Stonewall Living Center in Aspermont, TX has an overall rating of 4 out of 5 stars, with a strong health inspection rating of 5 stars but a very low staffing rating of 1 star and quality measures at 2 stars. It had $8,281 in fines in the last 24 months and a recent federal penalty; cited issues included accident hazards/supervision, food handling, and resident dignity/rights.
Last inspection: February 12, 2026Penalties, last 24 months: $8,281recent federal penalty
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports not reported.
Staffing detail
Total staff turnover: 56%
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
7.5%4.5%Improving
Residents with a fall causing major injury
6.8%4.2%Improving
Residents with pressure ulcers (bedsores)
0%7.2%Worsening
Residents with a urinary tract infection
4.7%4.5%No change
Residents who lost too much weight
2.4%11.9%Worsening
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
23.1%31.1%Worsening
Residents whose ability to walk got worse
—25.9%—
Long-stay residents on antianxiety or sleep medication
23.8%26.1%Worsening
Residents with a long-term catheter
4.5%0%Improving
Residents with new or worsening incontinence
6.8%40%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
70.5%100%Improving
Short-stay residents given the pneumonia vaccine
—40%—
What the inspectors found
The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited June 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 make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited October 2023 — 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 ensure residents were treated with dignity and could make their own choices and communicate freely. Cited February 2026 — limited pattern, potential for harm.
View the original federal record
F-Tag 550 — 42 CFR §483.10(a) — S/S: E
The home failed to provide pharmacy services and a licensed pharmacist needed to meet each resident’s medication needs. Cited June 2025 — limited pattern, potential for harm.
View the original federal record
F-Tag 755 — 42 CFR §483.45 — S/S: E
The home failed to protect residents’ right to complain without fear and did not ensure grievances were handled promptly. Cited November 2024 — limited pattern, potential for harm.
View the original federal record
F-Tag 585 — 42 CFR §483.10 — S/S: E
Recent history
INSPECTION
Health inspection found 2 health deficiencies.
See what inspectors found
PENALTY
A federal fine of $8,281 was recorded.
INSPECTION
Health inspection found 2 health deficiencies.
See what inspectors found
INSPECTION
Health inspection found 2 health deficiencies.
See what inspectors found
Penalties & enforcement
On record with Medicare: 1 fine · $8,281 in total fines.
Federal fine
Jun 19, 2025
$8,281
Operator & ownership
Ownership
Government - Hospital district
Occupancy
48.4 residents on an average day (91% of 53 beds)
Resident voice
Resident council
Medicare history
Certified for 20 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.