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C
Below Standard

LONE STAR REHABILITATION & WELLNESS CENTER

2601 NORTHWEST LOOP · STEPHENVILLE, TX 76401

2549684649 · For profit - Limited Liability company

122 beds84.9 residents102 staff
CMS Five-Star Ratings
Overall
★★★★★
Staffing
★★★★★
Quality
★★★★★
Inspections
★★★★★
Staffing Grades
C
Below Standard
Total Staff
B
Good
RN Staff
C
Below Standard
Overall
✗CMS Benchmark(≥ 3.48 HPRD)
✗RN Recommendation(≥ 0.75 HPRD)
✗Research Standard(≥ 4.10 HPRD)
📋

What This Means in Plain English

LONE STAR REHABILITATION & WELLNESS CENTER receives an overall staffing grade of C (Below Standard). With 3.0865 total nurse hours per resident per day, this facility falls below the CMS staffing benchmark of 3.48 HPRD and has RN staffing of 0.6297 HPRD, below the recommended 0.75. It is 0.81 HPRD below the national average.

Weekend staffing decreases noticeably — dropping 15.25% compared to weekdays. The facility has low agency staff usage (0% of hours), suggesting a mostly permanent workforce.

Staffing levels have been trending upward over recent quarters.

🔍 Areas of Concern (2)

🚨Does not meet the CMS staffing benchmark of 3.48 HPRD. Current: 3.0865 HPRD — needs 0.39 more hours per resident per day.
⚠️RN staffing (0.6297 HPRD) is below the research-recommended minimum of 0.75 HPRD. This means less clinical oversight per resident.

✨ Strengths (2)

✅No days with zero registered nurse hours this quarter
✅Low agency staff usage (0%) — mostly permanent, familiar staff
Total Nurse HPRD
3.0865hrs/resident/day▼ 0.81
CMS benchmark: 3.48
RN HPRD
0.6297hrs/resident/day▼ 0.05
Recommended: 0.75
Weekend Drop-off
15.25%
3.2255 weekday → 2.7337 weekend
Agency Staff
0%
0% of RN hours from contractors
Days with Zero RN
0days this quarter
4+ days = auto 1-star
CNA HPRD
1.4693hrs/resident/day
Direct care aides
LPN HPRD
0.8731hrs/resident/day
Licensed practical nurses
Consistency
0.326std 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. Erath County Average-0.02 HPRD
3.11
03.09 HPRD
vs. Texas State Average-0.32 HPRD
3.40
03.09 HPRD
vs. National Average-0.81 HPRD
3.90
03.09 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
LONE STAR REHABILITATION & WELLNESS CENTER ★
STEPHENVILLE · This facility
—
C
3.08650.6297★★★★☆
AVIR AT STEPHENVILLE
STEPHENVILLE
0.9 mi
F
2.42610.4204★★☆☆☆
GRANBURY REHAB & NURSING
GRANBURY
28.6 mi
C
3.10460.6276★★★★☆
Granbury Care Center
Granbury
30 mi
F
2.96780.2377★☆☆☆☆
WESTERN HILLS HEALTHCARE RESIDENCE
COMANCHE
31 mi
D
2.9590.3289★★☆☆☆
MINERAL WELLS NURSING & REHABILITATION
MINERAL WELLS
40.6 mi
F
3.28040.2432★★★★★

Inspection History & Penalties

Health inspection results from state surveys — most recent first

4
Inspections
13
Total Deficiencies
$0
Fines Assessed
Sep 4, 2025Health
4 deficiencies cited
▼
Jan 29, 2025Health
1 deficiency cited
▼
Aug 29, 2024Health
5 deficiencies cited
▼
Jun 29, 2023Health
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.