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Ussery Roan Texas State Veterans Home

Meets baseline Medicare standards with room for improvement. A tour and talking to current residents' families is the best next step.

1020 Tascosa Rd, Amarillo, TX 79124120 bedsLicensed & Active
3/5
Medicare
Inspection
Quality
Staffing
Google rating
4.7/5

based on 112 Google reviews

5
4
3
2
1
Ussery Roan Texas State Veterans Home Nursing Home in Amarillo, TX — Street View
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What this means for your family

This facility is an excellent choice for families prioritizing cleanliness and a compassionate, veteran-centric culture. However, you should proactively ask about current CNA-to-resident ratios and staffing consistency, as some recent experiences suggest fluctuations in care availability during certain shifts.

Google Reviews

Google Reviews

112 reviews on Google
Ussery Roan is highly regarded by families for its exceptionally clean facilities and a staff that is frequently described as compassionate, friendly, and attentive to veterans. While many praise the high quality of care and the beautiful environment, some families have raised concerns regarding inconsistent staffing levels and difficulty reaching the business office.

Quality Themes

Tap a score for details
Food5.0Staff9.0Clean10.0Activities8.0MedsN/AMemory9.0Comms7.0Value3.0

Strengths

  • Immaculate cleanliness and well-maintained grounds
  • Compassionate and friendly nursing staff
  • Respectful and dignified environment for veterans
  • Strong focus on social engagement and community

Concerns

  • Inconsistent staffing levels and response times (mentioned by 2 reviewers)
  • Difficulty communicating with the business office
  • High staff turnover rates

Rating Trends

Tap a year to see what changed

234'15(1)'19(3)'21(2)'23(16)'25(53)'26(10)

Distribution · 117 analyzed

5
97
4
14
3
1
2
0
1
5

How They Respond to Reviews

0%response rate
Generic

The owner relies heavily on a repetitive, multi-sentence template that includes the facility's mission statement. Most responses are copy-pasted scripts that fail to acknowledge the specific details provided in the reviews.

Questions for Your Tour

  • 1Since the grounds are known for being so well-maintained, are there specific outdoor spaces or gardens where residents enjoy spending time together?
  • 2With the memory care certification, what kind of specialized social activities do you provide to keep residents engaged and connected to the community?
  • 3How does the nursing team manage resident care and response times during shift changes or during the overnight hours?
  • 4Could you explain the process for communicating with the business office regarding billing or administrative updates?
  • 5What is the protocol for handling medical emergencies or sudden changes in a resident's health after hours?
  • 6How do you ensure that the high level of compassion and dignity noted by many families is maintained even during periods of high staff turnover?

Personalized based on this facility's data


Key Review Excerpts

The staff are exceptional! Friendly and helpful. The facility is very clean and pleasant.

Family member · 2026★★★★★

The staff at Ussery Roan has been awesome since admitting my biological Dad a few weeks ago. They seem to be doing a great job from what I see every time I visit.

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

The staff on my loved ones unit, the memory care unit, are prompt to respond to residents needs. The staff is very compassionate, and are very interactive with the residents.

Memory care family member · 2024★★★★★
Source: 112 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
0.61hrs
81%
Registered nurses for medical care
Total Nursing
4.15hrs
OK
All nurses + aides combined
Staff Turnover
69%
Lower is better (< 30% = good)
RN Turnover
92%
Lower is better (< 30% = good)

RN hours are below the national benchmark. RNs handle complex medical needs and medication, so ask about coverage during your visit.

Quality Measures

Quality Measures

Resident outcomes compared with national, state, and local averages · 17 measures

Medicare Rating
4/ 5
Better Than Avg

6

measures

Worse Than Avg

8

measures

Mixed Results

3

measures

Long-Stay Residents
💉

Residents vaccinated for pneumonia

↑ Higher is better
This Facility76.4%
Worse than Avg
Here
76.4%
US
93.4%
TX
96.9%
Potter
97.5%
😔

Residents with depression symptoms

↓ Lower is better
This Facility0.2%
Better than Avg
Here
0.2%
US
12.1%
TX
2.5%
Potter
2.4%

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

🚿

Residents whose bladder or bowel control got worse

↓ Lower is better
This Facility24.0%
Worse than Avg
Here
24.0%
US
19.4%
TX
14.2%
Potter
22.0%
💊

Residents on anti-anxiety or sleep medication

↓ Lower is better
This Facility10.6%
Better than Avg
Here
10.6%
US
19.5%
TX
18.4%
Potter
15.6%
💊

Residents on antipsychotic medication

↓ Lower is better
This Facility16.8%
Worse than Avg
Here
16.8%
US
15.4%
TX
9.4%
Potter
11.9%
🛏️

Residents needing more daily help over time

↓ Lower is better
This Facility20.8%
Worse than Avg
Here
20.8%
US
14.4%
TX
16.1%
Potter
18.6%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility62.7%
Worse than Avg
Here
62.7%
US
81.8%
TX
89.2%
Potter
89.6%
💉

Short-stay residents vaccinated for the flu

↑ Higher is better
This Facility63.9%
Worse than Avg
Here
63.9%
US
79.7%
TX
88.0%
Potter
90.0%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility2.4%
Worse than Avg
Here
2.4%
US
1.6%
TX
1.5%
Potter
1.1%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

8deficiencies
1penalties
Near state avg (9.1)
8 complaint-triggered
$9,692 in fines

This facility has faced significant challenges with families filing 8 complaints that triggered federal investigations, including serious issues around resident protection from abuse and neglect. The most recurring problems involve medication management, resident assessments and care planning, and infection control, with deficiencies appearing across multiple surveys from 2023 through 2025. While the facility has corrected most violations when cited, the pattern of repeated issues in core care areas and the substantial number of family complaints raise concerns about consistent quality of care.

May 30, 2025Routine
8
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.

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.

0584Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

0641Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Ensure each resident receives an accurate assessment.

0695Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

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.

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.

Apr 11, 2025Complaint
1
0689Actual harm · 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.

Sep 13, 2024Complaint
1
0684Potential for harm · IsolatedResolved (past non-compliance)

Quality of Life and Care Deficiencies

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

Jul 25, 2024Complaint
1
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.

Mar 22, 2024Routine
9
0812Potential for harm · WidespreadCorrected

Nutrition and Dietary Deficiencies

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

0600Potential for harm · PatternResolved (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.

0636Potential for harm · PatternCorrected

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.

0641Potential for harm · PatternCorrected

Resident Assessment and Care Planning Deficiencies

Ensure each resident receives an accurate assessment.

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.

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.

0803Potential for harm · IsolatedCorrected

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.

0880Potential for harm · IsolatedCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

Nov 20, 2023Complaint
1
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.

Federal Penalties

Fine

Jul 5, 2023

$9,692

Ownership & Operations

Who Operates This Facility

Owner / Operator

State of Texas Veterans Land Board

Organization Type

government

Management Company

TEXAS VSI, LLC

Administrator

MR. KRAIG A TURPEN

Chain Affiliation

Chain Name

Texvet

Chain Size

9 facilities nationwide

Chain avg rating: 3.7/5 · Rank 7 of 9

Ownership & Management

Key personnel

Berkely, JohnW-2 Managing EmployeeMclemore, WilliamW-2 Managing EmployeeMclemore, WilliamOfficer / DirectorCare Inns of Texas LtdManagerFellbaum, ErnestManager
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.

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