Sweetwater, TX

Sweetwater Healthcare Center

4-star overall rating with 4-star inspections with 6 recent health deficiencies with 3 fire-safety deficiencies in the latest cycle

1600 Josephine St, Sweetwater, TX

(325) 236-6653

Compare this facility

Overall

4 / 5

CMS overall stars

Health inspections

4 / 5

Survey and complaint cycles

Staffing

1 / 5

RN + nurse staffing

Quality measures

5 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

79

Certified beds

Average residents

48

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

Slp Operations

Operator or chain grouping

Approved since

1991-08-29

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Chain footprint

22 facilities

Chain averages 2 overall / 3 health / 2 staffing / 4 quality stars

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

0.35

Registered nurse staffing · state 0.44 · national 0.68

LPN hours / resident day

0.99

Licensed practical nurse staffing · state 0.95 · national 0.87

Aide hours / resident day

1.18

Nurse aide staffing · state 2.01 · national 2.35

Total nurse hours

2.51

All reported nurse hours · state 3.40 · national 3.89

Licensed hours

1.33

RN + LPN hours · state 1.38 · national 1.54

Weekend hours

2.25

Weekend nurse staffing · state 2.99 · national 3.43

Weekend RN hours

0.24

Weekend registered nurse coverage · state 0.34 · national 0.47

Physical therapist

0.02

Reported PT staffing · state 0.07 · national 0.07

Adjusted RN hours

0.40

CMS adjusted RN staffing hours

Adjusted total hours

2.88

CMS adjusted total nurse staffing hours

Case-mix index

1.19

Higher values indicate more complex resident acuity

RN turnover

0%

Annual RN turnover

Total nurse turnover

50%

Annual nurse turnover · state 52% · national 46%

SNF VBP

Value-based purchasing

Program rank

5,671

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

Performance score

35.35

Composite VBP score used to determine payment impact.

Payment multiplier

0.9890

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

Not reported

This facility did not meet this measure's case minimum policy requirement and therefore no measure data is publicly reported.

Total nurse turnover

7.07

Performance 34.78% · Measure score 7.07 · Achievement 7.07 · This facility did not have sufficient data to calculate a baseline period measure result.

Adjusted total nurse staffing

0

Baseline 3.05 hours · Performance 3.10 hours · Measure score 0 · Achievement 0 · Improvement 0

SNF QRP

Medicare quality reporting measures

Measure	Facility	National	Note
Potentially preventable 30-day readmission	10.36%	10.72% 0.4 pts better	No Different than the National Rate · Eligible stays 31 · Observed rate 9.68% · Lower 95% interval 6.8%
Discharge to community	Not Available	50.57%	Not Available · Eligible stays 15 · Observed rate Not Available · Lower 95% interval Not Available · Too few residents or stays to report publicly.
Medicare spending per beneficiary	1.34	1.02 0.3 pts worse
Drug regimen review with follow-up	90.91%	95.27% 4.4 pts worse	Numerator 20 · Denominator 22
Falls with major injury	4.55%	0.77% 3.8 pts worse	Numerator 1 · Denominator 22
Discharge self-care score	Not Available	53.69%	Numerator Not Available · Denominator 16 · Too few residents or stays to report publicly.
Discharge mobility score	Not Available	50.94%	Numerator Not Available · Denominator 16 · Too few residents or stays to report publicly.
Pressure ulcers or injuries, new or worsened	4.55%	2.29% 2.3 pts worse	Numerator 1 · Denominator 22 · Adjusted rate 4.41%
Healthcare-associated infections requiring hospitalization	Not Available	7.12%	Not Available · Eligible stays 14 · Observed rate Not Available · Lower 95% interval Not Available · Too few residents or stays to report publicly.
Staff COVID-19 vaccination coverage	0%	8.2% 8.2 pts worse	Numerator 0 · Denominator 47
Staff flu vaccination coverage	50%	42% 8 pts better	Numerator 27 · Denominator 54
Discharge function score	Not Available	56.45%	Numerator Not Available · Denominator 16 · Too few residents or stays to report publicly.
Transfer of health information to provider	Not Available	95.95%	Numerator Not Available · Denominator 6 · 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 11 · 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	1.4	2.1 0.7 pts better	1.9 0.5 pts better	Long Stay · 20240701-20250630 · Adjusted 1.4 · Observed 0.9 · Expected 1.2 · Used in QM five-star
Number of outpatient emergency department visits per 1000 long-stay resident days	1.2	2.1 0.9 pts better	1.8 0.6 pts better	Long Stay · 20240701-20250630 · Adjusted 1.2 · Observed 1.0 · Expected 1.3 · Used in QM five-star
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine	100.0%	97.1% 2.9 pts better	93.4% 6.6 pts better	Long Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 100.0% · Q3 100.0% · Q4 100.0% · 4Q avg 100.0%
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	1.6%	3.3% 1.7 pts better	3.3% 1.7 pts better	Long Stay · 2024Q4-2025Q3 · Q1 2.2% · Q2 0.0% · Q3 2.1% · Q4 2.2% · 4Q avg 1.6% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms	1.1%	2.7% 1.6 pts better	11.4% 10.3 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 2.1% · Q3 0.0% · Q4 2.3% · 4Q avg 1.1%
Percentage of long-stay residents who lose too much weight	0.0%	3.3% 3.3 pts better	5.4% 5.4 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 received an antianxiety or hypnotic medication	12.0%	18.9% 6.9 pts better	19.6% 7.6 pts better	Long Stay · 2024Q4-2025Q3 · Q1 14.3% · Q2 10.5% · Q3 11.1% · Q4 11.8% · 4Q avg 12.0%
Percentage of long-stay residents who received an antipsychotic medication	6.6%	10.8% 4.2 pts better	16.7% 10.1 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 7.7% · Q3 3.7% · Q4 14.8% · 4Q avg 6.6% · 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	23.9%	15.4% 8.5 pts worse	16.3% 7.6 pts worse	Long Stay · 2024Q4-2025Q3 · 4Q avg 23.9% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased	21.8%	16.1% 5.7 pts worse	14.9% 6.9 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 22.5% · Q2 20.0% · Q3 17.6% · Q4 27.3% · 4Q avg 21.8% · 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	0.0%	0.8% 0.8 pts better	1.7% 1.7 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 new or worsened bowel or bladder incontinence	20.2%	15.0% 5.2 pts worse	19.8% 0.4 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 24.1% · Q2 21.8% · Q3 8.9% · Q4 26.2% · 4Q avg 20.2%
Percentage of long-stay residents with pressure ulcers	4.6%	4.2% 0.4 pts worse	5.1% 0.5 pts better	Long Stay · 2024Q4-2025Q3 · Q1 2.6% · Q2 4.2% · Q3 4.5% · Q4 7.2% · 4Q avg 4.6% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine	97.2%	89.7% 7.5 pts better	81.7% 15.5 pts better	Short Stay · 2024Q4-2025Q3 · 4Q avg 97.2%
Percentage of short-stay residents who newly received an antipsychotic medication	3.4%	1.5% 1.9 pts worse	1.6% 1.8 pts worse	Short Stay · 2024Q4-2025Q3 · 4Q avg 3.4% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2024-12-17 · Fire 2024-12-17

6 health deficiencies

Top issue: Nutrition and Dietary (2 deficiencies)

3 fire-safety deficiencies

Top issue: Egress (1 deficiency)

Cycle 2 Health 2023-10-26 · Fire 2023-10-26

5 health deficiencies

Top issue: Nutrition and Dietary (2 deficiencies)

2 fire-safety deficiencies

Top issue: Egress (1 deficiency)

Cycle 3 Health 2022-09-13 · Fire 2022-09-13

3 health deficiencies

Top issue: Resident Assessment and Care Planning (2 deficiencies)

2 fire-safety deficiencies

Top issue: Egress (1 deficiency)

Fire safety

Fire-safety citations

F · Potential for more than minimal harm 2024-12-17

K351 · Smoke Deficiencies

Fire Safety

Install an approved automatic sprinkler system.

Corrected 2025-01-16

C · Minimal harm 2024-12-17

K211 · Egress Deficiencies

Fire Safety

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

Corrected 2025-01-16

C · Minimal harm 2024-12-17

K521 · Services Deficiencies

Fire Safety

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

Corrected 2025-01-16

C · Minimal harm 2023-10-26

K211 · Egress Deficiencies

Fire Safety

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

Not marked corrected

C · Minimal harm 2023-10-26

K521 · Services Deficiencies

Fire Safety

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

Not marked corrected

C · Minimal harm 2022-09-13

K211 · Egress Deficiencies

Fire Safety

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

Not marked corrected

C · Minimal harm 2022-09-13

K521 · Services Deficiencies

Fire Safety

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

Not marked corrected

Inspection history

Recent health citations

F · Potential for more than minimal harm 2024-12-17

F585 · Resident Rights Deficiencies

Health

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.

Corrected 2025-01-16

E · Potential for more than minimal harm 2024-12-17

F565 · Resident Rights Deficiencies

Health

Honor the resident's right to organize and participate in resident/family groups in the facility.

Corrected 2025-01-16

E · Potential for more than minimal harm 2024-12-17

F804 · Nutrition and Dietary Deficiencies

Health

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

Corrected 2025-01-16

E · Potential for more than minimal harm 2024-12-17

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 2025-01-16

D · Potential for more than minimal harm 2024-12-17

F759 · Pharmacy Service Deficiencies

Health

Ensure medication error rates are not 5 percent or greater.

Corrected 2025-01-16

D · Potential for more than minimal harm 2024-12-17

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2025-01-16

F · Potential for more than minimal harm 2023-10-26

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 2023-12-10

E · Potential for more than minimal harm 2023-10-26

F578 · Resident Rights Deficiencies

Health

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.

Corrected 2023-12-10

E · Potential for more than minimal harm 2023-10-26

F813 · Nutrition and Dietary Deficiencies

Health

Have a policy regarding use and storage of foods brought to residents by family and other visitors.

Corrected 2023-12-10

D · Potential for more than minimal harm 2023-10-26

F552 · Resident Rights Deficiencies

Health

Ensure that residents are fully informed and understand their health status, care and treatments.

Corrected 2023-12-10

D · Potential for more than minimal harm 2023-10-26

F758 · Pharmacy Service Deficiencies

Health

Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

Corrected 2023-12-10

F · Potential for more than minimal harm 2022-09-13

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 2022-10-25

E · Potential for more than minimal harm 2022-09-13

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 2022-10-25

D · Potential for more than minimal harm 2022-09-13

F655 · Resident Assessment and Care Planning Deficiencies

Health

Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

Corrected 2022-10-25

Penalties and ownership

What sits behind the stars

Ownership

Stratford Hospital District

5% Or Greater Direct Ownership Interest · Organization

100% 28 facilities 2023-06-01

Carlisle Taylor Whitworth 2020 Irrevocable Trust