Government - Hospital district · 128 certified beds · CMS number 455579
Sulphur Springs Health and Rehabilitation, Sulphur Springs, TX
CMS records 52 health deficiencies at Sulphur Springs Health and Rehabilitation in Sulphur Springs, Texas in its last 3 inspection cycles; the Texas median is 25. Its most recent standard inspection was on Mar 25, 2026. The highest severity cited is J (immediate jeopardy to resident health or safety). 1 citation was at the immediate jeopardy level. CMS lists 1 fine totaling $44,044 in the last three years.
- 52deficiencies, 3 cycles (TX median 25)
- 18in the latest cycle (TX median 8)
- Jhighest severity · Immediate jeopardy
- $44,044fines, last 3 years
- 3CMS overall rating (of 5)
Inspections and deficiencies
CMS findings for Sulphur Springs Health and Rehabilitation as of Sep 1, 2026, grouped by inspection cycle (3 cycles); each is a requirement inspectors found not met, and Sulphur Springs Health and Rehabilitation may since have corrected or disputed it. Severity letters · Inspection cycles · Care Compare
Most recent cycle (18 deficiencies)
Standard inspection Mar 25, 2026. CMS counts 18 health deficiencies and 0 fire safety deficiencies in this cycle.
Jun 24, 2026 · Complaint inspection
2 deficiencies, highest D
F563 · Receiving visitors
Requirement cited (CMS): Honor the resident's right to receive visitors of his or her choosing, at the time of his or her choosing.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Jul 25, 2026
F551 · Role of the resident's representative
Requirement cited (CMS): Give the resident's representative the ability to exercise the resident's rights.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Jul 25, 2026
Mar 25, 2026 · Standard inspection
16 deficiencies, highest F
F925 · Pest control
Requirement cited (CMS): Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
- Severity
- F No actual harm, potential for more than minimal harm, widespread
- Status
- Correction date Mar 26, 2026
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 Mar 26, 2026
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 Mar 26, 2026
F804 · Palatable, attractive food at safe temperatures
Requirement cited (CMS): Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
- Severity
- F No actual harm, potential for more than minimal harm, widespread
- Status
- Correction date Mar 26, 2026
F770 · Timely laboratory services
Requirement cited (CMS): Provide timely, quality laboratory services/tests to meet the needs of residents.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Mar 26, 2026
F757 · Avoiding unnecessary drugs
Requirement cited (CMS): Ensure each resident’s drug regimen must be free from unnecessary drugs.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Mar 26, 2026
F755 · Pharmacy services and a consultant pharmacist
Requirement cited (CMS): Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Mar 26, 2026
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
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Mar 26, 2026
F686 · Pressure ulcer prevention and care
Requirement cited (CMS): Provide appropriate pressure ulcer care and prevent new ulcers from developing.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Mar 26, 2026
F684 · Quality of care
Requirement cited (CMS): Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Mar 26, 2026
F677 · Help with daily care
Requirement cited (CMS): Provide care and assistance to perform activities of daily living for any resident who is unable.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Mar 26, 2026
F658 · Professional standards in care
Requirement cited (CMS): Ensure services provided by the nursing facility meet professional standards of quality.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Mar 26, 2026
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 Mar 26, 2026
F609 · Reporting suspected abuse and crimes
Requirement cited (CMS): Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Mar 26, 2026
F607 · Abuse prevention policies
Requirement cited (CMS): Develop and implement policies and procedures to prevent abuse, neglect, and theft.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Mar 26, 2026
F552 · Being informed about health and treatment
Requirement cited (CMS): Ensure that residents are fully informed and understand their health status, care and treatments.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Mar 26, 2026
Previous cycle: 17 deficiencies (standard inspection Dec 12, 2024)
Standard inspection Dec 12, 2024. CMS counts 17 health deficiencies and 3 fire safety deficiencies in this cycle.
Apr 8, 2025 · Complaint inspection
1 deficiency, highest E
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 Apr 10, 2025
Dec 12, 2024 · Standard + complaint inspection
16 deficiencies, highest J
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 Dec 13, 2024
F849 · Hospice services
Requirement cited (CMS): Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Dec 13, 2024
F840 · Using outside service providers
Requirement cited (CMS): Employ or obtain outside professional resources to provide services in the nursing home when the facility does not employ a qualified professional to furnish a required service.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Dec 13, 2024
F839 · Licensed and qualified staff
Requirement cited (CMS): Employ staff that are licensed, certified, or registered in accordance with state laws.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Dec 13, 2024
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 Dec 13, 2024
F770 · Timely laboratory services
Requirement cited (CMS): Provide timely, quality laboratory services/tests to meet the needs of residents.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Dec 13, 2024
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 Dec 13, 2024
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 Dec 13, 2024
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
- J Immediate jeopardy to resident health or safety, isolated
- Status
- Correction date Dec 13, 2024
F679 · Activities program
Requirement cited (CMS): Provide activities to meet all resident's needs.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Dec 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 Dec 13, 2024
F655 · Baseline care plan within 48 hours
Requirement cited (CMS): Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Dec 13, 2024
F583 · Personal privacy and confidential records
Requirement cited (CMS): Keep residents' personal and medical records private and confidential.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Dec 13, 2024
F580 · Telling residents and families about changes
Requirement cited (CMS): Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Dec 13, 2024
F573 · Access to personal and medical records
Requirement cited (CMS): Let each resident or the resident's legal representative access or purchase copies of all the resident's records.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Dec 13, 2024
F561 · Making everyday choices
Requirement cited (CMS): Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Dec 13, 2024
Earlier cycle: 17 deficiencies (standard inspection Nov 15, 2023)
Standard inspection Nov 15, 2023. CMS counts 17 health deficiencies and 3 fire safety deficiencies in this cycle.
Aug 12, 2024 · Complaint inspection
1 deficiency, highest D
F550 · Dignity and the right to exercise rights
Requirement cited (CMS): Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Sep 7, 2024
Nov 15, 2023 · Standard inspection
16 deficiencies, highest F
F926 · Smoking policies
Requirement cited (CMS): Have policies on smoking.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Dec 20, 2023
F881 · Antibiotic stewardship
Requirement cited (CMS): Implement a program that monitors antibiotic use.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Dec 20, 2023
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 Dec 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
- F No actual harm, potential for more than minimal harm, widespread
- Status
- Correction date Dec 20, 2023
F809 · Meal times and snacks
Requirement cited (CMS): Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times.
- Severity
- F No actual harm, potential for more than minimal harm, widespread
- Status
- Correction date Dec 20, 2023
F804 · Palatable, attractive food at safe temperatures
Requirement cited (CMS): Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
- Severity
- F No actual harm, potential for more than minimal harm, widespread
- Status
- Correction date Dec 20, 2023
F770 · Timely laboratory services
Requirement cited (CMS): Provide timely, quality laboratory services/tests to meet the needs of residents.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Dec 20, 2023
F758 · Psychotropic drug safeguards
Requirement cited (CMS): Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Dec 20, 2023
F756 · Monthly pharmacist medication review
Requirement cited (CMS): Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Dec 20, 2023
F755 · Pharmacy services and a consultant pharmacist
Requirement cited (CMS): Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Dec 20, 2023
F745 · Medically related social services
Requirement cited (CMS): Provide medically-related social services to help each resident achieve the highest possible quality of life.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Dec 20, 2023
F695 · Respiratory and oxygen care
Requirement cited (CMS): Provide safe and appropriate respiratory care for a resident when needed.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Dec 20, 2023
F677 · Help with daily care
Requirement cited (CMS): Provide care and assistance to perform activities of daily living for any resident who is unable.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Dec 20, 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
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Dec 20, 2023
F640 · Submitting assessment data on time
Requirement cited (CMS): Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Dec 20, 2023
F580 · Telling residents and families about changes
Requirement cited (CMS): Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Dec 20, 2023
Tags cited in more than one inspection
10 tags cited on more than one inspection date at Sulphur Springs Health and Rehabilitation; each date counts once and does not mean the same incident. PNC = past non-compliance.
| Tag | Inspections | Dates |
|---|---|---|
| F812 Food safety and sanitation | 4 | Mar 25, 2026; Apr 8, 2025; Dec 12, 2024; Nov 15, 2023 |
| F656 Comprehensive person-centered care plan | 3 | Mar 25, 2026; Dec 12, 2024; Nov 15, 2023 |
| F770 Timely laboratory services | 3 | Mar 25, 2026; Dec 12, 2024; Nov 15, 2023 |
| F880 Infection prevention and control program | 3 | Mar 25, 2026; Dec 12, 2024; Nov 15, 2023 |
| F580 Telling residents and families about changes | 2 | Dec 12, 2024; Nov 15, 2023 |
| F677 Help with daily care | 2 | Mar 25, 2026; Nov 15, 2023 |
| F689 Accident prevention and supervision | 2 | Mar 25, 2026; Dec 12, 2024 |
| F695 Respiratory and oxygen care | 2 | Dec 12, 2024; Nov 15, 2023 |
| F755 Pharmacy services and a consultant pharmacist | 2 | Mar 25, 2026; Nov 15, 2023 |
| F804 Palatable, attractive food at safe temperatures | 2 | Mar 25, 2026; Nov 15, 2023 |
Fines and payment denials
| Date | Type | Amount / length |
|---|---|---|
| Dec 12, 2024 | Fine | $44,044 |
Staffing and CMS ratings
- Total nurse staff hours per resident per day
- 3.38 h (about the same as the Texas median of 3.27 h)
- RN hours per resident per day
- 0.61 h (above the Texas median of 0.38 h)
- Weekend nurse staff hours per resident per day
- 3.15 h
- Nursing staff turnover
- 44.9% (Texas median 52.1%)
- Administrators who left
- 0
- CMS overall rating
- 3 of 5
- Health inspection rating
- 2 of 5
- Staffing rating
- 3 of 5
- Quality measure rating
- 5 of 5
CMS figures for Sulphur Springs Health and Rehabilitation, copied as published; Texas medians are ours.
Facility details
- Address
- 411 Airport Rd, Sulphur Springs, TX 75482
- Phone
- (903) 885-7668
- County
- Hopkins
- Accepts
- Medicare and Medicaid
- Ownership
- Government - Hospital district
- Chain (CMS)
- Advanced Healthcare Solutions
- Certified beds
- 128
- Average residents per day
- 52.7
- In Medicare/Medicaid since
- Jul 12, 1985
- 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.
- When was the kitchen last inspected, and how are food temperatures checked? (F812, cited 4 times)
- How are a resident's goals and preferences written into the care plan? (F656, cited 3 times)
- How are blood draws and lab tests arranged for residents? (F770, cited 3 times)
- How do staff track and report infections among residents? (F880, cited 3 times)
Other nursing homes in Sulphur Springs and the same chain
- Sunny Springs Nursing & Rehab
Sulphur Springs · 57 deficiencies - Rock Creek Health and Rehabilitation
Sulphur Springs · 38 deficiencies - Carriage House Manor
Sulphur Springs · 27 deficiencies - Greenville Health & Rehabilitation Center
Greenville · 90 deficiencies - El Paso Health & Rehabilitation Center
El Paso · 55 deficiencies - Winfield Rehab & Nursing
Crockett · 48 deficiencies - Heritage House at Paris Rehab & Nursing
Paris · 46 deficiencies
Source
CMS Provider Data Catalog: Provider Information, Health Deficiencies, Penalties, Survey Summary. Processed by CMS Sep 1, 2026; next update Oct 28, 2026.