Elder Care Record

Texas › Foard County › Crowell

Crowell Nursing Center

200 South B Ave, Crowell, TX 79227

CCN 675013 · For-profit, corporation · 67 certified beds · chain Advanced Healthcare Solutions

Overall★★★★★
Health inspection★★★★★
Staffing★★★★★
Quality measures★★★★★

Ratings are based on the most recent data available; a facility's ratings may have changed since the last update. The health inspection rating is based on the three most recent standard surveys and complaint investigations. CMS processed this record on 1 Aug 2026. View the Care Compare record.

Certified for 67 beds, Crowell Nursing Center serves Crowell in Foard County, Texas and has taken Medicare and Medicaid residents since 1992.

CMS gives it 4 of 5 stars overall, above the Texas median of 3; the health inspection rating is 4, staffing 2 and quality measures 4.

Inspectors recorded 15 health deficiencies across the three most recent survey cycles (6, 6, 3 by cycle, most recent first), none at the actual-harm level. That is 22.4 per 100 beds, about the same as the state median of 22.5.

CMS lists no fines or payment denials against the facility in the period covered.

Reported nurse staffing is 3.0 hours per resident per day (0.5 RN), close to the Texas median of 3.3; nursing staff turnover is 43.9%.

15health deficiencies, 3 survey cyclesnone at actual-harm level
$0fines listed by CMS0 penalties in period
3.0nurse hours per resident per daystate median 3.3
65%occupancy (residents ÷ beds)43 residents a day

Compared with county, state and nation

MeasureThis facilityFoard Co. medianTexas medianUS average
Overall star rating4433.0
Health citations, 3 cycles15152528.7
Citations per 100 beds22.422.422.526.8
Total nurse hours per resident day3.03.03.33.9
RN hours per resident day0.50.50.40.7
Nursing staff turnover43.9%43.9%52.1%45.8%
Fines listed$0$0$16,801—

County and state figures are medians across facilities (1 in the county, 1177 in the state); the US column is the CMS national average where CMS publishes one.

Citations by survey cycle

Cycle 1 (latest)6
Cycle 26
Cycle 33

Dark bar: this facility. Grey bar: Texas average per facility for the same cycle, as published by CMS. Standard health survey dates: 9 Apr 2026, 12 Feb 2025.

Severity mix: D ×9 E ×5 F ×1

Health deficiencies

Every health citation in the current CMS record (three survey cycles), most recent first. Tag text is the CMS requirement summary, not the inspection narrative.

Scope and severity letters (A–L)
Isolated
Pattern
Widespread
Immediate jeopardy
J
K
L
Actual harm
G
H
I
Potential for more than minimal harm
D
E
F
Potential for minimal harm
A
B
C

Survey dateTagWhat the tag requiresSeverityTypeCorrected
9 Apr 2026F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.EStandard survey16 May 2026
9 Apr 2026F0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.DStandard survey16 May 2026
9 Apr 2026F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DStandard survey16 May 2026
9 Apr 2026F0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.DStandard survey16 May 2026
9 Apr 2026F0803Ensure 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.DStandard survey16 May 2026
9 Apr 2026F0880Provide and implement an infection prevention and control program.DStandard survey16 May 2026
12 Feb 2025F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.EStandard survey27 Mar 2025
12 Feb 2025F0921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.EStandard survey27 Mar 2025
12 Feb 2025F0641Ensure each resident receives an accurate assessment.DStandard survey27 Mar 2025
12 Feb 2025F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DStandard survey27 Mar 2025
12 Feb 2025F0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.DStandard survey27 Mar 2025
12 Feb 2025F0943Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.DStandard survey27 Mar 2025
10 Jan 2024F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.FStandard survey24 Feb 2024
10 Jan 2024F0607Develop and implement policies and procedures to prevent abuse, neglect, and theft.EStandard survey24 Feb 2024
10 Jan 2024F0943Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.EStandard survey24 Feb 2024

Penalties

CMS lists no fines or payment denials for this facility in the period covered.

Staffing

Total nursing2.97 h
Nurse aides1.69 h
LPN0.74 h
RN0.54 h
Weekend total2.61 h

Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Texas average. Turnover: nursing staff 43.9%, RNs 30.0%; 0 administrators left in the reporting year.

Quality measures

MeasureResidentsThis facilityTexas medianUS median
Percentage of long-stay residents whose need for help with daily activities has increasedLong Stay25.2%14.9%12.6%
Percentage of long-stay residents with a catheter inserted and left in their bladderLong Stay0.0%0.0%0.3%
Percentage of long-stay residents with a urinary tract infectionLong Stay0.0%0.3%0.9%
Percentage of long-stay residents experiencing one or more falls with major injuryLong Stay4.5%3.0%2.8%
Percentage of short-stay residents who newly received an antipsychotic medicationShort Stay2.7%0.7%1.0%
Percentage of long-stay residents whose ability to walk independently worsenedLong Stay19.6%12.4%12.5%
Percentage of long-stay residents with pressure ulcersLong Stay0.0%3.4%4.2%
Percentage of long-stay residents who received an antipsychotic medicationLong Stay7.4%8.3%13.4%

Four-quarter averages for the measures CMS uses in the quality-measure star rating (2025Q2-2026Q1). Lower is better for every measure listed. Medians are computed across facilities on this site.

Ownership

Ownership type: for-profit, corporation. Legal business name: Childress County Hospital District. Chain: Advanced Healthcare Solutions (28 facilities).

OrganisationRole in the CMS recordInterestSince
Advanced Hcs LLCOperational/managerial controlNOT APPLICABLE07/01/2021
Childress County Hospital DistrictOperational/managerial controlNOT APPLICABLE04/01/2017

Only organisations are shown. CMS also records individual owners, officers and managing employees; this site does not publish people's names.

Questions and answers

How many deficiencies has Crowell Nursing Center been cited for?

15 health deficiencies across the three most recent survey cycles, 0 at the actual-harm or immediate-jeopardy level. The Texas median is 25 per facility.

Has Crowell Nursing Center been fined?

CMS lists no fines against the facility in the period covered.

How does staffing at Crowell Nursing Center compare?

Reported total nurse staffing is 3.0 hours per resident per day against a Texas median of 3.3 and a national average of 3.9.

Who operates Crowell Nursing Center?

It is part of the Advanced Healthcare Solutions chain. Ownership type is for-profit, corporation. Organisations in the CMS ownership record include Advanced Hcs LLC and Childress County Hospital District. Individual owners and managers are not listed on this site.

When was Crowell Nursing Center last inspected?

The most recent survey or investigation in the CMS record is dated 9 Apr 2026; the most recent standard health survey was 9 Apr 2026.

Where does this data come from?

All figures are from the Centers for Medicare & Medicaid Services Care Compare datasets (provider information, health deficiencies, penalties, ownership and quality measures), processed 1 Aug 2026. Ratings and citations may change; the Care Compare record is authoritative.

Provenance

Source: Centers for Medicare & Medicaid Services, Care Compare nursing home datasets (provider information, health deficiencies, penalties, ownership, MDS quality measures, state and national averages), public domain, processed by CMS on 1 Aug 2026. Facility record: Care Compare. Errors in processing are corrected at the next daily build; see corrections.