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C
Below Standard

Texoma Healthcare Center

1000 Hwy 82 E · Sherman, TX 75090

9038939636 · For profit - Limited Liability company

179 beds96.7 residents128 staff
CMS Five-Star Ratings
Overall
★★★★★
Staffing
★★★★★
Quality
★★★★★
Inspections
★★★★★
Staffing Grades
C
Below Standard
Total Staff
C
Below Standard
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

Texoma Healthcare Center receives an overall staffing grade of C (Below Standard). With 3.1377 total nurse hours per resident per day, this facility falls below the CMS staffing benchmark of 3.48 HPRD and has RN staffing of 0.4687 HPRD, below the recommended 0.75. It is 0.76 HPRD below the national average.

Weekend staffing decreases noticeably — dropping 19.13% 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: 3.1377 HPRD — needs 0.34 more hours per resident per day.
⚠️RN staffing (0.4687 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
3.1377hrs/resident/day▼ 0.76
CMS benchmark: 3.48
RN HPRD
0.4687hrs/resident/day▼ 0.21
Recommended: 0.75
Weekend Drop-off
19.13%
3.3171 weekday → 2.6825 weekend
Agency Staff
0%
0% of RN hours from contractors
Days with Zero RN
0days this quarter
4+ days = auto 1-star
CNA HPRD
1.3491hrs/resident/day
Direct care aides
LPN HPRD
1.0294hrs/resident/day
Licensed practical nurses
Consistency
0.41std 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. Grayson County Average-0.26 HPRD
3.40
03.14 HPRD
vs. Texas State Average-0.27 HPRD
3.40
03.14 HPRD
vs. National Average-0.76 HPRD
3.90
03.14 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
Texoma Healthcare Center ★
Sherman · This facility
—
C
3.13770.4687★☆☆☆☆
DENISON NURSING AND REHAB
DENISON
6.3 mi
D
3.73810.2846★★☆☆☆
THE TERRACE AT DENISON
DENISON
7.5 mi
D
3.38510.3261★☆☆☆☆
CEDAR RIDGE REHABILITATION AND HEALTHCARE CENTER
PILOT POINT
26.2 mi
F
3.6990.2404★★★☆☆
Denton Village by PureHealth
DENTON
43 mi
A
4.43761.0178★★☆☆☆
LIFE CARE CENTER OF PLANO
PLANO
45.3 mi
C
4.0140.5417★★★★☆

Inspection History & Penalties

Health inspection results from state surveys — most recent first

9
Inspections
33
Total Deficiencies
$24,850
Fines Assessed
Dec 9, 2025Health
2 deficiencies cited
▼
Jun 18, 2025Health
7 deficiencies cited· Includes actual harm
▼
Nov 20, 2024Health
7 deficiencies cited
▼
Nov 13, 2024Health
1 deficiency cited
▼
Aug 1, 2024Health
2 deficiencies cited
▼
Dec 6, 2023Health
3 deficiencies cited
▼
Oct 12, 2023Health
6 deficiencies cited
▼
Aug 3, 2023Health
1 deficiency cited
▼
Sep 8, 2022Health
4 deficiencies cited
▼

Penalty History

Jun 18, 2025Fine
$24,850
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.