Arbor Grace Wellness Center
Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.
based on 26 Google reviews
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Quality Concerns Identified
Medicare inspection and quality data reveal areas that families should carefully evaluate before choosing this facility.
- Low overall rating (2/5 stars)
- Low staffing rating (2/5 stars)
- High staff turnover (54%)
Below average in Texas · Critically understaffed (RN) · $44,434 in fines
What this means for your family
This facility is an excellent choice if you are looking for a rehab or nursing environment that is actively improving its standards of care. The recent change in management appears to have directly addressed previous issues with organization and communication, though you should verify the current status of the rebranding from Arbor Grace to Sunset Valley.
Google Reviews
Google Reviews
26 reviews analyzed“Families can expect a facility undergoing a significant positive transformation under new management, with multiple reviewers highlighting improved organization and a warmer atmosphere. While the staff is widely praised for being compassionate and attentive, some reviewers specifically note that the facility was recently purchased and rebranded from Arbor Grace to Sunset Valley.”
Quality Themes
Strengths
- Compassionate and attentive nursing staff
- Effective new leadership and management
- High-quality rehabilitation and therapy services
- Clean and well-maintained environment
- Welcoming and supportive community atmosphere
Rating Trends
Tap a year to see what changed
Distribution
How They Respond to Reviews
This facility rarely responds to reviews.
Questions for Your Tour
- 1I've heard wonderful things about the new leadership team here; how has their recent arrival changed the day-to-day culture of the center?
- 2The nursing staff receives so much praise for being compassionate; how do you ensure that level of attentive care remains consistent across all shifts?
- 3Since the facility is so well-maintained and clean, what specific protocols do you have in place to keep the resident living areas looking their best?
- 4What is the process for managing medical emergencies or sudden changes in health during the overnight hours?
- 5Could you tell me more about the rehabilitation and therapy services available for residents looking to regain their strength?
- 6What kind of daily activities or social events are planned to help residents stay engaged with the community atmosphere?
Personalized based on this facility's data
Key Review Excerpts
“The new leadership has clearly brought a renewed focus on organization, communication, and overall patient care. It is encouraging to see improvements that support both residents and staff.”
“Great employees there at Sunset Valley! (It used to be called Arbor Grace but was recently purchased.) Eric (over operations) and Brianna (over nursing) are super helpful and easy to talk to.”
“The staff feels more energized, communication has improved tremendously, and the overall atmosphere is warmer and more certainly more welcoming than ever.”
Staffing
Staffing Hours
per resident/day · Medicare 2026Both 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 · 16 measures
4
measures
9
measures
3
measures
Residents needing more daily help over time
Residents whose bladder or bowel control got worse
Residents vaccinated for pneumonia
Residents with depression symptoms
Residents whose walking got worse
Residents on antipsychotic medication
Short-stay residents vaccinated for pneumonia
Short-stay residents newly given antipsychotics
US average from Medicare published data
Inspection History
Medicare Inspection History
3-year lookback · Medicare 2026
This facility has significant ongoing quality concerns, with families filing reports that triggered 18 of 42 deficiencies across multiple surveys. The most recurring problems involve nursing staffing shortages, care planning failures, and infection control issues, with additional concerns about abuse reporting and wound care. While all violations show correction dates, the persistent pattern of complaints and repeat deficiencies in critical care areas suggests families should carefully evaluate this facility's ability to provide consistent, safe care.
Feb 26, 2026Routine14
Emergency Preparedness Deficiencies
List the names and contact information of those in the facility.
Smoke Deficiencies
Inspect, test, and maintain automatic sprinkler systems.
Resident Rights Deficiencies
Ensure residents have reasonable access to and privacy in their use of communication methods.
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.
Quality of Life and Care Deficiencies
Provide enough food/fluids to maintain a resident's health.
Nutrition and Dietary Deficiencies
Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Smoke Deficiencies
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Smoke Deficiencies
Install an approved automatic sprinkler system.
Pharmacy Service Deficiencies
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Environmental Deficiencies
Have policies on smoking.
Gas, Vacuum, and Electrical Systems Deficiencies
Have proper medical gas storage and administration areas.
Resident Rights Deficiencies
Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.
Dec 22, 2025Complaint1
Quality of Life and Care Deficiencies
Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
Jan 15, 2025Complaint1
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Nov 22, 2024Routine7
Smoke Deficiencies
Properly select, install, inspect, or maintain portable fire extinguishes.
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Resident Rights Deficiencies
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Nursing and Physician Services Deficiencies
Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
Pharmacy Service Deficiencies
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Egress Deficiencies
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
Aug 26, 2024Complaint2
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.
Quality of Life and Care Deficiencies
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Jun 5, 2024Complaint4
Resident Assessment and Care Planning Deficiencies
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Resident Assessment and Care Planning Deficiencies
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Nursing and Physician Services Deficiencies
Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
Federal Penalties
Fine
Aug 26, 2024
$15,944
Fine
Aug 29, 2023
$28,490
Payment Denial
Aug 29, 2023
1-day denial
Ownership & Operations
Who Operates This Facility
Pdm Operators LLC
for profit
PARAMOUNT HEALTHCARE CONSULTANTS, LLC
DIANA M RIOJAS
Chain Affiliation
Paramount Healthcare Consultants
14 facilities nationwide
Chain avg rating: 2.0/5 · Rank 1 of 1
Ownership & Management
Owners
Smith, Dawne
Owner
Sheppel, Russell
Individual is an Owner, Partner or Trustee of Any Adp of the Snf
Smith, Bradley
Individual is an Owner, Partner or Trustee of Any Adp of the Snf
Key personnel
Contact
Get in Touch
Contact this facility directly and verify the details that matter most to your family.
References & Resources
Medicare Care Compare
Official Medicare quality ratings, inspections & staffing data
Google Maps
Photos, directions & neighborhood info
Google Reviews
26 reviews from families & visitors
Official Website
Visit sunsetvalleyrehab.com
Medicare data downloads
Original nursing home datasets
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Safer Alternatives Nearby
Based on current clinical data, we identified 2 nearby facilities within 10 miles that may offer a stronger care environment. We encourage families to compare options carefully.