Clarendon Nursing Home
Ten Medical Center Dr, Clarendon, TX 79226 · Donley County · 61 certified beds · avg 59 residents/day · certified since Feb 2, 2017
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★★★★☆4/5 · 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)
▲ Actual harm, one-off · Nov 13, 2023 · F-0689 · triggered by a complaint
The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.
Why it matters: This is one of the most common citations and directly relates to falls and injuries, which can be devastating for older adults.
Severity (G): One or a few residents were actually harmed — physically or emotionally — though not put in immediate danger of serious injury or death.
Corrected: Dec 20, 2023 (Deficient, Provider has date of correction)
All citations in the current public record (22)
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 |
|---|---|---|
| Jan 15, 2026 | E · Potential for harm, repeated | The facility did not provide pharmacy services that meet each resident's needs, or did not employ or contract with a licensed pharmacist. |
| Jan 15, 2026 | E · Potential for harm, repeated | The facility did not employ enough qualified food and nutrition staff, including a qualified dietician, to properly run its food service. |
| Jan 15, 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. |
| Jan 15, 2026 | D · Potential for harm, one-off | The facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives. |
| Jan 15, 2026 | D · Potential for harm, one-off | The facility did not provide necessary behavioral health care and services — support for residents' mental and emotional wellbeing, including conditions like depression and anxiety. |
| Apr 15, 2025 | E · Potential for harm, repeated | The facility did not develop, carry out, or maintain an effective training program for all new and existing staff members. · from a complaint |
| Apr 15, 2025 | D · Potential for harm, one-off | The facility employed staff who were not licensed, certified, or registered as required by state law. · from a complaint |
| Oct 30, 2024 | F · Potential for harm, facility-wide | 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 |
| Oct 30, 2024 | E · Potential for harm, repeated | The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · from a complaint |
| Oct 30, 2024 | E · Potential for harm, repeated | The facility did not maintain an effective pest control program to prevent or deal with mice, insects, or other pests. · from a complaint |
| Oct 30, 2024 | D · Potential for harm, one-off | The facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives. · from a complaint |
| Oct 30, 2024 | 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 |
| Nov 13, 2023 | ▲ G · Actual harm, one-off | The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · from a complaint |
| Nov 13, 2023 | 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. · from a complaint |
| Aug 31, 2023 | F · Potential for harm, facility-wide | 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 |
| Aug 31, 2023 | E · Potential for harm, repeated | 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. |
| Aug 31, 2023 | E · Potential for harm, repeated | The facility did not train its staff on dementia care and on recognizing and reporting abuse, neglect, and exploitation. |
| Aug 31, 2023 | D · Potential for harm, one-off | The facility did not create and follow a basic care plan covering a new resident's most immediate needs within 48 hours of admission. The first days are when a new resident is most vulnerable. · from a complaint |
| Aug 31, 2023 | 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 |
| Aug 31, 2023 | D · Potential for harm, one-off | When a resident had a planned discharge, the facility did not make sure the necessary information was communicated to the resident and to the doctors or facility taking over their care. · from a complaint |
| Aug 31, 2023 | D · Potential for harm, one-off | The facility did not have a registered nurse on duty at least 8 hours a day, or did not have a registered nurse serving full-time as director of nursing. |
| Aug 31, 2023 | 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. |
Inspection trend by year
Citations from standard inspections stayed about the same across the last two inspection cycles (5 → 5).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2023 | 10 | 1 | G ▲ |
| 2024 | 5 | 0 | F |
| 2025 | 2 | 0 | E |
| 2026 | 5 | 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 $7,551, plus 1 Medicare payment denial period.
| Date | Type | Amount / length |
|---|---|---|
| Nov 13, 2023 | Fine | $7,551 |
| Nov 13, 2023 | Payment Denial | 6 days from Dec 14, 2023 |
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) | 2.96 | 3.46 | 3.95 | bottom 21% in Texas; bottom 12% in the U.S. |
| Registered Nurse hours | 0.21 | 0.44 | 0.69 | bottom 10% in Texas; bottom 3% in the U.S. |
| Weekend total nurse staffing | 2.44 | 3.04 | 3.50 | bottom 12% in Texas; bottom 8% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.14 | 0.34 | 0.48 | bottom 8% in Texas; bottom 4% in the U.S. |
| Total nursing staff turnover (%) | 22.2 | 55.3 | 45.8 | top 1% in Texas; top 4% in the U.S. |
| RN turnover (%) | 40.0 | 54.6 | 42.9 | top 30% in Texas; top 46% 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 2.36, RN 0.17, weekend 1.94. Staffing rating: 1/5.
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: 3/5 · long-stay residents: 3/5 · short-stay residents: —/5
Who owns this facility
For profit - Corporation
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Britton, Carl | Individual | Direct Ownership Interest | NOT APPLICABLE | 03/01/2016 |
| Bullard, Jim | Individual | Indirect Ownership Interest | NOT APPLICABLE | 03/01/2016 |
| Carl Lee Britton Mdpa | Organization | Indirect Ownership Interest | NOT APPLICABLE | 02/01/2016 |
| Chebib, Paul | Individual | Indirect Ownership Interest | NOT APPLICABLE | 03/01/2016 |
| Clarendon NH Operations | Organization | Direct Ownership Interest | NOT APPLICABLE | 02/01/2016 |
| Dr Paul Chebib MD Pa | Organization | Indirect Ownership Interest | NOT APPLICABLE | 02/01/2016 |
| Spore, Scott | Individual | Indirect Ownership Interest | NOT APPLICABLE | 03/01/2016 |
| SSS Holdings LP | Organization | Indirect Ownership Interest | NOT APPLICABLE | 02/01/2016 |
| Theora Management Systems INC | Organization | Indirect Ownership Interest | NOT APPLICABLE | 02/01/2016 |
| Wolcott, Roger | Individual | Indirect Ownership Interest | NOT APPLICABLE | 03/01/2016 |
| Britton, Carl | Individual | Limited Partnership Interest | NOT APPLICABLE | 12/01/2023 |
| Bullard, Jim | Individual | Corporate Director | NOT APPLICABLE | 03/01/2016 |
| Bullard, Jim | Individual | Limited Partnership Interest | NOT APPLICABLE | 03/01/2016 |
| Carl Lee Britton Mdpa | Organization | Limited Partnership Interest | NOT APPLICABLE | 03/01/2015 |
| Carl Lee Britton Mdpa | Organization | ADP of the SNF | NOT APPLICABLE | 01/23/2025 |
| Chebib, Paul | Individual | W-2 Managing Employee | NOT APPLICABLE | 03/01/2016 |
| Chebib, Paul | Individual | Limited Partnership Interest | NOT APPLICABLE | 03/01/2016 |
| Chebib, Paul | Individual | ADP of the SNF | NOT APPLICABLE | 01/23/2025 |
| Clarendon NH Operations | Organization | Operational/Managerial Control | NOT APPLICABLE | 03/01/2016 |
| Clarendon NH Operations | Organization | ADP of the SNF | NOT APPLICABLE | 01/23/2025 |
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
- "How does your pharmacist review residents' medications, and how quickly can you fill new or urgent prescriptions?"
- "Do you have a qualified dietician on staff, and how involved are they in each resident's nutrition plan?"
- "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
- "Who completes resident assessments here, and how do you check them for accuracy?"
- "What mental health services do you provide on-site, and who delivers them?"
- "What training do new hires get before working with residents, and what ongoing training do all staff receive?"
- "How do you verify licenses and certifications for every caregiver before they start, and how often do you recheck them?"
- "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 |
|---|---|---|---|---|---|
| Memphis Convalescent Center | 23.6 mi | Memphis, TX | ★★☆☆☆ | 2/5 | |
| McLean Care Center | 26.6 mi | McLean, TX | ★★★☆☆ | 4/5 | |
| Palo Duro Nursing Home | 29.1 mi | Claude, TX | ★★★☆☆ | 4/5 |
Compare this facility with the 3 closest →
Facility data as of CMS processing date 2026-08-01. CCN 676411.