Landmark of Amarillo Rehabilitation and Nursing Ce
5601 Plum Creek Drive, Amarillo, TX 79124 · Potter County · 99 certified beds · avg 84 residents/day · certified since Nov 25, 1986
Part of chain: CREATIVE SOLUTIONS IN HEALTHCARE (149 facilities, chain avg rating 2.1★)
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, one-off · May 20, 2026 · 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 (J): Inspectors found a situation that put a resident's life or safety in immediate danger, affecting one or a few residents. The facility must fix it immediately — these citations often come with large fines.
▲ Actual harm, repeated · Nov 20, 2023 · F-0686
The facility did not provide proper care for pressure ulcers (bedsores) or did not do enough to prevent new ones from forming. Bedsores develop when residents stay in one position too long without help moving.
Why it matters: Bedsores are painful, can become deeply infected, and in serious cases can be life-threatening.
Severity (H): Multiple residents were actually harmed by the same failure — a pattern of real harm, not an isolated incident.
Corrected: Dec 8, 2023 (Deficient, Provider has date of correction)
All citations in the current public record (28)
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 |
|---|---|---|
| May 20, 2026 | ▲ J · Immediate jeopardy, 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 |
| May 20, 2026 | D · Potential for harm, one-off | The facility did not make sure a transfer or discharge met the resident's needs and preferences, or did not properly prepare the resident to leave safely. · from a complaint |
| Mar 26, 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. |
| Mar 26, 2026 | D · Potential for harm, one-off | The facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs. |
| Mar 26, 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. |
| Mar 26, 2026 | D · Potential for harm, one-off | The facility did not coordinate resident assessments with the state's pre-admission screening program for mental illness and intellectual disabilities, or failed to refer residents for the special services they need. |
| Mar 26, 2026 | D · Potential for harm, one-off | The facility did not properly complete the required screening (called PASARR) that identifies whether a person entering a nursing home has a mental illness or intellectual disability and needs specialized services. |
| Mar 26, 2026 | D · Potential for harm, one-off | The facility did not provide safe and appropriate respiratory care — such as oxygen, breathing treatments, or care for residents on breathing equipment — for residents who needed it. |
| Mar 26, 2026 | D · Potential for harm, one-off | The facility did not serve food and drinks that were appetizing, attractive, and at a safe and pleasant temperature. |
| Mar 26, 2026 | 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. |
| Mar 26, 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. |
| May 22, 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 27, 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 |
| Jan 15, 2025 | 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 15, 2025 | 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. |
| Jan 15, 2025 | D · Potential for harm, one-off | The facility did not provide care that took into account residents' past trauma or their cultural backgrounds. Care is supposed to be sensitive to what residents have lived through and where they come from. |
| Jan 15, 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. |
| Feb 6, 2024 | 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 |
| Nov 20, 2023 | ▲ H · Actual harm, repeated | The facility did not provide proper care for pressure ulcers (bedsores) or did not do enough to prevent new ones from forming. Bedsores develop when residents stay in one position too long without help moving. |
| Nov 20, 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. |
| Nov 20, 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. |
| Nov 20, 2023 | 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. |
| Nov 20, 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. |
| Nov 20, 2023 | D · Potential for harm, one-off | 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 |
| Nov 20, 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. |
| Nov 20, 2023 | 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. |
| Nov 20, 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. |
| Nov 20, 2023 | C · Minimal risk, facility-wide | The facility did not post its nurse staffing information every day. Nursing homes must publicly display how many nurses and aides are on duty each day. |
Inspection trend by year
Citations from standard inspections increased between the last two inspection cycles (4 → 9).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2023 | 10 | 1 | H ▲ |
| 2024 | 1 | 0 | D |
| 2025 | 6 | 0 | F |
| 2026 | 11 | 1 | J ▲ |
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)
2 fines totaling $160,948.
| Date | Type | Amount / length |
|---|---|---|
| May 20, 2026 | Fine | $13,070 |
| Nov 9, 2023 | Fine | $147,878 |
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) | 3.68 | 3.46 | 3.95 | top 26% in Texas; bottom 45% in the U.S. |
| Registered Nurse hours | 0.58 | 0.44 | 0.69 | top 16% in Texas; bottom 50% in the U.S. |
| Weekend total nurse staffing | 3.20 | 3.04 | 3.50 | top 29% in Texas; bottom 42% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.52 | 0.34 | 0.48 | top 12% in Texas; top 31% in the U.S. |
| Total nursing staff turnover (%) | 97.6 | 55.3 | 45.8 | bottom 2% in Texas; bottom 1% in the U.S. |
| RN turnover (%) | 90.9 | 54.6 | 42.9 | bottom 10% in Texas; bottom 2% 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 3.43, RN 0.54, weekend 2.98. 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: 4/5 · short-stay residents: 4/5
Who owns this facility
For profit - Limited Liability company
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Childress County Hospital District | Organization | 5% or Greater Direct Ownership Interest | 100% | 09/01/2017 |
| Amarillo IV Enterprises, L.L.C. | Organization | Operational/Managerial Control | NOT APPLICABLE | 12/01/2023 |
| Amarillo IV Enterprises, L.L.C. | Organization | ADP of the SNF | NOT APPLICABLE | 04/14/2025 |
| Blake, Gary | Individual | Operational/Managerial Control | NOT APPLICABLE | 12/01/2023 |
| Blake, Gary | Individual | ADP of the SNF | NOT APPLICABLE | 12/01/2023 |
| Blake, Malisa | Individual | Operational/Managerial Control | NOT APPLICABLE | 12/01/2023 |
| Cunningham, Tia | Individual | Operational/Managerial Control | NOT APPLICABLE | 04/14/2025 |
| Cunningham, Tia | Individual | ADP of the SNF | NOT APPLICABLE | 04/14/2025 |
| Driver, James | Individual | Managing Control - Governing Body | NOT APPLICABLE | 01/01/2025 |
| Favor, Debra | Individual | Managing Control - Governing Body | NOT APPLICABLE | 01/01/2025 |
| Garrison, Reagan | Individual | Managing Control - Governing Body | NOT APPLICABLE | 01/01/2025 |
| Head, Howard | Individual | Managing Control - Governing Body | NOT APPLICABLE | 01/01/2025 |
| Henson, Harry | Individual | Operational/Managerial Control | NOT APPLICABLE | 04/14/2025 |
| Henson, Harry | Individual | ADP of the SNF | NOT APPLICABLE | 04/14/2025 |
| Holcomb, Holly | Individual | Managing Control - Governing Body | NOT APPLICABLE | 05/29/2021 |
| Holcomb, Holly | Individual | Corporate Officer | NOT APPLICABLE | 05/29/2021 |
| Huggins, Linda | Individual | Corporate Director | NOT APPLICABLE | 12/01/2023 |
| Inman, John | Individual | Managing Control - Governing Body | NOT APPLICABLE | 01/01/2025 |
| Johnson, Larry | Individual | Managing Control - Governing Body | NOT APPLICABLE | 01/01/2025 |
| Pierce, Brian | Individual | Managing Control - Governing Body | NOT APPLICABLE | 01/01/2025 |
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 do you prevent bedsores for residents who can't move themselves, and how often are at-risk residents repositioned?"
- "Before a resident is discharged or transferred, how do you make sure the new place can actually meet their needs?"
- "Can you give me examples of how your staff protect residents' dignity in everyday care, like bathing and dressing?"
- "Can we tour the resident rooms, bathrooms, and common areas today, including areas not on the usual tour route?"
- "Who completes resident assessments here, and how do you check them for accuracy?"
- "How do you identify and arrange specialized services for residents with mental health conditions or disabilities?"
- "How do you screen new residents for mental health and disability-related needs, and how do you provide the specialized services they require?"
- "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 |
|---|---|---|---|---|---|
| Ussery Roan Texas State Veterans Home | 0.6 mi | Amarillo, TX | ★★★☆☆ | 3/5 | |
| Amarillo Medical Lodge | 0.6 mi | Amarillo, TX | ★★★★★ | 5/5 | |
| Windflower Health Center | 0.8 mi | Amarillo, TX | ★★★★☆ | 4/5 | |
| Heritage Convalescent Center | 0.8 mi | Amarillo, TX | ★★☆☆☆ | 3/5 | |
| Amarillo Center for Skilled Care | 1.4 mi | Amarillo, TX | ★★★☆☆ | 3/5 | |
| Kirkland Court Health and Rehabilitation Center | 1.7 mi | Amarillo, TX | ★☆☆☆☆ | 1/5 | abuse |
| Five Points Nursing and Rehabilitation | 2.3 mi | Amarillo, TX | ★★★★☆ | 4/5 | |
| Ware Memorial Care Center | 3.6 mi | Amarillo, TX | ★★★★☆ | 3/5 | |
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| Legacy Rehabilitation and Living | 4.5 mi | Amarillo, TX | ★★☆☆☆ | 2/5 | |
| Hillside Heights Rehabilitation Suites | 5.3 mi | Amarillo, TX | ★★☆☆☆ | 2/5 | abuse |
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Facility data as of CMS processing date 2026-08-01. CCN 455675.