Government - Hospital district · 95 certified beds · CMS number 675664

Sunny Springs Nursing & Rehab, Sulphur Springs, TX

CMS records 57 health deficiencies at Sunny Springs Nursing & Rehab in Sulphur Springs, 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 J (immediate jeopardy to resident health or safety). 2 citations were at the immediate jeopardy level. CMS lists no fines or payment denials in the last three years.

Inspections and deficiencies

CMS findings for Sunny Springs Nursing & Rehab as of Sep 1, 2026, grouped by inspection cycle (3 cycles); each is a requirement inspectors found not met, and Sunny Springs Nursing & Rehab may since have corrected or disputed it. Severity letters · Inspection cycles · Care Compare

Most recent cycle (15 deficiencies)

Standard inspection Sep 10, 2025. CMS counts 15 health deficiencies and 0 fire safety deficiencies in this cycle.

Sep 10, 2025 · Standard inspection

15 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 Sep 11, 2025

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
E No actual harm, potential for more than minimal harm, pattern
Status
Correction date Sep 19, 2025

F847 · Arbitration agreements must be optional

Requirement cited (CMS): Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse.

Severity
E No actual harm, potential for more than minimal harm, pattern
Status
Correction date Sep 15, 2025

F806 · Allergies, preferences, and meal substitutes

Requirement cited (CMS): Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.

Severity
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date Sep 11, 2025

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
E No actual harm, potential for more than minimal harm, pattern
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
E No actual harm, potential for more than minimal harm, pattern
Status
Correction date Sep 11, 2025

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 Oct 3, 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 Oct 3, 2025

F692 · Nutrition and hydration

Requirement cited (CMS): Provide enough food/fluids to maintain a resident's health.

Severity
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date Oct 11, 2025

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 Sep 11, 2025

F685 · Vision and hearing services

Requirement cited (CMS): Assist a resident in gaining access to vision and hearing services.

Severity
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date Oct 1, 2025

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 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 Oct 1, 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 Oct 1, 2025

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 Sep 11, 2025
Previous cycle: 21 deficiencies (standard inspection Aug 22, 2024)

Standard inspection Aug 22, 2024. CMS counts 21 health deficiencies and 1 fire safety deficiency in this cycle.

Apr 9, 2025 · Complaint inspection

4 deficiencies, 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 Apr 28, 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 Apr 28, 2025

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 Apr 28, 2025

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 Apr 28, 2025

Jan 28, 2025 · Complaint inspection

2 deficiencies, highest E

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
E No actual harm, potential for more than minimal harm, pattern
Status
Correction date Feb 14, 2025

F600 · Freedom from abuse and neglect

Requirement cited (CMS): Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Severity
E No actual harm, potential for more than minimal harm, pattern
Status
Past non-compliance (fixed before the inspection), Dec 14, 2024

Aug 22, 2024 · Standard + complaint inspection

15 deficiencies, highest E

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 Aug 30, 2024

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 30, 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 Aug 30, 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 Aug 30, 2024

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
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date Aug 30, 2024

F698 · Dialysis care

Requirement cited (CMS): Provide safe, appropriate dialysis care/services for a resident who requires such services.

Severity
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date Aug 30, 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 Aug 30, 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 Aug 30, 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 Aug 30, 2024

F641 · Accurate resident assessments

Requirement cited (CMS): Ensure each resident receives an accurate assessment.

Severity
E No actual harm, potential for more than minimal harm, pattern
Status
Correction date Aug 30, 2024

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 Aug 30, 2024

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 Aug 30, 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 Aug 30, 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 Aug 30, 2024

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 Aug 30, 2024
Earlier cycle: 21 deficiencies (standard inspection Jul 14, 2023)

Standard inspection Jul 14, 2023. CMS counts 21 health deficiencies and 1 fire safety deficiency in this cycle.

Jul 15, 2024 · Complaint inspection

3 deficiencies, 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 12, 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 Aug 12, 2024

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 Aug 12, 2024

Jun 17, 2024 · Complaint inspection

2 deficiencies, highest D

F688 · Range of motion and mobility

Requirement cited (CMS): 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.

Severity
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date Jul 17, 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 Jul 17, 2024

Oct 31, 2023 · 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 Nov 14, 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
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date Nov 14, 2023

Jul 14, 2023 · Standard inspection

14 deficiencies, highest J

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

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 Jul 31, 2023

F726 · Competent nurses and nurse aides

Requirement cited (CMS): Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.

Severity
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date Jul 31, 2023

F698 · Dialysis care

Requirement cited (CMS): Provide safe, appropriate dialysis care/services for a resident who requires such services.

Severity
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date Jul 31, 2023

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 Jul 31, 2023

F684 · Quality of care

Requirement cited (CMS): Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Severity
J Immediate jeopardy to resident health or safety, isolated
Status
Correction date Jul 15, 2023

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 Jul 31, 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 Jul 31, 2023

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 Jul 31, 2023

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 Jul 31, 2023

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 Jul 31, 2023

F584 · Safe, clean, homelike surroundings

Requirement cited (CMS): 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.

Severity
E No actual harm, potential for more than minimal harm, pattern
Status
Correction date Jul 31, 2023

F582 · Notice of covered and extra charges

Requirement cited (CMS): Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

Severity
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date Jul 31, 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
J Immediate jeopardy to resident health or safety, isolated
Status
Correction date Jul 15, 2023

Tags cited in more than one inspection

12 tags cited on more than one inspection date at Sunny Springs Nursing & Rehab; each date counts once and does not mean the same incident. PNC = past non-compliance.

TagInspectionsDates
F880 Infection prevention and control program6Sep 10, 2025; Apr 9, 2025; Aug 22, 2024; Jul 15, 2024; Oct 31, 2023; Jul 14, 2023
F656 Comprehensive person-centered care plan5Sep 10, 2025; Apr 9, 2025; Aug 22, 2024; Jun 17, 2024; Jul 14, 2023
F849 Hospice services4Sep 10, 2025; Aug 22, 2024; Jul 15, 2024; Jul 14, 2023
F607 Abuse prevention policies3Apr 9, 2025; Aug 22, 2024; Jul 14, 2023
F609 Reporting suspected abuse and crimes3Apr 9, 2025; Aug 22, 2024; Jul 14, 2023
F695 Respiratory and oxygen care3Sep 10, 2025; Aug 22, 2024; Jul 14, 2023
F755 Pharmacy services and a consultant pharmacist3Sep 10, 2025; Jan 28, 2025; Jul 15, 2024
F552 Being informed about health and treatment2Sep 10, 2025; Aug 22, 2024
F580 Telling residents and families about changes2Aug 22, 2024; Jul 14, 2023
F689 Accident prevention and supervision2Sep 10, 2025; Oct 31, 2023
F698 Dialysis care2Aug 22, 2024; Jul 14, 2023
F761 Drug labeling and secure storage2Sep 10, 2025; Aug 22, 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
3.36 h (about the same as the Texas median of 3.27 h)
RN hours per resident per day
0.67 h (above the Texas median of 0.38 h)
Weekend nurse staff hours per resident per day
3.08 h
Nursing staff turnover
44.9% (Texas median 52.1%)
Administrators who left
0
CMS overall rating
2 of 5
Health inspection rating
2 of 5
Staffing rating
2 of 5
Quality measure rating
4 of 5

CMS figures for Sunny Springs Nursing & Rehab, copied as published; Texas medians are ours.

Facility details

Address
1200 Jackson St North, Sulphur Springs, TX 75482
Phone
(903) 885-6571
County
Hopkins
Accepts
Medicare and Medicaid
Ownership
Government - Hospital district
Chain (CMS)
Opco Skilled Management
Certified beds
95
Average residents per day
67.6
In Medicare/Medicaid since
Feb 8, 1997
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 6 times)
  • How are a resident's goals and preferences written into the care plan? (F656, cited 5 times)
  • Which hospice providers work with the home, and can residents choose among them? (F849, cited 4 times)
  • Can families get a summary of the home's abuse prevention and reporting policy? (F607, cited 3 times)

Other nursing homes in Sulphur Springs and the same chain

Source

CMS Provider Data Catalog: Provider Information, Health Deficiencies, Penalties, Survey Summary. Processed by CMS Sep 1, 2026; next update Oct 28, 2026.

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