Permian Residential Care Center
1601 NE Mustang, Andrews, TX 79714 · Andrews County · 112 certified beds · avg 68 residents/day · certified since May 23, 2008
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★★★★★5/5 · CMS overall rating: 5/5
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 · Mar 7, 2024 · 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.
Corrected: Mar 6, 2024 (Past Non-Compliance)
All citations in the current public record (8)
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 |
|---|---|---|
| Dec 12, 2025 | 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. |
| Dec 12, 2025 | 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. |
| Dec 12, 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. |
| Dec 12, 2025 | D · Potential for harm, one-off | The facility did not have a working call system — the button or cord residents use to summon help — in each resident's bathroom and bathing area. |
| Sep 26, 2024 | 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. |
| Sep 26, 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. |
| Mar 7, 2024 | ▲ 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 |
| Jul 27, 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. |
Inspection trend by year
Citations from standard inspections increased between the last two inspection cycles (2 → 4).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2023 | 1 | 0 | D |
| 2024 | 3 | 1 | J ▲ |
| 2025 | 4 | 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 $20,865.
| Date | Type | Amount / length |
|---|---|---|
| Mar 7, 2024 | Fine | $20,865 |
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) | 6.42 | 3.46 | 3.95 | top 1% in Texas; top 3% in the U.S. |
| Registered Nurse hours | 0.99 | 0.44 | 0.69 | top 2% in Texas; top 16% in the U.S. |
| Weekend total nurse staffing | 5.45 | 3.04 | 3.50 | top 1% in Texas; top 4% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.65 | 0.34 | 0.48 | top 6% in Texas; top 19% in the U.S. |
| Total nursing staff turnover (%) | 34.9 | 55.3 | 45.8 | top 11% in Texas; top 24% in the U.S. |
| RN turnover (%) | 25.0 | 54.6 | 42.9 | top 11% in Texas; top 20% 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 5.63, RN 0.87, weekend 4.78. Staffing rating: 5/5.
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: 2/5 · short-stay residents: 4/5
Who owns this facility
Government - County
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Andrews County Hospital District | Organization | 5% or Greater Direct Ownership Interest | — | 02/12/2003 |
| Andrews County Hospital District | Organization | Trustee of the SNF | NOT APPLICABLE | 02/12/2003 |
| Andrews County Hospital District | Organization | ADP of the SNF | NOT APPLICABLE | 02/12/2003 |
| Bender, Sarah | Individual | Managing Control - Governing Body | NOT APPLICABLE | 11/01/2023 |
| Bender, Sarah | Individual | Operational/Managerial Control | NOT APPLICABLE | 11/01/2023 |
| Booth, Donny | Individual | Operational/Managerial Control | NOT APPLICABLE | 10/01/2019 |
| Boswell, Carol | Individual | Managing Control - Governing Body | NOT APPLICABLE | 02/12/2003 |
| Boswell, Carol | Individual | Operational/Managerial Control | NOT APPLICABLE | 02/12/2003 |
| Castillo, Martina | Individual | Managing Control - Governing Body | NOT APPLICABLE | 05/01/2024 |
| Fulks, Cydney | Individual | Operational/Managerial Control | NOT APPLICABLE | 10/01/2022 |
| Fulks, Cydney | Individual | Trustee of the SNF | NOT APPLICABLE | 10/01/2022 |
| Fulks, Cydney | Individual | ADP of the SNF | NOT APPLICABLE | 10/01/2022 |
| Gonzales, Manual | Individual | Managing Control - Governing Body | NOT APPLICABLE | 01/01/2017 |
| Gonzales, Manual | Individual | Operational/Managerial Control | NOT APPLICABLE | 01/01/2017 |
| Jamison, Felicia | Individual | Operational/Managerial Control | NOT APPLICABLE | 05/11/2022 |
| Pryor, Donna | Individual | Operational/Managerial Control | NOT APPLICABLE | 12/05/2005 |
| Sanchez, Mike | Individual | Managing Control - Governing Body | NOT APPLICABLE | 11/01/2020 |
| Sanchez, Mike | Individual | Operational/Managerial Control | NOT APPLICABLE | 11/01/2020 |
| Slaughter, Paul | Individual | Operational/Managerial Control | NOT APPLICABLE | 02/12/2003 |
| Slaughter, Paul | Individual | ADP of the SNF | NOT APPLICABLE | 04/08/2025 |
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?"
- "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
- "How many residents here use oxygen or breathing equipment, and who checks that equipment each shift?"
- "Can you show me how medications are stored and secured on the units, including controlled drugs?"
- "Can you show me the call buttons in the bathrooms and bathing areas, and tell me your average response time when one is pressed?"
- "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
- "Can you show me an example care plan, and how are families included when it's created and updated?"
- "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 |
|---|---|---|---|---|---|
| Memorial Health Care Center | 27.4 mi | Seminole, TX | ★★★★☆ | 4/5 | |
| Midland Medical Lodge | 31.2 mi | Midland, TX | ★★★☆☆ | 4/5 | |
| Madison Medical Resort | 32.4 mi | Odessa, TX | ★★☆☆☆ | 3/5 | |
| Mabee Health Care Center | 32.6 mi | Midland, TX | ★★★★☆ | 3/5 | |
| Buena Vida Nursing & Rehab Odessa | 33.0 mi | Odessa, TX | ★★★☆☆ | 3/5 | |
| Parks Health Center | 33.0 mi | Odessa, TX | ★★★★☆ | 4/5 | |
| Deerings Nursing and Rehabilitation | 33.2 mi | Odessa, TX | ★★★☆☆ | 4/5 | |
| Ashton Medical Lodge | 33.8 mi | Midland, TX | ★★☆☆☆ | 3/5 | |
| Focused Care at Hogan Park | 34.8 mi | Midland, TX | ★☆☆☆☆ | 2/5 | |
| Focused Care at Odessa | 34.8 mi | Odessa, TX | ★★☆☆☆ | 3/5 | |
| Focused Care at Midland | 34.8 mi | Midland, TX | ★★☆☆☆ | 2/5 | |
| Sienna Nursing and Rehabilitation | 35.4 mi | Odessa, TX | ★☆☆☆☆ | 1/5 |
Compare this facility with the 3 closest →
Facility data as of CMS processing date 2026-08-01. CCN 676175.