Permian Residential Care Center
1601 NE MUSTANG DRIVE, Andrews, TX, 79714
Federal Quality Data
Official records from CMS Care Compare — reported by the facility and audited by the Centers for Medicare & Medicaid Services. We present them unmodified. Refreshed March 2026.
CMS Star Ratings
Facility & Staffing
- Ownership
- Government - County
- Certified beds
- 112 · avg 70 residents/day
- Total nursing staff turnover
- 30.6% — lower than most Texas nursing homesTexas avg: 51.5% · National avg: 46.4% · per CMS Care Compare
- RN turnover
- 58.3% — higher than most Texas nursing homesTexas avg: 50.5% · National avg: 43.6% · per CMS Care Compare
- Administrators who left
- 0 departed — near the Texas averageTexas avg: 0.6 · National avg: 0.5 · per CMS Care Compare
Enforcement & Citations
- Fines (past 3 years)
- 1 fine · $20,865 total
- Infection control citations
- 1
State licensing & capacity
- License number
- 311855
- Service type
- Medicare/medicaid
- Licensed capacity
- 112 beds
- Memory-care capacity
- 22 beds · state-certified
- Bed type breakdown
- 28 Medicare-only · 84 Medicaid/Medicare
- Current license effective
- February 12, 2026
- Current license expires
- February 12, 2029
- Initial license date
- February 12, 2003
Texas HHSC licensing registry · as of April 16, 2026
Ownership & operations
- Licensee
- Andrews County Hospital District (COUNTY)
- Administrator
- Cydney Fulks
Texas HHSC licensing registry · as of April 16, 2026
Federal ownership record
Parent entity
Andrews County Hospital District
Disclosed owners (13 on record)
- Paul m Slaughter
Adp of The Snf · since 2025
- Martina Castillo
Managing Control - Governing Body · since 2024
- Sarah Bender
Operational/managerial Control · since 2023
- Cydney Fulks
Operational/managerial Control · since 2022
- Felicia d Jamison
Operational/managerial Control · since 2022
- Jessica Varner
Operational/managerial Control · since 2022
+ 7 additional owners on the federal record.
Source: CMS Provider Enrollment data — SNF Enrollments + All Owners, as of April 2026.
Federal inspection record
Immediate-jeopardy citations (CMS scope/severity J–L) are the most serious category federal inspectors issue — meaning a deficiency placed residents in immediate risk of serious harm. Ask the facility for the corrective-action plan filed with CMS, and consider contacting your state long-term care ombudsman for context.
Recent health-deficiency citations (most recent 8 of 8)
- D0919·Dec 12, 2025
Environmental Deficiencies
Make sure that a working call system is available in each resident's bathroom and bathing area.
- E0812·Dec 12, 2025
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- D0761·Dec 12, 2025
Pharmacy Service Deficiencies
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
- D0695·Dec 12, 2025
Quality of Life and Care Deficiencies
Provide safe and appropriate respiratory care for a resident when needed.
- D0880·Sep 26, 2024
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
- E0812·Sep 26, 2024
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- J0689·Mar 7, 2024ComplaintInfection control
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- D0656·Jul 27, 2023
Resident Assessment and Care Planning Deficiencies
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Federal penalties
By year
- 20241 fine · $21K
Most recent events
- Mar 7, 2024Fine · $21K
Fire-safety citations
5 Life-Safety-Code citations on file. Most recent: Dec 12, 2025. Fire-safety inspections cover building-level Life Safety Code compliance, separate from the resident-care health survey.
Source: CMS Provider Data Catalog — Health Deficiencies, Fire Safety Deficiencies, and Penalties datasets, snapshot Mar 1, 2026.
About this community
Permian Residential Care Center is a 112-bed nursing home in Andrews, Texas, licensed through February 2029 and operated by Andrews County Hospital District. CMS rates it 5 stars overall, including 5 stars on both health inspections and staffing — though quality-measure outcomes rate 2 stars. The facility holds state certification for 22 memory-care beds, valid through July 2026. At 70 average daily residents against 112 licensed beds, it is running at roughly 63% capacity.
Written from CMS Care Compare and state licensing records · last updated April 19, 2026
What the data says
CMS rates staffing here at 5 stars — the top 2% of Texas nursing homes on this measure. Each resident receives about 318 minutes of nursing care per day, well above the 241-minute threshold for a 4-star staffing facility in Texas. Staff hours per resident here exceed what a typical resident mix would require, meaning the raw minutes are not being stretched thin by unusually dependent residents.
About 3 in 10 nursing staff left in the past year — below the Texas 25th-percentile cutoff of 42%, better than roughly three-quarters of nursing homes in the state. A long-stay resident is unlikely to cycle through many primary caregivers in a single year.
Despite 5-star ratings on staffing and health inspections, CMS rates quality-measure outcomes at 2 stars for both long-stay and short-stay residents. Quality measures track clinical results — things like rates of pressure wounds, falls with injury, and decline in ability to move independently. High staffing and clean inspections do not automatically translate into strong outcomes on these measures.
The facility has one CMS fine totaling $20,865. For context, the median fine among fined Texas nursing homes is $20,699, and about 30% of Texas facilities have no fines at all.
The facility is operating at roughly 63% of its licensed beds — 70 residents in a 112-bed building.
Written from CMS Care Compare and state licensing records · last updated April 19, 2026
Questions to ask when you tour
Quality measures despite strong staffing
CMS rates staffing 5 stars here but quality-measure outcomes 2 stars — ask which specific measures are lowest and what the team is doing to address them.
Memory care certification renewal
The state memory-care certification expires July 2026 — ask whether renewal is already underway and what the process looks like.
Why so many beds are empty
The facility averages 70 residents in a 112-bed building — ask whether low occupancy reflects a recent change in admissions, staffing strategy, or community demand.
What the recent fine covered
CMS recorded one fine of $20,865 — ask what deficiency it was tied to and how the facility responded.
RN coverage on nights and weekends
Overall nursing hours are high, but RN hours per resident run about 41 minutes per day — ask how registered nurse coverage is scheduled across all shifts.
Where this information comes from
- License, capacity, ownership, administrator: Texas HHSC licensing registry, snapshot as of April 16, 2026.
- Star ratings, staffing, fines, deficiencies: CMS Care Compare, processed March 1, 2026.
- Summary, insights, and tour questions: Written from the state licensing and CMS records above, last updated April 19, 2026.
Read our methodology for how this information is collected and verified.