Deficiency Index

Flatonia Healthcare Center

Flatonia, Texas · CCN 675445

26 surveys since 2011. The first finding at harm level was recorded in 2016.

Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.

Citations on record
89
Surveys
26
Harm or worse
4
Immediate jeopardy
1
The record, 2011–2025
’11’15’20’25
No harm recordedHarm or worseNot surveyed
Immediate jeopardy1

Findings at the most serious level CMS records.

Beyond CMS’s monthly file19/26

Older surveys no longer in CMS’s monthly file or on Care Compare. They are shown here.

The facility

Certified beds
70
Ownership
For profit - Corporation
Chain
NEXION HEALTH
County
Fayette · rural
Medicare-certified since
1995

CMS ratings

Overall
1
Health inspection
2
Staffing
4
Quality measures
1

CMS’s own Five-Star ratings.

Compared with similar facilities

Since 2021, this facility recorded somewhat fewer weighted findings than its peer group.

Weighted by harm level, against 164 for-profit facilities of 66–99 beds in Texas.

Last survey on record

Dec 4, 2025

340 days ago.

Counts surveys with at least one finding. A clean survey leaves no record here, so the real gap may be shorter.

Staffing

MeasureThis facilityPeer median
Nurse hours per resident day4.043.22
Registered-nurse hours per resident day0.59—
Annual nurse turnover43.6%53.9%

As reported by the facility to CMS, beside the peer-group median.

Enforcement

Fines
$15,098 across 2 penalties
Abuse icon
Flagged by CMS on Care Compare

Federal civil money penalties and remedies as CMS currently publishes them. Amounts may still be under appeal.

Severity of recent findings

Citations by CMS scope and severity. Rows are harm level, columns are how widespread the finding was.
SeverityIsolatedPatternWidespread
Immediate jeopardyJ16.7%K—L—
Actual harmG16.7%H—I—
No harm, potential for more than minimalD853.3%E426.7%F16.7%
No harm, potential for minimalA—B—C—
CMS’s current file: 15 of the 89 citations on record.

Most frequently cited here

In CMS’s current monthly file.

  • F5843×

    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.

  • F8123×

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

  • F5501×

    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

  • F5651×

    Honor the resident's right to organize and participate in resident/family groups in the facility.

  • F6001×

    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

In the surveyor’s words

From the most serious findings on record at Flatonia Healthcare Center, in the surveyor’s own words.

  • Immediate jeopardy, isolatedF600Sep 2, 2025

    Based on observation, interview and record review the facility failed to ensure the residents were free from physical abuse for two (Resident #2 and Resident #3) of six residents reviewed for abuse. 1. The facility failed to ensure Resident #2 was not attacked by Resident #1 with a pencil on 08/11/25 causing slight bleeding and the facility failed to ensure Resident #2 was not hit over the head by Resident #1 with a metal object on 08/15/25, no physical injury, causing Resident #2 to be afraid of Resident #1.2. The facility failed to ensure Resident #1 did not slap Resident #3 on the back on 08/20/25.3. […]

  • Actual harm, isolatedF602Oct 5, 2024

    Based on interviews and record review the resident's right to be free from misappropriation for 1 of 3 residents reviewed for misappropriation of property. (Resident #1) The facility failed to protect Resident #1 from misappropriation/exploitation by allowing AAD-C C to take money from Resident #1 for AAD-C's own well-being and personal expenses, exact date unknown. Resident #1 felt excluded from activities and became upset after AAD-C began avoiding the resident who was asking for her money to be paid back. This failure could place residents who resided in this facility at risk of misappropriation of property causing financial hardship. […]

  • Actual harm, isolatedF689Dec 7, 2022

    Based on interview, and record review, the facility failed to ensure that each resident received adequate supervision and assistance devices to prevent accidents for 1 of 2 resident (Resident #1) for accidents and hazards. The facility failed to prevent NA A from transferring Resident#1 with a mechanical lift alone; resulting in acute mid shaft fracture of right femur of Resident #1 This failure could place residents that require two-person staff assistance for transfers with mechanical lifting at risk for falls, accidents, or injuries Findings Included: Review of Resident #1's face sheet, dated 12/07/22, reflected Resident #1 admitted to the facility on [DATE]. […]

  • No harm, potential for more than minimal, widespreadF812Dec 4, 2025

    Based on observations, interviews, and record reviews, the facility failed to properly store, prepare, distribute food in accordance with professional standards for food service safety for 1 of 1 kitchen.1. The facility failed to properly store raw chicken in its kitchen on 12/02/2025.2. The facility failed to properly store, label, and date all food items located in the facility refrigerators, freezers and in the dry food pantry area on 12/02/2025, 12/03/2025 and 12/04/2025. 3. The facility failed to discard outdated food items located in the refrigerator on 12/02/2025,12/03/2025, and 12/04/2025. 4. […]

  • No harm, potential for more than minimal, widespreadF812Apr 29, 2022

    Based on observation, interview, and record review, the facility failed to store, prepare, distribute, and serve food in accordance with professional standards for food service safety for 1 of 1 kitchen, in that: 1. There was not a foot operated, covered trash receptacle at the hand washing sink. 2. In the freezer section of a standard size black refrigerator, there were: a. approx. half of a bag of pre-cooked steak fingers that was not labeled or dated. b. approx. half of a bag of pre-cooked chicken strips that was not labeled or dated. c. six individually wrapped raw fish fillets that were not labeled or dated. d. a storage bag of approx. 5-lb. uncooked hamburger meat that was not labeled or dated. 3. […]

Read 21 findings in full →The most serious and the most recent: 21 of 89 on record.

Every survey on record

FindingsAt actual harm or above

  • Dec 4, 2025Standard4 findings
  • Nov 18, 2025Complaint3 findings
  • Sep 2, 2025Complaint2 findings · 1 harm
  • Oct 5, 2024Complaint1 finding · 1 harm
  • Aug 1, 2024Standard2 findings
  • Jan 9, 2024Complaint1 finding
  • Jun 14, 2023Standard2 findings
  • Dec 7, 2022Complaint1 finding · 1 harm
Show the 18 earlier surveys
  • Jun 1, 2022Complaint1 finding
  • Apr 29, 2022Complaint9 findings
  • Aug 25, 2021Complaint1 finding
  • Jun 22, 2021Complaint1 finding
  • Jan 13, 2021Infection control1 finding
  • Oct 15, 2020Infection control1 finding
  • Apr 17, 2020Complaint1 finding
  • Sep 27, 2019Standard7 findings
  • Aug 1, 2019Complaint1 finding
  • Feb 6, 2019Complaint3 findings
  • Sep 27, 2018Standard and complaint7 findings
  • Sep 22, 2017Standard14 findings
  • Oct 5, 2016Standard5 findings
  • Mar 1, 2016Complaint1 finding · 1 harm
  • Sep 24, 2015Standard7 findings
  • Mar 18, 2015Complaint1 finding
  • Jul 16, 2014Standard3 findings
  • Mar 10, 2011—9 findings

Surveys that found no deficiencies are not in CMS’s files and do not appear here.

Comparable facilities

The nearest facilities to this one in the same peer group, by weighted findings.

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