Arbor Grace Wellness Center
1241 W Marshall Howard Blvd, Littlefield, TX, 79339
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Order the reportFederal 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 June 2026.
CMS Star Ratings
Facility & Staffing
- Ownership
- For profit - Limited Liability company · Chain: Paramount Healthcare Consultants
- Certified beds
- 80 · avg 45 residents/day
- Total nursing staff turnover
- 54.5% — near the Texas averageTexas avg: 53.8% · National avg: 46.1% · per CMS Care Compare
- Administrators who left
- 0 departed — near the Texas averageTexas avg: 0.7 · National avg: 0.5 · per CMS Care Compare
Enforcement & Citations
- Fines (past 3 years)
- 2 fines · $44,434 total
- Payment denials
- 1 denial
Medicare certification
- CMS Certification Number
- 675978
- Certified beds
- 80 beds · avg 45 residents/day
- Ownership type
- For profit - Limited Liability company
- Continuing-care community
- No
CMS Care Compare, processing date June 1, 2026
Ownership & operations
- Legal business name
- Pdm Operators Llc
- Chain affiliation
- Paramount Healthcare Consultants
CMS Care Compare, processing date June 1, 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 May 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)
- D0926·Feb 26, 2026
Environmental Deficiencies
Have policies on smoking.
- D0880·Feb 26, 2026
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
- E0812·Feb 26, 2026
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- E0803·Feb 26, 2026
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.
- D0761·Feb 26, 2026
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.
- E0692·Feb 26, 2026
Quality of Life and Care Deficiencies
Provide enough food/fluids to maintain a resident's health.
- E0585·Feb 26, 2026
Resident Rights Deficiencies
Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
- C0577·Feb 26, 2026
Resident Rights Deficiencies
Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.
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
7 Life-Safety-Code citations on file. Most recent: Feb 26, 2026. 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 Jun 1, 2026.
Facility background report
The entire federal paper trail on this facility, in one report.
We compile everything the government publishes about Arbor Grace Wellness Centerinto one plain-English report: full inspection history with severity grades, every fine, staffing versus state averages, who really owns the facility, and how the owner's other facilities perform. Every fact cites its federal source.
Order the full background report — $249Where this information comes from
- Certification, capacity, ownership, star ratings, staffing, fines, deficiencies: CMS Care Compare, processing date June 1, 2026.
Data comes unaltered from the federal files. See every source we publish from.