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Nursing HomeMedicaid Investigative

Reunion Plaza Senior Care and Rehabilitation Center

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

1401 Hampton Rd, Texarkana, TX 75503129 bedsLicensed & Active
1/5
Medicare
Inspection
Quality
Staffing
Google rating
4.0/5

based on 102 Google reviews

5
4
3
2
1
Reunion Plaza Senior Care and Rehabilitation Center Nursing Home in Texarkana, TX — Street View
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6/ 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)
  • Above-median deficiencies (22 vs median 8.0)
  • High staff turnover (72%)
  • High RN turnover (62%)

Bottom 25% in Texas · Below recommended RN staffing · Above average staffing · Very high staff turnover · Worst in STONEGATE SENIOR LIVING chain · $243,946 in fines

Source: Medicare data

What this means for your family

This facility offers highly regarded physical therapy and a welcoming atmosphere for many rehab patients. However, the recent trend of reviews highlights critical risks regarding medication errors and staffing shortages; families should perform an unannounced visit to verify that call lights are being answered promptly and medications are being administered accurately.

Google Reviews

Google Reviews

102 reviews on Google
Families seeking rehabilitation services often praise the facility for its excellent physical therapy and professional nursing staff. However, there are serious, recurring allegations regarding medication errors, neglect, and inadequate staffing levels that families must investigate closely.

Quality Themes

Tap a score for details
Food3.0Staff5.0Clean4.0Activities5.0Meds1.0MemoryN/AComms3.0ValueN/A

Strengths

  • Excellent physical therapy and rehab services
  • Friendly and compassionate nursing staff
  • Clean and well-maintained environment
  • Strong leadership and accessible administration

Concerns

  • Medication management errors and delays (mentioned by 4 reviewers)
  • Staffing shortages and slow response to call lights (mentioned by 5 reviewers)
  • Unprofessional behavior/staff distracted by phones (mentioned by 3 reviewers)
  • Issues with facility cleanliness and odors (mentioned by 3 reviewers)

Rating Trends

Tap a year to see what changed

234'17(1)'19(8)'21(24)'23(4)'25(9)'26(11)

Distribution · 79 analyzed

5
45
4
11
3
0
2
4
1
19
13 reviews posted between May 10, 2021May 13, 2021 · 12 were 5-star

How They Respond to Reviews

57%response rate
Good

The owner uses personalized greetings and names when possible and acknowledges specific details in positive reviews. For negative reviews, they maintain a professional tone, offering condolences and inviting direct communication to resolve issues.

Questions for Your Tour

  • 1I noticed some great feedback regarding your physical therapy and rehab services; could you tell me more about how that program supports residents' recovery goals?
  • 2How does the administration ensure that the nursing staff is able to respond quickly to call lights and stay focused on resident needs during busy shifts?
  • 3What specific protocols are in place to ensure medication is administered accurately and on a consistent schedule?
  • 4We want to make sure our loved one stays active; what kind of daily activities or social events are available to keep residents engaged?
  • 5How does the facility manage cleanliness and odor control to ensure a comfortable environment for everyone?
  • 6I saw that the leadership team is very accessible; how does the administration communicate important updates or changes in care to families?

Personalized based on this facility's data


Key Review Excerpts

The therapy department was so good with her. I realize that no facility is perfect, but these people really care.

Long-term resident's family · 2022★★★★★

The employees did the best they could considering what they had to work with. In addition the life support equipment didn’t work the first or second time.

End-of-life patient's family · 2025☆☆☆☆

The nurses are caring & have been able to answer all questions we’ve had with our mother. Mother turned 90 years old in November and has been there since December 2023, after a stroke.

Rehab patient's family · 2025★★★★★
Source: 102 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
0.50hrs
66%
Registered nurses for medical care
Total Nursing
3.36hrs
82%
All nurses + aides combined
Staff Turnover
67%
Lower is better (< 30% = good)
RN Turnover
57%
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
2/ 5
Better Than Avg

6

measures

Worse Than Avg

5

measures

Mixed Results

6

measures

Long-Stay Residents
🚶

Residents whose walking got worse

↓ Lower is better
This Facility2.5%
Better than Avg
Here
2.5%
US
15.3%
TX
14.9%
Bowie
15.5%
😔

Residents with depression symptoms

↓ Lower is better
This Facility0.0%
Better than Avg
Here
0.0%
US
12.1%
TX
2.5%
Bowie
1.5%

Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.

🛏️

Residents needing more daily help over time

↓ Lower is better
This Facility4.5%
Better than Avg
Here
4.5%
US
14.4%
TX
16.1%
Bowie
15.3%
💊

Residents on antipsychotic medication

↓ Lower is better
This Facility4.1%
Better than Avg
Here
4.1%
US
15.4%
TX
9.4%
Bowie
11.1%
💉

Residents vaccinated for pneumonia

↑ Higher is better
This Facility91.8%
Worse than Avg
Here
91.8%
US
93.4%
TX
96.9%
Bowie
99.0%
🚿

Residents whose bladder or bowel control got worse

↓ Lower is better
This Facility16.2%
Mixed vs Avgs
Here
16.2%
US
19.4%
TX
14.2%
Bowie
11.7%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for the flu

↑ Higher is better
This Facility44.7%
Worse than Avg
Here
44.7%
US
79.7%
TX
88.0%
Bowie
94.6%
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility49.6%
Worse than Avg
Here
49.6%
US
81.8%
TX
89.2%
Bowie
93.3%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility2.4%
Worse than Avg
Here
2.4%
US
1.6%
TX
1.5%
Bowie
1.5%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

25deficiencies
3penalties
Well above state avg (9.1)
42 complaint-triggered
$243,946 in fines

This facility has faced significant, recurring problems that families have consistently reported to authorities, triggering 39 complaint-based investigations out of 81 total deficiencies. The most persistent issues involve accident prevention and safety, medication management, and basic care assistance. While all deficiencies show correction dates, the repeated patterns across multiple surveys—particularly in safety hazards, medication errors, and daily care—suggest ongoing systemic challenges that warrant careful consideration before placement.

Feb 26, 2026Complaint
3
0880Potential for harm · WidespreadCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0573Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Let each resident or the resident's legal representative access or purchase copies of all the resident's records.

0690Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

Sep 24, 2025Complaint
1
0689Immediate jeopardy · PatternResolved (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.

Jul 15, 2025Complaint
2
0695Potential for harm · PatternCorrected

Quality of Life and Care Deficiencies

Provide safe and appropriate respiratory care for a resident when needed.

0880Potential for harm · PatternCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

Dec 5, 2024Routine
14
0757Potential for harm · PatternCorrected

Pharmacy Service Deficiencies

Ensure each resident’s drug regimen must be free from unnecessary drugs.

0760Potential for harm · PatternCorrected

Pharmacy Service Deficiencies

Ensure that residents are free from significant medication errors.

0803Potential for harm · PatternCorrected

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.

0812Potential for harm · PatternCorrected

Nutrition and Dietary Deficiencies

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

0558Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Reasonably accommodate the needs and preferences of each resident.

0577Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.

0644Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

0677Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide care and assistance to perform activities of daily living for any resident who is unable.

0686Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

0690Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

0692Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide enough food/fluids to maintain a resident's health.

0758Potential for harm · IsolatedCorrected

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.

0806Potential for harm · IsolatedCorrected

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.

0372Potential for harm · IsolatedCorrected

Smoke Deficiencies

Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

Dec 5, 2024Complaint
6
0689Immediate jeopardy · 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.

0804Potential for harm · PatternCorrected

Nutrition and Dietary Deficiencies

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

0880Potential for harm · PatternCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0550Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

0656Potential for harm · IsolatedCorrected

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.

0755Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Aug 15, 2024Complaint
6
0657Potential for harm · PatternCorrected

Resident Assessment and Care Planning Deficiencies

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

0550Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

0600Potential for harm · IsolatedCorrected

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.

0660Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Plan the resident's discharge to meet the resident's goals and needs.

0689Potential for 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.

0760Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

Ensure that residents are free from significant medication errors.

Federal Penalties

Fine

Feb 26, 2026

$31,440

Fine

Dec 5, 2024

$16,801

Fine

Nov 2, 2023

$227,145

Ownership & Operations

Who Operates This Facility

Owner / Operator

Fannin County Hospital Authority

Organization Type

for profit

Management Company

PF REUNION SNF OPS, LLC

Administrator

LORI WILLARD

Chain Affiliation

Chain Name

Stonegate Senior Living

Chain Size

24 facilities nationwide

Chain avg rating: 2.9/5 · Rank 13 of 13 (Worst)

Ownership & Management

Owners

Fannin County Hospital Authority

Owner · Organization

100%

Campbell, Scott

Individual is an Owner, Partner or Trustee of Any Adp of the Snf

Chance, James

Individual is an Owner, Partner or Trustee of Any Adp of the Snf

Fisher, James

Individual is an Owner, Partner or Trustee of Any Adp of the Snf

Langdon, Thomas

Individual is an Owner, Partner or Trustee of Any Adp of the Snf

Mcgehee, William

Individual is an Owner, Partner or Trustee of Any Adp of the Snf

Taylor, John

Individual is an Owner, Partner or Trustee of Any Adp of the Snf

Key personnel

Umb Bank Na5% or Greater Mortgage InterestSanderson, ClarkOfficer / DirectorPf Reunion Snf Ops, LLCManagerStonegate Senior Living, LpManagerBlue, ChristopherManager
Source: Medicare provider data

Contact

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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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