Texoma Healthcare Center
Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.
based on 104 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 (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
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 detailsStrengths
- 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
Distribution · 105 analyzed
How They Respond to Reviews
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”
“The Staff go above and beyond. they treat you like family. I know my mother is in good hands with The Staff here.”
“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”
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
11
measures
4
measures
2
measures
Residents whose walking got worse
Residents needing more daily help over time
Residents with depression symptoms
Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.
Residents on antipsychotic medication
Residents vaccinated for pneumonia
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
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, 2026Routine12
Emergency Preparedness Deficiencies
Develop and maintain an Emergency Preparedness Program (EP).
Gas, Vacuum, and Electrical Systems Deficiencies
Have generator or other power source capable of supplying service within 10 seconds.
Quality of Life and Care Deficiencies
Provide appropriate foot care.
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.
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Smoke Deficiencies
Install corridor and hallway doors that block smoke.
Smoke Deficiencies
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Miscellaneous Deficiencies
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Gas, Vacuum, and Electrical Systems Deficiencies
Have proper medical gas storage and administration areas.
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.
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, 2026Complaint2
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Resident Assessment and Care Planning Deficiencies
Ensure services provided by the nursing facility meet professional standards of quality.
Dec 9, 2025Complaint2
Environmental Deficiencies
Keep all essential equipment working safely.
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Jun 18, 2025Complaint7
Resident Rights Deficiencies
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
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.
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.
Environmental Deficiencies
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Resident Assessment and Care Planning Deficiencies
Assess the resident when there is a significant change in condition
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.
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, 2024Complaint7
Quality of Life and Care Deficiencies
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Quality of Life and Care Deficiencies
Provide activities to meet all resident's needs.
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.
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Quality of Life and Care Deficiencies
Provide care and assistance to perform activities of daily living for any resident who is unable.
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.
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, 2024Routine3
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.
Smoke Deficiencies
Install smoke barrier doors that can resist smoke for at least 20 minutes.
Smoke Deficiencies
Provide properly protected cooking facilities.
Federal Penalties
Fine
Jun 18, 2025
$16,441
Ownership & Operations
Who Operates This Facility
Fannin County Hospital Authority
for profit
SHERMAN I ENTERPRISES, LLC
FRANCHOT PRATT
Chain Affiliation
Creative Solutions in Healthcare
149 facilities nationwide
Chain avg rating: 2.7/5 · Rank 115 of 148 (Worst)
Ownership & Management
Owners
Fannin County Hospital Authority
Owner · Organization
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
104 reviews from families & visitors
Official Website
Visit texomahealthcenter.com
Medicare data downloads
Original nursing home datasets
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