Villa Haven Health And Rehabilitation Center
Breckenridge, Stephens County, Texas · CCN 675279 · Government (Hospital district) · part of Fundamental Healthcare (66 facilities, chain average 2.4 stars)
CMS rates Villa Haven Health And Rehabilitation Center 5 of 5 overall as of August 2026. 92 certified beds, 33 residents a day on average. 9 citations on record from the current inspection cycles; no fines on record.
CMS’s ratings
The Five-Star Quality Rating System, as CMS publishes it. Where CMS gives no rating, the reason CMS gives is printed instead.
| Overall | ★★★★★ 5 of 5 |
|---|---|
| Health inspections | ★★★★★ 5 of 5 |
| Staffing | ★☆☆☆☆ 1 of 5 |
| Quality measures | ★★★★★ 5 of 5 |
| Quality: long-stay / short-stay | 5 / — of 5 |
Staffing
| Total nurse staffing | 3.44721 hours per resident per day |
|---|---|
| Registered nurses | 0.45146 hours per resident per day |
| Weekend total | 2.99095 hours per resident per day |
| Nursing staff turnover | 60% (registered nurses 100%) |
| Administrators who left | 0 |
Citations from health inspections
Each is a finding by a state surveyor on the date shown, in CMS’s words. The severity is CMS’s scope-and-severity grid, spelled out: harm on the left, how widespread on the right.
| Survey | Finding | Severity | Status |
|---|---|---|---|
| 2026-03-13 complaint survey |
Provide behavior health training consistent with the requirements and as determined by a facility assessment. Administration Deficiencies · tag F0949 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2026-04-06 |
| 2026-03-13 | 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. Pharmacy Service Deficiencies · tag F0761 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2026-03-31 |
| 2025-12-27 complaint survey |
Follow rules about disclosure of ownership requirements and tell the state agency about changes in ownership and/or administrative personnel. Administration Deficiencies · tag F0844 |
C No actual harm, with potential for minimal harm; widespread | Deficient, Provider has date of correction 2026-01-14 |
| 2024-12-19 complaint survey |
Provide and implement an infection prevention and control program. Infection Control Deficiencies · tag F0880 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2025-01-09 |
| 2024-12-19 complaint survey |
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. Resident Assessment and Care Planning Deficiencies · tag F0657 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-12-23 |
| 2024-07-18 complaint survey |
Provide and implement an infection prevention and control program. Infection Control Deficiencies · tag F0880 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-08-06 |
| 2023-11-02 complaint survey |
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies · tag F0656 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2023-11-20 |
| 2023-11-02 complaint survey |
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 No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2023-11-21 |
| 2023-11-02 complaint survey |
Provide and implement an infection prevention and control program. Infection Control Deficiencies · tag F0880 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2023-11-20 |
Fines and payment denials
No fines or payment denials on record since 2023.
Who owns and runs it
Every owner, officer and manager CMS lists, as filed. These are the names in CMS’s ownership record; anyone named in the ownership record can ask about it on the about page.
| Name | Role | Share | Since |
|---|---|---|---|
| Childress County Hospital District Organization | 5% or greater direct ownership interest | 100% | 2017-04-01 |
| 300 South Jackson LLC Organization | adp of the snf | — | 2025-08-01 |
| Empower Healthcare Management LLC Organization | adp of the snf | — | 2025-08-01 |
| Empower Opco LLC Organization | adp of the snf | — | 2025-08-01 |
| Texas Senior Realty Ventures LLC Organization | adp of the snf | — | 2025-08-01 |
| Breckeridgetx LLC Organization | operational/managerial control | — | 2025-08-01 |
| Gray, Deanne Individual | adp of the snf | — | 2023-03-20 |
| Prater, William Individual | adp of the snf | — | 2025-08-01 |
| Holcomb, Holly Individual | corporate officer | — | 2021-05-29 |
| Stratton, Emilee Individual | corporate officer | — | 2018-03-18 |
| Mistretta, Cassandra Individual | individual is an owner, partner or trustee of any adp of the snf | — | 2026-03-24 |
| Gray, Deanne Individual | operational/managerial control | — | 2023-03-20 |
| Pfeifer, Mary Individual | operational/managerial control | — | 2025-08-01 |
| Prater, William Individual | operational/managerial control | — | 2025-08-01 |
What changed
Nothing has changed in this record since it was first loaded. The next CMS refresh is the next chance.
Tell me when this record changes
One email when the monthly CMS refresh brings a new citation, a fine or payment denial, a rating change, a flag, or a change of ownership for Villa Haven Health And Rehabilitation Center.
Source: Centers for Medicare & Medicaid Services, Provider Data Catalog (public domain), files dated 2026-08-01. Ratings are CMS’s; citations are state surveyors’ findings; nothing here is estimated or a recommendation. Every nursing home in Stephens County.