Hansford Manor in Spearman, TX has an overall rating of 4 out of 5 stars, with 4-star health inspections, 3-star staffing, and 2-star quality measures. It reports 4.83 nurse staffing hours per resident per day, above the federal benchmark of 4.1, and has had $0 in 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 4.8278.
Staffing detail
Registered nurses
0.69
Licensed practical nurses
1.01
Nurse aides
3.13
Weekend nursing
3.77
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
6.5%13.5%Worsening
Residents with a fall causing major injury
4.7%2%Improving
Residents with pressure ulcers (bedsores)
7.9%6.4%Improving
Residents with a urinary tract infection
4.7%6.1%Worsening
Residents who lost too much weight
7.9%4.5%Improving
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
26.5%14.6%Improving
Residents whose ability to walk got worse
29.6%21%Improving
Long-stay residents on antianxiety or sleep medication
18.4%22.7%Worsening
Short-stay residents newly given an antipsychotic
—4.8%—
Residents with a long-term catheter
3.3%4.6%Worsening
Residents with new or worsening incontinence
21.9%26.9%Worsening
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
—87.9%—
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.
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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
53.9 residents on an average day (90% 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.