Elder Care Record

Texas › Parmer County › Friona

Prairie Acres

201 E 15th, Friona, TX 79035

CCN 675443 · Government, hospital district · 83 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.

Prairie Acres, in Friona, Texas, is certified for 83 beds under government, hospital district ownership.

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

Inspectors recorded 16 health deficiencies across the three most recent survey cycles (3, 10, 3 by cycle, most recent first), 1 of them at the actual-harm or immediate-jeopardy level. That is 19.3 per 100 beds, about the same as the state median of 22.5.

CMS lists 2 penalties in the period covered: fines totalling $10K and 1 payment denial.

Reported nurse staffing is 3.3 hours per resident per day (0.5 RN), close to the Texas median of 3.3; nursing staff turnover is 52.5%.

16health deficiencies, 3 survey cycles1 at actual harm or worse
$10Kfines listed by CMS2 penalties in period
3.3nurse hours per resident per daystate median 3.3
56%occupancy (residents ÷ beds)47 residents a day

Compared with county, state and nation

MeasureThis facilityParmer Co. medianTexas medianUS average
Overall star rating4433.0
Health citations, 3 cycles16312528.7
Citations per 100 beds19.341.322.526.8
Total nurse hours per resident day3.33.33.33.9
RN hours per resident day0.50.50.40.7
Nursing staff turnover52.5%60.9%52.1%45.8%
Fines listed$10,033$13,397$16,801—

County and state figures are medians across facilities (2 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)3
Cycle 210
Cycle 33

Dark bar: this facility. Grey bar: Texas average per facility for the same cycle, as published by CMS. Standard health survey dates: 31 Jul 2025, 30 May 2024.

Severity mix: G ×1 D ×13 E ×1 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
31 Jul 2025F0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.DStandard survey5 Aug 2025
31 Jul 2025F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DStandard survey18 Aug 2025
31 Jul 2025F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.DStandard survey12 Aug 2025
30 May 2024F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.GStandard survey13 Jul 2024
30 May 2024F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.FStandard survey13 Jul 2024
30 May 2024F0880Provide and implement an infection prevention and control program.EStandard survey13 Jul 2024
30 May 2024F0607Develop and implement policies and procedures to prevent abuse, neglect, and theft.DStandard survey13 Jul 2024
30 May 2024F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DStandard survey13 Jul 2024
30 May 2024F0693Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.DStandard survey13 Jul 2024
30 May 2024F0695Provide safe and appropriate respiratory care for a resident when needed.DStandard survey13 Jul 2024
30 May 2024F0760Ensure that residents are free from significant medication errors.DStandard survey13 Jul 2024
30 May 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 survey13 Jul 2024
30 May 2024F0943Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.DStandard survey13 Jul 2024
23 Mar 2023F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DStandard survey7 May 2023
23 Mar 2023F0695Provide safe and appropriate respiratory care for a resident when needed.DStandard survey7 May 2023
23 Mar 2023F0880Provide and implement an infection prevention and control program.DStandard survey7 May 2023

Penalties

DateTypeAmountDetail
30 May 2024Payment denial—15 days
30 May 2024Fine$10,033

Staffing

Total nursing3.32 h
Nurse aides2.31 h
LPN0.51 h
RN0.5 h
Weekend total2.67 h

Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Texas average. Turnover: nursing staff 52.5%, RNs 20.0%; 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 Stay17.8%14.9%12.6%
Percentage of long-stay residents with a catheter inserted and left in their bladderLong Stay1.0%0.0%0.3%
Percentage of long-stay residents with a urinary tract infectionLong Stay1.2%0.3%0.9%
Percentage of long-stay residents experiencing one or more falls with major injuryLong Stay10.1%3.0%2.8%
Percentage of long-stay residents whose ability to walk independently worsenedLong Stay16.1%12.4%12.5%
Percentage of long-stay residents with pressure ulcersLong Stay1.7%3.4%4.2%
Percentage of long-stay residents who received an antipsychotic medicationLong Stay8.0%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: Parmer County Hospital District.

OrganisationRole in the CMS recordInterestSince
Parmer County Hospital District5% or greater direct ownership interest100%03/31/2016
Parmer County Hospital DistrictOperational/managerial controlNOT APPLICABLE03/31/2016
Parmer County Hospital DistrictAdp of the snfNOT APPLICABLE03/31/2016

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 Parmer County

FacilityCityBedsOverallHealthStaffingCitationsPer 100 bedsFinesLast survey
Farwell Care and Rehabilitation CenterFarwell751213141.3$13K19 May 2026

All 2 facilities in Parmer County

Questions and answers

How many deficiencies has Prairie Acres been cited for?

16 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 Prairie Acres been fined?

Yes. CMS lists fines totalling $10K in the period covered, plus 1 payment denial.

How does staffing at Prairie Acres compare?

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

Who operates Prairie Acres?

Ownership type is government, hospital district. Organisations in the CMS ownership record include Parmer County Hospital District and Parmer County Hospital District. Individual owners and managers are not listed on this site.

When was Prairie Acres last inspected?

The most recent survey or investigation in the CMS record is dated 31 Jul 2025; the most recent standard health survey was 31 Jul 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.