emergency department visits per 1000 long-stay resident days	2.6	2.1 0.5 pts worse	1.8 0.8 pts worse	Long Stay · 20240701-20250630 · Adjusted 2.6 · Observed 2.6 · Expected 1.7 · Used in QM five-star
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine	99.2%	97.1% 2.1 pts better	93.4% 5.8 pts better	Long Stay · 2024Q4-2025Q3 · Q1 96.9% · Q2 100.0% · Q3 100.0% · Q4 100.0% · 4Q avg 99.2%
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	1.2%	3.3% 2.1 pts better	3.3% 2.1 pts better	Long Stay · 2024Q4-2025Q3 · Q1 1.5% · Q2 1.6% · Q3 0.0% · Q4 1.6% · 4Q avg 1.2% · 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	2.7%	3.3% 0.6 pts better	5.4% 2.7 pts better	Long Stay · 2024Q4-2025Q3 · Q1 3.4% · Q2 5.5% · Q3 1.8% · Q4 0.0% · 4Q avg 2.7%
Percentage of long-stay residents who received an antianxiety or hypnotic medication	23.8%	18.9% 4.9 pts worse	19.6% 4.2 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 23.3% · Q2 22.0% · Q3 25.0% · Q4 24.6% · 4Q avg 23.8%
Percentage of long-stay residents who received an antipsychotic medication	9.8%	10.8% 1 pts better	16.7% 6.9 pts better	Long Stay · 2024Q4-2025Q3 · Q1 11.8% · Q2 9.1% · Q3 10.6% · Q4 7.8% · 4Q avg 9.8% · 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	39.8%	15.4% 24.4 pts worse	16.3% 23.5 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 52.6% · Q2 54.8% · Q3 22.1% · Q4 31.4% · 4Q avg 39.8% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased	25.8%	16.1% 9.7 pts worse	14.9% 10.9 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 36.4% · Q2 23.6% · Q3 17.9% · Q4 25.4% · 4Q avg 25.8% · 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	6.3%	0.8% 5.5 pts worse	1.7% 4.6 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 12.7% · Q2 6.9% · Q3 0.0% · Q4 5.0% · 4Q avg 6.3% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence	25.2%	15.0% 10.2 pts worse	19.8% 5.4 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 16.6% · Q2 21.9% · Q3 31.3% · Q4 32.0% · 4Q avg 25.2%
Percentage of long-stay residents with pressure ulcers	0.9%	4.2% 3.3 pts better	5.1% 4.2 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 1.8% · Q3 0.0% · Q4 1.8% · 4Q avg 0.9% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine	92.0%	89.7% 2.3 pts better	81.7% 10.3 pts better	Short Stay · 2024Q4-2025Q3 · Q1 80.0% · Q2 88.5% · Q3 100.0% · Q4 100.0% · 4Q avg 92.0%
Percentage of short-stay residents who had an outpatient emergency department visit	11.2%	12.0% 0.8 pts better	12.0% 0.8 pts better	Short Stay · 20240701-20250630 · Adjusted 11.2% · Observed 10.5% · Expected 10.5% · Used in QM five-star
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%
Percentage of short-stay residents who were rehospitalized after a nursing home admission	29.3%	25.9% 3.4 pts worse	23.9% 5.4 pts worse	Short Stay · 20240701-20250630 · Adjusted 29.3% · Observed 28.9% · Expected 23.6% · Used in QM five-star

Survey summary

Recent inspection cycles

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

4 health deficiencies

Top issue: Environmental (1 deficiency)

4 fire-safety deficiencies

Top issue: Smoke (3 deficiencies)

Cycle 2 Health 2024-09-26 · Fire 2024-09-26

3 health deficiencies

Top issue: Infection Control (1 deficiency)

0 fire-safety deficiencies

No concentrated fire-safety issue counts in this cycle.

Cycle 3 Health 2023-07-27 · Fire 2023-07-27

1 health deficiencies

Top issue: Resident Assessment and Care Planning (1 deficiency)

1 fire-safety deficiencies

Top issue: Egress (1 deficiency)

Fire safety

Fire-safety citations

F · Potential for more than minimal harm 2025-12-12

K345 · Smoke Deficiencies

Fire Safety

Have approved installation, maintenance and testing program for fire alarm systems.

Corrected 2026-01-07

F · Potential for more than minimal harm 2025-12-12

K901 · Electrical Deficiencies

Fire Safety

Ensure that building systems meet requirements determined by risk assessment procedures performed by qualified personnel.

Corrected 2025-12-22

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

K355 · Smoke Deficiencies

Fire Safety

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

Corrected 2026-01-07

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

K372 · Smoke Deficiencies

Fire Safety

Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

Corrected 2025-12-18

E · Potential for more than minimal harm 2023-07-27

K271 · Egress Deficiencies

Fire Safety

Have exits that are accessible at all times.

Corrected 2023-09-17

Inspection history

Recent health citations

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

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 2025-12-13

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

F695 · Quality of Life and Care Deficiencies

Health

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

Corrected 2025-12-13

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

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 2025-12-13

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

F919 · Environmental Deficiencies

Health

Make sure that a working call system is available in each resident's bathroom and bathing area.

Corrected 2025-12-13

E · Potential for more than minimal harm 2024-09-26

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 2024-09-27

D · Potential for more than minimal harm 2024-09-26

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2024-09-27

J · Immediate jeopardy 2024-03-07

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 2024-03-06

D · Potential for more than minimal harm 2023-07-27

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 2023-08-01

Penalties and ownership

What sits behind the stars

$20,865 2024-03-07

Fine

Fine · fine $20,865

Fine

Ownership

Andrews County Hospital District

5% Or Greater Direct Ownership Interest · Organization

0% 1 facilities 2003-02-12

Bender, Sarah