Azle Manor Health Care and Rehabilitation has an overall rating of 2 out of 5 stars, with 2-star health inspection and staffing ratings and 3-star quality measures. It reports 3.55 nursing hours per resident per day versus the 4.1 federal benchmark, and it had $37,105 in fines in the last 24 months with a recent federal penalty.
Last inspection: July 16, 2025Penalties, last 24 months: $37,105recent federal penalty
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.5494.
Staffing detail
Registered nurses
0.34
Licensed practical nurses
0.92
Nurse aides
2.29
Weekend nursing
3.07
Hours per resident per day.
Total staff turnover: 61%
Registered nurse turnover: 63%
Resident outcomes
How often residents experience these outcomes, with the direction over the past year.
Long-stay residents on antipsychotic medication
5.6%Worsening
Residents with a fall causing major injury
2.9%Steady
Residents with pressure ulcers (bedsores)
2.3%Worsening
Residents with a urinary tract infection
3%Improving
Residents who lost too much weight
2.9%Improving
Residents who were physically restrained
0%Steady
Residents needing more help with daily activities
28.7%Improving
Residents whose ability to walk got worse
30.7%Steady
Show all measures
Long-stay residents on antianxiety or sleep medication
13%Worsening
Short-stay residents newly given an antipsychotic
1.9%Improving
Residents with a long-term catheter
1.1%Improving
Residents with new or worsening incontinence
21.6%Improving
Residents with depressive symptoms
8.3%Improving
Long-stay residents given the seasonal flu vaccine
98%Steady
Long-stay residents given the pneumonia vaccine
99.4%Steady
Short-stay residents given the seasonal flu vaccine
83.8%Steady
Short-stay residents given the pneumonia vaccine
96.5%Improving
What the inspectors found
The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited April 2025 — isolated incident, immediate jeopardy to residents.
View the original federal record
F-Tag 689 — 42 CFR §483.25(d) — S/S: J
The home failed to provide safe, appropriate pain management for a resident who needed it. Cited June 2024 — isolated incident, immediate jeopardy to residents.
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F-Tag 697 — 42 CFR §483.25(k) — S/S: J
The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited November 2024 — widespread issue, potential for harm.
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F-Tag 812 — 42 CFR §483.60(i) — S/S: F
The home failed to properly label and securely store medications and biologicals. Cited November 2024 — limited pattern, potential for harm.
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F-Tag 761 — 42 CFR §483.45(g) — S/S: E
The home failed to honor residents’ choices about treatment, research participation, and advance care instructions. Cited November 2024 — isolated incident, potential for harm.
View the original federal record
F-Tag 578 — 42 CFR §483.10 — S/S: D
Recent history
STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
PENALTY
A federal fine of $10,634 was recorded.
INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
PENALTY
A federal fine of $16,149 was recorded.
INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
INSPECTION
Health inspection found 5 health deficiencies.
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PENALTY
A federal fine of $10,322 was recorded.
Penalties & enforcement
On record with Medicare: 4 fines · $44,548 in total fines.
Federal fine
Jul 16, 2025
$10,634
Federal fine
Apr 26, 2025
$16,149
Federal fine
Jun 6, 2024
$10,322
Federal fine
Oct 5, 2023
$7,443
Operator & ownership
Ownership
For profit - Corporation
Occupancy
102.2 residents on an average day (72% of 142 beds)
Resident voice
Resident & family councils
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.