Government - Hospital district · 60 certified beds · CMS number 45F497
Hansford Manor, Spearman, TX
CMS records 10 health deficiencies at Hansford Manor in Spearman, Texas in its last 3 inspection cycles; the Texas median is 25. Its most recent standard inspection was on Sep 10, 2025. The highest severity cited is F (no actual harm, potential for more than minimal harm). CMS lists no fines or payment denials in the last three years.
- 10deficiencies, 3 cycles (TX median 25)
- 5in the latest cycle (TX median 8)
- Fhighest severity · Potential for harm
- $0fines, last 3 years
- 4CMS overall rating (of 5)
Inspections and deficiencies
CMS findings for Hansford Manor as of Sep 1, 2026, grouped by inspection cycle (3 cycles); each is a requirement inspectors found not met, and Hansford Manor may since have corrected or disputed it. Severity letters · Inspection cycles · Care Compare
Most recent cycle (5 deficiencies)
Standard inspection Sep 10, 2025. CMS counts 5 health deficiencies and 1 fire safety deficiency in this cycle.
Sep 10, 2025 · Standard inspection
5 deficiencies, highest F
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
- F No actual harm, potential for more than minimal harm, widespread
- Status
- Correction date Sep 11, 2025
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 Sep 11, 2025
F695 · Respiratory and oxygen care
Requirement cited (CMS): Provide safe and appropriate respiratory care for a resident when needed.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Sep 11, 2025
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
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Sep 11, 2025
F578 · Refusing treatment and advance directives
Requirement cited (CMS): Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Sep 16, 2025
Previous cycle: 3 deficiencies (standard inspection Aug 21, 2024)
Standard inspection Aug 21, 2024. CMS counts 3 health deficiencies and 0 fire safety deficiencies in this cycle.
Aug 21, 2024 · Standard inspection
3 deficiencies, highest D
F700 · Bed rail safety
Requirement cited (CMS): Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Sep 13, 2024
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
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Sep 13, 2024
F641 · Accurate resident assessments
Requirement cited (CMS): Ensure each resident receives an accurate assessment.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Sep 13, 2024
Earlier cycle: 2 deficiencies (standard inspection Jun 21, 2023)
Standard inspection Jun 21, 2023. CMS counts 2 health deficiencies and 1 fire safety deficiency in this cycle.
Jun 21, 2023 · Standard inspection
2 deficiencies, highest E
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 Jul 31, 2023
F689 · Accident prevention and supervision
Requirement cited (CMS): Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Jul 31, 2023
Tags cited in more than one inspection
1 tag cited on more than one inspection date at Hansford Manor; each date counts once and does not mean the same incident. PNC = past non-compliance.
| Tag | Inspections | Dates |
|---|---|---|
| F656 Comprehensive person-centered care plan | 2 | Sep 10, 2025; Aug 21, 2024 |
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
- 4.83 h (above the Texas median of 3.27 h)
- RN hours per resident per day
- 0.70 h (above the Texas median of 0.38 h)
- Weekend nurse staff hours per resident per day
- 3.77 h
- Nursing staff turnover
- not reported
- Administrators who left
- not reported
- CMS overall rating
- 4 of 5
- Health inspection rating
- 4 of 5
- Staffing rating
- 3 of 5
- Quality measure rating
- 2 of 5
CMS figures for Hansford Manor, copied as published; Texas medians are ours.
Facility details
- Address
- 707 S Roland St, Spearman, TX 79081
- Phone
- (806) 659-5535
- County
- Hansford
- Accepts
- Medicaid
- Ownership
- Government - Hospital district
- Chain (CMS)
- Not part of a chain in CMS data
- Certified beds
- 60
- Average residents per day
- 53.9
- In Medicare/Medicaid since
- Apr 1, 2001
- 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 are a resident's goals and preferences written into the care plan? (F656, cited 2 times)
- How does the home record and follow a resident's advance directive? (F578, cited 1 time)
- How does the home check that resident assessments match what staff actually observe? (F641, cited 1 time)
- How does the home assess each resident's fall risk and plan to prevent falls? (F689, cited 1 time)
Source
CMS Provider Data Catalog: Provider Information, Health Deficiencies, Penalties, Survey Summary. Processed by CMS Sep 1, 2026; next update Oct 28, 2026.