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Data from CMS, Census Bureau & CareScout. Not affiliated with the U.S. government.

© 2026 NursingHomes.us. All data from CMS.gov.
HomeTexasArbor Grace Wellness Center

Arbor Grace Wellness Center

1241 W Marshall Howard Blvd, Littlefield, TX 793398063856600
2/5Below Average
Accepts Medicare Accepts Medicaid Sprinkler System
Health
3/5
Staffing
2/5
Quality
1/5
Beds
80
certified
2 fine(s) totaling $44,434

Key Findings

• CMS rates this facility 2/5 stars (below average)

• Has 80 certified beds with an average of 38.3 residents per day (48% occupancy)

• Last health inspection found 6 deficiencies (inspected Nov 22, 2024)

• Has been fined a total of $44,434 across 2 fine(s)

• Total nursing staff: 2.89 hours per resident per day

• Staff turnover rate: 54.1% (high)

• Part of the Paramount Healthcare Consultants chain (14 facilities)

Arbor Grace Wellness Center is a 2-star Medicare and Medicaid certified nursing home in Littlefield, Texas with 80 certified beds. It has been operating since 2003. The facility scored below average compared to Texas facilities.

Beds
80
Avg Residents/Day
38.3
Ownership
For profit - Corporation
Provider Type
Medicare and Medicaid
In Hospital
No
First Approved
Jun 25, 2003
Sprinklers
Yes
Council
Resident
County
Lamb
Last Inspection
Nov 22, 2024
Deficiencies (Cycle 1)
6
Weighted Score
95.3
Infection Citations
0

Deficiency Citations (38)

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
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: 1
F0684Potential for Harm

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

Survey: Nov 22, 2024Corrected: NoCycle: 1
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: 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: Nov 22, 2024Corrected: 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: Nov 22, 2024Corrected: NoCycle: 1
F0880Potential for Harm

Provide and implement an infection prevention and control program.

Survey: Jan 15, 2025Corrected: 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: 2
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: 2
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: 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: Jun 5, 2024Corrected: NoCycle: 2
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: 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: Feb 28, 2024Corrected: NoCycle: 2
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: 2
F0641Potential for Harm

Ensure each resident receives an accurate assessment.

Survey: Oct 10, 2023Corrected: 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: Oct 10, 2023Corrected: NoCycle: 2
F0657Potential for Harm

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Survey: Oct 10, 2023Corrected: NoCycle: 2
F0676Potential for Harm

Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.

Survey: Oct 10, 2023Corrected: NoCycle: 2
F0677Potential for Harm

Provide care and assistance to perform activities of daily living for any resident who is unable.

Survey: Oct 10, 2023Corrected: NoCycle: 2
F0689Potential for Harm

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

Survey: Oct 10, 2023Corrected: NoCycle: 2
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: 2
F0732Minimal Harm

Post nurse staffing information every day.

Survey: Oct 10, 2023Corrected: NoCycle: 2
F0791Potential for Harm

Provide or obtain dental services for each resident.

Survey: Oct 10, 2023Corrected: 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: Oct 10, 2023Corrected: NoCycle: 2
F0880Potential for Harm

Provide and implement an infection prevention and control program.

Survey: Nov 1, 2023Corrected: NoCycle: 3
F0686Actual Harm

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

Survey: Aug 29, 2023Corrected: NoCycle: 3
F0692Actual Harm

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

Survey: Aug 29, 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: May 23, 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 Aide1.47 hrs
National avg: 2.35 hrs
LPN1.13 hrs
National avg: 0.86 hrs
RN0.29 hrs
National avg: 0.68 hrs
Total Nursing2.89 hrs
National avg: 3.89 hrs
Weekend Total2.72 hrs
National avg: 0.00 hrs
Physical Therapist0.05 hrs
National avg: 0.07 hrs
Total Turnover
54.1%
RN Turnover
0.0%
Administrators Left
0

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

Ownership Type
For profit - Corporation
Recent Change
No

Owners & Managers (6)

NameRoleTypeOwnership %Since
SMITH, DAWNE5% OR GREATER DIRECT OWNERSHIP INTERESTIndividual100%Mar 1, 2017
RIOJAS, DIANAOPERATIONAL/MANAGERIAL CONTROLIndividualN/AJun 26, 2023
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

Frequently Asked Questions

What is the CMS rating for Arbor Grace Wellness Center?▾
Arbor Grace Wellness Center has an overall CMS rating of 2 out of 5 stars, with a health inspection rating of 3/5, staffing rating of 2/5, and quality measures rating of 1/5. This facility is rated below average.
Has Arbor Grace Wellness Center had any health inspection violations?▾
Arbor Grace Wellness Center had 6 deficiency citations in its most recent health inspection (Nov 22, 2024). The facility has been fined a total of $44,434 across 2 fine(s).
What are the staffing levels at Arbor Grace Wellness Center?▾
Arbor Grace Wellness Center provides 2.89 total nursing staff hours per resident per day, including 0.29 RN hours, 1.13 LPN hours, and 1.47 nurse aide hours. The total staff turnover rate is 54.1%.
How many beds does Arbor Grace Wellness Center have?▾
Arbor Grace Wellness Center has 80 certified beds with an average of 38.3 residents per day, resulting in approximately 48% occupancy. The facility is For profit - Corporation owned and is part of the Paramount Healthcare Consultants chain.

Part of Paramount Healthcare Consultants

This chain operates 14 facilities. View all →