Arbor Grace Wellness Center has received an F grade based on CMS data, with a score of 28/100 — placing it among the lowest-rated nursing facilities in Texas. Families considering this Littlefield facility should carefully review its inspection history and quality metrics.
With 2.89 total nurse hours per resident per day, Arbor Grace Wellness Center falls below the national average of 3.8 hours. Families may want to ask about staffing levels during any facility visit.
Recent CMS inspections identified 38 deficiencies at Arbor Grace Wellness Center, including 3 classified as serious — among the most concerning citation levels. The most notable finding involved: ensure each resident must receive and the facility must provide necessary behavioral health care and services..
Score Breakdown
🏥 Staffing Details
| Staff Type | Hours/Resident/Day | National Avg | Comparison |
|---|---|---|---|
| Total Nursing | 2.89 | 3.8 | Below Average |
| Registered Nurses (RN) | 0.29 | 0.7 | Below Average |
| Licensed Practical Nurses (LPN) | 1.13 | 0.7 | Above Average |
| Certified Nursing Assistants (CNA) | 1.47 | 2.4 | Below Average |
| Weekend Total Nursing | 2.72 | 3.8 | Below Average |
| Weekend RN Hours | 0.34 | 0.7 | Below Average |
🔍 Inspection & Deficiency History
View recent deficiencies (5 shown)
- Tag 0740 Severity DEnsure each resident must receive and the facility must provide necessary behavioral health care and services.Dec 21, 2025 · Quality of Life and Care Deficiencies
- Tag 0880 Severity EProvide and implement an infection prevention and control program.Jan 14, 2025 · Infection Control Deficiencies
- Tag 0812 Severity EProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Nov 21, 2024 · Nutrition and Dietary Deficiencies
- Tag 0550 Severity DHonor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.Nov 21, 2024 · Resident Rights Deficiencies
- Tag 0684 Severity DProvide appropriate treatment and care according to orders, resident’s preferences and goals.Nov 21, 2024 · Quality of Life and Care Deficiencies
📊 Resident Outcome Measures
Based on CMS quality measure data. Lower percentages are better for most metrics.
| Measure | This Facility | Nat'l Avg | |
|---|---|---|---|
| Residents with pressure ulcers | 2.9% | 4.5% | Better |
| Falls with major injury | 6.9% | 3.0% | Worse |
| On antipsychotic medication | 27.9% | 14.5% | Worse |
| Urinary tract infections | 1.5% | 2.5% | Better |
| ADL decline (daily activities) | 29.1% | 14.0% | Worse |
| Excessive weight loss | 5.2% | 7.5% | Better |
| New/worsened incontinence | 32.4% | 45.0% | Better |
⚠️ Penalties & Fines
2 penalties recorded by CMS
Total fines: $44,434
How This Grade Was Calculated
This facility's grade of F is based on a score of 28 out of 100, calculated from official CMS Nursing Home Compare data:
- Overall CMS Rating: 2★ → 16 pts (max 40)
- Health Inspection Rating: 3★ → 15 pts (max 25)
- Staffing Rating: 2★ → 8 pts (max 20)
- Quality Measures Rating: 1★ → 3 pts (max 15)
- Penalty deductions: -10 pts
- Fine deductions: -4 pts
Grades: A=85+, B=70–84, C=55–69, D=40–54, F=below 40
Facility Details
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