nursing home in Flatonia, TX

Flatonia Healthcare Center

624 N Converse St, Flatonia, TX 78941 · (361) 865-3571

★★★★★1
Much below average
CMS overall star rating
  • Health inspections★★★★★2
  • Staffing★★★★★4
  • Quality measures★★★★★1
  • Abuse citation

Source: Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. We refresh our information from this source. About our data

Flatonia Healthcare Center at a glance

Flatonia Healthcare Center is a 70-bed for-profit nursing home in Flatonia, Texas (Fayette County).

CMS gives it 1 out of 5 stars on its overall star rating, worse than the Texas average of 2.7.

Residents receive about 4 hours of nursing care per day (0.6 of them from registered nurses), better than the state average of 3.4 hours.

Its most recent standard health inspection (December 4, 2025) found 9 health citations. The Texas average is 9.4.

Federal regulators fined it 2 times in the past three years, totaling $15,098.

Nursing staff turnover is 43.6% per year (state average 55.3%).

Facility details

Type
Nursing home
Ownership
For Profit - Corporation
Beds
70
Certified for
Medicare and Medicaid
Chain / affiliated entity
Nexion Health
Medicare-certified since
February 14, 1995
Resident/family council
Resident
County
Fayette County
CMS Certification Number
675445

Ratings

MeasureThis facilityTexas avg.U.S. avg.vs. U.S.
Overall star rating ⓘ (higher is better)1 / 52.7 / 53 / 5Worse
Health inspection rating ⓘ (higher is better)2 / 52.8 / 52.8 / 5Worse
Staffing rating ⓘ (higher is better)4 / 51.9 / 52.9 / 5Better
Quality measures rating ⓘ (higher is better)1 / 53.7 / 53.6 / 5Worse
Long-stay quality rating (higher is better)1 / 54 / 53.8 / 5Worse

Staffing

This facility4.04 hrsTexas average3.39 hrsU.S. average3.86 hrs
Total nurse staff hours per resident per day: this facility vs. Texas and U.S. averages
MeasureThis facilityTexas avg.U.S. avg.vs. U.S.
Total nurse staff hours per resident per day ⓘ (higher is better)4.04 hrs3.39 hrs3.86 hrsAverage
Registered nurse hours per resident per day (higher is better)0.59 hrs0.43 hrs0.69 hrsWorse
Nurse aide hours per resident per day (higher is better)2.96 hrs2.01 hrs2.32 hrsBetter
Weekend nurse staff hours per resident per day (higher is better)4.02 hrs2.98 hrs3.42 hrsBetter
Nursing staff turnover (yearly) (lower is better)43.6%55.3%45.8%Average
Registered nurse turnover (yearly) (lower is better)28.6%54.6%42.9%Better
Administrators who left in the past year (lower is better)111Worse

Inspections

This facility9Texas average9U.S. average9
Health citations in the most recent inspection: this facility vs. Texas and U.S. averages
MeasureThis facilityTexas avg.U.S. avg.vs. U.S.
Health citations in the most recent inspection (lower is better)999Average
Citations from complaint investigations (latest cycle) (lower is better)543Worse
Weighted health inspection score ⓘ (lower is better)101.310280.6Worse

Penalties

This facility2Texas average1U.S. average1
Fines in the past 3 years: this facility vs. Texas and U.S. averages
MeasureThis facilityTexas avg.U.S. avg.vs. U.S.
Fines in the past 3 years (lower is better)211Worse
Total fines in the past 3 years (lower is better)$15,098$44,141$30,972Better
All federal penalties in the past 3 years (lower is better)221Worse

Size

MeasureThis facilityTexas avg.U.S. avg.vs. U.S.
Certified beds70113107
Average residents per day417686
Occupancy59.1%67.6%80.9%

Long-stay residents

This facility5.3%Texas average3.3%U.S. average3.2%
Long-stay residents with a fall causing major injury: this facility vs. Texas and U.S. averages
MeasureThis facilityTexas avg.U.S. avg.vs. U.S.
Long-stay residents with a fall causing major injury (lower is better)5.3%3.3%3.2%Worse
Long-stay residents with pressure ulcers (lower is better)0.6%3.8%4.6%Better
Long-stay residents given antipsychotic medication (lower is better)21.8%9.6%15.4%Worse
Long-stay residents with a urinary tract infection (lower is better)0%0.8%1.6%Better
Long-stay residents with a catheter left in the bladder (lower is better)0%0.3%0.8%Better
Long-stay residents needing more help with daily activities (lower is better)37.5%15.8%13.9%Worse
Long-stay residents whose walking worsened (lower is better)26%14%14.1%Worse
Long-stay residents who lose too much weight (lower is better)2.4%3%5.2%Better
Long-stay residents with depressive symptoms (lower is better)0%2.4%12.8%Better
Long-stay residents who were physically restrained (lower is better)0%0%0.1%Better
Long-stay residents given anti-anxiety or sleep medication (lower is better)18.3%18%19.5%Better
Long-stay residents with new or worse incontinence (lower is better)6.8%13.4%19%Better
Long-stay residents given a flu vaccine (higher is better)88.4%98%95.5%Worse
Long-stay residents given a pneumonia vaccine (higher is better)96.8%96.6%93.6%Average

Short-stay residents

This facility6.7%Texas average1.5%U.S. average1.6%
Short-stay residents newly given antipsychotic medication: this facility vs. Texas and U.S. averages
MeasureThis facilityTexas avg.U.S. avg.vs. U.S.
Short-stay residents newly given antipsychotic medication (lower is better)6.7%1.5%1.6%Worse
Short-stay residents given a flu vaccine (higher is better)77.8%88%79.8%Average
Short-stay residents given a pneumonia vaccine (higher is better)78%88.9%82%Average

Inspection citations

State inspectors cited this home for 15 health deficiencies and 7 fire safety deficiencies in the inspection records CMS currently publishes. 2 citations involved actual harm, including 1 rated "immediate jeopardy".

DateCitationSeverityStatus
December 4, 2025
Fire safety
Ensure proper usage of power strips and extension cords.
Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0920
F
Potential harm, widespread
Corrected December 9, 2025
December 4, 2025
Fire safety
Have simulated fire drills held at unexpected times.
Miscellaneous Deficiencies · Tag K0712
F
Potential harm, widespread
Corrected December 19, 2025
December 4, 2025
Standard
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · Tag F0812
F
Potential harm, widespread
Corrected December 5, 2025
December 4, 2025
Standard
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Nutrition and Dietary Deficiencies · Tag F0804
E
Potential harm, pattern
Corrected December 5, 2025
December 4, 2025
Standard
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Resident Rights Deficiencies · Tag F0550
D
Potential harm, isolated
Corrected December 5, 2025
December 4, 2025
Standard
Ensure medication error rates are not 5 percent or greater.
Pharmacy Service Deficiencies · Tag F0759
D
Potential harm, isolated
Corrected December 5, 2025
November 18, 2025
Complaint
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · Tag F0812
D
Potential harm, isolated
Corrected November 21, 2025
November 18, 2025
Complaint
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Resident Rights Deficiencies · Tag F0584
D
Potential harm, isolated
Corrected November 21, 2025
November 18, 2025
Complaint
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service Deficiencies · Tag F0755
D
Potential harm, isolated
Corrected November 21, 2025
September 2, 2025
Complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0600
J
Immediate jeopardy, isolated
Corrected September 3, 2025
September 2, 2025
Complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies · Tag F0684
D
Potential harm, isolated
Corrected September 3, 2025
October 5, 2024
Complaint
Protect each resident from the wrongful use of the resident's belongings or money.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0602
G
Actual harm, isolated
Corrected October 6, 2024
August 1, 2024
Fire safety
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Egress Deficiencies · Tag K0211
D
Potential harm, isolated
Corrected March 31, 2025
August 1, 2024
Standard
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · Tag F0812
E
Potential harm, pattern
Corrected August 2, 2024
August 1, 2024
Standard
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Tag F0880
D
Potential harm, isolated
Corrected August 2, 2024
January 9, 2024
Complaint
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Resident Rights Deficiencies · Tag F0584
D
Potential harm, isolated
Corrected January 31, 2024
June 14, 2023
Fire safety
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Smoke Deficiencies · Tag K0372
E
Potential harm, pattern
Corrected March 7, 2024
June 14, 2023
Fire safety
Inspect, test, and maintain automatic sprinkler systems.
Smoke Deficiencies · Tag K0353
C
No harm, widespread
Corrected March 7, 2024
June 14, 2023
Fire safety
Install an approved automatic sprinkler system.
Smoke Deficiencies · Tag K0351
C
No harm, widespread
Corrected March 7, 2024
June 14, 2023
Fire safety
Have simulated fire drills held at unexpected times.
Miscellaneous Deficiencies · Tag K0712
C
No harm, widespread
Corrected March 7, 2024
June 14, 2023
Standard
Honor the resident's right to organize and participate in resident/family groups in the facility.
Resident Rights Deficiencies · Tag F0565
E
Potential harm, pattern
Corrected June 14, 2023
June 14, 2023
Standard
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Resident Rights Deficiencies · Tag F0584
E
Potential harm, pattern
Corrected June 14, 2023

Severity letters follow the CMS scope-and-severity grid: A–C no actual harm with potential for minimal harm; D–F potential for more than minimal harm; G–I actual harm; J–L immediate jeopardy to resident health or safety. How to read inspection citations.

Fines and payment denials

CMS reports 2 federal penalties in the past three years, including $15,098 in fines.

DatePenaltyAmount / length
September 2, 2025Fine$14,688
October 5, 2024Fine$410

Owners and managers

Individuals and organizations reported to CMS as owning or operating this nursing home.

NameRoleShareSince
MURRELL, EDWARD
Individual
corporate directorNOT APPLICABLE12/01/2012
NORRIS, SHERRIE
Individual
corporate directorNOT APPLICABLE03/01/2013
MURRELL, EDWARD
Individual
corporate officerNOT APPLICABLE11/22/2016
KIRLEY, FRANCIS
Individual
operational/managerial controlNOT APPLICABLE04/01/2023
NEXION HEALTH AT FLATONIA, INC.
Organization
operational/managerial controlNOT APPLICABLE04/01/2023
KIRLEY, FRANCIS
Individual
w-2 managing employeeNOT APPLICABLE04/01/2023

Other nursing homes near Flatonia Healthcare Center

  1. Shady Oak Nursing and Rehabilitation

    101 South Lancaster, Moulton, TX 77975 · 8.7 mi

    For-profit · 61 beds · Part of Creative Solutions in Healthcare

    ★★★★★5Much above average
  2. Paradigm at the Oak

    507 West Ave, Schulenburg, TX 78956 · 11.7 mi

    For-profit · 90 beds · Part of Paradigm Healthcare

    • Abuse citation
    ★★★★★1Much below average
  3. Schulenburg Regency Nursing Center

    111 College St, Schulenburg, TX 78956 · 12.4 mi

    For-profit · 146 beds

    ★★★★★3Average
  4. Shiner Nursing and Rehabilitation Center

    1213 North Avenue B, Shiner, TX 77984 · 18.3 mi

    For-profit · 95 beds · Part of Creative Solutions in Healthcare

    ★★★★★3Average
  5. Monument Hill Nursing and Rehabilitation Center

    120 State Loop 92, La Grange, TX 78945 · 19.3 mi

    Government · 104 beds · Part of Wellsential Health

    ★★★★★4Above average
  6. Stevens Nursing and Rehabilitation Center of Halle

    106 Kahn St, Hallettsville, TX 77964 · 19.5 mi

    Government · 144 beds · Part of Wellsential Health

    ★★★★★5Much above average

All nursing homes in Flatonia, TX · Compare side by side

Frequently asked questions

What is Flatonia Healthcare Center's rating?

Flatonia Healthcare Center has 1 out of 5 stars on the CMS overall star rating. The average for Texas nursing homes is 2.7 stars.

How many inspection citations did Flatonia Healthcare Center receive?

Its most recent standard health inspection found 9 citations, compared with a Texas average of 9.4. Every citation is listed on this page with its severity.

Does Flatonia Healthcare Center accept Medicare and Medicaid?

CMS lists it as certified for: Medicare and Medicaid. Call the facility to confirm bed availability and whether it accepts your specific plan.

Who owns Flatonia Healthcare Center?

It is for profit - corporation and part of Nexion Health. The ownership section on this page lists the owners and managers reported to CMS.

Where is Flatonia Healthcare Center and how do I contact it?

Flatonia Healthcare Center is at 624 N Converse St, Flatonia, TX 78941. Phone: (361) 865-3571.

About this data

Ratings and measures come from the Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. They're based on state inspections, patient surveys and facility reports, and they describe the past. Facilities change, so visit in person and confirm details directly. About our data · Spotted an error? Let us know.