ARBOR GRACE WELLNESS CENTER in Littlefield, TX has a 1-star overall rating, with 1-star staffing and quality measures and 2-star health inspection results. Reported staffing is below the federal benchmark (2.77 vs 4.1 hours per resident per day), and the facility has recent federal penalties with $15,944 in fines over the last 24 months.
Last inspection: February 26, 2026Penalties, last 24 months: $15,944recent federal penalty
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 2.7678.
Staffing detail
Registered nurses
0.20
Licensed practical nurses
1.10
Nurse aides
1.46
Weekend nursing
2.64
Hours per resident per day.
Total staff turnover: 55%
Resident outcomes
How often residents experience these outcomes, with the direction over the past year.
Long-stay residents on antipsychotic medication
20.9%Steady
Residents with a fall causing major injury
8.4%Worsening
Residents with pressure ulcers (bedsores)
2.3%Improving
Residents with a urinary tract infection
1.5%Improving
Residents who lost too much weight
4.3%Worsening
Residents who were physically restrained
0.7%Worsening
Residents needing more help with daily activities
29.9%Improving
Residents whose ability to walk got worse
26.8%Steady
Show all measures
Long-stay residents on antianxiety or sleep medication
18.5%Improving
Short-stay residents newly given an antipsychotic
0%Steady
Residents with a long-term catheter
1.3%Worsening
Residents with new or worsening incontinence
29.1%Improving
Residents with depressive symptoms
0%Steady
Long-stay residents given the seasonal flu vaccine
100%Steady
Long-stay residents given the pneumonia vaccine
83.9%Worsening
Short-stay residents given the pneumonia vaccine
38.8%Steady
What the inspectors found
The home failed to promptly tell the resident, doctor, and family about changes or problems affecting the resident. Cited August 2024 — isolated incident, immediate jeopardy to residents.
View the original federal record
F-Tag 580 — 42 CFR §483.10(g)(14) — S/S: J
The nursing home failed to provide proper pressure ulcer care and failed to prevent new pressure sores from developing. Cited August 2024 — isolated incident, immediate jeopardy to residents.
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F-Tag 686 — 42 CFR §483.25(b) — S/S: J
The home failed to provide enough food and fluids to keep residents healthy. Cited August 2023 — isolated incident, actual harm.
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F-Tag 692 — 42 CFR §483.25(g) — S/S: G
The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited October 2023 — widespread issue, potential for harm.
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F-Tag 812 — 42 CFR §483.60(i) — S/S: F
The home failed to ensure residents had reasonable access to and privacy when using communication methods. Cited February 2026 — limited pattern, potential for harm.
View the original federal record
F-Tag 576 — 42 CFR §483.10 — S/S: E
Recent history
STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
INSPECTION
Health inspection found 9 health deficiencies.
See what inspectors found
INSPECTION
Health inspection found 1 health deficiency.
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INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
PENALTY
A federal fine of $15,944 was recorded.
Penalties & enforcement
On record with Medicare: 2 fines · $44,434 in total fines · 1 payment denial.
Federal fine
Aug 26, 2024
$15,944
Medicare/Medicaid payment denial
Aug 29, 2023
1 days
Federal fine
Aug 29, 2023
$28,490
Operator & ownership
Ownership
For profit - Limited Liability company
Chain
Part of PARAMOUNT HEALTHCARE CONSULTANTS · 14 homes · 2.4 stars avg
Occupancy
45.1 residents on an average day (56% of 80 beds)
Resident voice
Resident council
Medicare history
Certified for 22 years
Things at a nursing home change — inspections, staffing, ownership, news.
Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.