Elder Care Record

Texas › Howard County › Big Spring

Lamun-Lusk-Sanchez Texas State Veterans Home

1809 N Hwy 87, Big Spring, TX 79720

CCN 675874 · For-profit, corporation · 160 certified beds · chain Texvet

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 160 beds, Lamun-Lusk-Sanchez Texas State Veterans Home serves Big Spring in Howard County, Texas and has taken Medicare and Medicaid residents since 2001.

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

Inspectors recorded 22 health deficiencies across the three most recent survey cycles (4, 13, 5 by cycle, most recent first), 1 of them at the actual-harm or immediate-jeopardy level. That is 13.8 per 100 beds, fewer than the state median of 22.5.

CMS lists 1 penalty in the period covered: fines totalling $21K.

Reported nurse staffing is 3.6 hours per resident per day (0.7 RN), close to the Texas median of 3.3; nursing staff turnover is 33.6%.

22health deficiencies, 3 survey cycles1 at actual harm or worse
$21Kfines listed by CMS1 penalty in period
3.6nurse hours per resident per daystate median 3.3
91%occupancy (residents ÷ beds)145 residents a day

Compared with county, state and nation

MeasureThis facilityHoward Co. medianTexas medianUS average
Overall star rating5433.0
Health citations, 3 cycles22222528.7
Citations per 100 beds13.815.422.526.8
Total nurse hours per resident day3.63.53.33.9
RN hours per resident day0.70.30.40.7
Nursing staff turnover33.6%57.6%52.1%45.8%
Fines listed$21,252$8,184$16,801—

County and state figures are medians across facilities (3 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)4
Cycle 213
Cycle 35

Dark bar: this facility. Grey bar: Texas average per facility for the same cycle, as published by CMS. Standard health survey dates: 7 Aug 2025, 11 Jul 2024.

Severity mix: K ×1 D ×15 E ×6

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
7 Aug 2025F0583Keep residents' personal and medical records private and confidential.DStandard survey15 Aug 2025
7 Aug 2025F0585Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.DStandard survey15 Aug 2025
7 Aug 2025F0813Have a policy regarding use and storage of foods brought to residents by family and other visitors.DStandard survey15 Aug 2025
7 Aug 2025F0880Provide and implement an infection prevention and control program.DStandard survey15 Aug 2025
27 Mar 2025F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.EComplaint investigation2 Apr 2025
26 Feb 2025F0804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.DComplaint investigation18 Mar 2025
18 Dec 2024F0806Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.KComplaint investigation19 Dec 2024
11 Jul 2024F0578Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.EStandard survey25 Aug 2024
11 Jul 2024F0804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.EStandard survey25 Aug 2024
11 Jul 2024F0880Provide and implement an infection prevention and control program.EStandard survey25 Aug 2024
11 Jul 2024F0908Keep all essential equipment working safely.EStandard survey25 Aug 2024
11 Jul 2024F0585Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.DStandard survey25 Aug 2024
11 Jul 2024F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DStandard survey25 Aug 2024
11 Jul 2024F0758Implement 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 survey25 Aug 2024
11 Jul 2024F0760Ensure that residents are free from significant medication errors.DStandard survey25 Aug 2024
11 Jul 2024F0761Ensure 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 survey25 Aug 2024
11 Jul 2024F0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.DStandard survey25 Aug 2024
1 Dec 2023F0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.DComplaint investigation1 Dec 2023
19 May 2023F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.EStandard survey3 Jul 2023
19 May 2023F0578Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.DStandard survey3 Jul 2023
19 May 2023F0644Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.DStandard survey3 Jul 2023
19 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 survey3 Jul 2023

Penalties

DateTypeAmountDetail
18 Dec 2024Fine$21,252

Staffing

Total nursing3.58 h
Nurse aides2.25 h
LPN0.64 h
RN0.69 h
Weekend total3.05 h

Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Texas average. Turnover: nursing staff 33.6%, RNs 32.1%; 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 Stay14.3%14.9%12.6%
Percentage of long-stay residents with a catheter inserted and left in their bladderLong Stay0.8%0.0%0.3%
Percentage of long-stay residents with a urinary tract infectionLong Stay0.4%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 Stay0.0%0.7%1.0%
Percentage of long-stay residents whose ability to walk independently worsenedLong Stay12.7%12.4%12.5%
Percentage of long-stay residents with pressure ulcersLong Stay2.3%3.4%4.2%
Percentage of long-stay residents who received an antipsychotic medicationLong Stay8.8%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: State Of Texas Veterans Land Board. Chain: Texvet (9 facilities).

OrganisationRole in the CMS recordInterestSince
Care Inns of Texas-Temple LtdOperational/managerial controlNOT APPLICABLE11/30/2018

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 Howard County

FacilityCityBedsOverallHealthStaffingCitationsPer 100 bedsFinesLast survey
Parkview Skilled Care and RehabilitationBig Spring1174421815.4—12 Jun 2025
Big Spring Center For Skilled CareBig Spring1203412722.5$8K24 Apr 2026

All 3 facilities in Howard County

Questions and answers

How many deficiencies has Lamun-Lusk-Sanchez Texas State Veterans Home been cited for?

22 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 Lamun-Lusk-Sanchez Texas State Veterans Home been fined?

Yes. CMS lists fines totalling $21K in the period covered.

How does staffing at Lamun-Lusk-Sanchez Texas State Veterans Home compare?

Reported total nurse staffing is 3.6 hours per resident per day against a Texas median of 3.3 and a national average of 3.9.

Who operates Lamun-Lusk-Sanchez Texas State Veterans Home?

It is part of the Texvet chain. Ownership type is for-profit, corporation. Organisations in the CMS ownership record include Care Inns of Texas-Temple Ltd. Individual owners and managers are not listed on this site.

When was Lamun-Lusk-Sanchez Texas State Veterans Home last inspected?

The most recent survey or investigation in the CMS record is dated 7 Aug 2025; the most recent standard health survey was 7 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.