Elder Care Record

Texas › Rains County › Emory

Emory Health and Rehab

983 N Texas St, Emory, TX 75440

CCN 676142 · Government, hospital district · 68 certified beds

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 68 beds, Emory Health and Rehab serves Emory in Rains County, Texas and has taken Medicare and Medicaid residents since 2007.

CMS gives it 3 of 5 stars overall, equal to the Texas median; the health inspection rating is 4, staffing 1 and quality measures 4.

Inspectors recorded 28 health deficiencies across the three most recent survey cycles (5, 11, 12 by cycle, most recent first), 1 of them at the actual-harm or immediate-jeopardy level. That is 41.2 per 100 beds, more than the state median of 22.5.

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

Reported nurse staffing is 2.8 hours per resident per day (0.2 RN), close to the Texas median of 3.3; nursing staff turnover is 80.0%.

28health deficiencies, 3 survey cycles1 at actual harm or worse
$0fines listed by CMS0 penalties in period
2.8nurse hours per resident per daystate median 3.3
68%occupancy (residents ÷ beds)46 residents a day

Compared with county, state and nation

MeasureThis facilityRains Co. medianTexas medianUS average
Overall star rating3333.0
Health citations, 3 cycles28282528.7
Citations per 100 beds41.241.222.526.8
Total nurse hours per resident day2.82.83.33.9
RN hours per resident day0.20.20.40.7
Nursing staff turnover80.0%80.0%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)5
Cycle 211
Cycle 312

Dark bar: this facility. Grey bar: Texas average per facility for the same cycle, as published by CMS. Standard health survey dates: 5 Aug 2025, 10 Jul 2024.

Severity mix: J ×1 D ×19 E ×4 F ×2 C ×2

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
5 Aug 2025F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DStandard survey29 Sep 2025
5 Aug 2025F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DStandard survey29 Sep 2025
5 Aug 2025F0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.DStandard survey29 Sep 2025
5 Aug 2025F0761Ensure 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.DStandard survey29 Sep 2025
5 Aug 2025F0880Provide and implement an infection prevention and control program.DStandard survey29 Sep 2025
10 Jul 2024F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.FStandard survey22 Aug 2024
10 Jul 2024F0584Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.EStandard survey22 Aug 2024
10 Jul 2024F0677Provide care and assistance to perform activities of daily living for any resident who is unable.EStandard survey22 Aug 2024
10 Jul 2024F0880Provide and implement an infection prevention and control program.EStandard survey22 Aug 2024
10 Jul 2024F0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.DStandard survey22 Aug 2024
10 Jul 2024F0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.DStandard survey22 Aug 2024
10 Jul 2024F0695Provide safe and appropriate respiratory care for a resident when needed.DStandard survey22 Aug 2024
10 Jul 2024F0700Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.DStandard survey22 Aug 2024
10 Jul 2024F0808Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law.DStandard survey22 Aug 2024
10 Jul 2024F0849Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.DStandard survey22 Aug 2024
10 Jul 2024F0881Implement a program that monitors antibiotic use.DStandard survey22 Aug 2024
10 May 2023F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.JStandard survey1 Jun 2023
10 May 2023F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.FStandard survey1 Jun 2023
10 May 2023F0761Ensure 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.EStandard survey1 Jun 2023
10 May 2023F0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.DStandard survey1 Jun 2023
10 May 2023F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DStandard survey1 Jun 2023
10 May 2023F0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.DStandard survey1 Jun 2023
10 May 2023F0695Provide safe and appropriate respiratory care for a resident when needed.DStandard survey1 Jun 2023
10 May 2023F0758Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.DStandard survey1 Jun 2023
10 May 2023F0770Provide timely, quality laboratory services/tests to meet the needs of residents.DStandard survey1 Jun 2023
10 May 2023F0885Report COVID19 data to residents and families.DStandard survey1 Jun 2023
10 May 2023F0640Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.CStandard survey1 Jun 2023
10 May 2023F0851Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.CStandard survey1 Jun 2023

Penalties

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

Staffing

Total nursing2.85 h
Nurse aides1.87 h
LPN0.75 h
RN0.22 h
Weekend total2.7 h

Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Texas average. Turnover: nursing staff 80.0%, RNs 100.0%; 1 administrator 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 Stay14.8%14.9%12.6%
Percentage of long-stay residents with a catheter inserted and left in their bladderLong Stay0.5%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 Stay3.7%3.0%2.8%
Percentage of short-stay residents who newly received an antipsychotic medicationShort Stay2.8%0.7%1.0%
Percentage of long-stay residents whose ability to walk independently worsenedLong Stay26.2%12.4%12.5%
Percentage of long-stay residents with pressure ulcersLong Stay2.8%3.4%4.2%
Percentage of long-stay residents who received an antipsychotic medicationLong Stay7.1%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: government, hospital district. Legal business name: Chambers County Public Hospital District No. 1.

OrganisationRole in the CMS recordInterestSince
Senior Suite Properties LLC5% or greater mortgage interestNOT APPLICABLE07/01/2024
Senior Suite Care & Rehab LLCOperational/managerial controlNOT APPLICABLE07/01/2024
Senior Suite Properties LLCAdp of the snfNOT APPLICABLE04/08/2025

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 Emory Health and Rehab been cited for?

28 health deficiencies across the three most recent survey cycles, 1 at the actual-harm or immediate-jeopardy level. The Texas median is 25 per facility.

Has Emory Health and Rehab been fined?

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

How does staffing at Emory Health and Rehab compare?

Reported total nurse staffing is 2.8 hours per resident per day against a Texas median of 3.3 and a national average of 3.9.

Who operates Emory Health and Rehab?

Ownership type is government, hospital district. Organisations in the CMS ownership record include Senior Suite Care & Rehab LLC. Individual owners and managers are not listed on this site.

When was Emory Health and Rehab last inspected?

The most recent survey or investigation in the CMS record is dated 5 Aug 2025; the most recent standard health survey was 5 Aug 2025.

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.