The home failed to provide safe, appropriate pain management for a resident who needed it. Cited June 2025 — isolated incident, immediate jeopardy to residents.
View the original federal record
F-Tag 697 — 42 CFR §483.25(k) — S/S: J
Nursing home report
Silver Spring
Abilene, TX · Medicare-certified · 120 beds
In good standing
For-profitChain member
Data as of September 1, 2026
3 of 5 overall
Silver Spring in Abilene, TX has an overall 3-star rating, with 3 stars for health inspections, 2 stars for staffing, and 4 stars for quality measures. It reported 3.19 nurse staffing hours per resident per day versus the 4.1 federal benchmark, had $0 in fines over the last 24 months, and recent inspection citations included pain management, staff competency, and food safety practices.
Facility ratings
Health inspections
Staffing
3.1921 hrs/resident/day
Quality measures
Last inspection: January 30, 2026Penalties, last 24 months: $0
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.1921.
Staffing detail
- Registered nurses
- 0.51
- Licensed practical nurses
- 0.80
- Nurse aides
- 1.88
- Weekend nursing
- 2.77
Hours per resident per day.
Total staff turnover: 49%
Registered nurse turnover: 54%
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).
Long-stay residents on antipsychotic medication
10.3%2%Improving
Residents with a fall causing major injury
6.7%4.1%Improving
Residents with pressure ulcers (bedsores)
4.1%3.5%Improving
Residents with a urinary tract infection
0%0%No change
Residents who lost too much weight
0%0%No change
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
30%16.4%Improving
Residents whose ability to walk got worse
—7.6%—
Long-stay residents on antianxiety or sleep medication
13.7%16.4%Worsening
Short-stay residents newly given an antipsychotic
0%1.2%Worsening
Residents with a long-term catheter
0%0%No change
Residents with new or worsening incontinence
7.5%9.2%Worsening
Residents with depressive symptoms
1.8%0%Improving
Positive outcomes
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
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
—99.2%—
Short-stay residents given the pneumonia vaccine
100%82.8%Worsening
What the inspectors found
The home failed to ensure nurses and nurse aides had the needed skills to care for each resident and support their well-being. Cited June 2025 — isolated incident, immediate jeopardy to residents.
View the original federal record
F-Tag 726 — 42 CFR §483.35 — S/S: J
The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited January 2026 — 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 update each resident’s assessment at least every three months. Cited November 2024 — limited pattern, potential for harm.
View the original federal record
F-Tag 638 — 42 CFR §483.20 — S/S: E
The home failed to properly label and securely store medications and biologicals. Cited January 2024 — limited pattern, potential for harm.
View the original federal record
F-Tag 761 — 42 CFR §483.45(g) — S/S: E
Recent history
- STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
- INSPECTION
Health inspection found 2 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 2 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 5 health deficiencies.
See what inspectors found
Operator & ownership
Recent ownership change · Apr 1, 2021
Now operated by Winnie-stowell Hospital District, previously Cascade - Abilene Health Services, LTD.
- Ownership
- For profit - Corporation
- Chain
- Part of HMG HEALTHCARE · 31 homes · 3.2 stars avg
- Occupancy
- 85.5 residents on an average day (71% of 120 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 11 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.