Villa Haven Health And Rehabilitation Center
300 S JACKSON ST, Breckenridge, TX, 76424
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 - Hospital district · Chain: Fundamental Healthcare
- Certified beds
- 92 · avg 30 residents/day
- Total nursing staff turnover
- 47.6% — near the Texas averageTexas avg: 51.5% · National avg: 46.4% · per CMS Care Compare
- Administrators who left
- 0 departed — near the Texas averageTexas avg: 0.6 · National avg: 0.5 · per CMS Care Compare
State licensing & capacity
- License number
- 147470
- Service type
- Medicare/medicaid
- Licensed capacity
- 92 beds
- Bed type breakdown
- 44 Medicare-only · 48 Medicaid/Medicare
- Current license effective
- April 1, 2023
- Current license expires
- April 1, 2026
- Initial license date
- September 1, 1971
Texas HHSC licensing registry · as of April 16, 2026
Ownership & operations
- Licensee
- Childress County Hospital District (HOSPITAL DISTRICT/AUTHORITY)
- Operator / manager
- Breckenridgetx Llc
- Administrator
- Ms. Deanne Gray
Texas HHSC licensing registry · as of April 16, 2026
Federal ownership record
Chain affiliation
Part of the Fundamental Healthcare chain — 69 facilities across 7 states. Chain-wide average overall rating 2.4 / 5.
Disclosed owners (5 on record)
- Holly Holcomb
Corporate Officer · since 2021
- Kasha Nicole Smith
W-2 Managing Employee · since 2020
- Emilee Stratton
Corporate Officer · since 2018
- Childress County Hospital District
5% or Greater Direct Ownership Interest · 100% · since 2017
- Villa Haven Health Care Llc
Operational/managerial Control · since 2017
Source: CMS Provider Enrollment data — SNF Enrollments + All Owners + Chain Performance Measures, as of April 2026.
Federal inspection record
Recent health-deficiency citations (most recent 8 of 9)
- C0844·Dec 27, 2025Complaint
Administration Deficiencies
Follow rules about disclosure of ownership requirements and tell the state agency about changes in ownership and/or administrative personnel.
- E0880·Dec 19, 2024Complaint
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
- D0657·Dec 19, 2024Complaint
Resident Assessment and Care Planning Deficiencies
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
- D0880·Jul 18, 2024Complaint
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
- E0880·Nov 2, 2023Complaint
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
- E0812·Nov 2, 2023Complaint
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- E0656·Nov 2, 2023Complaint
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.
- E0803·Sep 8, 2022
Nutrition and Dietary Deficiencies
Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
Fire-safety citations
4 Life-Safety-Code citations on file. Most recent: Dec 19, 2024. 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
Villa Haven Health And Rehabilitation Center is a 92-bed nursing home in Breckenridge, Texas, licensed since 1971 and currently operating under a license active through April 2026. CMS rates it 5 stars overall — its highest rating — with 5 stars each on health inspections and quality measures and 4 stars on staffing. The facility is licensed for both Medicare and Medicaid. It is currently operating at roughly 33% of licensed capacity, averaging about 30 residents per day.
Written from CMS Care Compare and state licensing records · last updated April 19, 2026
What the data says
Staffing rates 4 stars, placing this facility in roughly the top 9% of Texas nursing homes on staffing. Each resident receives about 236 minutes of nursing care per day. The mix of residents here is less dependent on hands-on care than at a typical facility — so those staff hours go further than the raw number suggests.
The facility is averaging about 30 residents against 92 licensed beds — roughly 33% occupancy. That is well below what most Texas nursing homes operate at, and it stands alongside other signals in the record.
Written from CMS Care Compare and state licensing records · last updated April 19, 2026
Questions to ask when you tour
Why occupancy is this low
The facility averages about 30 residents in a 92-bed building — ask management what is driving that vacancy rate and whether it reflects referral patterns, staffing decisions, or something else.
Staffing levels on weekends
CMS data shows weekend nursing hours per resident drop to about 201 minutes versus 236 on weekdays — ask how the weekend schedule is structured and who covers care on Saturdays and Sundays.
RN coverage each day
Reported RN hours average about 28 minutes per resident per day; ask how many hours a registered nurse is physically on site and what happens when the RN is not present.
Management company's role
The licensed owner is a hospital district, but day-to-day management is listed under Breckenridge TX LLC — ask which entity sets staffing levels, hiring decisions, and care policies.
Resident Council activity
A Resident Council is listed but no Family Council exists — ask how families are formally kept informed of care changes and how they can raise concerns with leadership.
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.