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

Permian Residential Care Center

1601 NE Mustang Drive, Andrews, TX · (432) 464-2430

  • CMS high-performer trophy

CMS overall rating

5 of 5

Compare with a nearby home →
Certified beds
112
Residents per day
72
Ownership
Government
Chain
No chain reported
Medicare / Medicaid
Medicare + Medicaid
Certified since
May 23, 2008

1

How this home got 5 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 (already 5)

    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

    5 of 5

    Matches the rating CMS publishes on Care Compare.

2

Where it sits among Texas homes

Permian Residential Care Center carries 23 inspection points. That is fewer than 91% 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 · 23 pts · 5★

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

8 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 1 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 5 4 pts
E 2 8 pts
F 0 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.

Harm and immediate-jeopardy citations (1)

  1. J

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    March 7, 2024 · Complaint inspection · Quality of Life and Care · F689 · Corrected March 6, 2024

Everything else, by area of care

Nutrition and Dietary2E
  1. E

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

    December 12, 2025 · Standard · F812 · Corrected December 13, 2025

  2. E

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

    September 26, 2024 · Standard · F812 · Corrected September 27, 2024

Quality of Life and Care1D
  1. D

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

    December 12, 2025 · Standard · F695 · Corrected December 13, 2025

Pharmacy Service1D
  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.

    December 12, 2025 · Standard · F761 · Corrected December 13, 2025

Environmental1D
  1. D

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

    December 12, 2025 · Standard · F919 · Corrected December 13, 2025

Infection Control1D
  1. D

    Provide and implement an infection prevention and control program.

    September 26, 2024 · Standard · F880 · Corrected September 27, 2024

Resident Assessment and Care Planning1D
  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 27, 2023 · Standard · F656 · Corrected August 1, 2023

Inspection history

  1. 2025-12-12

    4 health deficiencies · 4 fire-safety deficiencies

    Top issue: Environmental (1 deficiency)

  2. 2024-09-26

    2 health deficiencies · 0 fire-safety deficiencies

    Top issue: Infection Control (1 deficiency)

  3. 2023-07-27

    2 health deficiencies · 1 fire-safety deficiencies

    Top issue: Quality of Life and Care (1 deficiency)

4

Nursing time per resident, per day

Each resident here gets about 4 h 52 min of nursing staff time a day, 51 min of it from a registered nurse.

This home

4 h 52 min

Texas average

3 h 25 min

U.S. average

3 h 54 min

  • Registered nurse
  • Licensed practical nurse
  • Nurse aide

Turnover: 39% of nursing staff and 11% 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

$20,865 in federal fines on record over the past three years.

DatePenaltyAmount
2024-03-07Fine$20,865

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 days0.7 pts worse2.72.01.8
Number of outpatient emergency department visits per 1000 long-stay resident days1.5 pts worse3.52.01.7
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine2.1 pts better98.5%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 injury2.6 pts worse5.8%3.2%3.2%
Percentage of long-stay residents who have depressive symptoms2.3 pts better0.0%2.3%13.5%
Percentage of long-stay residents who lose too much weight0.2 pts better2.7%2.9%5.1%
Percentage of long-stay residents who received an antianxiety or hypnotic medication11.4 pts worse29.2%17.8%19.5%
Percentage of long-stay residents who received an antipsychotic medication1.5 pts better8.3%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 worsened21.3 pts worse34.2%12.9%12.7%
Percentage of long-stay residents whose need for help with daily activities has increased14.2 pts worse30.0%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 infection4.4 pts worse5.2%0.8%1.5%
Percentage of long-stay residents with new or worsened bowel or bladder incontinence14.3 pts worse26.8%12.5%18.3%
Percentage of long-stay residents with pressure ulcers1.1 pts worse4.8%3.7%4.5%
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine8.7 pts worse80.0%88.7%82.3%
Percentage of short-stay residents who had an outpatient emergency department visit11 pts worse23.2%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 vaccine22.9 pts worse62.5%85.4%80.1%
Percentage of short-stay residents who were rehospitalized after a nursing home admission8.9 pts better16.6%25.5%23.4%

·

Who owns and runs it

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

Show ownership list
NameRoleShareHomes
Andrews County Hospital District5% Or Greater Direct Ownership Interest · Organization0%1 facilities
Andrews County Hospital DistrictTrustee Of The SNF · Organization0%1 facilities
Andrews County Hospital DistrictAdp Of The SNF · Organization0%1 facilities
Bender, SarahManaging Control - Governing Body · Individual0%1 facilities
Bender, SarahOperational/Managerial Control · Individual0%1 facilities
Booth, DonnyOperational/Managerial Control · Individual0%1 facilities
Boswell, CarolManaging Control - Governing Body · Individual0%1 facilities
Boswell, CarolOperational/Managerial Control · Individual0%1 facilities
Castillo, MartinaManaging Control - Governing Body · Individual0%1 facilities
Fulks, CydneyOperational/Managerial Control · Individual0%1 facilities
Fulks, CydneyTrustee Of The SNF · Individual0%1 facilities
Fulks, CydneyAdp Of The SNF · Individual0%1 facilities
Gonzales, ManualManaging Control - Governing Body · Individual0%1 facilities
Gonzales, ManualOperational/Managerial Control · Individual0%1 facilities
Jamison, FeliciaOperational/Managerial Control · Individual0%1 facilities
Pryor, DonnaOperational/Managerial Control · Individual0%1 facilities
Sanchez, MikeManaging Control - Governing Body · Individual0%1 facilities
Sanchez, MikeOperational/Managerial Control · Individual0%1 facilities
Slaughter, PaulOperational/Managerial Control · Individual0%2 facilities
Slaughter, PaulAdp Of The SNF · Individual0%2 facilities
Varner, JessicaManaging Control - Governing Body · Individual0%1 facilities
Varner, JessicaOperational/Managerial Control · Individual0%1 facilities
Warnke, AndreaManaging Control - Governing Body · Individual0%1 facilities

·

Fire safety

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

Smoke3F
  1. F

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

    December 12, 2025 · K345 · Corrected January 7, 2026

  2. E

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

    December 12, 2025 · K355 · Corrected January 7, 2026

  3. E

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

    December 12, 2025 · K372 · Corrected December 18, 2025

Electrical1F
  1. F

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

    December 12, 2025 · K901 · Corrected December 22, 2025

Egress1E
  1. E

    Have exits that are accessible at all times.

    July 27, 2023 · K271 · Corrected September 17, 2023

·

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