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Nursing HomeMedicaid Investigative

Azle Manor Health Care and Rehabilitation

Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.

721 Dunaway Ln, Azle, TX 76020142 bedsLicensed & Active
2/5
Medicare
Inspection
Quality
Staffing
Google rating
4.2/5

based on 77 Google reviews

5
4
3
2
1

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5/ 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)
  • High staff turnover (61%)
  • High RN turnover (67%)

Bottom 25% in Texas · Critically understaffed (RN) · $44,548 in fines

Source: Medicare data

What this means for your family

This facility is an excellent choice for physical rehabilitation, with several families reporting successful transitions back to home life. However, due to documented allegations of medication errors and hygiene neglect, you should specifically ask about their medication administration protocols and how they monitor resident hygiene during shift changes.

Google Reviews

Google Reviews

77 reviews on Google
Families considering Azle Manor will find a facility highly praised for its exceptional rehabilitation programs and a warm, community-oriented staff that treats residents like family. However, there are serious, recurring allegations regarding medical neglect, understaffing, and poor hygiene standards that should be investigated during a visit.

Quality Themes

Tap a score for details
FoodN/AStaff6.0Clean7.0Activities9.0Meds2.0MemoryN/AComms7.0ValueN/A

Strengths

  • Exceptional rehabilitation and physical therapy programs
  • Warm and compassionate nursing and care staff
  • Engaging social activities and community involvement
  • Clean and well-maintained facility environment

Concerns

  • Allegations of medical neglect and medication errors (mentioned by 3 reviewers)
  • Issues with resident hygiene and grooming (mentioned by 3 reviewers)
  • Staffing shortages and slow response to call buttons (mentioned by 2 reviewers)
  • Unwelcoming attitude toward visiting family members (mentioned by 2 reviewers)

Rating Trends

Tap a year to see what changed

234'16(1)'18(2)'20(1)'22(5)'24(2)'26(12)

Distribution · 80 analyzed

5
60
4
3
3
2
2
0
1
15
16 reviews posted between Jul 13, 2023Jul 13, 2023 · 16 were 5-star

How They Respond to Reviews

37%response rate
Good

The owner provides highly personalized responses to positive reviews, often using the reviewer's name and referencing specific family members. For negative reviews, the owner attempts to be professional and empathetic, though occasionally uses a defensive tone when addressing past management issues.

Questions for Your Tour

  • 1We've heard wonderful things about your physical therapy and rehab programs; could you tell us more about how those are tailored to each resident's needs?
  • 2How do you ensure that medication is administered accurately and that there is a double-check system in place for every dose?
  • 3What specific steps does the nursing team take to ensure residents are assisted with personal grooming and hygiene every day?
  • 4With the facility being quite large, what is the protocol for responding to call buttons to ensure no resident is left waiting for long periods?
  • 5We noticed you are very active in responding to community feedback; how does the administration use family suggestions to improve daily care?
  • 6What kind of social activities or community outings are available to keep residents engaged and connected with the local area?

Personalized based on this facility's data


Key Review Excerpts

Cannot stress enough after a year in their care she walked out Out of the facility to a normal life.

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

Dr. Kris Porter withheld medically necessary medication from my dad for the entire 7 days he was in the institution. She put him a severe risk of heart attack and/blood clots for which he had just suffered a stroke a few weeks before.

Rehab patient's family · 2023☆☆☆☆

They took care of my Mom for nearly 3 years to her passing a couple weeks ago. They were caring, UN-believably patient and attentive through her time there.

Long-term resident's family · 2025★★★★★
Source: 77 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
0.34hrs
45%
Registered nurses for medical care
Total Nursing
3.55hrs
87%
All nurses + aides combined
Staff Turnover
61%
Lower is better (< 30% = good)
RN Turnover
63%
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

7

measures

Worse Than Avg

6

measures

Mixed Results

4

measures

Long-Stay Residents
🚶

Residents whose walking got worse

↓ Lower is better
This Facility30.7%
Worse than Avg
Here
30.7%
US
15.3%
TX
14.9%
Tarrant
12.5%
🛏️

Residents needing more daily help over time

↓ Lower is better
This Facility28.7%
Worse than Avg
Here
28.7%
US
14.4%
TX
16.1%
Tarrant
13.1%
💊

Residents on antipsychotic medication

↓ Lower is better
This Facility5.6%
Better than Avg
Here
5.6%
US
15.4%
TX
9.4%
Tarrant
8.7%
🚿

Residents whose bladder or bowel control got worse

↓ Lower is better
This Facility21.6%
Worse than Avg
Here
21.6%
US
19.4%
TX
14.2%
Tarrant
14.9%
💊

Residents on anti-anxiety or sleep medication

↓ Lower is better
This Facility13.0%
Better than Avg
Here
13.0%
US
19.5%
TX
18.4%
Tarrant
16.8%
💉

Residents vaccinated for pneumonia

↑ Higher is better
This Facility99.4%
Better than Avg
Here
99.4%
US
93.4%
TX
96.9%
Tarrant
97.8%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility96.5%
Better than Avg
Here
96.5%
US
81.8%
TX
89.2%
Tarrant
91.5%
💉

Short-stay residents vaccinated for the flu

↑ Higher is better
This Facility83.8%
Mixed vs Avgs
Here
83.8%
US
79.7%
TX
88.0%
Tarrant
89.7%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility1.9%
Worse than Avg
Here
1.9%
US
1.6%
TX
1.5%
Tarrant
1.6%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

5deficiencies
4penalties
Near state avg (9.1)
8 complaint-triggered
$44,548 in fines

Azle Manor has a concerning pattern of recurring safety violations, particularly with accident prevention and supervision, which triggered multiple family complaints between 2023-2025. The facility struggles with maintaining safe environments, proper medication management, and infection control, with seven of 14 deficiencies stemming from family reports. While all issues show correction dates, the repeated safety problems suggest ongoing supervision challenges that families should carefully evaluate during visits.

Jul 16, 2025Complaint
1
0689Actual harm · IsolatedResolved (past non-compliance)

Quality of Life and Care Deficiencies

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

Apr 26, 2025Complaint
2
0689Immediate jeopardy · 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.

0689Immediate jeopardy · 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 13, 2024Routine
6
0812Potential for harm · WidespreadCorrected

Nutrition and Dietary Deficiencies

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

0761Potential for harm · PatternCorrected

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.

0578Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.

0880Potential for harm · IsolatedCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0293Potential for harm · IsolatedCorrected

Egress Deficiencies

Have properly located and lighted "Exit" signs.

0341Minimal · WidespreadCorrected

Smoke Deficiencies

Install a fire alarm system that can be heard throughout the facility.

Nov 13, 2024Complaint
1
0925Potential for harm · IsolatedCorrected

Environmental Deficiencies

Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.

Jun 6, 2024Complaint
2
0689Immediate jeopardy · 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.

0697Immediate jeopardy · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide safe, appropriate pain management for a resident who requires such services.

Oct 5, 2023Complaint
1
0689Actual 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.

Federal Penalties

Fine

Jul 16, 2025

$10,634

Fine

Apr 26, 2025

$16,149

Fine

Jun 6, 2024

$10,322

Fine

Oct 5, 2023

$7,443

Ownership & Operations

Who Operates This Facility

Owner / Operator

Azle Manor Health Care Lllp

Organization Type

for profit

Administrator

CHRIS PORTER

Ownership & Management

Owners

Burmont, INC.

Owner · Organization

99%

Key personnel

Porter, KrisContracted Managing EmployeePorter, ChrisW-2 Managing EmployeeArnold, JasonOfficer / DirectorMontgomery, MitchellOfficer / DirectorMontgomery, RaymondOfficer / Director
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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