Crowell Nursing Center

Name: Crowell Nursing Center
Address: 200 SOUTH B AVE, Crowell, TX, 79227, US
Telephone: 9406841511

200 South B Ave, Crowell, TX 79227 · Foard County · 67 certified beds · avg 43 residents/day · certified since Mar 16, 1992

Part of chain: ADVANCED HEALTHCARE SOLUTIONS (28 facilities, chain avg rating 2.9★)

4/5

Health inspection rating (on-site)

Serious findings on record

Fines, last 3 years

3.16

Nurse hours/resident/day (adjusted)

What health inspectors found (on-site government inspections — the most independent evidence available)

Health inspection rating: ★★★★☆4/5 · CMS overall rating: 4/5

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.

All citations in the current public record (15)

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
Apr 9, 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.
Apr 9, 2026	D · Potential for harm, one-off	The facility did not treat residents with dignity and respect, or did not honor their rights to make their own decisions and communicate freely. This is one of the most fundamental resident rights.
Apr 9, 2026	D · Potential for 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.
Apr 9, 2026	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.
Apr 9, 2026	D · Potential for harm, one-off	The facility's menus did not meet residents' nutritional needs, or were not prepared in advance, followed as written, kept up to date, or reviewed by a dietician.
Apr 9, 2026	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.
Feb 12, 2025	E · Potential for harm, repeated	The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals.
Feb 12, 2025	E · Potential for harm, repeated	The facility did not keep its building and grounds safe, functional, clean, and comfortable for residents, staff, and visitors.
Feb 12, 2025	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.
Feb 12, 2025	D · Potential for 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.
Feb 12, 2025	D · Potential for harm, one-off	The facility did not protect residents' personal information or did not keep complete, accurate medical records that meet professional standards.
Feb 12, 2025	D · Potential for harm, one-off	The facility did not train its staff on dementia care and on recognizing and reporting abuse, neglect, and exploitation.
Jan 10, 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.
Jan 10, 2024	E · Potential for harm, repeated	The facility did not develop and follow policies and procedures to prevent abuse, neglect, and theft. These written safeguards are the foundation of resident protection.
Jan 10, 2024	E · Potential for harm, repeated	The facility did not train its staff on dementia care and on recognizing and reporting abuse, neglect, and exploitation.

Inspection trend by year

Citations from standard inspections stayed about the same across the last two inspection cycles (6 → 6).

Year	Citations	Worst severity that year
2024	3	F
2025	6	E
2026	6	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)

No fines or payment denials in the published 3-year window.

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)	3.16	3.46	3.95	bottom 36% in Texas; bottom 20% in the U.S.
Registered Nurse hours	0.57	0.44	0.69	top 17% in Texas; bottom 48% in the U.S.
Weekend total nurse staffing	2.78	3.04	3.50	bottom 37% in Texas; bottom 20% in the U.S.
Weekend RN hours (not acuity-adjusted)	0.62	0.34	0.48	top 7% in Texas; top 22% in the U.S.
Total nursing staff turnover (%)	43.9	55.3	45.8	top 30% in Texas; top 47% in the U.S.
RN turnover (%)	30.0	54.6	42.9	top 18% in Texas; top 29% 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 2.97, RN 0.54, weekend 2.61. Staffing rating: 2/5.

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: 5/5 · short-stay residents: 3/5

Who owns this facility

For profit - Corporation

Owner / manager	Type	Role	Stake	Since
Advanced HCS LLC	Organization	Operational/Managerial Control	NOT APPLICABLE	07/01/2021
Childress County Hospital District	Organization	Operational/Managerial Control	NOT APPLICABLE	04/01/2017
Holcomb, Holly	Individual	W-2 Managing Employee	NOT APPLICABLE	04/15/1996
Holcomb, Holly	Individual	Corporate Officer	NOT APPLICABLE	05/29/2021
Lichtschein, Teddy	Individual	Operational/Managerial Control	NOT APPLICABLE	07/01/2021
Scheiner, Eliezer	Individual	Operational/Managerial Control	NOT APPLICABLE	07/01/2021
Shelby, Jack	Individual	Operational/Managerial Control	NOT APPLICABLE	07/01/2021
Stratton, Emilee	Individual	W-2 Managing Employee	NOT APPLICABLE	05/07/2014
Stratton, Emilee	Individual	Corporate Officer	NOT APPLICABLE	03/18/2018

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 did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
"Can you give me examples of how your staff protect residents' dignity in everyday care, like bathing and dressing?"
"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?"
"Who reviews your menus, and can I see this week's menu and join my family member for a meal?"
"Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
"How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
"Can we tour the whole building today, including resident bathrooms and common areas, not just the lobby?"
"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
Advanced Rehabilitation and Healthcare of Vernon	26.5 mi	Vernon, TX	★★★★☆	4/5
Munday Nursing Center	37.0 mi	Munday, TX	★★★★☆	4/5
Seymour Rehabilitation and Healthcare	37.1 mi	Seymour, TX	★★★★★	5/5
Avir at Knox City	39.7 mi	Knox City, TX	★★★☆☆	3/5

Compare this facility with the 3 closest →

All facilities in Crowell →

Facility data as of CMS processing date 2026-08-01. CCN 675013.

The Care File

Visit checklist — Crowell Nursing Center

200 South B Ave, Crowell, TX 79227 · 9406841511

Health inspection rating 4/5 · CMS overall 4/5· Fines (3y): $0

Questions for the administrator:

☐ "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
☐ "Can you give me examples of how your staff protect residents' dignity in everyday care, like bathing and dressing?"
☐ "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?"
☐ "Who reviews your menus, and can I see this week's menu and join my family member for a meal?"
☐ "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
☐ "How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
☐ "Can we tour the whole building today, including resident bathrooms and common areas, not just the lobby?"
☐ "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?"

While you're there, notice:

☐ Smell and cleanliness in hallways, not just the lobby
☐ How staff speak to residents; call lights answered promptly
☐ Residents up, dressed, and engaged (visit mealtimes and a weekend if you can)

Data: CMS Provider Data Catalog, version 2026-08-01 · CCN 675013 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)