Robert Lee Care Center

Name: Robert Lee Care Center
Address: 307 WEST 8TH ST, Robert Lee, TX, 76945, US
Telephone: 3254532511

307 West 8th St, Robert Lee, TX 76945 · Coke County · 70 certified beds · avg 48 residents/day · certified since Jun 24, 1996

5/5

Health inspection rating (on-site)

Serious findings on record

Fines, last 3 years

4.42

Nurse hours/resident/day (adjusted)

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.

All citations in the current public record (11)

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 31, 2025	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
Dec 31, 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. · from a complaint
Dec 31, 2025	D · Potential for harm, one-off	The facility did not make sure its nurses and nurse aides had the skills and training needed to properly care for every resident. · from a complaint
Sep 26, 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.
Sep 26, 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.
Sep 26, 2024	D · Potential for harm, one-off	The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals.
Sep 26, 2024	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.
Sep 26, 2024	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.
Sep 26, 2024	B · Minimal risk, repeated	The facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives.
Aug 17, 2023	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. · from a complaint
Aug 17, 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.

Inspection trend by year

Citations from standard inspections decreased between the last two inspection cycles (6 → 3).

Year	Citations	Worst severity that year
2023	2	E
2024	6	F
2025	3	D

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)	4.42	3.46	3.95	top 8% in Texas; top 25% in the U.S.
Registered Nurse hours	0.46	0.44	0.69	top 33% in Texas; bottom 31% in the U.S.
Weekend total nurse staffing	4.02	3.04	3.50	top 7% in Texas; top 22% in the U.S.
Weekend RN hours (not acuity-adjusted)	0.24	0.34	0.48	bottom 34% in Texas; bottom 19% in the U.S.
Total nursing staff turnover (%)	25.6	55.3	45.8	top 2% in Texas; top 8% in the U.S.
RN turnover (%)	0.0	54.6	42.9	—

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 3.73, RN 0.39, weekend 3.39. Staffing rating: 4/5.

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: 5/5 · long-stay residents: 5/5 · short-stay residents: —/5

Who owns this facility

Government - Hospital district

Owner / manager	Type	Role	Stake	Since
West Coke County Hospital District	Organization	Direct Ownership Interest	NOT APPLICABLE	03/10/2011
Burdett, Beverly	Individual	Corporate Director	NOT APPLICABLE	02/27/2018
Hunt, John	Individual	ADP of the SNF	NOT APPLICABLE	10/16/2025
Lewis, Betty	Individual	Corporate Director	NOT APPLICABLE	03/30/2021
McCarley, Roma	Individual	Corporate Director	NOT APPLICABLE	05/26/2022
McGuire, Wesley	Individual	Operational/Managerial Control	NOT APPLICABLE	11/19/2017
McGuire, Wesley	Individual	ADP of the SNF	NOT APPLICABLE	02/03/2025
Stephens, Patricia	Individual	Corporate Director	NOT APPLICABLE	05/27/2014
Tinkler, Noel	Individual	Corporate Director	NOT APPLICABLE	11/19/2015
West Coke County Hospital District	Organization	ADP of the SNF	NOT APPLICABLE	03/10/2011

Questions to ask on your visit

Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.

"Can you show me an example care plan, and how are families included when it's created and updated?"
"What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
"How do you verify that your nurses and aides have the skills to care for residents with needs like my family member's?"
"What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
"How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
"How many residents here use oxygen or breathing equipment, and who checks that equipment each shift?"
"Where do you post your daily staffing numbers, and can I see today's?"
"Who completes resident assessments here, and how do you check them for accuracy?"
"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
Bronte Health and Rehab Center	11.8 mi	Bronte, TX	★★★★☆	4/5

Compare this facility with the 1 closest →

All facilities in Robert Lee →

Facility data as of CMS processing date 2026-08-01. CCN 675599.

The Care File

Visit checklist — Robert Lee Care Center

307 West 8th St, Robert Lee, TX 76945 · 3254532511

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

Questions for the administrator:

☐ "Can you show me an example care plan, and how are families included when it's created and updated?"
☐ "What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
☐ "How do you verify that your nurses and aides have the skills to care for residents with needs like my family member's?"
☐ "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
☐ "How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
☐ "How many residents here use oxygen or breathing equipment, and who checks that equipment each shift?"
☐ "Where do you post your daily staffing numbers, and can I see today's?"
☐ "Who completes resident assessments here, and how do you check them for accuracy?"
☐ "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 675599 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)