Nursing homes › Texas › Arbor Grace Wellness Center
1241 W Marshall Howard Blvd, Littlefield, TX 79339 · 8063856600 · 80 certified beds
Per CMS filings, this facility is affiliated with Paramount Healthcare Consultants, a group operating 14 facilities in 2 states. Group record: average rating 2.4/5, 0 abuse citation icons, 0 facilities on the Special Focus list, $314,576 in federal fines. This facility rates below its group average (2.4/5).
Total nurse staffing: 3.08 (Texas median: 3.27). RN hours: 0.30. Weekend total: 2.90. Nursing staff turnover: 59%.
All-time on record: 38 deficiency citations, including 2 at immediate-jeopardy level. Below: citations from 2023 onward (severity letters explained in methodology).
| Survey date | Deficiency | Sev. | Type | Status |
|---|---|---|---|---|
| 2026-02-26 | Ensure residents have reasonable access to and privacy in their use of communication methods. | E | Health | corrected 2026-03-02 |
| 2026-02-26 | 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. | E | Health | corrected 2026-03-02 |
| 2026-02-26 | Provide enough food/fluids to maintain a resident's health. | E | Health | corrected 2026-03-02 |
| 2026-02-26 | 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 | Health | corrected 2026-03-02 |
| 2026-02-26 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Health | corrected 2026-03-02 |
| 2026-02-26 | 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 | Health | corrected 2026-03-02 |
| 2026-02-26 | Provide and implement an infection prevention and control program. | D | Health | corrected 2026-03-02 |
| 2026-02-26 | Have policies on smoking. | D | Health | corrected 2026-03-02 |
| 2026-02-26 | Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. | C | Health | corrected 2026-03-02 |
| 2025-12-22 | Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | D | complaint | corrected 2026-01-21 |
| 2025-01-15 | Provide and implement an infection prevention and control program. | E | complaint | corrected 2025-01-30 |
| 2024-11-22 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Health | corrected 2024-12-10 |
| 2024-11-22 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Health | corrected 2024-12-10 |
| 2024-11-22 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Health | corrected 2024-12-10 |
| 2024-11-22 | 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 | Health | corrected 2024-12-20 |
| 2024-11-22 | 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 | Health | corrected 2024-12-10 |
| 2024-08-26 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | J | complaint | corrected 2024-08-27 |
| 2024-08-26 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | J | complaint | corrected 2024-08-27 |
| 2024-06-05 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | D | complaint | corrected 2024-07-05 |
| 2024-06-05 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | complaint | corrected 2024-07-05 |
| 2024-06-05 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | complaint | corrected 2024-07-05 |
| 2024-06-05 | 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 | complaint | corrected 2024-06-08 |
| 2024-02-28 | 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 | complaint | corrected 2024-03-29 |
| 2024-02-28 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | complaint | corrected 2024-03-29 |
| 2023-11-01 | Provide and implement an infection prevention and control program. | E | complaint | corrected 2023-11-15 |
| 2023-10-10 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Health | corrected 2023-11-10 |
| 2023-10-10 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | E | Health | corrected 2023-11-10 |
| 2023-10-10 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | Health | corrected 2023-11-10 |
| 2023-10-10 | Ensure each resident receives an accurate assessment. | D | Health | corrected 2023-11-10 |
| 2023-10-10 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | D | Health | corrected 2023-11-10 |
| 2023-10-10 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | Health | corrected 2023-11-10 |
| 2023-10-10 | Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | D | Health | corrected 2023-11-10 |
| 2023-10-10 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Health | corrected 2023-11-10 |
| 2023-10-10 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Health | corrected 2023-11-10 |
| 2023-10-10 | Provide or obtain dental services for each resident. | D | Health | corrected 2023-11-14 |
| 2023-10-10 | Post nurse staffing information every day. | C | Health | corrected 2023-11-10 |
| 2023-08-29 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | G | complaint | corrected 2023-10-01 |
| 2023-08-29 | Provide enough food/fluids to maintain a resident's health. | G | complaint | corrected 2023-10-01 |
| Date | Type | Amount |
|---|---|---|
| 2024-08-26 | Fine | $15,944 |
| 2023-08-29 | Fine | $28,490 |
| 2023-08-29 | Payment Denial | 1 days payment denial |
| Name | Role | Type | % | Since |
|---|---|---|---|---|
| SMITH, DAWNE | 5% Or Greater Direct Ownership Interest | Individual | 100% | since 03/01/2017 |
| RIOJAS, DIANA | Operational/Managerial Control | Individual | NOT APPLICABLE | since 06/26/2023 |
Source: CMS Provider Data Catalog (July 2026 release) — provider file, deficiency file, ownership file, penalty file. CCN 675978. Corrections: data@carerecords.org.