Carillon INC
1717 A Norfolk Ave, Lubbock, TX 79416 · Lubbock County · 100 certified beds · avg 83 residents/day · certified since Dec 17, 2003
Part of chain: LIFE CARE SERVICES (43 facilities, chain avg rating 4.1★)
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★★★☆☆3/5 · CMS overall rating: 3/5
The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and self-reported quality measures.
Most serious findings (actual harm or immediate jeopardy)
▲ Immediate jeopardy, repeated · Jan 27, 2024 · F-0697 · triggered by a complaint
The facility did not provide safe and appropriate pain management for a resident who needed it.
Why it matters: Untreated pain causes needless suffering and can lead to depression, poor sleep, and declining health.
Severity (K): A life-threatening or extremely dangerous situation affected several residents. Among the most serious findings an inspection can produce.
Corrected: Feb 19, 2024 (Deficient, Provider has date of correction)
All citations in the current public record (19)
CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed.
| Date | Severity | What the facility was cited for |
|---|---|---|
| Jun 17, 2026 | E · Potential for harm, repeated | The facility did not honor residents' right to voice complaints without discrimination or retaliation, or did not have a working complaint process that resolves issues promptly. |
| Jun 17, 2026 | E · Potential for harm, repeated | The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. |
| Jun 17, 2026 | E · Potential for harm, repeated | The facility did not dispose of garbage and refuse properly. |
| Jun 17, 2026 | E · Potential for harm, repeated | The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. |
| Jun 17, 2026 | D · Potential for harm, one-off | The facility did not honor residents' rights to request, refuse, or stop treatment, to decline participation in medical research, or to make an advance directive — a written statement of their wishes for future medical care. |
| Jun 17, 2026 | D · Potential for harm, one-off | The facility did not enter each resident's assessment information into the required format and send it to the state within 7 days of completing the assessment, as the rules require. |
| Jun 17, 2026 | D · Potential for harm, one-off | The facility's medication error rate was 5 percent or higher — meaning too many doses were given incorrectly, such as the wrong drug, dose, or time. |
| Apr 25, 2025 | E · Potential for harm, repeated | The facility did not honor residents' right to voice complaints without discrimination or retaliation, or did not have a working complaint process that resolves issues promptly. · from a complaint |
| Apr 25, 2025 | D · Potential for harm, one-off | The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. · from a complaint |
| Apr 25, 2025 | D · Potential for harm, one-off | The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. · from a complaint |
| Feb 28, 2025 | D · Potential for harm, one-off | The facility did not provide pharmacy services that meet each resident's needs, or did not employ or contract with a licensed pharmacist. · from a complaint |
| Feb 28, 2025 | D · Potential for harm, one-off | The facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock. · from a complaint |
| Oct 25, 2024 | D · Potential for harm, one-off | The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines. · from a complaint |
| Oct 25, 2024 | D · Potential for harm, one-off | The facility did not provide the help residents need with basic daily activities — like bathing, dressing, eating, and using the bathroom — for residents who cannot do these things on their own. · from a complaint |
| Mar 21, 2024 | D · Potential for harm, one-off | The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines. |
| Mar 21, 2024 | D · Potential for harm, one-off | The facility did not try to gradually reduce doses of mood- and mind-altering medications or use non-drug approaches first, as required, or used 'as needed' psychiatric drugs without proper limits. |
| Jan 27, 2024 | ▲ K · Immediate jeopardy, repeated | The facility did not provide safe and appropriate pain management for a resident who needed it. · from a complaint |
| Jan 27, 2024 | E · Potential for harm, repeated | The facility did not report suspected abuse, neglect, or theft to the proper authorities quickly enough, or did not report the results of its investigation. · from a complaint |
| Jan 27, 2024 | E · Potential for harm, repeated | The facility did not respond appropriately to alleged violations, such as reports of abuse, neglect, or mistreatment. Facilities must investigate every allegation and protect residents while they do. · from a complaint |
Inspection trend by year
Citations from standard inspections increased between the last two inspection cycles (3 → 7).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2024 | 7 | 1 | K ▲ |
| 2025 | 5 | 0 | E |
| 2026 | 7 | 0 | E |
Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.
Fines and enforcement (last 3 years)
1 fine totaling $57,321.
| Date | Type | Amount / length |
|---|---|---|
| Jan 27, 2024 | Fine | $57,321 |
Nurse staffing (from payroll records, adjusted for how much care residents need)
| Measure | This facility | Texas avg | U.S. avg | Where it stands |
|---|---|---|---|---|
| Total nurse staffing (hours per resident per day) | 5.46 | 3.46 | 3.95 | top 3% in Texas; top 8% in the U.S. |
| Registered Nurse hours | 0.57 | 0.44 | 0.69 | top 18% in Texas; bottom 48% in the U.S. |
| Weekend total nurse staffing | 4.93 | 3.04 | 3.50 | top 3% in Texas; top 7% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.45 | 0.34 | 0.48 | top 18% in Texas; top 39% in the U.S. |
| Total nursing staff turnover (%) | 65.8 | 55.3 | 45.8 | bottom 24% in Texas; bottom 9% in the U.S. |
| RN turnover (%) | 78.3 | 54.6 | 42.9 | bottom 21% in Texas; bottom 6% in the U.S. |
Hours are per resident per day, case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 4.66, RN 0.49, weekend 4.21. Staffing rating: 3/5.
Self-reported quality measures
Note: these ratings are based on data the facility reports about itself to CMS. They are not independently verified by inspectors, and can look better than inspection findings. Give more weight to the inspection results above.
Quality measures rating: 4/5 · long-stay residents: 4/5 · short-stay residents: 4/5
Who owns this facility
Non profit - Corporation
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Carillon, INC. | Organization | 5% or Greater Direct Ownership Interest | 100% | 12/30/2009 |
| Breedlove, Billy | Individual | Corporate Director | NOT APPLICABLE | 02/27/2020 |
| Culberson, John | Individual | Operational/Managerial Control | NOT APPLICABLE | 04/01/2023 |
| Culberson, John | Individual | ADP of the SNF | NOT APPLICABLE | 04/09/2025 |
| Fulton, Kyle | Individual | Corporate Director | NOT APPLICABLE | 01/25/2023 |
| Hatch, Leslie | Individual | Corporate Director | NOT APPLICABLE | 04/18/2019 |
| Klein, Trenton | Individual | Operational/Managerial Control | NOT APPLICABLE | 02/26/2025 |
| Klein, Trenton | Individual | ADP of the SNF | NOT APPLICABLE | 04/07/2025 |
| Life Care Services LLC | Organization | Operational/Managerial Control | NOT APPLICABLE | 02/03/2003 |
| Life Care Services LLC | Organization | ADP of the SNF | NOT APPLICABLE | 04/30/2025 |
| Owens, John | Individual | Corporate Director | NOT APPLICABLE | 06/19/2022 |
| Powell, Dianne | Individual | Corporate Director | NOT APPLICABLE | 10/18/2021 |
| Roddy, Pamela | Individual | Operational/Managerial Control | NOT APPLICABLE | 10/16/2019 |
| Skinner, Derek | Individual | Operational/Managerial Control | NOT APPLICABLE | 08/01/2018 |
| Skinner, Derek | Individual | ADP of the SNF | NOT APPLICABLE | 04/09/2025 |
| Turner, Lane | Individual | Corporate Director | NOT APPLICABLE | 02/27/2020 |
| U.s. Bank | Organization | 5% or Greater Security Interest | NOT APPLICABLE | 07/01/2016 |
| Wilkerson, David | Individual | Corporate Director | NOT APPLICABLE | 01/19/2023 |
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "How do you assess and manage residents' pain, especially for those who have trouble communicating?"
- "Walk me through what happens when a resident or family files a grievance — who responds and how fast?"
- "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
- "Can I see where garbage is stored and how often it's removed?"
- "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
- "How do you record and honor each resident's treatment wishes and advance directives, and how do staff know about them?"
- "How do you make sure resident assessments are completed and submitted to the state on time?"
- "What is your current medication error rate, and what have you changed to bring errors down?"
- "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
- "Can I see the results and plan of correction from your most recent state inspection?"
Nearby facilities (within 20 miles)
| Facility | Distance | City | Overall | Inspection | Flags |
|---|---|---|---|---|---|
| Whisperwood Nursing & Rehabilitation Center | 0.2 mi | Lubbock, TX | ★☆☆☆☆ | 2/5 | abuse |
| The Plaza at Lubbock | 1.2 mi | Lubbock, TX | ★★★☆☆ | 2/5 | |
| Mi Casita Nursing and Rehabilitation | 1.7 mi | Lubbock, TX | ★★★☆☆ | 4/5 | |
| The Mildred & Shirley L. Garrison Geriatric Educat | 1.7 mi | Lubbock, TX | ★★☆☆☆ | 1/5 | abuse |
| Mesquite Post Acute Care | 1.8 mi | Lubbock, TX | ★☆☆☆☆ | 1/5 | |
| Southern Specialty Rehab & Nursing | 1.9 mi | Lubbock, TX | ★☆☆☆☆ | 1/5 | |
| Lubbock Health Care Center | 2.0 mi | Lubbock, TX | ★★★☆☆ | 4/5 | |
| Lakeside Rehabilitation and Care Center | 2.1 mi | Lubbock, TX | ★☆☆☆☆ | 2/5 | |
| Avir at Lubbock | 2.7 mi | Lubbock, TX | ★☆☆☆☆ | 1/5 | abuseSFF |
| Crown Point Health Suites | 4.2 mi | Lubbock, TX | ★★★★★ | 4/5 | |
| Hansford County Hospital District DBA Lakeridge Nu | 4.5 mi | Lubbock, TX | ★★☆☆☆ | 3/5 | |
| Avir at Heritage Oaks | 4.5 mi | Lubbock, TX | ★☆☆☆☆ | 2/5 |
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Facility data as of CMS processing date 2026-08-01. CCN 675997.