Wedgewood Nursing Home
Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.
based on 102 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 (2/5 stars)
- Above-median deficiencies (10 vs median 8.0)
- High staff turnover (57%)
- High RN turnover (56%)
Below average in Texas · Below recommended RN staffing · Above average staffing · Worst in RUBY HEALTHCARE chain · $31,778 in fines
What this means for your family
The facility appears to be undergoing a major positive transformation under new leadership, with recent families highly praising the nursing and therapy teams. However, because of a history of severe hygiene and communication issues, you should specifically ask about current maintenance protocols and how they ensure families are updated on medical changes.
Google Reviews
Google Reviews
102 reviews on Google“Recent reviews from 2025 and 2026 suggest a significant positive turnaround in leadership and care quality, with many families praising the new administration and attentive nursing staff. However, the facility has a historical pattern of severe concerns regarding cleanliness, plumbing issues, and communication lapses that families should verify through recent in-person visits.”
Quality Themes
Tap a score for detailsStrengths
- Attentive and caring nursing staff
- Strong rehabilitation and therapy services
- Improved administrative leadership
- In-house specialized services like dialysis
Concerns
- Historical issues with facility cleanliness and odors (mentioned by 3 reviewers)
- Communication gaps between staff and families (mentioned by 3 reviewers)
- Loss of resident belongings (mentioned by 2 reviewers)
Rating Trends
Tap a year to see what changed
Distribution · 104 analyzed
How They Respond to Reviews
The owner uses highly templated, boilerplate responses that avoid addressing specific allegations of neglect or unsanitary conditions. While they acknowledge the feedback, they consistently redirect all detailed discussions to an offline conversation with the Facility Administrator.
Questions for Your Tour
- 1I've heard wonderful things about the attentiveness of your nursing staff; how do you ensure that level of care remains consistent across all shifts?
- 2With the specialized dialysis services available on-site, how do you coordinate medical care between the specialists and the primary nursing team?
- 3What specific steps has the new administrative leadership taken to improve communication between the staff and families?
- 4Could you tell me about your current protocols for facility maintenance and how you ensure a clean, fresh environment for all residents?
- 5What systems do you have in place to help residents keep track of their personal belongings and prevent items from getting lost?
- 6What kind of daily activities or social programs are available to keep residents engaged and active during the week?
Personalized based on this facility's data
Key Review Excerpts
“Since David became the Administrator, there has been a truly drastic and noticeable change. The atmosphere is warmer, the staff is more engaged, and the overall level of care and professionalism has significantly improved.”
“The building is old but the team is making improvements and upgrades daily. They have in-house dialysis and practitioners visiting almost daily.”
“I went in to deliver to a patient and it is absolutely abhorrent in there. I had a mask on and could still smell the stench of urine.”
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 · 16 measures
16
measures
Residents on antipsychotic medication
Residents on anti-anxiety or sleep medication
Residents with depression symptoms
Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.
Residents needing more daily help over time
Residents whose bladder or bowel control got worse
Residents vaccinated for pneumonia
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
Wedgewood has concerning complaint patterns with 16 family-filed deficiencies out of 45 total violations across 12 surveys, indicating ongoing issues with resident care quality, medication management, and facility cleanliness. Recurring problems include inadequate daily care assistance, medication errors, infection control failures, and environmental safety hazards. While all deficiencies show correction dates, the persistent nature of similar violations suggests systemic care challenges that warrant careful evaluation during any visit.
Jun 18, 2025Complaint1
Nutrition and Dietary Deficiencies
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
Apr 23, 2025Complaint2
Resident Assessment and Care Planning Deficiencies
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Resident Assessment and Care Planning Deficiencies
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Jan 31, 2025Routine11
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.
Smoke Deficiencies
Inspect, test, and maintain automatic sprinkler systems.
Administration Deficiencies
Hire a qualified full-time social worker in a facility with more than 120 beds.
Environmental Deficiencies
Provide bedrooms that don't allow residents to see each other when privacy is needed.
Miscellaneous Deficiencies
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
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
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
Quality of Life and Care Deficiencies
Provide safe and appropriate respiratory care for a resident when needed.
Nutrition and Dietary Deficiencies
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Smoke Deficiencies
Install corridor and hallway doors that block smoke.
Oct 1, 2024Complaint2
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.
Quality of Life and Care Deficiencies
Provide care and assistance to perform activities of daily living for any resident who is unable.
Apr 30, 2024Complaint4
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.
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.
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.
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.
Mar 14, 2024Complaint1
Resident Rights Deficiencies
Not require residents to give up Medicare or Medicaid benefits, or pay privately as a condition of admission; and must tell residents what care they do not provide.
Federal Penalties
Fine
Jan 31, 2025
$17,345
Payment Denial
Jan 31, 2025
2-day denial
Fine
Feb 1, 2024
$14,433
Ownership & Operations
Who Operates This Facility
Palo Pinto County Hospital District
for profit
ADVANCED HCS
AMY D SKILES
Chain Affiliation
Ruby Healthcare
7 facilities nationwide
Chain avg rating: 3.3/5 · Rank 6 of 7 (Worst)
Ownership & Management
Owners
Palo Pinto County Hospital District
Owner (parent company) · 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
102 reviews from families & visitors
Official Website
Visit rubyhealthcaremgmt.com
Medicare data downloads
Original nursing home datasets
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