Flatonia Healthcare Center
624 N CONVERSE ST, Flatonia, TX, 78941
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 Abuse Flag
CMS has flagged this facility for a substantiated finding of resident abuse, neglect, or exploitation in its current or recent inspection cycle. Ask the facility for the specific citation and corrective-action plan during your visit, and consider contacting your state's long-term care ombudsman for context.
Source: CMS Care Compare.
CMS Star Ratings
Facility & Staffing
- Ownership
- For profit - Corporation · Chain: Nexion Health
- Certified beds
- 70 · avg 53 residents/day
- Total nursing staff turnover
- 48.9% — near the Texas averageTexas avg: 51.5% · National avg: 46.4% · per CMS Care Compare
- RN turnover
- 40% — lower 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)
- 2 fines · $23,005 total
State licensing & capacity
- License number
- 143276
- Service type
- Medicare/medicaid
- Licensed capacity
- 70 beds
- Bed type breakdown
- 16 Medicare-only · 54 Medicaid/Medicare
- Current license effective
- August 31, 2024
- Current license expires
- August 31, 2027
- Initial license date
- May 1, 1980
Texas HHSC licensing registry · as of April 16, 2026
Ownership & operations
- Licensee
- Winniestowell Hospital District (HOSPITAL DISTRICT/AUTHORITY)
- Operator / manager
- Nexion Health At Flatonia, Inc
- Administrator
- Angela Karl
Texas HHSC licensing registry · as of April 16, 2026
Federal ownership record
Chain affiliation
Part of the Nexion Health chain — 52 facilities across 3 states. Chain-wide average overall rating 2.3 / 5.
Disclosed owners (5 on record)
- Francis Kirley
W-2 Managing Employee · 100% · since 2023
- Nexion Health at Flatonia, Inc.
Operational/managerial Control · 100% · since 2023
- Edward r Murrell
Corporate Officer · since 2016
- Winnie-stowell Hospital District
5% or Greater Direct Ownership Interest · 100% · since 2014
- Sherrie Norris
Corporate Director · since 2013
Source: CMS Provider Enrollment data — SNF Enrollments + All Owners + Chain Performance Measures, 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 15)
- F0812·Dec 4, 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.
- E0804·Dec 4, 2025
Nutrition and Dietary Deficiencies
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
- D0759·Dec 4, 2025
Pharmacy Service Deficiencies
Ensure medication error rates are not 5 percent or greater.
- D0550·Dec 4, 2025
Resident Rights Deficiencies
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- D0812·Nov 18, 2025Complaint
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- D0755·Nov 18, 2025Complaint
Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- D0584·Nov 18, 2025Complaint
Resident Rights Deficiencies
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
- D0684·Sep 2, 2025Complaint
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Federal penalties
By year
- 20251 fine · $23K
- 20241 fine · $410
Most recent events
- Sep 2, 2025Fine · $23K
- Oct 5, 2024Fine · $410
Largest single fine on record: $23K.
Fire-safety citations
7 Life-Safety-Code citations on file. Most recent: Dec 4, 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
Flatonia Healthcare Center is a 70-bed nursing home in Flatonia, Texas, licensed to Winniestowell Hospital District and managed by Nexion Health. CMS rates it 2 stars overall, with a 2-star health inspection rating — despite 4-star scores on staffing and quality measures. CMS has substantiated findings of resident abuse or neglect here within the past 36 months. Two CMS fines total $23,005.
Written from CMS Care Compare and state licensing records · last updated April 19, 2026
What the data says
CMS has substantiated findings of resident abuse or neglect at this facility within the past 36 months. This flag appears on CMS Care Compare when an inspection confirms that harm — or the serious risk of harm — occurred.
CMS rates staffing 4 stars here, placing the facility in roughly the top 9% of Texas nursing homes on that measure. Each resident receives about 225 minutes of nursing care per day. The resident mix at this facility is less dependent on hands-on care than at a typical nursing home, so those staffing hours go further than the raw number already suggests.
Two CMS fines total $23,005 — just above the Texas median of $20,699 for facilities that have been fined. About 30% of Texas nursing homes have no fines on record.
Written from CMS Care Compare and state licensing records · last updated April 19, 2026
Questions to ask when you tour
About the abuse finding
CMS has a substantiated abuse or neglect finding here in the past 36 months — ask what happened, what changed, and how staff are trained and monitored now.
What the two fines covered
Two CMS fines totaling $23,005 are on record — ask what deficiencies triggered them and what corrective steps followed each one.
Overall rating versus staffing gap
Staffing and quality measures rate 4 stars, but the overall and health inspection ratings are 2 stars — ask what the inspection found that drives that gap.
How the Resident Council works
The facility has a Resident Council but no Family Council — ask how families raise concerns and how often the council's input leads to visible changes.
Nexion Health's oversight role
Day-to-day management sits with Nexion Health, not the hospital district licensee — ask how often regional management visits and who families contact when the administrator is unavailable.
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.