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Nursing home report

Stonewall Living Center

Aspermont, TX · Medicare-certified · 53 beds

Needs attention
Government-run
Data as of July 1, 2026
4 of 5 overall

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.

Facility ratings

Health inspections

Staffing

Quality measures

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).

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).

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

  1. INSPECTION

    Health inspection found 2 health deficiencies.

    See what inspectors found
  2. PENALTY

    A federal fine of $8,281 was recorded.

  3. INSPECTION

    Health inspection found 2 health deficiencies.

    See what inspectors found
  4. 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.