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Lamunlusksanchez Texas State Veterans Home

Strong Medicare quality ratings; families often praise clean and well-maintained facilities. Still worth an in-person visit.

1809 N Hwy 87, Big Spring, TX 79720160 bedsLicensed & Active
5/5
Medicare
Inspection
Quality
Staffing
Google rating
4.1/5

based on 104 Google reviews

5
4
3
2
1
Lamunlusksanchez Texas State Veterans Home Nursing Home in Big Spring, TX — Street View
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What this means for your family

This facility is an excellent choice for families prioritizing cleanliness and compassionate floor-level nursing care. However, you should closely monitor administrative communication and ensure that specific medical or equipment needs are being documented and addressed by management.

Google Reviews

Google Reviews

104 reviews analyzed
Families generally praise this facility for its exceptionally clean environment and the compassionate, hardworking nature of the nursing and CNA staff. While many long-term residents thrive here, some families have reported serious concerns regarding administrative professionalism, communication gaps during medical crises, and inconsistent responsiveness to resident needs.

Quality Themes

Tap a score for details
Food5.0Staff8.0Clean9.0Activities5.0MedsN/AMemory5.0Comms3.0ValueN/A

Strengths

  • Clean and well-maintained facilities
  • Compassionate and attentive nursing staff
  • Friendly and welcoming atmosphere for visitors
  • High standard of resident hygiene and grooming

Concerns

  • Administrative and management professionalism (mentioned by 3 reviewers)
  • Communication failures regarding medical updates or billing (mentioned by 2 reviewers)
  • Inconsistent responsiveness to resident needs/equipment requests (mentioned by 2 reviewers)

Rating Trends

Tap a year to see what changed

234'16(5)'18(10)'20(2)'23(14)'25(32)'26(7)

Distribution

5
65
4
13
3
5
2
1
1
18
12 reviews posted between Feb 28, 2019Mar 2, 2019 · 12 were 1-2 star

How They Respond to Reviews

93%response rate
Generic

The owner uses highly repetitive, template-based responses that rely on specific brand slogans like 'Make Lives Better' and 'best-in-class care.' While they personalize the responses by including the reviewer's name, the core content of the message is almost identical across all reviews.

Questions for Your Tour

  • 1We've heard wonderful things about how clean and well-maintained the facility is; could you show us how you maintain those high standards of hygiene for the residents?
  • 2Since we are looking for consistent updates, what is your specific process for ensuring family members receive timely medical and billing communications?
  • 3How does the nursing team ensure that every resident's individual equipment or daily needs are addressed promptly and consistently?
  • 4What kind of daily activities or social programs do you have planned to keep the residents engaged and active?
  • 5In the event of a medical emergency after hours, what is the protocol for notifying the family and coordinating care?
  • 6We noticed your staff is often described as very compassionate; how do you support and train your team to maintain that welcoming atmosphere?

Personalized based on this facility's data


Key Review Excerpts

The staff members are kind to the residents and keep them looking clean and sharp. The building was also clean - honestly, I’ve never seen it otherwise.

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

The clinical team is exceptional, the other departments, including the administrator, are not. There is a lack of professionalism and deficient practices.

Family member · 2025☆☆☆☆

My father in law is a resident and has been for over a year. We have nothing but nice things to say about the staff and the care he receives.

Long-term resident's family · 2020★★★★★
Source: 104 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
0.65hrs
87%
Registered nurses for medical care
Total Nursing
3.45hrs
84%
All nurses + aides combined
Staff Turnover
41%
Lower is better (< 30% = good)
RN Turnover
42%
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
5/ 5
Better Than Avg

8

measures

Worse Than Avg

6

measures

Mixed Results

3

measures

Long-Stay Residents
💉

Residents vaccinated for pneumonia

↑ Higher is better
This Facility81.5%
Worse than Avg
Here
81.5%
US
93.4%
TX
96.9%
Howard
90.7%
😔

Residents with depression symptoms

↓ Lower is better
This Facility0.0%
Better than Avg
Here
0.0%
US
12.1%
TX
2.5%
Howard
14.2%
💊

Residents on anti-anxiety or sleep medication

↓ Lower is better
This Facility27.7%
Worse than Avg
Here
27.7%
US
19.5%
TX
18.4%
Howard
23.7%
🚿

Residents whose bladder or bowel control got worse

↓ Lower is better
This Facility20.7%
Mixed vs Avgs
Here
20.7%
US
19.4%
TX
14.2%
Howard
22.4%
💊

Residents on antipsychotic medication

↓ Lower is better
This Facility9.5%
Better than Avg
Here
9.5%
US
15.4%
TX
9.4%
Howard
15.9%
💉

Residents vaccinated for the flu

↑ Higher is better
This Facility94.0%
Worse than Avg
Here
94.0%
US
95.5%
TX
98.0%
Howard
96.9%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for the flu

↑ Higher is better
This Facility22.9%
Worse than Avg
Here
22.9%
US
79.7%
TX
88.0%
Howard
85.7%
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility31.2%
Worse than Avg
Here
31.2%
US
81.8%
TX
89.2%
Howard
81.1%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility0.0%
Better than Avg
Here
0.0%
US
1.6%
TX
1.5%
Howard
2.0%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

10deficiencies
1penalties
Above state avg (9.1)
5 complaint-triggered
$21,252 in fines

This facility shows concerning patterns with families filing eight complaints that triggered inspections, revealing issues in medication management, nutrition and dietary services, and resident protection from abuse and neglect. The most recurring problems involve medication errors and labeling, food safety and temperature, and failure to prevent abuse - issues that have persisted across multiple surveys from 2022 through 2024, though all deficiencies have reported correction dates.

Mar 27, 2025Complaint
1
0812ModerateCorrected

Nutrition and Dietary Deficiencies

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

Feb 26, 2025Complaint
1
0804MinorCorrected

Nutrition and Dietary Deficiencies

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

Dec 18, 2024Complaint
1
0806SevereCorrected

Nutrition and Dietary Deficiencies

Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.

Jul 11, 2024Routine
10
0578ModerateCorrected

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.

0804ModerateCorrected

Nutrition and Dietary Deficiencies

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

0880ModerateCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0908ModerateCorrected

Environmental Deficiencies

Keep all essential equipment working safely.

0585MinorCorrected

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.

0684MinorCorrected

Quality of Life and Care Deficiencies

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

0758MinorCorrected

Pharmacy Service Deficiencies

Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

0760MinorCorrected

Pharmacy Service Deficiencies

Ensure that residents are free from significant medication errors.

0761MinorCorrected

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.

0842MinorCorrected

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.

Dec 1, 2023Complaint
1
0600MinorCorrected

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.

Jun 7, 2023Complaint
1
0761ModerateCorrected

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.

Federal Penalties

Fine

Dec 18, 2024

$21,252

Ownership & Operations

Who Operates This Facility

Owner / Operator

State of Texas Veterans Land Board

Organization Type

government

Management Company

TOUCHSTONE VETERANS MANAGEMENT LTD

Administrator

ROBIN SAFFLE

Chain Affiliation

Chain Name

Texvet

Chain Size

9 facilities nationwide

Chain avg rating: 3.7/5 · Rank 5 of 9

Ownership & Management

Key personnel

Johanns, KathyW-2 Managing EmployeeBerkely, JohnOfficer / DirectorHavens, MarkOfficer / DirectorCare Inns of Texas-temple LtdManager
Source: Medicare provider data

Contact

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References & Resources

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