Flatonia Healthcare Center
Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.
based on 38 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.
- Abuse citation on record
- Low overall rating (2/5 stars)
- Above-median deficiencies (9 vs median 8.0)
Below average in Texas · Below recommended RN staffing · Above average staffing · Below chain average · $23,005 in fines · Abuse citation
What this means for your family
This facility is an excellent choice for families seeking a clean, social, and highly professional environment, particularly for rehabilitation or memory care. However, if your loved one has critical medical needs requiring strict monitoring of fluids or nutrition, you should specifically ask how the nursing staff manages high-risk protocols during shift changes.
Google Reviews
Google Reviews
38 reviews analyzed“Families considering Flatonia Healthcare Center will find a facility praised for its exceptionally friendly, professional, and attentive nursing and administration staff. While the facility is frequently noted for its cleanliness and engaging resident activities like Bingo, some reviewers have expressed concerns regarding the quality of food and specific instances of inadequate monitoring for high-needs patients.”
Quality Themes
Tap a score for detailsStrengths
- Warm and attentive nursing and administrative staff
- Clean and well-maintained facility
- Engaging resident activities and community events
- Effective physical therapy and rehabilitation services
Concerns
- Inconsistent food quality
- Inadequate monitoring of critical patient needs (e.g., fluid intake)
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
- 1We've heard wonderful things about the warmth of your nursing and administrative staff; how do you ensure that level of personal attention is maintained during shift changes?
- 2Could you tell us more about the specific programming and daily activities available to keep residents engaged and social?
- 3What protocols are in place to monitor and track critical daily needs, such as ensuring residents are staying properly hydrated?
- 4How does the facility manage medical emergencies or sudden changes in a resident's condition during the overnight hours?
- 5With the high praise for your physical therapy services, how do you work with families to set and track rehabilitation goals?
- 6What specific specialized supports or environmental features are available for residents who require memory care?
Personalized based on this facility's data
Key Review Excerpts
“The amount of professionalism, dedication and commitment that Flatonia Healthcare and all of its staff have shown my family is phenomenal. I am very pleased with the care my loved one is receiving and the way everyone makes it feel like ‘HOME’!!”
“We have had such a great experience in Flatonia. My mom stayed for almost a month to recover from surgery. She loved the entire staff, always smiling and willing to help. Physical therapy really helped in her recovery and she even made some friends.”
“The care staff is great the DON Angie is outstanding her care to detail really shows. We wish the food matched the nursing care.”
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 · 17 measures
9
measures
8
measures
Residents needing more daily help over time
Residents whose bladder or bowel control got worse
Residents with depression symptoms
Residents on antipsychotic medication
Residents vaccinated for the flu
Residents on anti-anxiety or sleep medication
Short-stay residents vaccinated for the flu
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
Families have filed reports prompting 7 complaint-triggered deficiencies, including serious concerns about resident abuse and neglect. The facility shows recurring problems with food safety and sanitation, resident rights to a clean environment, and medication management across multiple surveys from 2023-2025. While all deficiencies show correction dates, the pattern of repeated issues in core care areas suggests ongoing operational challenges that families should carefully consider.
Dec 4, 2025Routine6
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Miscellaneous Deficiencies
Have simulated fire drills held at unexpected times.
Gas, Vacuum, and Electrical Systems Deficiencies
Ensure proper usage of power strips and extension cords.
Nutrition and Dietary Deficiencies
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Resident Rights Deficiencies
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Pharmacy Service Deficiencies
Ensure medication error rates are not 5 percent or greater.
Nov 18, 2025Complaint3
Resident Rights Deficiencies
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Sep 2, 2025Complaint2
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.
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Oct 5, 2024Complaint1
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Protect each resident from the wrongful use of the resident's belongings or money.
Aug 1, 2024Routine3
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Egress Deficiencies
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Jan 9, 2024Complaint1
Resident Rights Deficiencies
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Federal Penalties
Fine
Sep 2, 2025
$14,688
Fine
Oct 5, 2024
$410
Ownership & Operations
Who Operates This Facility
Winniestowell Hospital District
for profit
NEXION HEALTH AT FLATONIA, INC
ANGELA KARL
Chain Affiliation
Nexion Health
52 facilities nationwide
Chain avg rating: 2.9/5 · Rank 20 of 26
Ownership & Management
Key personnel
Contact
Get in Touch
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References & Resources
Medicare Care Compare
Official Medicare quality ratings, inspections & staffing data
Google Maps
Photos, directions & neighborhood info
Google Reviews
38 reviews from families & visitors
Official Website
Visit nexion-health.com
Medicare data downloads
Original nursing home datasets
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Safer Alternatives Nearby
Based on current clinical data, we identified 1 nearby facilities within 10 miles that may offer a stronger care environment. We encourage families to compare options carefully.