Arbor Grace Wellness Center
1241 W MARSHALL HOWARD BLVD, Littlefield, TX, 79339
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
- For profit - Corporation · Chain: Paramount Healthcare Consultants
- Certified beds
- 80 · avg 38 residents/day
- Total nursing staff turnover
- 54.1% — 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
Enforcement & Citations
- Fines (past 3 years)
- 2 fines · $44,434 total
- Payment denials
- 1 denial
State licensing & capacity
- License number
- 149647
- Service type
- Medicare/medicaid
- Licensed capacity
- 80 beds
- Bed type breakdown
- 20 Medicare-only · 60 Medicaid/Medicare
- Current license effective
- March 1, 2024
- Current license expires
- March 1, 2027
- Initial license date
- September 1, 1971
Texas HHSC licensing registry · as of April 16, 2026
Ownership & operations
- Licensee
- Pdm Operators Llc (Limited Liability Company (LLC))
- Operator / manager
- Paramount Healthcare Consultants, Llc
- Administrator
- Diana M Riojas
Texas HHSC licensing registry · as of April 16, 2026
Federal ownership record
Chain affiliation
Part of the Paramount Healthcare Consultants chain — 14 facilities across 2 states. Chain-wide average overall rating 2.4 / 5.
Disclosed owners (8 on record)
- Diana Riojas
Operational/managerial Control · since 2023
- Cindy Lea George
Adp of The Snf · since 2017
- Dawne r Smith
5% or Greater Direct Ownership Interest · 100% · since 2017
- Paramount Healthcare Consultants, Llc
Adp of The Snf · since 2017
- Littlefield Smith, Llc
5% or Greater Mortgage Interest · 58% · since 2008
- Sheppel Littlefield, Llc
5% or Greater Mortgage Interest · 43% · since 2008
+ 2 additional owners on the federal record.
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 38)
- D0740·Dec 22, 2025Complaint
Quality of Life and Care Deficiencies
Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
- E0880·Jan 15, 2025Complaint
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
- E0812·Nov 22, 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.
- D0761·Nov 22, 2024
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.
- D0727·Nov 22, 2024
Nursing and Physician Services Deficiencies
Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
- D0684·Nov 22, 2024
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- D0550·Nov 22, 2024
Resident Rights Deficiencies
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- J0686·Aug 26, 2024Complaint
Quality of Life and Care Deficiencies
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Federal penalties
By year
- 20241 fine · $16K
- 20231 fine · $28K · 1 payment denial
Most recent events
- Aug 26, 2024Fine · $16K
- Aug 29, 2023Payment denial · 1 day · starting Sep 30, 2023
- Aug 29, 2023Fine · $28K
Largest single fine on record: $28K.
Fire-safety citations
4 Life-Safety-Code citations on file. Most recent: Nov 22, 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
Arbor Grace Wellness Center is an 80-bed nursing home in Littlefield, TX, licensed since 1971 and currently operating at roughly 48% of capacity — about 38 residents on an average day. CMS rates it 2 stars overall, with a 1-star quality-of-care rating and a 2-star staffing rating. Two CMS fines totaling $44,434 have been assessed. The license is active through March 2027.
Written from CMS Care Compare and state licensing records · last updated April 19, 2026
What the data says
CMS rates staffing here 2 stars. Each resident receives about 173 minutes of nursing care per day — roughly 68 minutes less than at a 4-star-staffing facility in Texas, which sits at 241 minutes. Registered nurse coverage averages 17 minutes per resident per day, against 37 minutes at a 4-star Texas facility. Residents here also tend to need more hands-on help than at a typical facility — less mobile, or managing more complex conditions on average — which means those 173 minutes stretch thinner than the number alone suggests.
CMS assessed 2 fines totaling $44,434 in the period reflected in this record. The state median fine total among Texas nursing homes that receive fines is $20,699, so this facility's total runs roughly double that figure. About 30% of Texas nursing homes received no fines at all in this period.
CMS rates quality of care 1 star — the lowest tier — on both long-stay and overall quality measures, with a 2-star short-stay quality rating. The facility holds a 3-star health inspection rating, meaning its inspection record is comparatively cleaner than its resident-outcome measures.
The facility is operating at roughly 48% of its 80 licensed beds, averaging about 38 residents per day. Low occupancy at a nursing home can reflect local market conditions, but when paired with weak outcome ratings and above-median fines, it is a pattern families may want to explore directly.
Written from CMS Care Compare and state licensing records · last updated April 19, 2026
Questions to ask when you tour
Staffing levels on nights and weekends
Weekend nursing hours average 2.72 hours per resident per day versus 2.89 on weekdays — ask how many nurses and aides are on duty during nights and weekends specifically.
What the two fines covered
CMS assessed two fines totaling $44,434; ask what deficiencies triggered them and what specific changes were made afterward.
Why occupancy is near half capacity
The facility averages about 38 residents against 80 licensed beds — ask directly what accounts for the low census and whether it affects staffing or programming.
How quality-measure gaps are being addressed
Long-stay quality of care rates 1 star from CMS — ask which specific measures are lowest and what the care team is actively doing to improve them.
Role of the Resident Council
A Resident Council meets here but no Family Council exists — ask how family members can formally raise concerns outside of individual conversations with staff.
Paramount Healthcare's oversight involvement
Paramount Healthcare Consultants manages day-to-day operations — ask how often regional leadership visits, and who families contact when the on-site 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.