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Nursing HomeMedicaid

Wheeler Nursing & Rehabilitation

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

1000 S Kiowa St, Wheeler, TX 7909690 bedsLicensed & Active
3/5
Medicare
Inspection
Quality
Staffing
Google rating
4.5/5

based on 2 Google reviews

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What this means for your family

Wheeler Nursing & Rehabilitation falls in the middle range of Medicare quality ratings. This means baseline standards are met, but there is room for improvement. A personal tour and conversation with current residents' families will give you the best picture of daily life here.

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
0.43hrs
58%
Registered nurses for medical care
Total Nursing
2.93hrs
71%
All nurses + aides combined
Staff Turnover
39%
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 · 16 measures

Medicare Rating
4/ 5
Better Than Avg

10

measures

Worse Than Avg

6

measures

Long-Stay Residents
💊

Residents on anti-anxiety or sleep medication

↓ Lower is better
This Facility33.6%
Worse than Avg
Here
33.6%
US
19.5%
TX
18.4%
😔

Residents with depression symptoms

↓ Lower is better
This Facility0.0%
Better than Avg
Here
0.0%
US
12.1%
TX
2.5%
🚿

Residents whose bladder or bowel control got worse

↓ Lower is better
This Facility25.4%
Worse than Avg
Here
25.4%
US
19.4%
TX
14.2%
💊

Residents on antipsychotic medication

↓ Lower is better
This Facility19.1%
Worse than Avg
Here
19.1%
US
15.4%
TX
9.4%
💉

Residents vaccinated for pneumonia

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

Residents vaccinated for the flu

↑ Higher is better
This Facility100.0%
Better than Avg
Here
100.0%
US
95.5%
TX
98.0%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility100.0%
Better than Avg
Here
100.0%
US
81.8%
TX
89.2%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility0.0%
Better than Avg
Here
0.0%
US
1.6%
TX
1.5%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

3deficiencies
1penalties
Well below state avg (9.1)
3 complaint-triggered
$23,547 in fines

Families have filed complaints that triggered serious abuse and neglect violations in 2023, signaling concerning care quality issues. The facility shows persistent problems across food safety (cited in three consecutive surveys), fire safety systems, and resident care planning that continue into 2024-2025. While all deficiencies report corrections, the recurring pattern of food handling and safety violations suggests ongoing operational challenges families should investigate during visits.

Aug 28, 2025Routine
5
0812ModerateCorrected

Nutrition and Dietary Deficiencies

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

0321ModerateCorrected

Smoke Deficiencies

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

0353ModerateCorrected

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

0641MinorCorrected

Resident Assessment and Care Planning Deficiencies

Ensure each resident receives an accurate assessment.

0656MinorCorrected

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.

Jul 10, 2024Routine
4
0812ModerateCorrected

Nutrition and Dietary Deficiencies

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

0222ModerateCorrected

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.

0637MinorCorrected

Resident Assessment and Care Planning Deficiencies

Assess the resident when there is a significant change in condition

0880MinorCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

May 1, 2024Complaint
1
0558MinorCorrected

Resident Rights Deficiencies

Reasonably accommodate the needs and preferences of each resident.

Jul 21, 2023Complaint
2
0600SevereCorrected

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.

0607SevereCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Develop and implement policies and procedures to prevent abuse, neglect, and theft.

Jun 15, 2023Routine
6
0812ModerateCorrected

Nutrition and Dietary Deficiencies

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

0341ModerateCorrected

Smoke Deficiencies

Install a fire alarm system that can be heard throughout the facility.

0550ModerateCorrected

Resident Rights Deficiencies

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

0755ModerateCorrected

Pharmacy Service Deficiencies

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

0880ModerateCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0583MinorCorrected

Resident Rights Deficiencies

Keep residents' personal and medical records private and confidential.

Federal Penalties

Fine

Jun 15, 2023

$23,547

Ownership & Operations

Who Operates This Facility

Owner / Operator

Terrel II Investments, LLC

Organization Type

for profit

Management Company

LLANO ESTACADO HEALTHCARE, LLC

Administrator

NITA DIANE MASSEY

Ownership & Management

Key personnel

Llano Estacado Healthcare LLCManagerTerrel, AaronManagerLlano Estacado Healthcare LLCAdp of the SnfTerrel, AaronAdp of the SnfTerrel, AudraAdp of the Snf
Source: Medicare provider data

Contact

Get in Touch

Contact this facility directly and verify the details that matter most to your family.

References & Resources

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