Elder Care Record

Texas › Wheeler County › Wheeler

Wheeler Nursing & Rehabilitation

1000 S Kiowa St, Wheeler, TX 79096

CCN 675534 · For-profit, limited liability company · 90 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.

Wheeler Nursing & Rehabilitation is a For-profit, limited liability company nursing home in Wheeler, Texas, certified for 90 beds and caring for about 38 residents a day.

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

Inspectors recorded 13 health deficiencies across the three most recent survey cycles (4, 3, 6 by cycle, most recent first), none at the actual-harm level. That is 14.4 per 100 beds, fewer 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 3.1 hours per resident per day (0.5 RN), close to the Texas median of 3.3; nursing staff turnover is 35.7%.

13health deficiencies, 3 survey cyclesnone at actual-harm level
$0fines listed by CMS0 penalties in period
3.1nurse hours per resident per daystate median 3.3
42%occupancy (residents ÷ beds)38 residents a day

Compared with county, state and nation

MeasureThis facilityWheeler Co. medianTexas medianUS average
Overall star rating5533.0
Health citations, 3 cycles13132528.7
Citations per 100 beds14.414.422.526.8
Total nurse hours per resident day3.13.13.33.9
RN hours per resident day0.50.50.40.7
Nursing staff turnover35.7%35.7%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)4
Cycle 23
Cycle 36

Dark bar: this facility. Grey bar: Texas average per facility for the same cycle, as published by CMS. Standard health survey dates: 28 Aug 2025, 10 Jul 2024.

Severity mix: D ×7 E ×3 F ×3

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
23 Apr 2026F0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.DComplaint investigation24 Apr 2026
28 Aug 2025F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.FStandard survey10 Oct 2025
28 Aug 2025F0641Ensure each resident receives an accurate assessment.DStandard survey10 Oct 2025
28 Aug 2025F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DStandard survey10 Oct 2025
10 Jul 2024F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.FStandard survey30 Jul 2024
10 Jul 2024F0637Assess the resident when there is a significant change in conditionDStandard survey25 Jul 2024
10 Jul 2024F0880Provide and implement an infection prevention and control program.DStandard survey31 Jul 2024
1 May 2024F0558Reasonably accommodate the needs and preferences of each resident.DComplaint investigation20 May 2024
15 Jun 2023F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.FStandard survey30 Jul 2023
15 Jun 2023F0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.EStandard survey30 Jul 2023
15 Jun 2023F0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.EStandard survey30 Jul 2023
15 Jun 2023F0880Provide and implement an infection prevention and control program.EStandard survey30 Jul 2023
15 Jun 2023F0583Keep residents' personal and medical records private and confidential.DStandard survey30 Jul 2023

Penalties

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

Staffing

Total nursing3.08 h
Nurse aides1.75 h
LPN0.87 h
RN0.46 h
Weekend total2.76 h

Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Texas average. Turnover: nursing staff 35.7%, RNs —; 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 Stay5.1%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 Stay0.7%0.3%0.9%
Percentage of long-stay residents experiencing one or more falls with major injuryLong Stay2.8%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 Stay13.2%12.4%12.5%
Percentage of long-stay residents with pressure ulcersLong Stay3.7%3.4%4.2%
Percentage of long-stay residents who received an antipsychotic medicationLong Stay19.4%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, limited liability company.

OrganisationRole in the CMS recordInterestSince
Llano Estacado Healthcare LLCOperational/managerial controlNOT APPLICABLE05/01/2018
Llano Estacado Healthcare LLCAdp of the snfNOT APPLICABLE01/17/2025

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 Wheeler Nursing & Rehabilitation been cited for?

13 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 Wheeler Nursing & Rehabilitation been fined?

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

How does staffing at Wheeler Nursing & Rehabilitation compare?

Reported total nurse staffing is 3.1 hours per resident per day against a Texas median of 3.3 and a national average of 3.9.

Who operates Wheeler Nursing & Rehabilitation?

Ownership type is for-profit, limited liability company. Organisations in the CMS ownership record include Llano Estacado Healthcare LLC. Individual owners and managers are not listed on this site.

When was Wheeler Nursing & Rehabilitation last inspected?

The most recent survey or investigation in the CMS record is dated 23 Apr 2026; the most recent standard health survey was 28 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.