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 HHS 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 HHS licensing registry · as of April 16, 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 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.