CMS data snapshot: July 2026
Facility results compared with averages for CMS-certified nursing homes in Texas. Ratings, staffing and turnover measure different parts of care and should be reviewed together.
Comparisons use the matching CMS state averages without a proprietary combined score. Review the comparison methodology.
A side-by-side view of the two CMS inspection cycles included in the current dataset.
Citation counts alone do not show severity. Review the inspection details below for scope, severity and correction status.
Cost data: Genworth/CareScout Cost of Care Survey (2024). Demographics: U.S. Census Bureau ACS (2022).
Swipe tabs for staffing, quality and ownership.
Arbor Grace Wellness Center is a 1-star Medicare and Medicaid certified nursing home in Littlefield, Texas with 80 certified beds. It has been operating since 2003. Its overall CMS rating is 1 out of 5.
Ensure residents have reasonable access to and privacy in their use of communication methods.
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.
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.
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
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.
Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.
Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
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.
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.
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
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.
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.
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
+ 8 more deficiencies
Staffing hours per resident per day. The black line shows the national average.
Quality measures as percentages of residents. Lower is better for all measures.
| Name | Role | Type | Ownership % | Since |
|---|---|---|---|---|
| SMITH, DAWNE | 5% OR GREATER DIRECT OWNERSHIP INTEREST | Individual | 100% | Mar 1, 2017 |
| LITTLEFIELD SMITH, LLC | 5% OR GREATER MORTGAGE INTEREST | Organization | N/A | Jan 1, 2008 |
| SHEPPEL LITTLEFIELD, LLC | 5% OR GREATER MORTGAGE INTEREST | Organization | N/A | Jan 1, 2008 |
| SMITH FAMILY 2001 TRUST | 5% OR GREATER MORTGAGE INTEREST | Organization | N/A | Jan 1, 2008 |
| THE RUSSELL M. SHEPPEL 2010 SEPARATE PROPERTY TRUST | 5% OR GREATER MORTGAGE INTEREST | Organization | N/A | Jan 1, 2008 |
| RIOJAS, DIANA | OPERATIONAL/MANAGERIAL CONTROL | Individual | N/A | Jun 26, 2023 |
| SHEPPEL, RUSSELL | INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF | Individual | N/A | May 13, 2025 |
| SMITH, BRADLEY | INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF | Individual | N/A | May 13, 2025 |
| LITTLEFIELD SMITH, LLC | ADP OF THE SNF | Organization | N/A | Jan 1, 2008 |
| PARAMOUNT HEALTHCARE CONSULTANTS, LLC | ADP OF THE SNF | Organization | N/A | Mar 1, 2017 |
| SHEPPEL LITTLEFIELD, LLC | ADP OF THE SNF | Organization | N/A | Jan 1, 2008 |
| SMITH FAMILY 2001 TRUST | ADP OF THE SNF | Organization | N/A | Jan 1, 2008 |
| THE RUSSELL M. SHEPPEL 2010 SEPARATE PROPERTY TRUST | ADP OF THE SNF | Organization | N/A | Jan 1, 2008 |
| GEORGE, CINDY | ADP OF THE SNF | Individual | N/A | Mar 1, 2017 |
| RIOJAS, DIANA | ADP OF THE SNF | Individual | N/A | Jun 26, 2023 |
Compare CMS ratings and recorded fines for Arbor Grace Wellness Center and nearby alternatives.
Distance is approximate. Ratings and enforcement data use the current CMS snapshot; recorded fines are not a complete measure of care quality. How nearby facilities are selected.
This chain operates 14 facilities. View all →