Robert Lee, TX

Robert Lee Care Center

5-star overall rating with 5-star inspections with 3 recent health deficiencies with 4 fire-safety deficiencies in the latest cycle

307 West 8th St, Robert Lee, TX

(325) 453-2511

Compare this facility

Overall

5 / 5

CMS overall stars

Health inspections

5 / 5

Survey and complaint cycles

Staffing

4 / 5

RN + nurse staffing

Quality measures

5 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

70

Certified beds

Average residents

44

Average occupied residents

Ownership

Government

Publicly displayed owner type

Chain

No chain reported

Operator or chain grouping

Approved since

1996-06-24

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

0.39

Registered nurse staffing · state 0.44 · national 0.68

LPN hours / resident day

0.97

Licensed practical nurse staffing · state 0.95 · national 0.87

Aide hours / resident day

2.63

Nurse aide staffing · state 2.01 · national 2.35

Total nurse hours

3.98

All reported nurse hours · state 3.40 · national 3.89

Licensed hours

1.35

RN + LPN hours · state 1.38 · national 1.54

Weekend hours

3.59

Weekend nurse staffing · state 2.99 · national 3.43

Weekend RN hours

0.30

Weekend registered nurse coverage · state 0.34 · national 0.47

Physical therapist

0.08

Reported PT staffing · state 0.07 · national 0.07

Adjusted RN hours

0.48

CMS adjusted RN staffing hours

Adjusted total hours

4.90

CMS adjusted total nurse staffing hours

Case-mix index

1.11

Higher values indicate more complex resident acuity

RN turnover

0%

Annual RN turnover

Total nurse turnover

47%

Annual nurse turnover · state 52% · national 46%

SNF QRP

Medicare quality reporting measures

Measure	Facility	National	Note
Potentially preventable 30-day readmission	10.24%	10.72% 0.5 pts better	No Different than the National Rate · Eligible stays 30 · Observed rate 6.67% · Lower 95% interval 6.54%
Discharge to community	Not Available	50.57%	Not Available · Eligible stays 12 · Observed rate Not Available · Lower 95% interval Not Available · Too few residents or stays to report publicly.
Medicare spending per beneficiary	1.11	1.02 0.1 pts worse
Drug regimen review with follow-up	66.67%	95.27% 28.6 pts worse	Numerator 14 · Denominator 21
Falls with major injury	0%	0.77% 0.8 pts better	Numerator 0 · Denominator 21
Discharge self-care score	Not Available	53.69%	Numerator Not Available · Denominator 17 · Too few residents or stays to report publicly.
Discharge mobility score	Not Available	50.94%	Numerator Not Available · Denominator 17 · Too few residents or stays to report publicly.
Pressure ulcers or injuries, new or worsened	0%	2.29% 2.3 pts better	Numerator 0 · Denominator 21 · Adjusted rate 0%
Healthcare-associated infections requiring hospitalization	Not Available	7.12%	Not Available · Eligible stays 18 · Observed rate Not Available · Lower 95% interval Not Available · Too few residents or stays to report publicly.
Staff COVID-19 vaccination coverage	Not Available	8.2%	Numerator Not Available · Denominator Not Available · No data were submitted for this measure.
Staff flu vaccination coverage	50%	42% 8 pts better	Numerator 45 · Denominator 90
Discharge function score	Not Available	56.45%	Numerator Not Available · Denominator 17 · Too few residents or stays to report publicly.
Transfer of health information to provider	Not Available	95.95%	Numerator Not Available · Denominator 4 · Too few residents or stays to report publicly.
Transfer of health information to patient	Not Available	96.28%	Numerator Not Available · Denominator 6 · Too few residents or stays to report publicly.
Resident COVID-19 vaccinations up to date	Not Available	25.2%	Numerator Not Available · Denominator 12 · 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	0.8	2.1 1.3 pts better	1.9 1.1 pts better	Long Stay · 20240701-20250630 · Adjusted 0.8 · Observed 0.8 · Expected 1.9 · Used in QM five-star
Number of outpatient emergency department visits per 1000 long-stay resident days	0.4	2.1 1.7 pts better	1.8 1.4 pts better	Long Stay · 20240701-20250630 · Adjusted 0.4 · Observed 0.4 · Expected 1.8 · Used in QM five-star
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine	98.8%	97.1% 1.7 pts better	93.4% 5.4 pts better	Long Stay · 2024Q4-2025Q3 · Q1 95.1% · Q2 100.0% · Q3 100.0% · Q4 100.0% · 4Q avg 98.8%
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	2.4%	3.3% 0.9 pts better	3.3% 0.9 pts better	Long Stay · 2024Q4-2025Q3 · Q1 4.9% · Q2 2.4% · Q3 0.0% · Q4 2.3% · 4Q avg 2.4% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms	1.3%	2.7% 1.4 pts better	11.4% 10.1 pts better	Long Stay · 2024Q4-2025Q3 · Q1 2.6% · Q2 2.5% · Q3 0.0% · Q4 0.0% · 4Q avg 1.3%
Percentage of long-stay residents who lose too much weight	2.5%	3.3% 0.8 pts better	5.4% 2.9 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 3.4% · Q3 3.2% · Q4 3.0% · 4Q avg 2.5%
Percentage of long-stay residents who received an antianxiety or hypnotic medication	13.9%	18.9% 5 pts better	19.6% 5.7 pts better	Long Stay · 2024Q4-2025Q3 · Q1 10.7% · Q2 13.8% · Q3 16.1% · Q4 14.7% · 4Q avg 13.9%
Percentage of long-stay residents who received an antipsychotic medication	9.3%	10.8% 1.5 pts better	16.7% 7.4 pts better	Long Stay · 2024Q4-2025Q3 · Q1 13.6% · Q2 7.7% · Q3 7.1% · Q4 9.7% · 4Q avg 9.3% · 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	16.7%	15.4% 1.3 pts worse	16.3% 0.4 pts worse	Long Stay · 2024Q4-2025Q3 · Q2 27.8% · 4Q avg 16.7% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased	14.5%	16.1% 1.6 pts better	14.9% 0.4 pts better	Long Stay · 2024Q4-2025Q3 · Q1 8.3% · Q2 30.8% · Q3 0.0% · Q4 19.4% · 4Q avg 14.5% · 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	1.2%	0.8% 0.4 pts worse	1.7% 0.5 pts better	Long Stay · 2024Q4-2025Q3 · Q1 2.6% · Q2 2.4% · Q3 0.0% · Q4 0.0% · 4Q avg 1.2% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence	29.1%	15.0% 14.1 pts worse	19.8% 9.3 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 38.4% · Q2 43.5% · Q3 20.7% · Q4 14.1% · 4Q avg 29.1%
Percentage of long-stay residents with pressure ulcers	1.2%	4.2% 3 pts better	5.1% 3.9 pts better	Long Stay · 2024Q4-2025Q3 · Q1 2.7% · Q2 0.0% · Q3 0.0% · Q4 2.1% · 4Q avg 1.2% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine	91.9%	89.7% 2.2 pts better	81.7% 10.2 pts better	Short Stay · 2024Q4-2025Q3 · Q1 85.7% · Q2 91.3% · Q3 90.5% · Q4 100.0% · 4Q avg 91.9%
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	83.3%	88.0% 4.7 pts worse	79.7% 3.6 pts better	Short Stay · 2024Q3-2025Q2 · 4Q avg 83.3%

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-12-31 · Fire 2025-12-31

3 health deficiencies

Top issue: Nursing and Physician Services (1 deficiency)

4 fire-safety deficiencies

Top issue: Smoke (3 deficiencies)

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

6 health deficiencies

Top issue: Quality of Life and Care (2 deficiencies)

3 fire-safety deficiencies

Top issue: Egress (1 deficiency)

Cycle 3 Health 2023-08-17 · Fire 2023-08-17

2 health deficiencies

Top issue: Pharmacy Service (2 deficiencies)

4 fire-safety deficiencies

Top issue: Smoke (2 deficiencies)

Fire safety

Fire-safety citations

E · Potential for more than minimal harm 2025-12-31

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.

Not marked corrected

E · Potential for more than minimal harm 2025-12-31

K324 · Smoke Deficiencies

Fire Safety

Provide properly protected cooking facilities.

Not marked corrected

E · Potential for more than minimal harm 2025-12-31

K372 · Smoke Deficiencies

Fire Safety

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

Not marked corrected

C · Minimal harm 2025-12-31

K521 · Services Deficiencies

Fire Safety

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

Not marked corrected

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

K914 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.

Corrected 2024-10-29

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

K222 · Egress Deficiencies

Fire Safety

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.

Corrected 2024-10-29

C · Minimal harm 2024-09-26

K521 · Services Deficiencies

Fire Safety

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

Corrected 2024-10-29

E · Potential for more than minimal harm 2023-08-17

K372 · Smoke Deficiencies

Fire Safety

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

Corrected 2023-08-18

D · Potential for more than minimal harm 2023-08-17

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 2023-09-05

C · Minimal harm 2023-08-17

K211 · Egress Deficiencies

Fire Safety

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

Corrected 2023-08-18

C · Minimal harm 2023-08-17

K521 · Services Deficiencies

Fire Safety

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

Corrected 2023-08-18

Inspection history

Recent health citations

D · Potential for more than minimal harm 2025-12-31

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 2026-02-13

D · Potential for more than minimal harm 2025-12-31

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 2026-02-13

D · Potential for more than minimal harm 2025-12-31

F726 · Nursing and Physician Services Deficiencies

Health

Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.

Corrected 2026-02-13

F · 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 2024-10-29

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

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 2024-10-29

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

F684 · Quality of Life and Care Deficiencies

Health

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

Corrected 2024-10-29

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

F695 · Quality of Life and Care Deficiencies

Health

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

Corrected 2024-10-29

C · Minimal harm 2024-09-26

F732 · Nursing and Physician Services Deficiencies

Health

Post nurse staffing information every day.

Corrected 2024-10-29

B · Minimal harm 2024-09-26

F641 · Resident Assessment and Care Planning Deficiencies

Health

Ensure each resident receives an accurate assessment.

Corrected 2024-10-29

E · Potential for more than minimal harm 2023-08-17

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 2023-09-08

E · Potential for more than minimal harm 2023-08-17

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 2023-09-08

Penalties and ownership