Government - Hospital district · 92 certified beds · CMS number 675279
Villa Haven Health and Rehabilitation Center, Breckenridge, TX
CMS records 9 health deficiencies at Villa Haven Health and Rehabilitation Center in Breckenridge, Texas in its last 3 inspection cycles; the Texas median is 25. Its most recent standard inspection was on Mar 13, 2026. The highest severity cited is E (no actual harm, potential for more than minimal harm). CMS lists no fines or payment denials in the last three years.
- 9deficiencies, 3 cycles (TX median 25)
- 3in the latest cycle (TX median 8)
- Ehighest severity · Potential for harm
- $0fines, last 3 years
- 5CMS overall rating (of 5)
Inspections and deficiencies
CMS findings for Villa Haven Health and Rehabilitation Center as of Sep 1, 2026, grouped by inspection cycle (3 cycles); each is a requirement inspectors found not met, and Villa Haven Health and Rehabilitation Center may since have corrected or disputed it. Severity letters · Inspection cycles · Care Compare
Most recent cycle (3 deficiencies)
Standard inspection Mar 13, 2026. CMS counts 3 health deficiencies and 5 fire safety deficiencies in this cycle.
Mar 13, 2026 · Standard + complaint inspection
2 deficiencies, highest E
F949 · Behavioral health training
Requirement cited (CMS): Provide behavior health training consistent with the requirements and as determined by a facility assessment.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Apr 6, 2026
F761 · Drug labeling and secure storage
Requirement cited (CMS): 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.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Mar 31, 2026
Dec 27, 2025 · Complaint inspection
1 deficiency, highest C
F844 · Disclosing ownership and leadership changes
Requirement cited (CMS): Follow rules about disclosure of ownership requirements and tell the state agency about changes in ownership and/or administrative personnel.
- Severity
- C No actual harm, potential for minimal harm, widespread
- Status
- Correction date Jan 14, 2026
Previous cycle: 2 deficiencies (standard inspection Dec 19, 2024)
Standard inspection Dec 19, 2024. CMS counts 2 health deficiencies and 1 fire safety deficiency in this cycle.
Dec 19, 2024 · Standard + complaint inspection
2 deficiencies, highest E
F880 · Infection prevention and control program
Requirement cited (CMS): Provide and implement an infection prevention and control program.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Jan 9, 2025
F657 · Care plan timing and team review
Requirement cited (CMS): Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Dec 23, 2024
Earlier cycle: 4 deficiencies (standard inspection Nov 2, 2023)
Standard inspection Nov 2, 2023. CMS counts 4 health deficiencies and 3 fire safety deficiencies in this cycle.
Jul 18, 2024 · Complaint inspection
1 deficiency, highest D
F880 · Infection prevention and control program
Requirement cited (CMS): Provide and implement an infection prevention and control program.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Aug 6, 2024
Nov 2, 2023 · Standard + complaint inspection
3 deficiencies, highest E
F880 · Infection prevention and control program
Requirement cited (CMS): Provide and implement an infection prevention and control program.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Nov 20, 2023
F812 · Food safety and sanitation
Requirement cited (CMS): Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Nov 21, 2023
F656 · Comprehensive person-centered care plan
Requirement cited (CMS): Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Nov 20, 2023
Tags cited in more than one inspection
1 tag cited on more than one inspection date at Villa Haven Health and Rehabilitation Center; each date counts once and does not mean the same incident. PNC = past non-compliance.
| Tag | Inspections | Dates |
|---|---|---|
| F880 Infection prevention and control program | 3 | Dec 19, 2024; Jul 18, 2024; Nov 2, 2023 |
Fines and payment denials
CMS lists no fines or payment denials for this nursing home in the last three years.
Staffing and CMS ratings
- Total nurse staff hours per resident per day
- 3.45 h (above the Texas median of 3.27 h)
- RN hours per resident per day
- 0.45 h (above the Texas median of 0.38 h)
- Weekend nurse staff hours per resident per day
- 2.99 h
- Nursing staff turnover
- 60.0% (Texas median 52.1%)
- Administrators who left
- 0
- CMS overall rating
- 5 of 5
- Health inspection rating
- 5 of 5
- Staffing rating
- 1 of 5
- Quality measure rating
- 5 of 5
CMS figures for Villa Haven Health and Rehabilitation Center, copied as published; Texas medians are ours.
Facility details
- Address
- 300 S Jackson St, Breckenridge, TX 76424
- Phone
- (254) 559-3386
- County
- Stephens
- Accepts
- Medicare and Medicaid
- Ownership
- Government - Hospital district
- Chain (CMS)
- Fundamental Healthcare
- Certified beds
- 92
- Average residents per day
- 33.3
- In Medicare/Medicaid since
- Mar 18, 1994
- Inside a hospital
- No
- Continuing care retirement community
- No
- Resident and family council
- Resident
- Sprinklers in all required areas
- Yes
Questions to ask on a visit
Based on the tags cited most often here.
- How do staff track and report infections among residents? (F880, cited 3 times)
- How are a resident's goals and preferences written into the care plan? (F656, cited 1 time)
- Who sits on the care planning team, and how are family members invited? (F657, cited 1 time)
- How are medications stored and secured on each unit? (F761, cited 1 time)
Other nursing homes in Breckenridge and the same chain
- Corinth Rehabilitation Suites on the Parkway
Corinth · 48 deficiencies - Las Ventanas De Socorro
Socorro · 47 deficiencies - Terra Bella Health and Wellness Suites
Houston · 44 deficiencies - Avir at Memorial
Denison · 37 deficiencies
Source
CMS Provider Data Catalog: Provider Information, Health Deficiencies, Penalties, Survey Summary. Processed by CMS Sep 1, 2026; next update Oct 28, 2026.