PERMIAN RESIDENTIAL CARE CENTER in Andrews, TX has a 5 out of 5 star overall rating, with 5-star health inspection and staffing ratings and 3-star quality measures. Reported nurse staffing is 5.44 hours per resident per day, above the federal benchmark of 4.1, and there were no fines in the last 24 months.
Last inspection: December 12, 2025Penalties, last 24 months: $0
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 5.4355.
Staffing detail
Registered nurses
0.75
Licensed practical nurses
0.92
Nurse aides
3.76
Weekend nursing
4.57
Hours per resident per day.
Total staff turnover: 32%
Registered nurse turnover: 22%
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
7.1%5.7%Improving
Residents with a fall causing major injury
1.6%7.5%Worsening
Residents with pressure ulcers (bedsores)
1.8%5.8%Worsening
Residents with a urinary tract infection
6.9%3.2%Improving
Residents who lost too much weight
5.5%1.7%Improving
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
23.6%33.3%Worsening
Residents whose ability to walk got worse
54.8%54.8%No change
Long-stay residents on antianxiety or sleep medication
22%25.4%Worsening
Short-stay residents newly given an antipsychotic
—0%—
Residents with a long-term catheter
0%0%No change
Residents with new or worsening incontinence
21.9%26.3%Worsening
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
100%100%No change
Short-stay residents given the seasonal flu vaccine
—88.9%—
Short-stay residents given the pneumonia vaccine
88.5%76%Worsening
What the inspectors found
The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited March 2024 — 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 make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited December 2025 — limited pattern, potential for harm.
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F-Tag 812 — 42 CFR §483.60(i) — S/S: E
The home failed to provide safe and appropriate breathing care when a resident needed it. Cited December 2025 — isolated incident, potential for harm.
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F-Tag 695 — 42 CFR §483.25(i) — S/S: D
The home failed to properly label and securely store medications and biologicals. Cited December 2025 — isolated incident, potential for harm.
View the original federal record
F-Tag 761 — 42 CFR §483.45(g) — S/S: D
The nursing home failed to ensure a working call system was available in each resident’s bathroom and bathing area. Cited December 2025 — isolated incident, potential for harm.
View the original federal record
F-Tag 919 — 42 CFR §483.90 — S/S: D
Recent history
STAFFING
Reported nurse staffing met or exceeded the federal recommendation.
INSPECTION
Health inspection found 4 health deficiencies.
See what inspectors found
INSPECTION
Health inspection found 2 health deficiencies.
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INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
Penalties & enforcement
On record with Medicare: 1 fine · $20,865 in total fines.
Federal fine
Mar 7, 2024
$20,865
Operator & ownership
Ownership
Government - County
Occupancy
68.4 residents on an average day (61% of 112 beds)
Resident voice
Resident council
Medicare history
Certified for 18 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.