Elder Care Record

Texas › Fayette County › Flatonia

Flatonia Healthcare Center

624 N Converse St, Flatonia, TX 78941

CCN 675445 · For-profit, corporation · 70 certified beds · chain Nexion Health

CMS abuse icon
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.

Flatonia Healthcare Center, in Flatonia, Texas, is certified for 70 beds under for-profit, corporation ownership and belongs to the Nexion Health chain.

CMS gives it 1 of 5 stars overall, below the Texas median of 3; the health inspection rating is 2, staffing 4 and quality measures 1.

Inspectors recorded 15 health deficiencies across the three most recent survey cycles (9, 3, 3 by cycle, most recent first), 2 of them at the actual-harm or immediate-jeopardy level. That is 21.4 per 100 beds, about the same as the state median of 22.5.

CMS lists 2 penalties in the period covered: fines totalling $15K.

Reported nurse staffing is 4.0 hours per resident per day (0.6 RN), close to the Texas median of 3.3; nursing staff turnover is 43.6%.

CMS flags that the facility carries the CMS abuse icon.

15health deficiencies, 3 survey cycles2 at actual harm or worse
$15Kfines listed by CMS2 penalties in period
4.0nurse hours per resident per daystate median 3.3
59%occupancy (residents ÷ beds)41 residents a day

Compared with county, state and nation

MeasureThis facilityFayette Co. medianTexas medianUS average
Overall star rating1333.0
Health citations, 3 cycles15212528.7
Citations per 100 beds21.421.422.526.8
Total nurse hours per resident day4.03.23.33.9
RN hours per resident day0.60.30.40.7
Nursing staff turnover43.6%43.6%52.1%45.8%
Fines listed$15,098$8,827$16,801—

County and state figures are medians across facilities (5 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)9
Cycle 23
Cycle 33

Dark bar: this facility. Grey bar: Texas average per facility for the same cycle, as published by CMS. Standard health survey dates: 4 Dec 2025, 1 Aug 2024.

Severity mix: J ×1 G ×1 D ×8 E ×4 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
4 Dec 2025F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.FStandard survey5 Dec 2025
4 Dec 2025F0804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.EStandard survey5 Dec 2025
4 Dec 2025F0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.DStandard survey5 Dec 2025
4 Dec 2025F0759Ensure medication error rates are not 5 percent or greater.DStandard survey5 Dec 2025
18 Nov 2025F0584Honor 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.DComplaint investigation21 Nov 2025
18 Nov 2025F0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.DComplaint investigation21 Nov 2025
18 Nov 2025F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.DComplaint investigation21 Nov 2025
2 Sep 2025F0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.JComplaint investigation3 Sep 2025
2 Sep 2025F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DComplaint investigation3 Sep 2025
5 Oct 2024F0602Protect each resident from the wrongful use of the resident's belongings or money.GComplaint investigation6 Oct 2024
1 Aug 2024F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.EStandard survey2 Aug 2024
1 Aug 2024F0880Provide and implement an infection prevention and control program.DStandard survey2 Aug 2024
9 Jan 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.DComplaint investigation31 Jan 2024
14 Jun 2023F0565Honor the resident's right to organize and participate in resident/family groups in the facility.EStandard survey14 Jun 2023
14 Jun 2023F0584Honor 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 survey14 Jun 2023

Penalties

DateTypeAmountDetail
2 Sep 2025Fine$14,688
5 Oct 2024Fine$410

Staffing

Total nursing4.04 h
Nurse aides2.96 h
LPN0.49 h
RN0.59 h
Weekend total4.02 h

Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Texas average. Turnover: nursing staff 43.6%, RNs 28.6%; 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 Stay37.5%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 Stay5.3%3.0%2.8%
Percentage of short-stay residents who newly received an antipsychotic medicationShort Stay6.7%0.7%1.0%
Percentage of long-stay residents whose ability to walk independently worsenedLong Stay26.0%12.4%12.5%
Percentage of long-stay residents with pressure ulcersLong Stay0.6%3.4%4.2%
Percentage of long-stay residents who received an antipsychotic medicationLong Stay21.8%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: Winnie-Stowell Hospital District. Chain: Nexion Health (51 facilities).

OrganisationRole in the CMS recordInterestSince
Nexion Health At Flatonia, Inc.Operational/managerial controlNOT APPLICABLE04/01/2023

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

Other nursing homes in Fayette County

FacilityCityBedsOverallHealthStaffingCitationsPer 100 bedsFinesLast survey
Monument Rehabilitation and Nursing CenterLa Grange1044422120.2$8K28 Jan 2026
Schulenburg Regency Nursing CenterSchulenburg1464421611.0$9K11 Mar 2026
Avir At La GrangeLa Grange983312121.4—27 May 2026
Paradigm At the Oakabuse iconSchulenburg901116066.7$104K28 May 2026

All 5 facilities in Fayette County

Questions and answers

How many deficiencies has Flatonia Healthcare Center been cited for?

15 health deficiencies across the three most recent survey cycles, 2 at the actual-harm or immediate-jeopardy level. The Texas median is 25 per facility.

Has Flatonia Healthcare Center been fined?

Yes. CMS lists fines totalling $15K in the period covered.

How does staffing at Flatonia Healthcare Center compare?

Reported total nurse staffing is 4.0 hours per resident per day against a Texas median of 3.3 and a national average of 3.9.

Who operates Flatonia Healthcare Center?

It is part of the Nexion Health chain. Ownership type is for-profit, corporation. Organisations in the CMS ownership record include Nexion Health At Flatonia, Inc.. Individual owners and managers are not listed on this site.

When was Flatonia Healthcare Center last inspected?

The most recent survey or investigation in the CMS record is dated 4 Dec 2025; the most recent standard health survey was 4 Dec 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.