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 HHS 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 HHS licensing registry · as of April 16, 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 HHS 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.