ARBOR GRACE WELLNESS CENTER in Littlefield, TX has a 1-star overall rating, with low quality measures (1 star) and staffing and health inspection ratings at 2 stars. It has reported nurse staffing of 3.08 hours per resident per day, below the federal benchmark of 4.1, and has $15,944 in fines in the last 24 months plus a recent federal penalty.
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 3.0773.
Staffing detail
Registered nurses
0.30
Licensed practical nurses
0.97
Nurse aides
1.80
Weekend nursing
2.90
Hours per resident per day.
Total staff turnover: 59%
Resident outcomes
Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.
Negative outcomes
Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).
Last yrNowTrend
Long-stay residents on antipsychotic medication
19%25%Worsening
Residents with a fall causing major injury
8.6%7%Improving
Residents with pressure ulcers (bedsores)
3.2%1.6%Improving
Residents with a urinary tract infection
3.1%0%Improving
Residents who lost too much weight
3.6%10%Worsening
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
20.7%34.6%Worsening
Residents whose ability to walk got worse
—25%—
Long-stay residents on antianxiety or sleep medication
19.4%15.2%Improving
Short-stay residents newly given an antipsychotic
—0%—
Residents with a long-term catheter
0%0%No change
Residents with new or worsening incontinence
25%9.7%Improving
Residents with depressive symptoms
0%0%No change
Positive outcomes
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Last yrNowTrend
Long-stay residents given the seasonal flu vaccine
—100%—
Long-stay residents given the pneumonia vaccine
85.7%53.5%Worsening
Short-stay residents given the pneumonia vaccine
—26.8%—
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.
View the original federal record
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.
See what inspectors found
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
42.7 residents on an average day (53% of 80 beds)
Resident voice
Resident council
Medicare history
Certified for 23 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.