A middle-range Medicare rating. Review each component and visit in person before deciding.
based on 154 Google reviews

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These current public-data fields deserve follow-up with the facility and the official Medicare record. They are not a clinical risk score or a substitute for an in-person assessment.
Wedgewood Nursing Home has a middle-range Medicare overall rating. Strengths include attentive and caring nursing staff. Some reviewers note concerns about historical issues with facility cleanliness and odors (mentioned by 3 reviewers). Review the health-inspection, staffing, and quality-measure components separately, then visit in person.
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
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Concerns
Rating Trends
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Distribution · 133 analyzed
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.
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.”
Both RN and total nursing hours are below the EveryPlace reference benchmarks. Ask the facility how it staffs each shift for current resident needs.
Reference benchmarks (0.75 RN and 4.1 total nursing hours per resident/day) are comparison targets, not current federal minimum requirements.
Resident outcomes compared with national, state, and local averages · 16 measures
16
measures
Residents on anti-anxiety or sleep medication
Residents on antipsychotic medication
Residents whose bladder or bowel control got worse
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 vaccinated for pneumonia
Short-stay residents vaccinated for pneumonia
Short-stay residents newly given antipsychotics
US average from Medicare published data
Detailed Medicare record · up to 3-year lookback
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.
Smoke Deficiencies
Provide properly protected cooking facilities.
Smoke Deficiencies
Inspect, test, and maintain automatic sprinkler systems.
Smoke Deficiencies
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Services Deficiencies
Have properly installed electrical wiring and gas equipment.
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 a battery powered remote alarm panel in a location accessible by operating personnel.
Gas, Vacuum, and Electrical Systems Deficiencies
Have generator or other power source capable of supplying service within 10 seconds.
Resident Rights Deficiencies
Reasonably accommodate the needs and preferences of each resident.
Quality of Life and Care Deficiencies
Provide care and assistance to perform activities of daily living for any resident who is unable.
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Egress Deficiencies
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Resident Rights Deficiencies
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Smoke Deficiencies
Install smoke barrier doors that can resist smoke for at least 20 minutes.
Nutrition and Dietary Deficiencies
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
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.
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.
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.
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.
Federal Penalties
Fine
Jan 31, 2025
$17,345
Payment Denial
Jan 31, 2025
2-day denial
Fine
Feb 1, 2024
$14,433
Palo Pinto County Hospital District
for profit
ADVANCED HCS
AMY D SKILES
Ruby Healthcare
7 facilities nationwide
Chain avg rating: 3.3/5 · Rank 6 of 7 (Lowest rating)
Owners
Palo Pinto County Hospital District
Owner (parent company) · Organization
Key personnel
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Google Reviews
154 reviews from families & visitors
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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. Some summaries, interpretations, suggested questions, and pricing research are AI-generated or AI-assisted and may contain errors or omit important context. 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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