Pauls Valley Care Center
Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.
based on 18 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 (1/5 stars)
- Low staffing rating (1/5 stars)
- Above-median deficiencies (7 vs median 6.0)
Bottom 25% in OK · Critically understaffed (RN) · Significantly below average staffing · $50,778 in fines
What this means for your family
The facility has shown significant improvement in cleanliness and staff friendliness since the management change, making it a viable option for rehab. However, families should be aware of persistent communication issues; we strongly recommend establishing a clear, documented plan for how and when you will receive health updates before admission.
Google Reviews
Google Reviews
18 reviews on Google“Pauls Valley Care Center (now operating as Pauls Valley Health and Rehab) has undergone a significant management transition that has polarized feedback. Recent positive reviews highlight improved cleanliness, responsive management, and attentive care, while negative experiences focus on severe communication gaps, lack of updates regarding resident health, and concerns about facility atmosphere.”
Quality Themes
Tap a score for detailsStrengths
- Clean, well-maintained environment
- Responsive management post-transition
- Friendly and professional nursing staff
- Effective therapy and rehabilitation services
Concerns
- Difficulty reaching staff via phone (mentioned by 3 reviewers)
- Lack of communication regarding resident health and status (mentioned by 2 reviewers)
- Inconsistent hygiene and personal care for residents (mentioned by 2 reviewers)
Rating Trends
Tap a year to see what changed
Distribution · 18 analyzed
How They Respond to Reviews
This facility rarely responds to reviews.
Questions for Your Tour
- 1I noticed the facility has undergone a recent transition in management; how has this change impacted your communication protocols with families regarding a resident's health status?
- 2Given the current staffing levels, what is your specific process for ensuring that residents receive consistent support with daily hygiene and personal care needs?
- 3We understand that reaching staff by phone can sometimes be a challenge; what is the most reliable way for us to get in touch with our loved one's primary nurse or care team?
- 4Since the activities program is an area you are looking to grow, could you walk us through what a typical social or engagement calendar looks like for residents this month?
- 5With the recent focus on improving care quality, what specific steps are you taking to address the findings from your most recent health inspections?
- 6I see that you have been engaging with families through online feedback; how do you incorporate that family input into your daily operational improvements?
Personalized based on this facility's data
Key Review Excerpts
“Mom has been here through the ownership change from Pauls Valley Care Center to Pauls Valley Health and Rehab and we can both tell that the management change is a night and day difference.”
“If you are expecting communication about your loved one through out their stay and “rehab”, that doesn’t happen here. Never was I in communication with the doctor one or the rehab staff.”
“Very sweet staff and administrator who were so helpful and kind. My dad liked it there and so did we. Very clean and staff was always professional and sweet.”
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
7
measures
8
measures
2
measures
Residents on anti-anxiety or sleep medication
Residents on antipsychotic medication
Residents needing more daily help over time
Residents vaccinated for pneumonia
Residents vaccinated for the flu
Residents with depression symptoms
Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.
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
This facility has concerning patterns with families filing complaint reports that led to deficiencies, including a recent December 2025 accident prevention issue still under correction. The most recurring problems involve fire safety systems, resident care planning and assessments, and accident prevention measures. While most past deficiencies show dates of correction, the persistence of fire safety violations across multiple surveys and ongoing accident hazard concerns suggest potential systemic issues families should carefully evaluate.
Dec 18, 2025Complaint1
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Dec 18, 2025Routine12
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
Have an alternate power supply for its alarm system.
Smoke Deficiencies
Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke.
Smoke Deficiencies
Install corridor and hallway doors that block smoke.
Gas, Vacuum, and Electrical Systems Deficiencies
Have power receptacles that are properly grounded.
Egress Deficiencies
Install emergency lighting that can last at least 1 1/2 hours.
Egress Deficiencies
Have properly located and lighted "Exit" signs.
Resident Rights Deficiencies
Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.
Resident Rights Deficiencies
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Resident Assessment and Care Planning Deficiencies
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
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.
Gas, Vacuum, and Electrical Systems Deficiencies
Meet requirements for the installation and maintenance of electrical systems.
Apr 18, 2024Routine7
Smoke Deficiencies
Properly provide smoke detection systems in areas open to corridors.
Smoke Deficiencies
Inspect, test, and maintain automatic sprinkler systems.
Resident Assessment and Care Planning Deficiencies
Assure that each resident’s assessment is updated at least once every 3 months.
Quality of Life and Care Deficiencies
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
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
Provide properly protected cooking facilities.
Gas, Vacuum, and Electrical Systems Deficiencies
Have proper medical gas storage and administration areas.
Apr 18, 2024Complaint3
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.
Resident Assessment and Care Planning Deficiencies
Plan the resident's discharge to meet the resident's goals and needs.
Mar 10, 2023Routine8
Smoke Deficiencies
Inspect, test, and maintain automatic sprinkler systems.
Miscellaneous Deficiencies
Have simulated fire drills held at unexpected times.
Resident Assessment and Care Planning Deficiencies
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
Smoke Deficiencies
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Quality of Life and Care Deficiencies
Provide safe and appropriate respiratory care for a resident when needed.
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 a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Egress Deficiencies
Install emergency lighting that can last at least 1 1/2 hours.
Federal Penalties
Payment Denial
Dec 18, 2025
3-day denial
Fine
Apr 18, 2024
$50,778
Payment Denial
Apr 18, 2024
28-day denial
Ownership & Operations
Who Operates This Facility
Pauls Valley Care Center
for profit
Ownership & Management
Owners
Smith, Brooke
Owner
Smith, Layne
Owner
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
18 reviews from families & visitors
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.