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Nursing HomeMedicaid Investigative

Texoma Healthcare Center

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

1000 Us Highway 82 East, Sherman, TX 75090179 bedsLicensed & Active
1/5
Medicare
Inspection
Quality
Staffing
Google rating
4.1/5

based on 104 Google reviews

5
4
3
2
1
Texoma Healthcare Center Nursing Home in Sherman, TX — Street View
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8/ 10
critical Risk

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 (1/5 stars)
  • Low staffing rating (1/5 stars)
  • Above-median deficiencies (18 vs median 8.0)
  • High staff turnover (60%)
  • High RN turnover (62%)

Bottom 25% in Texas · Below recommended RN staffing · Worst in CREATIVE SOLUTIONS IN HEALTHCARE chain · $16,153 in fines · Abuse citation

Source: Medicare data

What this means for your family

This facility is an excellent choice for patients focused on intensive physical or occupational therapy, as the rehab team is frequently cited as a major strength. However, families should closely monitor call-light response times and verify that wound care instructions are being followed precisely, as these have been significant points of failure in the past.

Google Reviews

Google Reviews

104 reviews on Google
Families considering Texoma Healthcare Center will find a facility highly praised for its exceptional rehabilitation services and a compassionate, skilled therapy team. While many reviewers highlight the cleanliness and attentive nursing, there are serious, recurring allegations regarding staffing shortages, slow response times to call lights, and inconsistent wound care management.

Quality Themes

Tap a score for details
Food4.0Staff7.0Clean6.0Activities8.0MedsN/AMemoryN/AComms7.0ValueN/A

Strengths

  • Exceptional rehabilitation and physical therapy
  • Compassionate and attentive nursing staff
  • Clean and well-maintained facility
  • Effective communication with family members

Concerns

  • Slow response times to call lights and resident needs (mentioned by 4 reviewers)
  • Staffing shortages and high turnover in administration (mentioned by 2 reviewers)
  • Inconsistency in wound care and medical instructions (mentioned by 2 reviewers)
  • Issues with facility cleanliness and odors (mentioned by 2 reviewers)

Rating Trends

Tap a year to see what changed

234'16(1)'19(11)'21(4)'23(20)'25(20)'26(24)

Distribution · 105 analyzed

5
78
4
2
3
1
2
3
1
21
13 reviews posted between Feb 16, 2026Feb 19, 2026 · 13 were 5-star

How They Respond to Reviews

13%response rate
Generic

The owner relies heavily on repetitive, templated scripts to respond to reviews. While they attempt to personalize by using the reviewer's name, the core messaging for negative reviews is almost identical across different complaints.

Questions for Your Tour

  • 1We've heard wonderful things about the rehabilitation and physical therapy programs here; could you tell us more about how that process works for new residents?
  • 2How does the nursing team ensure that call lights are answered promptly, especially during busy shifts or overnight?
  • 3With the recent changes in administration, what steps are being taken to ensure consistent communication and stability for the residents and their families?
  • 4Can you walk us through your protocols for wound care and how you ensure medical instructions are followed consistently by all staff members?
  • 5What does a typical day look like in terms of social activities and dining experiences for the residents?
  • 6In the event of a medical emergency after hours, what is the specific process for notifying the family and coordinating care?

Personalized based on this facility's data


Key Review Excerpts

The therapy folks are talented, experienced and very motivating and goal oriented. Definitely 5 stars

Rehab patient · 2026★★★★★

The Staff go above and beyond. they treat you like family. I know my mother is in good hands with The Staff here.

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

They have went through 6 administrators , 3 directors of nurses , 2 Aerea directors, 2 admissions office, 2 hr and this is all in a year. They can’t keep people they are severely short handed

Long-term resident's family · 2025☆☆☆☆
Source: 104 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
0.49hrs
65%
Registered nurses for medical care
Total Nursing
3.49hrs
85%
All nurses + aides combined
Staff Turnover
96%
Lower is better (< 30% = good)
RN Turnover
94%
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

11

measures

Worse Than Avg

4

measures

Mixed Results

2

measures

Long-Stay Residents
🚶

Residents whose walking got worse

↓ Lower is better
This Facility21.4%
Worse than Avg
Here
21.4%
US
15.3%
TX
14.9%
Grayson
10.2%
🛏️

Residents needing more daily help over time

↓ Lower is better
This Facility24.2%
Worse than Avg
Here
24.2%
US
14.4%
TX
16.1%
Grayson
14.9%
😔

Residents with depression symptoms

↓ Lower is better
This Facility2.4%
Better than Avg
Here
2.4%
US
12.1%
TX
2.5%
Grayson
2.7%

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

💊

Residents on antipsychotic medication

↓ Lower is better
This Facility8.6%
Better than Avg
Here
8.6%
US
15.4%
TX
9.4%
Grayson
10.2%
💉

Residents vaccinated for pneumonia

↑ Higher is better
This Facility100.0%
Better than Avg
Here
100.0%
US
93.4%
TX
96.9%
Grayson
97.1%
💊

Residents on anti-anxiety or sleep medication

↓ Lower is better
This Facility22.1%
Mixed vs Avgs
Here
22.1%
US
19.5%
TX
18.4%
Grayson
28.1%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for the flu

↑ Higher is better
This Facility99.2%
Better than Avg
Here
99.2%
US
79.7%
TX
88.0%
Grayson
80.9%
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility98.5%
Better than Avg
Here
98.5%
US
81.8%
TX
89.2%
Grayson
81.3%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility1.0%
Better than Avg
Here
1.0%
US
1.6%
TX
1.5%
Grayson
1.8%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

16deficiencies
1penalties
Well above state avg (9.1)
27 complaint-triggered
$16,153 in fines

This facility has significant concerns with 27 of 42 deficiencies triggered by family complaints, indicating ongoing resident safety and care issues. The most frequent problems involve medication management, food safety, and care planning, with deficiencies persisting across multiple surveys from 2022 to 2026. Recent complaint investigations found serious issues including neglect, dignity violations, infection control failures, and medication labeling problems, though the facility has provided correction dates for all cited deficiencies.

Mar 19, 2026Routine
12
0004Potential for harm · WidespreadCorrected

Emergency Preparedness Deficiencies

Develop and maintain an Emergency Preparedness Program (EP).

0918Potential for harm · WidespreadCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Have generator or other power source capable of supplying service within 10 seconds.

0687Potential for harm · PatternCorrected

Quality of Life and Care Deficiencies

Provide appropriate foot care.

0755Potential for harm · PatternCorrected

Pharmacy Service Deficiencies

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

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.

0880Potential for harm · PatternCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0363Potential for harm · PatternCorrected

Smoke Deficiencies

Install corridor and hallway doors that block smoke.

0372Potential for harm · PatternCorrected

Smoke Deficiencies

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

0741Potential for harm · PatternCorrected

Miscellaneous Deficiencies

Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.

0923Potential for harm · PatternCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Have proper medical gas storage and administration areas.

0761Potential for harm · IsolatedCorrected

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.

0321Potential for harm · IsolatedCorrected

Smoke Deficiencies

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

Jan 21, 2026Complaint
2
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.

0658Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Ensure services provided by the nursing facility meet professional standards of quality.

Dec 9, 2025Complaint
2
0908Potential for harm · PatternCorrected

Environmental Deficiencies

Keep all essential equipment working safely.

0880Potential for harm · IsolatedCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

Jun 18, 2025Complaint
7
0550Immediate jeopardy · IsolatedResolved (past non-compliance)

Resident Rights Deficiencies

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

0600Immediate jeopardy · IsolatedResolved (past non-compliance)

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.

0656Potential for harm · PatternCorrected

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.

0925Potential for harm · PatternCorrected

Environmental Deficiencies

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

0637Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Assess the resident when there is a significant change in condition

0761Potential for harm · IsolatedCorrected

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.

0812Potential for harm · IsolatedCorrected

Nutrition and Dietary Deficiencies

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

Nov 20, 2024Complaint
7
0686Potential for harm · PatternCorrected

Quality of Life and Care Deficiencies

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

0679Potential for harm · PatternCorrected

Quality of Life and Care Deficiencies

Provide activities to meet all resident's needs.

0806Potential for harm · PatternCorrected

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.

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.

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.

0693Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.

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.

Nov 20, 2024Routine
3
0222Potential for harm · PatternCorrected

Egress Deficiencies

Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.

0374Potential for harm · PatternCorrected

Smoke Deficiencies

Install smoke barrier doors that can resist smoke for at least 20 minutes.

0324Minimal · WidespreadCorrected

Smoke Deficiencies

Provide properly protected cooking facilities.

Federal Penalties

Fine

Jun 18, 2025

$16,441

Ownership & Operations

Who Operates This Facility

Owner / Operator

Fannin County Hospital Authority

Organization Type

for profit

Management Company

SHERMAN I ENTERPRISES, LLC

Administrator

FRANCHOT PRATT

Chain Affiliation

Chain Name

Creative Solutions in Healthcare

Chain Size

149 facilities nationwide

Chain avg rating: 2.7/5 · Rank 115 of 148 (Worst)

Ownership & Management

Owners

Fannin County Hospital Authority

Owner · Organization

100%

Key personnel

Holt, ErinManaging Control - Governing BodyKeeton, WendyManaging Control - Governing BodyKissling, MonicaManaging Control - Governing BodyMcbean, PatriciaManaging Control - Governing BodySanderson, ClarkManaging Control - Governing Body
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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