Federal inspection record · CMS data as of October 1, 2026
Sunset Valley Rehabilitation and Healthcare Center
1241 W. Marshall Howard Blvd., Littlefield, TX · (806) 385-6600
- Certified beds
- 80
- Residents per day
- 47
- Ownership
- For-Profit
- Chain
- Paramount Healthcare Consultants
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- June 25, 2003
1
How this home got 1 star
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.
-
Health inspections
★★★★★starting point
Everything starts from what state inspectors found on site. This is a ranking against other homes in Texas.
-
Staffing
★★★★★−1 star
Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.
-
Quality measures
★★★★★no change
Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
-
Overall
★★★★★1 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among Texas homes
Sunset Valley Rehabilitation and Healthcare Center carries 90.25 inspection points. That is fewer than 41% of Texas's 1,166 rated homes.
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
36 health citations on record since 2023. Each one gets a letter: the row says how badly residents were affected, the column how many.
Immediate jeopardyResidents at risk of serious injury or death
Actual harmA resident was hurt
Potential for harmNo one was hurt, but could have been
Minimal harmPaperwork-level problems
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 (2)
-
J
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
-
J
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Everything else, by area of care
Quality of Life and Care8E
- E
Provide enough food/fluids to maintain a resident's health.
- D
Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- D
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
- D
Provide care and assistance to perform activities of daily living for any resident who is unable.
- D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- D
Provide or obtain dental services for each resident.
Resident Rights5E
- E
Ensure residents have reasonable access to and privacy in their use of communication methods.
- E
Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
- C
Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.
- D
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- D
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Nursing and Physician Services5E
- D
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.
- D
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.
- E
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.
- E
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
- C
Post nurse staffing information every day.
Resident Assessment and Care Planning5D
- D
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
- D
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- D
Ensure each resident receives an accurate assessment.
- D
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
- D
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Nutrition and Dietary4F
- E
Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
- E
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- E
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- F
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Infection Control3E
- D
Provide and implement an infection prevention and control program.
- E
Provide and implement an infection prevention and control program.
- E
Provide and implement an infection prevention and control program.
Pharmacy Service2D
- 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.
- 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.
Environmental1D
- D
Have policies on smoking.
Freedom from Abuse, Neglect, and Exploitation1D
- D
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Inspection history
2026-02-26
10 health deficiencies · 5 fire-safety deficiencies
Top issue: Resident Rights (3 deficiencies)
2024-11-22
6 health deficiencies · 2 fire-safety deficiencies
Top issue: Infection Control (1 deficiency)
2023-10-10
20 health deficiencies · 0 fire-safety deficiencies
Top issue: Quality of Life and Care (6 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 3 h 22 min of nursing staff time a day, 25 min of it from a registered nurse.
This home
3 h 22 min
Texas average
3 h 25 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 63% 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
$15,944 in federal fines on record over the past three years.
| Date | Penalty | Amount |
|---|---|---|
| 2024-08-26 | Fine | $15,944 |
6
Resident outcomes
Quality measures compared with state and national averages. Most come from assessments the home itself reports.
| Measure | This home | State | U.S. |
|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days0.8 pts worse | 2.8 | 2.0 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident days0.1 pts worse | 2.1 | 2.0 | 1.7 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine34.2 pts worse | 62.2% | 96.4% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine16.1 pts worse | 80.9% | 97.0% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury4.5 pts worse | 7.7% | 3.2% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms1.4 pts better | 0.9% | 2.3% | 13.5% |
| Percentage of long-stay residents who lose too much weight3.8 pts worse | 6.7% | 2.9% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication1 pts worse | 18.8% | 17.8% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication13.7 pts worse | 23.5% | 9.8% | 15.4% |
| Percentage of long-stay residents who were physically restrained0.6 pts worse | 0.6% | 0.0% | 0.1% |
| Percentage of long-stay residents whose ability to walk independently worsened9 pts worse | 21.9% | 12.9% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased9.6 pts worse | 25.4% | 15.8% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder1.4 pts worse | 1.7% | 0.3% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection0.8 pts better | 0.0% | 0.8% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence5.4 pts worse | 17.9% | 12.5% | 18.3% |
| Percentage of long-stay residents with pressure ulcers1.9 pts better | 1.8% | 3.7% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine72 pts worse | 16.7% | 88.7% | 82.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit8.3 pts better | 3.9% | 12.2% | 11.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication1.7 pts worse | 3.1% | 1.4% | 1.5% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission2.8 pts worse | 28.3% | 25.5% | 23.4% |
·
Who owns and runs it
15 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.
Show ownership list
| Name | Role | Share | Homes |
|---|---|---|---|
| Smith, Dawne | 5% Or Greater Direct Ownership Interest · Individual | 100% | 13 facilities |
| George, Cindy | Adp Of The SNF · Individual | 0% | 1 facilities |
| Littlefield Smith, LLC | 5% Or Greater Mortgage Interest · Organization | 0% | 1 facilities |
| Littlefield Smith, LLC | Adp Of The SNF · Organization | 0% | 1 facilities |
| Paramount Healthcare Consultants, LLC | Adp Of The SNF · Organization | 0% | 14 facilities |
| Riojas, Diana | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Riojas, Diana | Adp Of The SNF · Individual | 0% | 1 facilities |
| Sheppel Littlefield, LLC | 5% Or Greater Mortgage Interest · Organization | 0% | 1 facilities |
| Sheppel Littlefield, LLC | Adp Of The SNF · Organization | 0% | 1 facilities |
| Sheppel, Russell | Individual Is An Owner, Partner Or Trustee Of Any Adp Of The SNF · Individual | 0% | 1 facilities |
| Smith Family 2001 Trust | 5% Or Greater Mortgage Interest · Organization | 0% | 2 facilities |
| Smith Family 2001 Trust | Adp Of The SNF · Organization | 0% | 2 facilities |
| Smith, Bradley | Individual Is An Owner, Partner Or Trustee Of Any Adp Of The SNF · Individual | 0% | 6 facilities |
| The Russell M. Sheppel 2010 Separate Property Trust | 5% Or Greater Mortgage Interest · Organization | 0% | 1 facilities |
| The Russell M. Sheppel 2010 Separate Property Trust | Adp Of The SNF · Organization | 0% | 1 facilities |
·
Fire safety
7 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Smoke4F
- E
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- E
Install an approved automatic sprinkler system.
- E
Inspect, test, and maintain automatic sprinkler systems.
- F
Properly select, install, inspect, or maintain portable fire extinguishes.
Emergency Preparedness1F
- F
List the names and contact information of those in the facility.
Gas, Vacuum, and Electrical Systems1D
- D
Have proper medical gas storage and administration areas.
Egress1D
- D
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.
·
Other homes nearby
-
Runningwater Draw Care Center, Inc.
Olton, TX
★★★★★- Worst citation, 3 yrs
- J
- Nursing / resident / day
- 3 h 36 min
- Fines
- $15,672
-
Levelland Nursing and Rehabilitation Center
Levelland, TX · Fannin County Hospital District
★★★★★- Worst citation, 3 yrs
- J
- Nursing / resident / day
- 3 h 14 min
- Fines
- $18,516
-
Park View Nursing Care Center
Muleshoe, TX
★★★★★- Worst citation, 3 yrs
- J
- Nursing / resident / day
- 3 h 13 min
- Fines
- $14,069