Hansford Manor in Spearman, TX has an overall rating of 3 out of 5 stars, with solid health inspection results and staffing at 4.91 hours per resident day above the 4.1-hour federal benchmark, but very weak quality measures at 1 out of 5 stars. It has had no fines in the last 24 months.
Last inspection: September 10, 2025Penalties, last 24 months: $0
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 4.91.
Staffing detail
Registered nurses
0.74
Licensed practical nurses
0.96
Nurse aides
3.20
Weekend nursing
3.87
Hours per resident per day.
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
3%15.4%Worsening
Residents with a fall causing major injury
13.5%3.8%Improving
Residents with pressure ulcers (bedsores)
6.9%0%Improving
Residents with a urinary tract infection
5.8%5.8%No change
Residents who lost too much weight
4.4%2.2%Improving
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
15.8%16.3%No change
Residents whose ability to walk got worse
34.9%21.1%Improving
Long-stay residents on antianxiety or sleep medication
24.4%19.6%Improving
Residents with a long-term catheter
1.5%5.1%Worsening
Residents with new or worsening incontinence
29.4%13.4%Improving
Residents with depressive symptoms
0%4.3%Worsening
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
100%100%No change
Short-stay residents given the pneumonia vaccine
—91.5%—
What the inspectors found
The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited September 2025 — widespread issue, potential for harm.
View the original federal record
F-Tag 812 — 42 CFR §483.60(i) — S/S: F
The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited June 2023 — limited pattern, potential for harm.
View the original federal record
F-Tag 689 — 42 CFR §483.25(d) — S/S: E
The home failed to honor residents’ choices about treatment, research participation, and advance care instructions. Cited September 2025 — isolated incident, potential for harm.
View the original federal record
F-Tag 578 — 42 CFR §483.10 — S/S: D
The nursing home failed to develop and carry out a complete care plan that met each resident’s needs with clear steps and timelines. Cited September 2025 — isolated incident, potential for harm.
View the original federal record
F-Tag 656 — 42 CFR §483.21(b)(1) — S/S: D
The home failed to provide safe and appropriate breathing care when a resident needed it. Cited September 2025 — isolated incident, potential for harm.
View the original federal record
F-Tag 695 — 42 CFR §483.25(i) — S/S: D
Recent history
STAFFING
Reported nurse staffing met or exceeded the federal recommendation.
INSPECTION
Health inspection found 5 health deficiencies.
See what inspectors found
INSPECTION
Health inspection found 3 health deficiencies.
See what inspectors found
INSPECTION
Health inspection found 2 health deficiencies.
See what inspectors found
Operator & ownership
Ownership
Government - Hospital district
Occupancy
52.6 residents on an average day (88% of 60 beds)
Resident voice
Resident council
Medicare history
Certified for 25 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.