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F
Critical

ADVANCED REHABILITATION AND HEALTHCARE OF BOWIE

700 W HIGHWAY 287 S · BOWIE, TX 76230

9408722818 · Government - Hospital district

180 beds159.1 residents154 staff
CMS Five-Star Ratings
Overall
★★★★★
Staffing
★★★★★
Quality
★★★★★
Inspections
★★★★★
Staffing Grades
D
Poor
Total Staff
F
Critical
RN Staff
F
Critical
Overall
✗CMS Benchmark(≥ 3.48 HPRD)
✗RN Recommendation(≥ 0.75 HPRD)
✗Research Standard(≥ 4.10 HPRD)
📋

What This Means in Plain English

ADVANCED REHABILITATION AND HEALTHCARE OF BOWIE receives an overall staffing grade of F (Critical). With 2.7733 total nurse hours per resident per day, this facility falls below the CMS staffing benchmark of 3.48 HPRD and has RN staffing of 0.1878 HPRD, below the recommended 0.75. It is 1.12 HPRD below the national average.

Weekend staffing decreases noticeably — dropping 16.52% compared to weekdays. The facility has low agency staff usage (0% of hours), suggesting a mostly permanent workforce.

Staffing levels have been declining over recent quarters — worth monitoring.

🔍 Areas of Concern (2)

🚨Does not meet the CMS staffing benchmark of 3.48 HPRD. Current: 2.7733 HPRD — needs 0.71 more hours per resident per day.
⚠️RN staffing (0.1878 HPRD) is below the research-recommended minimum of 0.75 HPRD. This means less clinical oversight per resident.

✨ Strengths (3)

✅No days with zero registered nurse hours this quarter
✅Low agency staff usage (0%) — mostly permanent, familiar staff
✅Highly consistent day-to-day staffing levels
Total Nurse HPRD
2.7733hrs/resident/day▼ 1.12
CMS benchmark: 3.48
RN HPRD
0.1878hrs/resident/day▼ 0.50
Recommended: 0.75
Weekend Drop-off
16.52%
2.909 weekday → 2.4285 weekend
Agency Staff
0%
0% of RN hours from contractors
Days with Zero RN
0days this quarter
4+ days = auto 1-star
CNA HPRD
1.2773hrs/resident/day
Direct care aides
LPN HPRD
0.9537hrs/resident/day
Licensed practical nurses
Consistency
0.2811std dev
Lower = more predictable

HPRD Over Time

Total nurse staffing hours per resident per day, by quarter

Total HPRD (shaded area)RN HPRDCMS Benchmark (3.48) — staffing standardResearch Standard (4.10) — recommended level

How Does This Facility Compare?

Compared to county, state, and national averages for total nurse HPRD

vs. Montague County Average+0.00 HPRD
2.77
02.77 HPRD
vs. Texas State Average-0.63 HPRD
3.40
02.77 HPRD
vs. National Average-1.12 HPRD
3.90
02.77 HPRD
■ Colored bar = this facility · | Black line = average · Based on 2025Q3 data

Nearby Facilities

Compare with other nursing homes in the area

FacilityDistanceGradeTotal HPRDRN HPRDCMS Rating
ADVANCED REHABILITATION AND HEALTHCARE OF BOWIE ★
BOWIE · This facility
—
F
2.77330.1878★★★★★
GRACE CARE CENTER OF HENRIETTA
HENRIETTA
25.5 mi
C
3.38270.464★☆☆☆☆
AVIR AT JACKSBORO
JACKSBORO
28.3 mi
F
3.66580.1585★★★☆☆
SWAN HEALTH AT WICHITA FALLS
WICHITA FALLS
42.8 mi
A
5.18730.8327★★★☆☆
UNIVERSITY PARK NURSING AND REHABILITATION
WICHITA FALLS
44.6 mi
C
3.10980.4295★★★★☆
Denton Village by PureHealth
DENTON
47.8 mi
A
4.43761.0178★★☆☆☆

Inspection History & Penalties

Health inspection results from state surveys — most recent first

4
Inspections
11
Total Deficiencies
$0
Fines Assessed
Nov 8, 2024Health
2 deficiencies cited
▼
Feb 13, 2024Health
1 deficiency cited
▼
Sep 15, 2023Health
5 deficiencies cited
▼
Jul 22, 2022Health
3 deficiencies cited
▼
CMS Severity Scale
A–C: No Harm / PotentialD–F: No Harm but ConcernG–H: Actual HarmI–L: Immediate Jeopardy

Source: CMS Staffing & Quality Data — 2025Q3 · data.cms.gov

Staffing grades are based on CMS-published thresholds and research recommendations. CMS is not affiliated with and does not endorse this website.