Azle Manor Health Care and Rehabilitation has a 2 out of 5 overall rating, with 2-star health inspection and staffing scores and a 4-star quality measures score. It reports 3.32 nurse staffing hours per resident per day versus the 4.1 federal benchmark, and it had $26,783 in fines in the last 24 months plus a recent federal penalty.
Last inspection: February 20, 2026Penalties, last 24 months: $26,783recent federal penalty
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.3228.
Staffing detail
Registered nurses
0.33
Licensed practical nurses
0.94
Nurse aides
2.06
Weekend nursing
2.89
Hours per resident per day.
Total staff turnover: 61%
Registered nurse turnover: 44%
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
5%6.6%Worsening
Residents with a fall causing major injury
4.8%2.4%Improving
Residents with pressure ulcers (bedsores)
3.7%5.2%Worsening
Residents with a urinary tract infection
3.8%0%Improving
Residents who lost too much weight
1.5%1.4%No change
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
33.8%11.1%Improving
Residents whose ability to walk got worse
—14.5%—
Long-stay residents on antianxiety or sleep medication
15.1%14.7%No change
Short-stay residents newly given an antipsychotic
3.8%0%Improving
Residents with a long-term catheter
3.3%0%Improving
Residents with new or worsening incontinence
20.9%16.9%Improving
Residents with depressive symptoms
9.3%9%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
—98%—
Long-stay residents given the pneumonia vaccine
98.8%100%Improving
Short-stay residents given the seasonal flu vaccine
—83.8%—
Short-stay residents given the pneumonia vaccine
98.9%100%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.
View the original federal record
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 February 2026 — widespread issue, potential for harm.
View the original federal record
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.
View the original federal record
F-Tag 761 — 42 CFR §483.45(g) — S/S: E
The nursing home failed to provide and carry out an infection prevention and control program to help keep residents from getting or spreading infections. Cited February 2026 — isolated incident, potential for harm.
View the original federal record
F-Tag 880 — 42 CFR §483.80(a) — S/S: D
Recent history
STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
INSPECTION
Health inspection found 3 health deficiencies.
See what inspectors found
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 - Limited Liability company
Occupancy
106.5 residents on an average day (75% of 142 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.