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HomeTexasArbor Grace Wellness Center

Arbor Grace Wellness Center

1241 W Marshall Howard Blvd, Littlefield, TX 793398063856600WebsiteGoogle Maps
5.0on Google(23 reviews)
1/5Much Below Average
Accepts Medicare Accepts Medicaid Sprinkler System

CMS data snapshot: July 2026

Health
2/5
Staffing
2/5
Quality
1/5
Beds
80
certified
2 fine(s) totaling $44,434

How Arbor Grace Wellness Center Compares in Texas

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.

CMS overall rating
1/5
TX average
2.7/5
Below state average
Health inspection rating
2/5
TX average
2.8/5
Below state average
Staffing rating
2/5
TX average
1.9/5
Close to state average
Nursing hours per resident
3.08 hrs/day
TX average
3.39 hrs/day
Below state average
RN hours per resident
0.30 hrs/day
TX average
0.43 hrs/day
Below state average
Staff turnover
58.6%
TX average
55.3%
Higher than state average

Comparisons use the matching CMS state averages without a proprietary combined score. Review the comparison methodology.

What the Data Highlights

Its 1/5 overall CMS rating is below the Texas average of 2.7/5.
Its 2/5 health inspection rating is below the Texas average of 2.8/5.
Reported nursing time is 3.08 hours per resident per day, below the state average of 3.39.
Reported RN time is 0.30 hours per resident per day, below the state average of 0.43.

Health Inspection Trend

A side-by-side view of the two CMS inspection cycles included in the current dataset.

Previous cycle
17
deficiency citations
Inspected Nov 22, 2024
Most recent cycle
10
deficiency citations
Inspected Feb 26, 2026
The most recent cycle recorded 7 fewer deficiency citations than the previous cycle.

Citation counts alone do not show severity. Review the inspection details below for scope, severity and correction status.

Cost & Demographics

Semi-Private Room
$5,996/mo
Texas median
Private Room
$7,300/mo
Texas median
Lamb County 65+
2,225
17.1% of county
County Population
13,024
Lamb County

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.

Beds
80
Avg Residents/Day
42.7
Ownership
For profit - Limited Liability company
Provider Type
Medicare and Medicaid
In Hospital
No
First Approved
Jun 25, 2003
Sprinklers
Yes
Council
Resident
County
Lamb
Last Inspection
Feb 26, 2026
Deficiencies (Cycle 1)
10
Weighted Score
100.3
Infection Citations
0

Deficiency Citations (38)

F0576Potential for Harm

Ensure residents have reasonable access to and privacy in their use of communication methods.

Survey: Feb 26, 2026Corrected: NoCycle: 1
F0585Potential for Harm

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.

Survey: Feb 26, 2026Corrected: NoCycle: 1
F0692Potential for Harm

Provide enough food/fluids to maintain a resident's health.

Survey: Feb 26, 2026Corrected: NoCycle: 1
F0803Potential for Harm

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.

Survey: Feb 26, 2026Corrected: NoCycle: 1
F0812Potential for Harm

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Survey: Feb 26, 2026Corrected: NoCycle: 1
F0761Potential for Harm

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.

Survey: Feb 26, 2026Corrected: NoCycle: 1
F0880Potential for Harm

Provide and implement an infection prevention and control program.

Survey: Feb 26, 2026Corrected: NoCycle: 1
F0926Potential for Harm

Have policies on smoking.

Survey: Feb 26, 2026Corrected: NoCycle: 1
F0577Minimal Harm

Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.

Survey: Feb 26, 2026Corrected: NoCycle: 1
F0740Potential for Harm

Ensure each resident must receive and the facility must provide necessary behavioral health care and services.

Survey: Dec 22, 2025Corrected: NoCycle: 1
F0880Potential for Harm

Provide and implement an infection prevention and control program.

Survey: Jan 15, 2025Corrected: NoCycle: 2
F0812Potential for Harm

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Survey: Nov 22, 2024Corrected: NoCycle: 2
F0550Potential for Harm

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Survey: Nov 22, 2024Corrected: NoCycle: 2
F0684Potential for Harm

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

Survey: Nov 22, 2024Corrected: NoCycle: 2
F0727Potential for Harm

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.

Survey: Nov 22, 2024Corrected: NoCycle: 2
F0761Potential for Harm

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.

Survey: Nov 22, 2024Corrected: NoCycle: 2
F0580Immediate Jeopardy

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Survey: Aug 26, 2024Corrected: NoCycle: 2
F0686Immediate Jeopardy

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Survey: Aug 26, 2024Corrected: NoCycle: 2
F0655Potential for Harm

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

Survey: Jun 5, 2024Corrected: NoCycle: 3
F0656Potential for Harm

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Survey: Jun 5, 2024Corrected: NoCycle: 3
F0689Potential for Harm

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Survey: Jun 5, 2024Corrected: NoCycle: 3
F0727Potential for Harm

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.

Survey: Jun 5, 2024Corrected: NoCycle: 3
F0727Potential for Harm

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.

Survey: Feb 28, 2024Corrected: NoCycle: 3
F0609Potential for Harm

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Survey: Feb 28, 2024Corrected: NoCycle: 3
F0880Potential for Harm

Provide and implement an infection prevention and control program.

Survey: Nov 1, 2023Corrected: NoCycle: 3
F0812Potential for Harm

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Survey: Oct 10, 2023Corrected: NoCycle: 3
F0725Potential for Harm

Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

Survey: Oct 10, 2023Corrected: NoCycle: 3
F0580Potential for Harm

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Survey: Oct 10, 2023Corrected: NoCycle: 3
F0641Potential for Harm

Ensure each resident receives an accurate assessment.

Survey: Oct 10, 2023Corrected: NoCycle: 3
F0655Potential for Harm

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

Survey: Oct 10, 2023Corrected: NoCycle: 3

+ 8 more deficiencies

Total Fines
$44,434
Number of Fines
2
Payment Denials
1
Total Penalties
3

Penalty History

FineAug 26, 2024
$15,944
FineAug 29, 2023
$28,490
Payment DenialAug 29, 2023
1 days denied

Staffing hours per resident per day. The black line shows the national average.

Nurse Aide1.80 hrs
National avg: 2.32 hrs
LPN0.97 hrs
National avg: 0.86 hrs
RN0.30 hrs
National avg: 0.69 hrs
Total Nursing3.08 hrs
National avg: 3.86 hrs
Weekend Total2.90 hrs
National avg: 0.00 hrs
Physical Therapist0.08 hrs
National avg: 0.07 hrs
Total Turnover
58.6%
RN Turnover
0.0%
Administrators Left
0

Quality measures as percentages of residents. Lower is better for all measures.

Ownership Type
For profit - Limited Liability company
Recent Change
No

Owners & Managers (15)

NameRoleTypeOwnership %Since
SMITH, DAWNE5% OR GREATER DIRECT OWNERSHIP INTERESTIndividual100%Mar 1, 2017
LITTLEFIELD SMITH, LLC5% OR GREATER MORTGAGE INTERESTOrganizationN/AJan 1, 2008
SHEPPEL LITTLEFIELD, LLC5% OR GREATER MORTGAGE INTERESTOrganizationN/AJan 1, 2008
SMITH FAMILY 2001 TRUST5% OR GREATER MORTGAGE INTERESTOrganizationN/AJan 1, 2008
THE RUSSELL M. SHEPPEL 2010 SEPARATE PROPERTY TRUST5% OR GREATER MORTGAGE INTERESTOrganizationN/AJan 1, 2008
RIOJAS, DIANAOPERATIONAL/MANAGERIAL CONTROLIndividualN/AJun 26, 2023
SHEPPEL, RUSSELLINDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNFIndividualN/AMay 13, 2025
SMITH, BRADLEYINDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNFIndividualN/AMay 13, 2025
LITTLEFIELD SMITH, LLCADP OF THE SNFOrganizationN/AJan 1, 2008
PARAMOUNT HEALTHCARE CONSULTANTS, LLCADP OF THE SNFOrganizationN/AMar 1, 2017
SHEPPEL LITTLEFIELD, LLCADP OF THE SNFOrganizationN/AJan 1, 2008
SMITH FAMILY 2001 TRUSTADP OF THE SNFOrganizationN/AJan 1, 2008
THE RUSSELL M. SHEPPEL 2010 SEPARATE PROPERTY TRUSTADP OF THE SNFOrganizationN/AJan 1, 2008
GEORGE, CINDYADP OF THE SNFIndividualN/AMar 1, 2017
RIOJAS, DIANAADP OF THE SNFIndividualN/AJun 26, 2023

Compare Nearby Nursing Homes

Compare CMS ratings and recorded fines for Arbor Grace Wellness Center and nearby alternatives.

All Texas facilities
Arbor Grace Wellness Center
Littlefield, TXCurrent facility
CMS
1/5
Health
2/5
Staffing
2/5
Recorded fines: $44,434
Harmonee House
Amherst, TX8.3 mi
CMS
2/5
Health
3/5
Staffing
1/5
Recorded fines: None
Runningwater Draw Care Center INC
Olton, TX21.8 mi
CMS
3/5
Health
3/5
Staffing
1/5
Recorded fines: $15,672
Levelland Nursing & Rehabilitation Center
Levelland, TX22.0 mi
CMS
3/5
Health
3/5
Staffing
3/5
Recorded fines: $18,516
Park View Nursing Care Center
Muleshoe, TX31.7 mi
CMS
1/5
Health
1/5
Staffing
3/5
Recorded fines: $21,645
The Plaza at Lubbock
Lubbock, TX31.9 mi
CMS
3/5
Health
2/5
Staffing
2/5
Recorded fines: $38,594
Whisperwood Nursing & Rehabilitation Center
Lubbock, TX32.1 miAbuse flag
CMS
1/5
Health
1/5
Staffing
1/5
Recorded fines: $19,546
FacilityDistanceCMSHealthStaffingRecorded fines
Arbor Grace Wellness Center
Littlefield, TX · Current facility
—1/52/52/5$44,434
Harmonee House
Amherst, TX
8.3 mi2/53/51/5None recorded
Runningwater Draw Care Center INC
Olton, TX
21.8 mi3/53/51/5$15,672
Levelland Nursing & Rehabilitation Center
Levelland, TX
22.0 mi3/53/53/5$18,516
Park View Nursing Care Center
Muleshoe, TX
31.7 mi1/51/53/5$21,645
The Plaza at Lubbock
Lubbock, TX
31.9 mi3/52/52/5$38,594
Whisperwood Nursing & Rehabilitation Center
Lubbock, TX
32.1 mi1/51/51/5$19,546

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.

Frequently Asked Questions

What is the CMS rating for Arbor Grace Wellness Center?▾
Arbor Grace Wellness Center has an overall CMS rating of 1 out of 5 stars, with a health inspection rating of 2/5, staffing rating of 2/5, and quality measures rating of 1/5. This facility is rated below average.
How much does Arbor Grace Wellness Center cost per month?▾
While individual facility pricing is not publicly available, the median nursing home cost in Texas is $5,996/month for a semi-private room and $7,300/month for a private room (Genworth/CareScout 2024). Arbor Grace Wellness Center participates in Medicare and Medicaid, which may cover some or all costs depending on eligibility.
Has Arbor Grace Wellness Center had any health inspection violations?▾
Arbor Grace Wellness Center had 10 deficiency citations in its most recent health inspection (Feb 26, 2026). The current CMS dataset records 2 fine(s) totaling $44,434.
What are the staffing levels at Arbor Grace Wellness Center?▾
Arbor Grace Wellness Center provides 3.08 total nursing staff hours per resident per day, including 0.30 RN hours, 0.97 LPN hours, and 1.80 nurse aide hours. The total staff turnover rate is 58.6%.
How many beds does Arbor Grace Wellness Center have?▾
Arbor Grace Wellness Center has 80 certified beds with an average of 42.7 residents per day, resulting in approximately 53% occupancy. The facility is For profit - Limited Liability company owned and is part of the Paramount Healthcare Consultants chain.
Are there other nursing homes near Arbor Grace Wellness Center?▾
Yes. This page lists 6 nearby nursing homes in Texas. Compare their CMS ratings, staffing, inspections and fines before choosing a facility.
What do patients and families say about Arbor Grace Wellness Center?▾
On Google Maps, Arbor Grace Wellness Center has a rating of 5.0 out of 5 based on 23 reviews. This is an independent rating from visitors and families, separate from the official CMS government rating of 1/5.

Part of Paramount Healthcare Consultants

This chain operates 14 facilities. View all →