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Southern Specialty Rehab & Nursing

4320 WEST 19TH STREET, Lubbock, TX, 79407

Type
Nursing home
State-licensedCMS certified · CCN 676028

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.

Full report →

CMS Star Ratings

Overall1/5
Health inspections1/5
Staffing1/5
Quality measures3/5

Facility & Staffing

Ownership
For profit - Corporation · Chain: Creative Solutions In Healthcare
Certified beds
144 · avg 72 residents/day
Total nursing staff turnover
63.6%higher than most Texas nursing homesTexas avg: 51.5% · National avg: 46.4% · per CMS Care Compare
RN turnover
85.7%higher than most Texas nursing homesTexas avg: 50.5% · National avg: 43.6% · per CMS Care Compare
Administrators who left
2 departednear the Texas averageTexas avg: 0.6 · National avg: 0.5 · per CMS Care Compare

Enforcement & Citations

Fines (past 3 years)
3 fines · $67,291 total

State licensing & capacity

License number
308576
Service type
Medicare/medicaid
Licensed capacity
144 beds
Bed type breakdown
29 Medicare-only · 115 Medicaid/Medicare
Current license effective
April 1, 2025
Current license expires
April 1, 2028
Initial license date
September 1, 1971

Texas HHSC licensing registry · as of April 16, 2026

Ownership & operations

Licensee
West Wharton County Hospital District (HOSPITAL DISTRICT/AUTHORITY)
Operator / manager
Lubbock I Enterprises, Llc
Administrator
Joshua Sue

Texas HHSC licensing registry · as of April 16, 2026

Federal ownership record

For-profitOther

Chain affiliation

Part of the Creative Solutions in Healthcare chain — 149 facilities. Chain-wide average overall rating 2.7 / 5.

Disclosed owners (7 on record)

  • Gary r Blake

    Operational/managerial Control · 50% · since 2022

  • Honor x Enterprises, Llc

    Other · 100% · since 2022

  • Linda f Huggins

    W-2 Managing Employee · since 2022

  • Lubbock i Enterprises, Llc

    Operational/managerial Control · 100% · since 2022

  • Malisa a Blake

    Operational/managerial Control · 50% · since 2022

  • West Wharton County Hospital District

    5% or Greater Direct Ownership Interest · 100% · since 2022

+ 1 additional owner on the federal record.

Recent change of ownership

April 2022 (4 years ago) · acquired from Southern Specialty Rehab & Nursing

Transaction type: Change of Ownership

Source: CMS Provider Enrollment data — SNF Enrollments + All Owners + Chain Performance Measures + Change of Ownership, as of April 2026.

Federal inspection record

28 health citations on file4 immediate-jeopardy findings14 from complaints3 federal fines totalling $67K

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 28)

  • E0760·Nov 4, 2025Complaint

    Pharmacy Service Deficiencies

    Ensure that residents are free from significant medication errors.

  • K0689·Aug 24, 2025Complaint

    Quality of Life and Care Deficiencies

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

  • K0656·Aug 24, 2025Complaint

    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.

  • E0880·Apr 15, 2025

    Infection Control Deficiencies

    Provide and implement an infection prevention and control program.

  • D0812·Apr 15, 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.

  • D0690·Apr 15, 2025

    Quality of Life and Care Deficiencies

    Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

  • E0849·Oct 7, 2024Complaint

    Administration Deficiencies

    Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.

  • D0880·Sep 26, 2024Complaint

    Infection Control Deficiencies

    Provide and implement an infection prevention and control program.

View the full inspection history on CMS Care Compare →

Federal penalties

By year

  • 20251 fine · $24K
  • 20241 fine · $21K
  • 20231 fine · $23K

Most recent events

  • Aug 24, 2025Fine · $24K
  • Jun 13, 2024Fine · $21K
  • May 24, 2023Fine · $23K

Largest single fine on record: $24K.

Fire-safety citations

3 Life-Safety-Code citations on file. Most recent: Jun 26, 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

Southern Specialty Rehab & Nursing is a 144-bed Medicare/Medicaid nursing home in Lubbock, TX, operating at roughly 50% of licensed capacity. CMS rates it 1 star overall, 1 star on health inspections, and 1 star on staffing. Three CMS fines total $67,291 since the last inspection cycle. The facility is managed by Lubbock I Enterprises, LLC under a hospital district licensee, and is part of the Creative Solutions In Healthcare chain.

Written from CMS Care Compare and state licensing records · last updated April 19, 2026

What the data says

CMS rates this facility 1 star on staffing — a rating shared by about 38% of Texas nursing homes. Each resident receives about 199 minutes of nursing care per day, roughly 42 minutes less than at a 4-star-staffing facility in Texas. Residents here require more hands-on care than at a typical facility — they are sicker or less mobile on average — so those 199 minutes stretch thinner than the raw number suggests. RN coverage is 24 minutes per resident per day, against a 4-star threshold of 37 minutes in Texas.

About 6 in 10 nursing staff left in the past year — above the Texas 75th percentile of 60%, meaning turnover here is higher than at least three-quarters of nursing homes in the state. RN turnover is steeper: roughly 9 in 10 registered nurses left in the past year, a very high rate. A long-stay resident will likely go through multiple primary caregivers and most of the RN staff over the course of a year.

Two administrators have left in the past year — organizational instability that residents feel in day-to-day continuity of care.

Three CMS fines totaling $67,291 have been assessed. The Texas median for fines among facilities that receive any is $20,699; about 30% of Texas facilities have none. The $67,291 total is more than three times that median.

The facility is operating at roughly 50% of its 144 licensed beds — about 71 residents on an average day. Paired with the 1-star overall rating, high turnover, elevated fines, and two administrator departures, this occupancy level reflects a facility under significant strain across multiple dimensions.

The quality-of-care measures split sharply: long-stay residents rate 5 stars on quality outcomes, while short-stay residents rate 1 star. These two populations — people living here permanently versus people recovering from a surgery or hospital stay — are experiencing measurably different outcomes under the same roof.

Written from CMS Care Compare and state licensing records · last updated April 19, 2026

Questions to ask when you tour

  1. Current administrator and tenure

    Two administrators have left in the past year — ask who is currently in the role, how long they have been here, and whether they plan to stay.

  2. Nursing staff continuity for long stays

    About 6 in 10 nursing staff left last year; ask which specific nurses or aides would be assigned to your parent and how long those individuals have been at the facility.

  3. RN coverage on evenings and weekends

    RN turnover ran at roughly 9 in 10 last year — ask how many registered nurses are on duty during evening shifts and on weekends, and whether those positions are currently filled or covered by agency staff.

  4. Details on the three CMS fines

    Three fines totaling $67,291 have been assessed — ask what each citation was for and what specific changes were made in response.

  5. Short-stay rehab outcomes

    CMS rates short-stay quality outcomes 1 star while long-stay outcomes rate 5 stars — ask for discharge-to-home rates and average length of stay for rehab patients.

  6. Bed availability and waitlist status

    The facility is at about 50% occupancy with 144 licensed beds — ask whether specific units or wings are closed and what is driving the low census.

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.