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Nursing HomeMedicaid Investigative

Advanced Rehabilitation and Healthcare of Athens

On Medicare Special Focus status, a serious quality warning. Visit in person and ask tough questions before deciding.

121 Commons Drive, Athens, TX 75751120 bedsLicensed & Active
1/5
Medicare
Inspection
Quality
Staffing
Google rating
3.8/5

based on 68 Google reviews

5
4
3
2
1

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6/ 10
high Risk

Quality Concerns Identified

Medicare inspection and quality data reveal areas that families should carefully evaluate before choosing this facility.

  • Low overall rating (1/5 stars)
  • Low staffing rating (1/5 stars)
  • Above-median deficiencies (10 vs median 8.0)
  • High staff turnover (60%)
  • High RN turnover (75%)

Bottom 25% in Texas · Critically understaffed (RN) · Worst in ADVANCED HEALTHCARE SOLUTIONS chain · $124,017 in fines

Source: Medicare data

What this means for your family

This facility's modern infrastructure and excellent rehab department make it a strong candidate for short-term recovery. However, families must be extremely vigilant regarding staffing levels and hygiene, as multiple reports indicate that patients may be neglected during night and weekend shifts.

Google Reviews

Google Reviews

68 reviews on Google
Families considering this facility will find a modern, clean, and beautiful building with a highly-regarded rehabilitation department and friendly activity staff. However, there are serious, recurring reports of inadequate staffing during weekends and night shifts, as well as significant concerns regarding patient neglect and poor communication from the administrative team.

Quality Themes

Tap a score for details
Food4.0Staff4.0Clean6.0Activities9.0MedsN/AMemoryN/AComms3.0Value2.0

Strengths

  • Modern and clean facility
  • Excellent rehabilitation services
  • Friendly and caring activity staff
  • Efficient new check-in/kiosk system

Concerns

  • Inadequate staffing/long response times for call lights (mentioned by 3 reviewers)
  • Poor administrative communication and attitude (mentioned by 2 reviewers)
  • Issues with patient hygiene and neglect (mentioned by 2 reviewers)
  • Unpleasant facility odors (mentioned by 2 reviewers)

Rating Trends

Tap a year to see what changed

2342.52022(4)3.82023(16)3.02024(4)4.02025(23)4.12026(16)

Distribution · 63 analyzed

5
41
4
2
3
2
2
2
1
16

How They Respond to Reviews

63%response rate
Generic

The owner relies almost exclusively on a small set of repetitive, templated responses. Positive reviews receive an identical, verbatim paragraph, while negative reviews are met with standardized scripts that offer a phone call to the Administrator rather than addressing specific grievances.

Questions for Your Tour

  • 1I noticed the new check-in kiosk system is quite efficient; how does this technology help streamline communication between the administration and families?
  • 2With the focus on excellent rehabilitation services here, how do you coordinate physical therapy schedules with a resident's daily routine?
  • 3How do you ensure that call lights are answered promptly, especially during busy shifts or overnight hours?
  • 4What specific steps are taken by the care team to maintain high standards of personal hygiene and facility cleanliness for every resident?
  • 5Could you tell me more about the variety of activities the staff organizes to keep residents engaged and social?
  • 6How does the nursing team manage medical emergencies or sudden changes in a resident's condition after regular business hours?

Personalized based on this facility's data


Key Review Excerpts

The rehab department is superb. Staff is caring. I had a concern and the Administrator, Lana handled it right away.

Rehab patient · 2026★★★★★

Our 96 year old mother was transferred to Advanced for 20 days of rehab to help regain her strength after a brief hospital stay. This relatively new facility is lovely, with none of that drab "grey" that has become so popular.

Long-term resident's family · 2025★★★★★

I was left soiled for over 3 hours after the tech kept coming in my room just to turn off the call light and leave, and left when her shift ended without ever taking care of me

Rehab patient · 2023☆☆☆☆
Source: 68 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
0.24hrs
33%
Registered nurses for medical care
Total Nursing
3.50hrs
85%
All nurses + aides combined
Staff Turnover
59%
Lower is better (< 30% = good)
RN Turnover
78%
Lower is better (< 30% = good)

Both RN and total nursing hours are below national benchmarks. This can mean less clinical attention per resident, so ask about their staffing plan.

Quality Measures

Quality Measures

Resident outcomes compared with national, state, and local averages · 17 measures

Medicare Rating
3/ 5
Better Than Avg

12

measures

Worse Than Avg

2

measures

Mixed Results

3

measures

Long-Stay Residents
🚿

Residents whose bladder or bowel control got worse

↓ Lower is better
This Facility6.2%
Better than Avg
Here
6.2%
US
19.4%
TX
14.2%
Henderson
22.7%
😔

Residents with depression symptoms

↓ Lower is better
This Facility3.5%
Mixed vs Avgs
Here
3.5%
US
12.1%
TX
2.5%
Henderson
5.7%

Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.

💊

Residents on antipsychotic medication

↓ Lower is better
This Facility9.1%
Better than Avg
Here
9.1%
US
15.4%
TX
9.4%
Henderson
14.1%
💊

Residents on anti-anxiety or sleep medication

↓ Lower is better
This Facility22.1%
Mixed vs Avgs
Here
22.1%
US
19.5%
TX
18.4%
Henderson
27.6%
🛏️

Residents needing more daily help over time

↓ Lower is better
This Facility19.7%
Worse than Avg
Here
19.7%
US
14.4%
TX
16.1%
Henderson
14.5%
🚶

Residents whose walking got worse

↓ Lower is better
This Facility20.0%
Worse than Avg
Here
20.0%
US
15.3%
TX
14.9%
Henderson
19.0%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for the flu

↑ Higher is better
This Facility94.4%
Better than Avg
Here
94.4%
US
79.7%
TX
88.0%
Henderson
85.5%
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility95.0%
Better than Avg
Here
95.0%
US
81.8%
TX
89.2%
Henderson
84.0%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility1.0%
Better than Avg
Here
1.0%
US
1.6%
TX
1.5%
Henderson
1.5%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

13deficiencies
3penalties
Above state avg (9.1)
25 complaint-triggered
$124,017 in fines

This facility has a concerning pattern of 37 deficiencies across 11 surveys, with 21 triggered by family complaints. Recurring issues include problems with daily care assistance, protection from abuse and neglect, and care planning. Multiple complaints involved the same daily care issues appearing across different time periods, suggesting ongoing challenges. Families have repeatedly filed reports about care concerns, indicating persistent problems that warrant careful consideration before placement.

Feb 13, 2026Complaint
4
0610Immediate jeopardy · PatternCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Respond appropriately to all alleged violations.

0600Actual harm · IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

0609Actual harm · IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

0689Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Nov 18, 2025Complaint
2
0657Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

0755Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Aug 15, 2025Complaint
3
0580Immediate jeopardy · PatternCorrected

Resident Rights Deficiencies

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

0684Immediate jeopardy · PatternCorrected

Quality of Life and Care Deficiencies

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

0550Actual harm · IsolatedCorrected

Resident Rights Deficiencies

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Mar 29, 2025Complaint
1
0812Potential for harm · PatternCorrected

Nutrition and Dietary Deficiencies

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Jan 15, 2025Routine
6
0585Potential for harm · WidespreadCorrected

Resident Rights Deficiencies

Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.

0324Potential for harm · PatternCorrected

Smoke Deficiencies

Provide properly protected cooking facilities.

0353Potential for harm · PatternCorrected

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

0641Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Ensure each resident receives an accurate assessment.

0842Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

0880Potential for harm · IsolatedCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

Jan 6, 2025Complaint
2
0600Potential for harm · IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

0684Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Federal Penalties

Fine

Feb 13, 2026

$138,600

Fine

Aug 15, 2025

$110,750

Fine

May 22, 2023

$13,667

Ownership & Operations

Who Operates This Facility

Owner / Operator

Coryell Memorial Hospital Authority

Organization Type

for profit

Management Company

ADVANCED HCS

Administrator

LANA NIXON

Chain Affiliation

Chain Name

Advanced Healthcare Solutions

Chain Size

30 facilities nationwide

Chain avg rating: 3.2/5 · Rank 28 of 30 (Worst)

Ownership & Management

Owners

Coryell County Memorial Hospital Authority

Owner (parent company) · Organization

Key personnel

Byrom, DavidW-2 Managing EmployeeByrom, DavidOfficer / DirectorScheiner, EliezerOfficer / DirectorByrom, DavidOfficer / DirectorAdvanced Hcs LLCManager
Source: Medicare provider data

Contact

Get in Touch

Contact this facility directly and verify the details that matter most to your family.

References & Resources

EveryPlace is a research directory. Facility information is compiled from public sources — Medicare.gov, state licensing portals, Google Places, and publicly available street-level imagery. Listings do not constitute endorsement, recommendation, or advertisement, and we do not accept payment for placement. Families should verify all details directly with the facility and the original sources linked above before making any care decisions. See our Research Policy for our editorial standards, correction process, and image-removal policy.

Safer Alternatives Nearby

Based on current clinical data, we identified 6 nearby facilities within 10 miles that may offer a stronger care environment. We encourage families to compare options carefully.

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