Sunset Valley Rehabilitation and Healthcare Center

CMS star ratings

Overall★★★★★ 1/5

State avg 2.6

Health inspections★★★★★ 2/5

State avg 2.8

Staffing★★★★★ 2/5

State avg 1.9

Quality measures★★★★★ 1/5

State avg 3.7

Long-stay quality★★★★★ 1/5

Short-stay quality★★★★★ 1/5

Staffing

Hours of nursing care per resident per day, from payroll data. More hours generally mean more time for each resident.

Total nurse staffing: 3.08 (state 3.39 · U.S. 3.86)
Registered nurses (RN): 0.30 (state 0.43 · U.S. 0.69)
Licensed practical nurses: 0.97 (state 0.95 · U.S. 0.86)
Nurse aides: 1.80 (state 2.00 · U.S. 2.32)
Weekend total: 2.90 (state 2.98 · U.S. 3.42)
Nursing staff turnover: 58.6 (state 55.3 · U.S. 45.8)%
RN turnover: —
Administrators who left: 0 in the last year

Inspections

Last standard inspection: February 26, 2026
Health deficiencies (last cycle): 10.0 (state 9.3 · U.S. 9.3)
From complaints: 1
Citations on record (3 years): 38 health · 7 fire safety · includes immediate jeopardy

Date	Citation	Severity	Status
2026-02-26	Ensure residents have reasonable access to and privacy in their use of communication methods. F0576 · Resident Rights Deficiencies	E No actual harm, potential for more than minimal harm	Corrected 2026-03-02
2026-02-26	Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. F0585 · Resident Rights Deficiencies	E No actual harm, potential for more than minimal harm	Corrected 2026-03-02
2026-02-26	Provide enough food/fluids to maintain a resident's health. F0692 · Quality of Life and Care Deficiencies	E No actual harm, potential for more than minimal harm	Corrected 2026-03-02
2026-02-26	Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. F0803 · Nutrition and Dietary Deficiencies	E No actual harm, potential for more than minimal harm	Corrected 2026-03-02
2026-02-26	Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. F0812 · Nutrition and Dietary Deficiencies	E No actual harm, potential for more than minimal harm	Corrected 2026-03-02
2026-02-26	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. F0761 · Pharmacy Service Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2026-03-02
2026-02-26	Provide and implement an infection prevention and control program. F0880 · Infection Control Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2026-03-02
2026-02-26	Have policies on smoking. F0926 · Environmental Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2026-03-02
2026-02-26	Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. F0577 · Resident Rights Deficiencies	C No actual harm, potential for minimal harm	Corrected 2026-03-02
2025-12-22	Ensure each resident must receive and the facility must provide necessary behavioral health care and services. F0740 · Quality of Life and Care Deficiencies · complaint inspection	D No actual harm, potential for more than minimal harm	Corrected 2026-01-21
2025-01-15	Provide and implement an infection prevention and control program. F0880 · Infection Control Deficiencies · complaint inspection	E No actual harm, potential for more than minimal harm	Corrected 2025-01-30
2024-11-22	Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. F0812 · Nutrition and Dietary Deficiencies	E No actual harm, potential for more than minimal harm	Corrected 2024-12-10
2024-11-22	Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. F0550 · Resident Rights Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2024-12-10
2024-11-22	Provide appropriate treatment and care according to orders, resident’s preferences and goals. F0684 · Quality of Life and Care Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2024-12-10
2024-11-22	Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. F0727 · Nursing and Physician Services Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2024-12-20
2024-11-22	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. F0761 · Pharmacy Service Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2024-12-10
2024-08-26	Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. F0580 · Resident Rights Deficiencies · complaint inspection	J Immediate jeopardy to resident health or safety	Corrected 2024-08-27
2024-08-26	Provide appropriate pressure ulcer care and prevent new ulcers from developing. F0686 · Quality of Life and Care Deficiencies · complaint inspection	J Immediate jeopardy to resident health or safety	Corrected 2024-08-27
2024-06-05	Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted F0655 · Resident Assessment and Care Planning Deficiencies · complaint inspection	D No actual harm, potential for more than minimal harm	Corrected 2024-07-05
2024-06-05	Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. F0656 · Resident Assessment and Care Planning Deficiencies · complaint inspection	D No actual harm, potential for more than minimal harm	Corrected 2024-07-05
2024-06-05	Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. F0689 · Quality of Life and Care Deficiencies · complaint inspection	D No actual harm, potential for more than minimal harm	Corrected 2024-07-05
2024-06-05	Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. F0727 · Nursing and Physician Services Deficiencies · complaint inspection	D No actual harm, potential for more than minimal harm	Corrected 2024-06-08
2024-02-28	Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. F0727 · Nursing and Physician Services Deficiencies · complaint inspection	E No actual harm, potential for more than minimal harm	Corrected 2024-03-29
2024-02-28	Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. F0609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection	D No actual harm, potential for more than minimal harm	Corrected 2024-03-29
2023-11-01	Provide and implement an infection prevention and control program. F0880 · Infection Control Deficiencies · complaint inspection	E No actual harm, potential for more than minimal harm	Corrected 2023-11-15
2023-10-10	Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. F0812 · Nutrition and Dietary Deficiencies	F No actual harm, potential for more than minimal harm	Corrected 2023-11-10
2023-10-10	Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. F0725 · Nursing and Physician Services Deficiencies	E No actual harm, potential for more than minimal harm	Corrected 2023-11-10
2023-10-10	Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. F0580 · Resident Rights Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2023-11-10
2023-10-10	Ensure each resident receives an accurate assessment. F0641 · Resident Assessment and Care Planning Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2023-11-10
2023-10-10	Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted F0655 · Resident Assessment and Care Planning Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2023-11-10
2023-10-10	Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. F0657 · Resident Assessment and Care Planning Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2023-11-10
2023-10-10	Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. F0676 · Quality of Life and Care Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2023-11-10
2023-10-10	Provide care and assistance to perform activities of daily living for any resident who is unable. F0677 · Quality of Life and Care Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2023-11-10
2023-10-10	Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. F0689 · Quality of Life and Care Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2023-11-10
2023-10-10	Provide or obtain dental services for each resident. F0791 · Quality of Life and Care Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2023-11-14
2023-10-10	Post nurse staffing information every day. F0732 · Nursing and Physician Services Deficiencies	C No actual harm, potential for minimal harm	Corrected 2023-11-10
2023-08-29	Provide appropriate pressure ulcer care and prevent new ulcers from developing. F0686 · Quality of Life and Care Deficiencies · complaint inspection	G Actual harm	Corrected 2023-10-01
2023-08-29	Provide enough food/fluids to maintain a resident's health. F0692 · Quality of Life and Care Deficiencies · complaint inspection	G Actual harm	Corrected 2023-10-01

Severity letters A–L combine how widespread a problem was (isolated, pattern, widespread) with how serious (from potential for minimal harm to immediate jeopardy). How to read inspection results

Fines & penalties

3 penalties in the last three years, including $44,434 in fines.

Date	Type	Amount
2024-08-26	Fine	$15,944
2023-08-29	Payment Denial	1 days payment denial
2023-08-29	Fine	$28,490

Ownership & management

Name	Role	Since
Smith, Dawne (individual)	5%+ Direct Ownership Interest · 100%
Littlefield Smith, LLC (organization)	5%+ Mortgage Interest · NOT APPLICABLE
Sheppel Littlefield, LLC (organization)	5%+ Mortgage Interest · NOT APPLICABLE
Smith Family 2001 Trust (organization)	5%+ Mortgage Interest · NOT APPLICABLE
The Russell M. Sheppel 2010 Separate Property Trust (organization)	5%+ Mortgage Interest · NOT APPLICABLE
George, Cindy (individual)	Administrator · NOT APPLICABLE
Littlefield Smith, LLC (organization)	Administrator · NOT APPLICABLE
Paramount Healthcare Consultants, LLC (organization)	Administrator · NOT APPLICABLE
Riojas, Diana (individual)	Administrator · NOT APPLICABLE
Sheppel Littlefield, LLC (organization)	Administrator · NOT APPLICABLE
Smith Family 2001 Trust (organization)	Administrator · NOT APPLICABLE
The Russell M. Sheppel 2010 Separate Property Trust (organization)	Administrator · NOT APPLICABLE
Sheppel, Russell (individual)	Individual Is An Owner, Partner Or Trustee Of Any Administrator · NOT APPLICABLE
Smith, Bradley (individual)	Individual Is An Owner, Partner Or Trustee Of Any Administrator · NOT APPLICABLE
Riojas, Diana (individual)	Operational/managerial Control · NOT APPLICABLE

Frequently asked questions

What is the rating of Sunset Valley Rehabilitation and Healthcare Center?

Sunset Valley Rehabilitation and Healthcare Center has a 1-star overall rating from the Centers for Medicare & Medicaid Services on a scale of 1 to 5, compared with a 2.6-star average in Texas.

How many beds does Sunset Valley Rehabilitation and Healthcare Center have?

It has 80 certified beds and cares for about 43 residents per day.

Has Sunset Valley Rehabilitation and Healthcare Center been fined?

Yes. CMS lists 3 penalties totaling $44,434 in the last three years.

Who owns Sunset Valley Rehabilitation and Healthcare Center?

It is part of Paramount Healthcare Consultants and is classified as for profit - limited liability company. See the ownership table above for all owners and managers reported to CMS.

What is the phone number of Sunset Valley Rehabilitation and Healthcare Center?

(806) 385-6600. The facility is located at 1241 W. Marshall Howard Blvd., Littlefield, TX 79339.

Contact & location

Facility details